# Hypericum Perforatum

## Remedy Classification
- **Type:** Herbal Remedy
- **Miasm:** Emotional Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Morning

## Keynote Indications
Source: Derived from the whole flowering plant of Hypericum perforatum, a perennial herb in the. Hypericaceae  family,  native  to  Europe  and  widely  naturalized,  prepared  for  homeopathic  use. through maceration, serial dilution, and succussion to eliminate toxicity and enhance therapeutic. action. Traditional Context : Historically employed in homeopathy for  neurological, musculoskeletal,. dermatological,  psychological,  and  systemic  disorders,  particularly  those  involving  nerve. injuries, neuralgia, and emotional disturbances. It is noted for symptoms such as shooting pains,. nerve sensitivity, wounds to nerve-rich areas, and depression, often aggravated by cold, touch, or. dampness, and ameliorated by warmth, rest, or bending the head backward. Modern Context : Indicated for  neurological conditions (e.g., neuralgia, peripheral neuropathy),. musculoskeletal conditions (e.g., crush injuries, spinal trauma), dermatological conditions (e.g.,. puncture  wounds,  burns),  psychological  conditions (e.g.,  depression,  anxiety),  and  systemic. conditions (e.g.,  fatigue,  hypersensitivity).  It  suits  patients  with  acute  or  chronic  symptoms. characterized by  nerve pain ,  trauma to nerve-rich tissues ,  emotional sensitivity , or  fatigue,. typically exacerbated by cold, touch, or dampness, and often seen in individuals with nerve injuries,. post-traumatic stress, or chronic pain syndromes. The remedy is particularly relevant for those with. a sensitive, chilly constitution, often presenting with physical symptoms like lancinating pains or. slow-healing wounds alongside psychological symptoms like low mood or irritability, commonly. observed in patients with sciatica, post-surgical nerve pain, or major depressive disorder triggered. by trauma or environmental stressors.

## Modalities (Aggravations / Ameliorations)
Worse from: Cold  (weather,  air,  drinks),  touch,  dampness,  motion,  pressure,  night,. emotional stress, trauma, exertion, sensory overload, jarring, menstruation.

## Symptoms by System

### Mind
- Brain fag and neurasthenia.
- Weak memory.
- Forgets what she wanted to say.
- Mistakes in writing, 
omitting letters.
- Mistakes in speaking, using wrong words, saying right for left or vice versa.
- Irritable, inclined 
to speak sharply.
- Depression.
- Melancholy.
- Seasonal Af fective Disorder.
- Great nervous depression after shock.
- Complaints 
from fright.
- Mental effects of injury, fright and shock.
- Mental dullness after head injuries, surgical opera tions.
- Head injury (Nat-s.).
- Mental excitement as after drinking tea.
- Mental symptoms before thunderstorm.
- Delirium.
- Talking nonsense.
- Sees spirits.
- Feels lifted high in air or anxiety lest he fall from a height.
- Singing followed by weeping and loud screaming, 
with gasping for breath.
- Brain fag and neurasthenia.
- Weak memory.
- Forgets what she wanted to say.
- Mistakes in writing, 
omitting letters.
- Mistakes in speaking, using wrong words, saying right for left or vice versa.
- Irritable, inclined 
to speak sharply.
- Depression.
- Melancholy.
- Seasonal Af fective Disorder.
- Great nervous depression after shock.
- Complaints 
from fright.
- Mental effects of injury, fright and shock.
- Mental dullness after head injuries, surgical opera tions.
- Head injury (Nat-s.).
- Mental excitement as after drinking tea.
- Mental symptoms before thunderstorm.
- Delirium.
- Talking nonsense.
- Sees spirits.
- Feels lifted high in air or anxiety lest he fall from a height.
- Singing followed by weeping and loud screaming, 
with gasping for breath.

### Vertigo
- Confusion, vertigo and heaviness.
- Vertigo at night, with urging to urinate.
- Vertigo with loathing on waking.
- Vertigo with pain in temples.
- Vertigo with feeling of weakness and trembling 
of limbs.
- COMMENTS - Müller, and others, proved Hyper., relating the drug to wounds, the consequences of wounds, 
tearing, rheumatic, shaking pains, and paralytic weakness.
- Crawling sensations in hands and feet, fuzzy 
feeling, sticking in them as from needles.
- One of the provers had, on waking at 4 a.m., a feeling as though she were suspended and not lying in bed, at 
another t ime as though she were lying very heavy in bed.
- The former condition led to cures in effects of 
accidents attended with the sensation “as if being lifted high into the air and great anxiety lest she should fall 
from this height.” 
For acute traumas.
- Punctur e wounds, animal bites, lacerations  (Led.).
- Gunshot and stab wounds, cuts 
from glass.
- Spinal taps, vaccinations.
- Trauma from a pinched nerve with needle-like pains that shoot from the 
area.
- Head and nerve injuries, spinal shock injuries.
- Tetanus.
- Specific for tailbone injuries and whiplash.
- Injuries 
to the spine that lead to epilepsy, paralysis or depression.
- Neuritis.
- Trauma from dental work (Arn.).
- Amputations, phantom pains.
- Characteristic sharp, shooting, radiating pains, burning, tingling.
- Wounds are very sensitive to touch (Led.
- punctures are not particularly sensitive).
- Ulceration and sloughing of wounds.
- Hard, dry, yellow crusts form on 
healing wound.
- Exalted sense of pain, as well as hearing and smell.
- Affinity for wounds of parts rich in nerves, particularly the brain, spine (spinal irritation from falls), coccyx, and 
finger-ends.
- Great nervous depression following shock or wounds.
- Old scars that flare up.
- Bunions and corns when the pain in excruciating.
- Violent labor-pains and after-pains.
- Tympanitic distention of 
abdomen, cutting pains.
- Summer diarrhea with eruption.
- Palpitation and local congestions with or without 
hemorrhage.
- Asthma, worse in foggy weather, attacks were better by copious expectoration.
- Whooping cough that is worse 
6 to 10 p.m.
- Tightness of the chest, stinging that is worse on moving.
- W.
- J.
- Guernsey related the case of a nine- year-old boy who was bitten by a pet rat on the first finger of his left 
hand.
- Nothing was observed at the time, but some time after, he became ill and his  state was alarming when 
Dr.
- Guernsey was called.
- The boy could talk with great difficulty, teeth firmly locked, conscious, neck so stiff the head could scarcely be 
moved.
- There was more tenderness about the wound than the appearance would indicate, hence Hyper, was 
preferred to Led.
- It was given (8 p.m.) in the 500c, dis solved in water, at first every fifteen minutes, later every two hours.
- At 3 
a.m.
- there was improvement, he fell asleep and the next morning was practically convalescent.
- Gilchrist said Hy per.
- 3x, given at inter vals of twenty minutes for twelve hours or longer, seems to control 
perfectly the pain following laparotomy.
- Roehrig considered Hyper, externally and internally the nearest thing to a specific in bleeding hemorrhoids.
- He gave it to pneumonia patients who have hemorrhoids, it cured the pneumonia and prevented the arrest of 
the flux.
- Usher confirmed this, “pain, bleeding and tenderness” were his indications.
- “It seems to suit the plethoric with 
great soreness.” He used the lx.

### Head
- Head hot, with throbbing of carotids.
- Headache as if brain would be torn to pieces.
- Curling sensation 
on vertex.
- Tearing, sharp pains in the brain.
- Head injury.
- Headache and meningitis depending upon an injury 
to the nervous system.
- Fractured skull, bone splinters.
- Heaviness or formication in brain.
- Pulsation, heat 
and burning in the vertex.
- Throbbing 
pains.
- Head feels as if touched by icy cold hand.
- Head feels larger, drawn to a point.
- Sensation as if the head 
became elongated.
- Brain feels loose.
- Dull pain, on vertex.
- Headache, extending into zygoma or cheek.
- Headache with sore eyes after a fall.
- Hair moist, rest of body burning hot.
- Falling of hair after injury.
- Head hot, with throbbing of carotids.
- Headache as if brain would be torn to pieces.
- Curling sensation 
on vertex.
- Tearing, sharp pains in the brain.
- Head injury.
- Headache and meningitis depending upon an injury 
to the nervous system.
- Fractured skull, bone splinters.
- Heaviness or formication in brain.
- Pulsation, heat 
and burning in the vertex.
- Throbbing 
pains.
- Head feels as if touched by icy cold hand.
- Head feels larger, drawn to a point.
- Sensation as if the head 
became elongated.
- Brain feels loose.
- Dull pain, on vertex.
- Headache, extending into zygoma or cheek.
- Headache with sore eyes after a fall.
- Hair moist, rest of body burning hot.
- Falling of hair after injury.

### Eyes
- Disturbed look, stares at people.
- Eyes fixed.
- Sticking pain through (right) eye.
- Burning stinging in tarsi.
- Stye on left lower lid.
- Pains in eyes and ears.
- Pupils dilated.

### Ears
- Ears hot.
- Scurf on ear.
- Sticking through the right ear in evening.
- Itching in right meatus.
- Sensitiveness 
of hearing during menses.
- Shooting pain through ear.

### Face
- Expression of suffering.
- Hot and bloated in meningitis.
- Eczema of face, eruptions seem to be under the 
skin.
- Intense itching.
- Tension, tearing in cheek, in left zygoma.
- Facial neuralgia and toothache.
- Right side of 
face aches.
- Eruption around mouth and on right ear.
- Yellowish green scabs with cracking and moisture.

### Mouth
- Dry, burning heat in mouth.
- Mouth and lips dry and burning.
- Insipid taste, of blood.
- Thirst with feeling 
of heat in mouth.
- Craving for wine with feeling of heat in mouth.
- Old ulcers o r sores in mouth when very 
sensitive.
- Lips dry, feel hot.
- Nose - Pain in bridge of nose on rising.
- Sore within nose, itching, continually picking it.
- Dryness of nose with 
sneezing of left nostril, with crusts in it.
- Smell very acute.
- Perspiration - Moist hair on the head.
- Hyperhidrosis, sweating of scalp, worse morning after sleep.

### Throat
- Raw, sore feeling in throat, after sneezing.
- Sensation as of a worm mov ing in throat.
- Hot risings in 
esophagus after a fright or with anxious feeling.
- Hoarseness, scraping and roughness in larynx, upper part of 
pharynx and nares, in foggy weather.
- Tongue - Tongue coated white or dirty yellow, at base, tip clean.
- Great soreness of tongue, from l acerated 
 
 
wounds, with inability to speak, not from stiffness or swelling, but extreme soreness.
- Tongue, white at the back, 
tip clean.
- Tongue coated white, or yellow, with great thirst.

### Chest
- Anxiety in chest in forenoon with short breath.
- Sharp pains between or under breasts.
- Pressure and 
burning in the chest.
- Tightness in the chest, worse in foggy weather.
- Stinging in left chest, worse when moving.
- Cutting pain in upper right chest , then in lower left.
- Continual sharp pains from within outward, through left 
breast and sternum, worse motion.
- Constitutions - Nervous constitutions.
- Coughs - Frequent, dry, hacking cough.
- Spells of short barking cough.
- Coughs in meningitis.
- Hacking cough  
from irritation in throat, worse heat and cold air.
- Dry cough and prostration in morning.
- Whooping cough, worse 
6 p.m.
- to 10 p.m.
- Hard beating of heart.
- The heart feels as though it would fall down in the evening.
- Palpitations.
- Loca l 
congestions and capillary weakness with or without hemorrhages and nervous depression, following wounds.
- Pulse quick, hard, accelerated.
- Kidneys - Nightly urging to urinate with vertigo.
- Desire to urinate with violent tearing in the genital organs.
- Swelling and hardness of female urethra with burning soreness and sensitiveness.
- Retention of urine.
- Dribbling 
away of urine without being aware of it, after concussion of spine.
- Urine much diminished.
- Urine bloody, turbid.
- Urine of peculiar odor.
- Asphyxia after a fall.
- Asthma after injury of spine.
- Spasmodic asthmatic attacks with changes of 
weather from clear to damp, or before storms.
- Asthma, worse in the foggy weather and better profuse 
expectoration.
- Hoarseness, scraping and roughness in larynx, upper part of pharynx and sinuses in foggy 
weather.
- Pneumonia in persons who have hemorrhoids.

### Stomach & Abdomen
- Belches while drinking water.
- Pressure at the stomach on eating but little.
- Feeling of lump in 
stomach (Abies -n., Bry.).
- Sticking pain in stomach.
- E ructations, tasteless, bitter, preventing sleep at night.
- Nausea, weakness every morning.
- Nausea, abdomen distended, cracking pains in bowels, awaking in the 
night.
- Nausea and inclination to vomit.
- Teeth - Nerve pains after dental work.
- Toothache better l ying on affected side quietly.
- Injuries to dental 
nerves.
- Pains after root canals.
- Teeth sensitive and painful after dental surgery.
- Temperature - Shuddering over whole body with desire to urinate.
- Chill followed by heat, with sweat on hands 
and feet.
- Hea t with delirium, wild, staring look.
- Hot head, throbbing of the carotids, bright -red.
- bloated face.
- Burning heat of the skin, great oppression and anguish.
- Bubbling at navel.
- Cutting pain in region of navel.
- Tympanitic distention, better after stool.
- Sticking 
pain in rig ht hypochondrium.
- Effects of surgery, laparotomy.
- Pinching pains during menses.
- Colic.
- Pains 
after operation for incarcerated hernia.
- Awakes with distended abdomen, better stool.
- Appetite increased morning and evening.
- Tastelessness of food.
- Thirst with feeling of heat in mouth.
- Great thirst.
- Desire forpickles.
- Desire for warm drinks in meningitis.
- Craving for wine.
- Smoking tobacco doesn't 
taste well.

### Urinary & Genital
- Tearing pain in genitals, with desire to urinate.
- Sexual functions excited.
- Menses increased in quantity.
- Menses too late, headache, sickening pain in abdomen, sensitive to 
noises.
- Leucor rhea with delayed menses, palpitation, pressure in small of back, and heaviness in lower 
bowels.
- Leu corrhea in a child, milky, but corroding.
- Tension in region of uterus, as from a tight bandage.
- Afterpains violent in sacrum and hips, with severe headache.
- Afterpains after forceps deliv ery.
- Labor pains 
tardy.
- Scirrhus of breast caused by injury.

### Extremities
- Pain from crush injuries or spinal trauma, with a sensation of soreness or throbbing,.
- resembling sciatica or post-traumatic pain, worse with motion, dampness, or touch.
- Joint soreness or stiffness, with a tendency to aggravation after injury, resembling.
- osteoarthritis or post-surgical pain, aggravated by cold, pressure, or night.
- Muscle spasms or cramps, with a sensation of tightness, resembling muscle strain,.
- worse with cold or exertion.
- Tendency  to  musculoskeletal  hypersensitivity,  with  aggravation  in  traumatic  or.
- painful states.
- Dermatological:.
- Puncture  wounds  or  lacerations,  with  intense  pain  or  slow  healing,  resembling.
- infected wounds or neuropathic ulcers, worse with pressure, cold, or touch.
- Burns or abrasions, with a sensation of rawness or stinging, resembling first-degree.
- burns or skin trauma, aggravated by cold air or dampness.
- Skin  sensitivity  or  slow-healing  sores,  with  a  tendency  to  infection,  resembling.
- chronic wounds, worse with touch or night.
- Tendency  to  dermatological  hypersensitivity,  with  aggravation  in  traumatic  or.
- infectious states.
- Psychological:.
- Depression or low mood, with a tendency to feel hopeless or withdrawn, resembling.
- major depressive disorder, worse with emotional stress, night, or cold.
- Anxiety  or  nervousness,  with  a  sensation  of  inner  tension  or  fear  of  injury,.
- resembling post-traumatic stress disorder, aggravated by touch, dampness, or fatigue.
- Hypericum perforatum (St.
- John’s Wort) 1038.
- Irritability or mood swings, with a tendency to feel easily provoked, resembling.
- adjustment disorder, worse with pain or emotional stress.
- Tendency to psychological hypersensitivity, with aggravation during neurological or.
- traumatic flare-ups.
- Systemic:.
- Fatigue or weakness, with a sensation of heaviness or prostration, resembling chronic.
- fatigue syndrome or post-injury exhaustion, worse with cold, exertion, or emotional.
- stress.
- Chilliness or cold intolerance, with aggravation in cold, damp conditions and a desire.
- for warmth or rest.
- Hypersensitivity to external stimuli (e.g., touch, cold, noise), resembling sensory.
- processing disorder, worse with damp environments or fatigue.
- Tendency to systemic irritability, with aggravation in traumatic or painful states.

### Neck & Back
- Radiating, shooting pains up spine and down limbs.
- Coccyx injury from fall.
- Coccyx pain radiating up 
spine and down limbs, inability to walk or stoop after.
- After a fall, slightest motion of arms or neck extorts cries.
- Pressure over sacrum.
- Aching pain and sensation of lameness in the small of the back.
- Pinched nerves in 
back.
- Violent, sharp pain  and inability to walk or stoop.
- Sharp pains in the small of the back.
- Spinal 
concussion.
- Painfully sensitive spine.
- Spinal tenderness, with paroxysms of terrible pain, screaming if 
approached.
- Cervical vertebrae very sen sitive to the touch.
- Pain in nape of neck.
- Pain in hips, small of back 
and coccyx after labor.
- Jerking and twitching of muscles.
- Lies on back jerking head backward.
- Breasts - Scirrhus of breast from injury.
- Painful scar after mastectomy.
- Stitches from within outward,  through 
left breast and sternum, worse from motion.
- Causations - Ill effects of fright, shocks.
- Injections, punctures, bites, gunshot wounds, stab wounds.
- Lacerations, surgery.
- Dental work.
- Bruises.
- Worse after forceps delivery, as a complication of injur y.

### Skin
- Fatigue or weakness, with a sensation of heaviness or prostration, resembling chronic.
- fatigue syndrome or post-injury exhaustion, worse with cold, exertion, or emotional.
- stress.
- Chilliness or cold intolerance, with aggravation in cold, damp conditions and a desire.
- for warmth or rest.
- Hypersensitivity to external stimuli (e.g., touch, cold, noise), resembling sensory.
- processing disorder, worse with damp environments or fatigue.
- Tendency to systemic irritability, with aggravation in traumatic or painful states.

### Sleep
- Constant drowsiness.
- Talks wildly in night after 4 a.m.
- while asleep, appre hensive, gasped for air.
- Spasmodic jerks in arms or legs on going to sleep, twitching.
- Wakes 4 a.m.
- with sense of levitation.
- Feels 
refreshed or weary on waking.
- Active, vivid, distressing dreams.
- Dreams of traveling.
- Laborious dreams.