Haemorrhoids, with bleeding at stool (85), is an accompaniment of the torpid liver.
The diarrhoea of Sepia is caused by drinking milk (6) and especially boiled milk, and noticed particularly in teething children. The stools are green (59), mucous, sour-smelling (59), and are associated with rapid exhaustion (58) and emaciation.
In cystocele Sepia is of value as a palliative for the feeling of heaviness of the bladder or the constant bearing-down sensation so characteristic of the remedy.
In cystitis it is curative with this same bearing-down feeling, a constant desire to urinate, but micturition is very slow as the bladder muscles are weak and relaxed (21).
The characteristic urine is offensive and deposits a sediment or uric acid, which adheres tightly to the vessel in which it is voided (123).
Sepia is of value in nocturnal enuresis (198), the guiding symptom being that the child wets the bed almost as soon as it gets to sleep or at any rate during the first sleep (199).
The cough of Sepia is worse i the morning on waking (40) and at night form bed-time to midnight, with expectoration of thick mucus, and often retching and vomiting; with the cough there is frequent desire to eat (40).
It is of value for whooping cough, with nightly paroxysms and for chronic bronchitis, with hepatic symptoms; the cough seems to come from the abdomen (44). It is also of value, as an intercurrent, in phthisis, with faintness, relaxation and goneness in the stomach, and soreness in the chest; more frequently called for in women.
The skin symptoms calling for Sepia are found especially in brunettes suffering from abdominal or pelvic affections, and they are worse morning and evening, after eating and at the menstrual period (138) and better from cold bathing. Besides the brown discoloration or “liver spots” there are various vesicular eruptions, with itching, burning and stinging, and especially a vesiculo-pustular eruption in the folds of the skin or hollow of the joints, as in the bend of the elbow and the popliteal space (66).
Dunham speaks particularly of Sepia in the treatment of ringworm, he giving as a characteristic indication when the lesion occurs in isolated spots. He also cites the cure of two cases of epithelial cancer of the lower lip when, besides the constitutional symptoms calling for the remedy, there was soreness, burning and pricking in the lower lip as from a splinter of wood.
The feet are cold in Sepia (71) and damp from an offensive foot-sweat (185), with soreness between the toes and relieved by cold bathing.
Sepia has been used for intermittent fever when, in addition to the constitutional symptom, there wa pronounced chill, fever and sweat followed by great exhaustion.
Lachesis is incompatible with Sepia.
I use Sepia 6th.
