# Sepia (HMT)

## Remedy Classification
- **Type:** Remedy
- **Alternative Names:** Inky juice of Cuttle Fish
- **Miasm:** Tubercular Miasm
- **Temperament:** Neutral
- **Aggravation Time:** Neutral/Anytime

## Keynote Indications
Sepia is considered to be ideal fo r the treatment of women of slender
build and narrow pelvis.  The body may be rather toughly built.  This
however is not the on ly essential feature of a Sepia patient.  It is also
related to the diseases of the liver and the uterus .  Once the
symptoms of the disease have beco me manifest, Sepia may be used
even in the absence of the const itution described above.  It is
important to keep the important symptoms in view,  rather than the
external appearance of the patient.  The specific symptom of Sepia is
the absence of sexual desire  and lack of the em otions of love and
affection, so much so, that an a ffectionate mother suddenly becomes
indifferent to her child as well as  her husband.  Her social circle
begins to shrink.  She may even have the tendency to commit suicide,
or she may become partially insane . In fact, these conditions develop
as a result of having silently suffered over a long period.  People
around her do not notice it. To them she looks normal.  The pressure
keeps on building up, only to finall y gush out like lava.  Now, the
patient has a full-fledge d Sepia picture.  She does not pay attention
towards her husband and children, wh ich is the natural result of
pressure building up.  In fact, she has completely broken down inside
and is sick of everything.

In Sepia, the liver is the most  affected.  Any kind of uterine
dysfunction will result in a variety of complications, both during
pregnancy and after childbirth, which are accompanied by liver
dysfunction.   She hates everything that in fact she should have
liked.  The hate and indifference make  her feel frightened and this
further aggravates her sickness.

Another salient feature of Sepia is the formation of a dark, saddle-
shaped mark over the bridge of the nose like two wings of a bird.  In
view of this sign alon e, like so many other homoeopaths, I have also
treated many patients with Sepia, to no avail.  This particular sign is
often indicative of liver dysfunctio n.  But Sepia becomes effective
only in the presence of liver derang ement in a person of Sepia nature.
Otherwise, some other remedy will be required.  Sepia proves to be
very effective in the treatment of the afore-mentioned sensitive type of
woman, lacking emotions and showing the typical pigmented mark on
the nose and the face.

Liver dysfunction ultimately leads to jaundice.  Some women, during
pregnancy, may develop dark marks on their face .  The face loses
its healthy glow .  In Sepia, this sign may become apparent even
without pregnancy. Light Brown specks  form with black dots in the
centre. This is typical of Sepia.  Whitish or light brown spots can also
form over the body, indicative of a li ver problem.  In homoeopathy,
these are called liver spots.  Brownish yellow spots are indicative of
and responsive to Phosphorus and Sepia.  White spots can be treated
better with Merc Sol or Calcarea Carb, etc.

In Sepia, the patient tends to be constipated, more so during
pregnancy.  She canno t effectively pass stools, due to the weak
propulsive power of the intestin es.  Such a woman also faces
difficulty during childbirth due to  the weakness of pelvic and
abdominal muscles i.e. she cannot push the ch ild with full force.  In
the presence of its other symptoms, Sepia will facilitate the birth of
the child.  If it fails, then Ca ulophylum and Gelsemium may be
helpful.

In Sepia, the stomach feels empt y and the patient feels extremely
hungry.  However, the appetite and weakness do not get better after
eating food.  If this type of  woman also tends to have prolapse of the
uterus or weakness of the muscles of the back, then Sepia will offer
immediate relief.  Sepia has been found very effective in the
treatment of vomiting of pregnancy , as long as the patient is that of
Sepia.  Other characteristic features of Sepia are the vomiting of milky
white material and whitish leucorrhoeal discharge.  The taste of the
mouth and smell are also affected.

Sepia also can be useful in the treatment of herpes if other symptoms
of Sepia are also present. Sepia o ffers immediate relief of headache
associated with vomiting of bitter contents. Provided that the patient is
of sepia constitution; Sepia can cure every eye condition and most of
skin conditions of the patient.  Skin dis eases, in general are common
in many remedies, however if the over all picture is of sepia type then
sepia would be useful.

In Sepia like Sulphur, the discharg e is purulent and stinky.  Nasal
secretion is of green co lour.  Associated degradation of the skin and
mucous membranes can also get better with Sepia.

A Sepia patient is mostly constipated.  Sometimes, the patient gets
diarrhoea, passing lot of whitish sticky mucus.  Mucus may also be
passed along with hard  stools as well as dysentery.  The stools smell
foul.  The associated piles also are very painful.  The patient passes
blood in the urine.  Retention of placenta  (after childbirth) can be a
source of many serious complica tions.  If Pulsatilla becomes
ineffective, then Sepia may help.  However, Pulsatilla and Sepia can
only be effective before the onset of the infection (i.e. puerperal
sepsis).  Once the in fection develops, Sulphur and Pyrogenium 200
happen to be the best standard remedy.

During lactation in Sepia woman menstruation usually ceases, while
they are irregular in Calc Carb.  The vaginal discharge of a Sepia
woman is acidic in nature, causing neuralgic pain.

Moderate physical exercise aggravat es the symptoms of Sepia while t
strenuous exercise offers relief.

In Sepia, the hands and feet tend to be numb .  Malarial fever  of
unpredictable timing may be made to behave more timely with Sepia
therapy.  In addition, the diagno sis as to the most appropriate
treatment needed may also be establ ished.  If the pati ent is of Sepia
constitution then Sepia itself will affect the cure.

The eyesight becomes weak , due to weakness of the eye muscles.
Black spots (floaters) seem to be dancing before the eyes.  The eyes
become inflamed due to the general weakness and the diseases of the
uterus.  The eyelids become swolle n and baggy.  Lumps form behind
the ears, near the neck.  In some patients, yellow spots may form on
the skin.  The tongue is coated white.  Taste of the mouth is salty.  The
patient relishes sour things and fe els extremely weak and exhausted.
The patient becomes nauseated at the smell of f ood; more so while
lying on the side.

Adjuvants: Natrum Mur, Nux Vomica, Phosphorus
Potency: 30 and higher.  In psychiatric patients, it should be
given in CM potency

## Symptoms by System