Dejection and weeping ; gloominess ; melancholy ; pensiveness ; discouragement ; anxiety in the evening in bed ; anxiety and apprehensiveness with flushes of heat ; readiness to take fright ; aversion to one’s occupation ; indifference toward his family ; momentary fits of vertigo with unconsciousness, while walking in the open air and while writing ; vertigo ; weak memory ; muddled feeling in the head and incapacity for mental work ; heaviness of the head ; headache with nausea ; fits of gout in the head with a boring pain, compelling the person to scream and with vomiting ; beating headache, especially in the occiput ; rush of blood to the head, when stooping ; coldness on the head ; itching on the head, in the nose and in the ears ; falling out of the hair ; the head jerks forward ; incapacity of opening the eyelids at night ; heaviness and sinking down of the upper eyelid ; pressure in the eyes ; pricking in the eyes, in the evening by candle light ; nightly agglutination of the eyes ; swelling of the eyes in the evening ; dry scurf on the edge of the eyelids, in the morning on awaking ; far-sightedness ; sensation of a gauze before the eyes ; black points and fiery streaks before the eyes ; black spots flitting before the eyes ; amaurosis, with contracted pupils ; excessive sensitiveness of the hearing to music ; difficulty in hearing ; roaring and rushing sound before the ears ; chronically inflamed and eruptive tip of the nose ; frequent blowing of blood from the nose ; frequent epistaxis ; defect in smelling ; yellowness of the face ; itching in the face ; erysipelatous inflammation and swelling of the whole side of the face, starting from the hollow root of a tooth [Gll.] ; dry lips which peel off ; swelling of the gums ; bleeding of the gums ; soreness of the gums ; shooting toothache ; dryness of the mouth ; fetor from the mouth ; white-coated tongue ; soreness of the tip of the tongue ; contractive twitching in the throat ; viscidity in the throat ; hawking up of mucus, in the morning ; thirst in the morning ; voracity ; acidity in the mouth, after a meal ; aversion to eating ; aversion to meat and to milk ; the food will not go down ; great eagerness for food ; greediness ; disagreeable eructation with nausea, after eating fat things ; eructation ; sour eructation ; eructation with the taste of the ingesta ; waterbrash, especially after drinking ; waterbrash with previous qualmishness and writhing about in the stomach ; pressive shooting pain in the scrobiculus cordis and the gastric region ; beating in the scrobiculus cordis ; pain in the scrobiculus cordis when walking ; stomachache, after supper ; perspiration after eating ; pressure in the stomach while eating ; pressure in the stomach after a meal ; difficult digestion ; after eating, scratching and burning, extending up the fauces ; emptiness in the stomach ; shooting in the liver ; burning in the stomach and the abdomen ; boring in the hypochondria ; shooting in the left hypochondrium ; burrowing, pressure and cutting in the hypogastrium ; pressure in the hypogastrium, extending up into the precordial region ; sensation as of something lodged and of hardness in the hypogastrium ; bloated abdomen in mothers ; sensation of emptiness in the abdomen ; coldness of the abdomen ; dropsy of the abdomen ; frequent generation and incarceration of flatus ; rumbling and growling in the abdomen, especially after eating ; colic after bodily exercise, ineffectual call to stool ; retarded stool ; evacuation too soft ; mucous stool ; passage of blood with the stool ; discharge of mucus from the rectum, without stool, with shooting and tearing extending up the anus and rectum ; insufficient stool ; evacuation like laurel berries ; burning in the rectum during stool ; oozing of moisture from the rectum ; crawling in the rectum ; itching in the anus ; pressure of blood to the anus ; protrusion of the varices of the rectum ; prolapsus of the rectum during stool ; urging to urinate, nocturnal micturition ; involuntary micturition during the first sleep ; dark urine ; erosion in the urethra during micturition ; painfulness of the testicle, weakness of the genitals ; itching about the genitals ; swelling of the scrotum ; suppressed menses ; pressure and bearing down on the genitals ; soreness in the pudenda and between the thighs ; heat in and on the genitals ; menses too weak ; bruised pains during the menses ; flow of yellow water from the vagina.
Teste describes the type to where Sepia is suited as follows:
Young people of both sexes, or, rather, persons between pubescence and the critical period of life; of delicate constitutions, with pure white skins, or skins having a rosy tinge; blonde or red hair; nervous or lymphatico-nervous temperaments; exceedingly excitable and anxious for emotions; and, lastly, particularly such as are disposed to sexual excitement, or have been exhausted by sexual excesses.
Hering gives these types:
(1) Persons of dark hair, rigid fibre, but mild and easy disposition.
(2) Women during pregnancy, in childbed and while nursing.
(3) Children who take cold readily when the weather changes.
(4) Scrofulous persons.
(5) Men who have been addicted to drinking and sexual excesses.
(6) Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions.
Bähr gives: “Sanguine, excitable temperaments inclined to congestions.”
Farrington adds that the Sepia patient is sensitive to all impressions, and that the dark hair is not by any means a necessity. He gives a more complete description:
Puffed, flabby persons (less frequently emaciated) with yellow or dirty yellow brown blotched skin; inclined to sweat, especially about genitals, axillæ, and back; hot flushes; headache in morning; awaken stiff and tired; subject to disease of sexual organs; the general attitude is never one of strength and healthful ease, but of lax connective tissue, languor, easily produced paresis.
Sep. acts on the vital forces as well as on organic tissues. The sphincters are weakened and all non-striated muscles. Sep. disturbs the circulation, causing flushes and other irregularities─throbbings all over; hands hot and feet cold, or vice versâ. The flushes run upward and end in sweat with faint, weak feeling. Epistaxis may occur either from a blow, from being in a warm room, or from suppressed menses. The upward direction of the Sep. symptoms is one of its keynotes. The pains of the head shoot upward; and so do the pains in anus, rectum, and vagina. Also coldness as well as the flushes travels from below up. On the other hand night-sweat proceeds from above downward. The head pains proceed from within out. Sep. is one of the remedies which have the “ball” sensation in inner parts. There is vertigo with sensation of something “rolling round” in the head.
There is sensation of a ball in inner parts generally; but the most notable one is sensation of a ball in rectum. It may be described as an apple or a potato, and it is not relieved by stool. I have cured both constipation and diarrhœa when that symptom was present. The upward stitches in rectum and vagina, when present, are equally good indications for Sep. in cases of hæmorrhoids, prolapse of rectum, and for prolapse or induration of uterus and cervix.