The cuttle fish is an inhabitant of the European seas, particularly the Mediter- ranean. Its ink bag contains a blackish-brown excretory liquor with which it darkens the water when it wishes to escape its enemies or catch its prey. The triturations and tincture are made from the pure, dry, genuine Sepia, not from the artificial India ink used in drawing. Provings by Hahnemann, GersdorfF, Goullon, Hartlaub, Walde, Gross, Archiv fiir Hom., vol. 19, p. 187 ; Robinson, Br. Jour, of Hom. vol. 25, p. 331 ; Berridge, N. Am. Jour, of Horn., 1871, p. 69; Ibid., 1873, p. 193; N. E. Med. Gaz., 1874, p. 402 ; also provings with the higher dilutions and triturations upon twenty-five individuals under the auspices of the Amer. Institute of Hom., see Transactions, 1875. CLiNicAii AuTHOBiTiES. — Ilental derangement, Miiller, Kiick. Kl. Erf., vol. 1, p. 46; Haynel, Analy. Therap., vol. 1, p. 177; Wilson, Eiick, Kl. Erf., vol. 5, p. 11; Apoplexy, Gerson, Riick. Kl. Erf., vol .5, p. 32; Headache, Hahnemann, Hrg, Kreussler, Tietze, Black, Goullon, Haustein, Hirsch, Schindler, S. in. K., Eiick. Kl. Erf., vol. 1, p. 198; Miiller, Riick. Kl. Erf., vol. 5, p. 94; Hansen, A. H. Z., vol. 108, p. 93 ; Berridge, A. J.H. M. M., vol. 4, p. 114; Haynel, A. J. H. M. M., vol. 4, p. 129 ; Lippe, Hom. Phys., vol. 6, p. 429 ; Price, Med. Inv., Sept., 1876, p. 194; Ockford, Org., vol. 1, p. 468 ; Hemicrania, Kreussler, A. J. H. M. M., vol. 4, p. 75 ; Sick-headache, Small, U. S. M. and S. J., Oct., 1870 ; Matting of the hair, Lembke, Riick. Kl. Erf., vol. 4, p. 317 ; Asthenopia, Bell, H. M., vol. 6, p. 289 ; Short- sight, Woodyatt, Med. Couns., vol. 1, p. 12 ; Incipient cataract, B. J. H., vol. 33, p. 331; Cataract, Goullon, I. Pr., 1875, p. 691 ; Raue's Rec, 1875, p. 59 ; Keratitis, Norton, N. Y. S. Trans., 1874, p. 432 ; Raue's Rec. 1875, p. 54 ; Ophthalmia, Tietze, Schmid, Link, Riick. Kl. Erf., vol. 1, p. 241; Bethmann, Wolf, B. J. H., vol. 6, p. 525 ; Theobald, Org., vol. 1, p. 109 ; Conjunctivitis, Gerson, Riick. Kl. Erf., vol. .5, p. 109; Norton, T. W. H. C, 1876, pp. 603, 621 ; Taisal tumor, Reisig, Riick. Kl. Erf., vol. 1, p. 242; Stitches in ear, etc., Schmitt, Hom. Phys., vol. 3, p. 355; Epis- iaxis, Gerner, Eiick. Kl. Erf., vol. 1, p. 415; Nasal catarrh, Hansen, A. H. Z., vol. 1 13, p. 61 ; Ozcena, Freytag, Riick. Kl. Erf., vol. 1, p. 399 ; Facial neuralgia, Beckett, Hah. Mo., vol. 11, p. 584 ; Warts on face, Jones, N. A. J. H., vol. 17, p. 1 1 ; Tinea ton- surans, Burnett, H. W., vol. 8, p. 37 ; Fistula of cheek, and cough, Hesse, Hom. Phys., vol. 3, p. 162; Scirrhus of lip, Hartmann, Riick. Kl. Erf., vol. 1, p. 445; Carci- noma of lip, Kunkel, A. H. Z., vol. 95, p. 21 ; Toothache, Bcenninghausen, Schind- ler, Riick. Kl. Erf., vol. 1, p. 477 ; Bcenninghausen, Hom. Phys., vol. 6, p. 372; Goullon, Bolle, N. A. J. H., vol. 17, p. 224 ; Goullon, Hom. Recorder, vol. 3, p. 23, from Pop. Zeit., Oct., 1887 ; Chronic affections of throat, Rummel, Diez, Riick. Kl. Erf., vol. 1, p. 540; Gastralgia, Boyce, Med. Couns., vol. 1, p. 164; Boyce, Org., vol. 3, p. 93 ; Pressure in stomach, Hesse, Hom. Phys., vol. 7, p. 26 ; Gastric SEPIA. 296 disturbance, Emmerich, Kreuss, Riick. Kl. Erf., vol. 1, p. 662 ; Guernsey, Bib. Horn., vol. 8, p. 30 ; Guernsey, H. M., vol. 6, p. 18 ; Dyspepsia, Clifton, Hom. Rev., vol. 17, p. 159; Catarrh of stomach, Hirsch, N. A. J. H., vol. 4, p. 341 ; A. H. Z., vol. 83, p. 81; Raue's Rec, 1872, p. 131; Pains in liver, Hansen, A. H. Z., vol. 113, p. 68; Berridge, Hom. Phys., vol. 9, p. 149; Functional derangement of liver (2 cases). Dunham Lectures on Mat. Med., p. 156; Hepatic disorder, Hesse, Hom. Phys., vol. 3, p. 160 ; Berridge, Hom. Phys., vol. 4, p. 288 ; Icterus, Schmidt, Bcen- ningh., Riick. Kl. Erf., vol. 1, p. 703; Pain in abdomen, Berridge, Hom. Phys., vol. 9, p. 195 ; Abdominal complaint, Kreussler, A. J. H. M. M., vol. 4, p. 77 ; Chronic diarrhcea, Tietzer, Riick. Kl. Erf., vol. 1, p. 849 ; Diarrhoea, Kafka, Riick. Kl. Erf., vol. 5, p. 432; Clark, Hom. World, May, 1889; Chronic constipation, Nunez, Horn. Phys., vol. 9, p. 323; Prolapsus of rectum, Colby, Mass. Trans., vol. 4, p. 185 ; Nocturnal enuresis, Boenningh., Riick. Kl. Erf., vol. 2, p. 45 ; Gauwerky, N. A. J. H., vol. 3, p. 342 ; Warren, N. E. M. G., vol. 9, p. 102 ; Incontinence of urine, Wesselhoeft, A. J. H, M. M., vol. 4, p. 69 ; Cystitis and irritability of bladder, Wes- selhoeft, A. J. H. M. M., vol. 4, p. 63; Irritable bladder. Swan, N. A. J., vol. 30, p. 105 ; Urinary difficulty, Swan, N. A. J. H., vol. 21, p. 109 ; Seminal emissions, B. in D., Riick. Kl. Erf, vol. 2, p. 63 ; Gonorrhoea, Hansen, A. H. Z., vol. 108, p. 86 ; Hoyne, M. I., 1876, p. 542 ; Gleet, Lobeth, Seidel, Riick. Kl. Erf., vol. 2, p. 98 ; ■Condylomata, W. M. J., Hom. Phys., vol. 9, p 228 ; Sterility, Allen, A. J. H. M., M., vol. 3, p. 1 ; Ovarian neuralgia, Gerson, Riick. Kl. Erf., vol. 5, p. 618; Uterine displacement, Jackson, Hom. Rev., vol. 5, p. 320; Jackson, Med. Inv., July, 1875, p. 74; Proll, A. H. Z., vol. 94, p. 13; Parsons, T. A. I. H., 1882, p. 180; Pro- lapsus uteri, Tietze, Riick. Kl. Erf., vol. 2, p. 345 ; Minton, Tr. H. M. S. N. Y., 1870, p. 535; Partial procidentia, Goodno, Hah. Mo., vol. 8, p. 63 ; Procidentia, Medley, Med. Adv., Jan., 1889, p. 33 ; Metrorrhagia, Knorr, Kallenbach, Riick. Kl. Erf., vol. 2, p. 334; Terry, N. A. J. H., vol. 25, p. 314; Hydrometra, Wells, N. A. J. H., vol. 3, p. 89; Menstrual disturbance, Simpson, Hom. Rev., vol. 18, p. 212; Terry, N. A. J. H., vol. 25, p. 314; Dysmenorrhoea, Goullon, A. H. Z., vol. 80, p. 7 ; Polle, Hom. Kl., 1869, p. 125 ; Kafka, A. H. Z., vol. 78, p. 5 ; Amenor- rhoea, Dysmenorrhoea, Bernstein, Diez, Eichhorn, Lembke, Riick. Kl. Erf., vol. 2, p. 254; Hansen, A. H. Z., vol. 108, p. 86 ; Pain in vagina and rectum, Bsethig, A. J. H. M. M., vol. 1, p. 161; Vaginitis, Hedenburg, Mass. Trans., vol. 4, p. 295; Gor- ton, Hah. Mo., vol. 7, p. 514; Leucorrhcea, Knorr, Green, Riick. Kl. Erf., vol. 2, p. 365; Gardiner, A. J. H. M. M., vol. 1, p. 79 ; Minton, Tr. H. M. S. N. Y., 1870, p. 535 ; Hawley, Hom. Phys., vol. 8, p. 263 ; Infantile leucorrhoea, Sumner, N. Y. S. Trans., 1874, p. 314; Pruritus vulvce, Guernsey, T. H. W. Conv., 1876, p. 984; ■Scirrhus mammce (2 cases reported cured), Burdick, Org., vol. 2. p. 228 ; Gambell, N. E. M. G., vol. 5, p. 558 ; Disorders of pregnancy, Tietze, Riick. Kl. Erf., vol. 2, p. 387 ; Gambell, T. H. M. S. K Y., 1870, p. 170 ; Dystocia, Schmitt, Hom. Phys., vol. 7, p. 260 ; Retained placenta and recurring hemorrhages, Nash, Med. Adv., Feb., 1890, p. 105 ; Shortness of breath (4 cases), Hesse, A. H. Z., vol. 110, p. 148 ; Dysp- noea, Hesse, A. H. Z., vol. Ill, p. 44; Asthma, Carr, Med Inv., March, 1875, p. 245 ; Cough, Kafka, Riick. Kl. Erf., vol. 5, p. 695 ; Nithak, Riick. Kl. Erf., vol. 3, p. 198 ; Analyt. Therap., vol. l,p. 212; Kiisemann, Bethmann, Riick. Kl. Erf., vol. 3, p. 27 ; Wesselhoeft, A. J. H. M. M., vol. 4, pp. 66, 67 ; T. A. I. H., 1870, p. 250; Hesse, Hom. Phys., vol. 3, p. 159; Whooping cough, Hartmann, Riick. Kl. Erf., vol. 3, p. 84 ; Wesselhoeft, A. J. H. M. M., vol. 4, p. 3 ; Goullon, Raue's Rec, 1875, p. 117 ; Pain in chest and cough, Nichols, Hah. Mo., vol. 7, p. 115; Pleuritis, Kunkle, Hah. Mo., vol. 15, p. 294; Phthisis pulnionalis, Ehrhardt, Gross, Riick. 297 SEPIA, Kl. Erf., vol. 3, p. 397 ; Palpitation of heart, Hesse, Horn. Phys., vol. 7, p. 27, from A. H. Z., vol. 113, p. 138; Perimyelitis, Hirsch, Riick. Kl. Erf., vol. 5, p. 874 ; Pain in back, Hesse, Horn. Phys., vol. 7, p. 27 ; Crick in back, A. F. E.., Med. Inv., vol. 6, p. 563; Whitlow, Berridge, Org., vol. 1, p. 132; Sciatica, Battmann, Eiick. Kl. Erf., vol. 5, p. 906 ; Aching in legs, Berridge, Horn. Phys., vol. 9, p. 192 ; Erup- tion on legs, Hansen, A. H. Z., vol. 113, p, 69; Berridge, Org., vol. 1, p. 113; De- bility, Dunham, N. Y. S. Trans., 1876, p. 87; Hysteria, Havtmann, Lobethal, Eiick. Kl. Erf., vol. 2, p. 289 ; Bartlett, N. A. J. H., vol. 3, p. 530 ; Chorea, Piollet, Eiick. Kl. Erf., vol. 4, p. 513; Morbid sweats, Gallavardin, N. A. J. H., vol. 15, p. 61 ; Gorton, U. S. M. and S. J., vol. 9, p. 13 ; Gastric fever, S, in K., Eiick. Kl. Erf., vol. 4, p. 649; Ague, Schmidt, Eiick. Kl. Erf., vol. 4, p. 988; Eing, A. J. H. M. M., vol. 1, p. 261 ; Morgan, A. J. M. M., vol. 3, p. 131; Kunkel, A. H. Z., vol. 106, p. 189 ; Chlorosis, Riickert, Eiick. Kl. Erf., vol. 2, p. 279 ; Jones, N. A. J. H., vol. 17, p. 8 ; Dropsy, GouUon, I. Pr., 1875, p. 695 ; Rheumatism, Wells, Horn. Eev., vol. 3, p. 259; Berridge, Horn. Eev., vol. 16, p. 495; Hesse, Hom. Phys., vol. 7, p. 26 ; Articular rheumatism, Kunkel, Hah. Mo., vol. 15, pp. 486-9 ; Boils and offensive foot sweat, Morgan, H. W., vol. 12, p. 71 ; Brown spots on skin, Scales, Mass. Trans., vol. 4, p. 185 ; Urticaria, Schwarze, Eiick. Kl. Erf., vol. 4, p. 202 ; Tetter, Williamson, T. H. M. S., Pa., 1873; Psoriasis, Hesse, A. H. Z., vol. 108, p. 94; Hall, N. E. M. G., vol. 9, p. 53; Impetigo, Miller, H. M., vol. 10, p. 162; Pemphigus, Moore, Hom. Eev., vol. 12, p. 304; Warts, Hartmann, Eiick. Kl. Erf., vol. 4, p. 311 ; Diseases of skin, Hahnemann, Knorr, Schmole, Bethmann, Sommer, Eiick. Kl. Erf., vol. 4, p. 260. ^ Mind. 1 1 Weak memory. ■ Heavy flow of ideas; inability for mental activity; it is an exertion to think. iFelt all day as if he did not care what happened ; no de- sire to work, inattentive, absent-minded; indolent mood. ■ Language comes very slowly, has to drag out the words to express ideas; forget the chief points. Uses wrong words when writing. ■ Great indifierence to everything; no proper sense of life. ■ Every few minutes inclined to cry, without knowing the cause. ■ Great sadness and frequent attacks of weeping which she can scarcely suppress. ■ Very sad with unusual lassitude. ■ Sad and gloomy mood, mostly when walking in open air and in evening. ■ Sad about her health and domestic affairs, discontented w4th everything. ■ Gloominess; she feels unfortunate without cause. ■ Dark forebodings about his disease in regard to the future. I I Felt that unless he held on to something he should scream. ■ Depression on awaking in morning. ■ Very nervous; great excitability in company; restless, fidgety ; wants to go from one bed to another. SEPIA. 298 ■ Nerves very sensitive to the least noise. iFits of involuntary weeping and laughter. 1 1 Aversion to one's occupation and family. iDread of being alone, 1 1 Anxiety : with fear, flushes of heat over face ; about real or imaginary evils ; toward evening. I iGreat indifference to one's family, to those they love best. lis easily offended. and inclined to be vehement. ■ Great irritability alternating with indifference. ■ Greedy, miserly. ■ After overexertion of mind, bookkeepers, etc. I I Quiet, introspective, rarely speaks a word voluntarily, sits for hours occupied with her knitting, her answers are intelligent but curt. ■ Propensity to suicide from despair about his miserable existence. ■ Fears to starve, is peevish, and feels mortified, easily frightened and full of evil forebodings. I I After metrorrhagia oversensitive, exalted nervous state; hasty speech accompanied by quick gestures ; eyes fiery and glistening; pulse 110; her movements were like those of a passionate person ; if she could not talk her friends had to relate stories continually in a quick way; at times in the opposite state, gave short answers and desired to be alone; was then moody and feigned sleep ; the nights became more and more anxious and restless; she could not describe how terrible they were. Contradictory, quarrelsome, complaining about others, ■ Passionate, irritable. ■ Fretful and out of humor for all business. ■ Greatest irritability from slightest causes; very easily offended. ■ Vexed and disposed to scold. Impatience when sitting, like an uneasiness in bones. Violent bursts of anger with furious gestures. 1 I Great nervous irritability, with sadness, despondency and absentmindedness ; everything seems strange to her; least exertion seems a great effort; it seems as if she could not understand anything and would have to learn anew everything she wished to do ; greatest indif- ference to everything, the death of a near relative, or some happy occurrence, leaves her equally unaffected ; no trace of her former love for friends or even for her child ; aversion for social intercourse amounting to con- tempt ; constant ill-humor ; at times headache with anx- iety, < lying down ; head also hurts externally ; confu- sion and throbbing in head ; constant pains in occiput, < lying; oversensitive to noise; frequent pains in back 299 SEPIA. extending down into legs and feet; circulation and ac- tion of heart weak, sensation as if heart stood still; menses irregular ; at times nervous twitchings ; screams on least provocation ; strength and general condition good; > in a warm climate, also after nosebleed; < after coffee and opium. ^ Sensorium. i Stupefaction of head, mental weakness or dul- ness, can scarcely think. I Painful confusion in head, particularly in forehead. ■ Momentary attacks of giddiness when walking in open air or while writing. ■ Vertigo: while walking, as if every object were in mo- tion; with staggering; when drinking; as if objects were moving around one ; as if suspended in air, with uncon- sciousness; when rising from bed in afternoon; after losses of fluids. ■ Congestion of blood to head ; heaviness of head. ^ Inner Head. Drawing pain seeming to be external on fore- head back to occiput, in single drawings. Single, violent, undulating jerks of pressing headache in forehead. Tearing in upper part of r. side of forehead. Tearing in 1. frontal eminence. Violent stitches outward over 1. orbit, with complete draw- ing together of eye, for three successive days, after ris- ing in morning, continuing until noon, somewhat < in open air. Stitches in forehead with nausea (she cannot eat), > from lying down. Fulness in temples and forehead and throbbing of carotids. Tearing in 1. temple to upper part of 1. side of head. ■ Pressure on vertex, < after mental labor. Beating, very painful headache in vertex, in morning, soon after rising. Dull aching frontal headache. Headache in forehead and vertex, followed by anxiety in pit of stomach with trembling, afterward violent nose- bleed. Heavy pressing pain over 1. eye extending toward side of head about 3 30 p.m.; sensation of great fulness deep in 1. orbit at 4 p.m. ; headache confined to 1. side, > in even- ing and in open air; < by shaking head. ■ Shooting pains from within out, especially over 1. eye, extorting cries, with vomiturition. Occasionally darting pains extending from 1. eye over side of head toward occiput. Headache > after meals, < by mental labor. Severe pressure in forehead during menses, with discharge of hardened offensive matter from nose. SEPIA. 300 Stitching, pressive headache continuous in lower part of forehead just over eye, < from motion, in house, > when walking in open air. Headache : all day with great mental depression ; in fore- noon as if brain were crushed ; as from pressure from within outward; as if head would burst; also from coughing; in morning, with nausea, until noon; most severe toward evening, especially when shaking head; following perspiration on r. side of head and face, with a surging in forehead, like waves of pain rolling up and beating against frontal bone. Headache as from commotion of brain when stepping or when shaking head, > when sitting up or from slow exercise. ■ Pressing or bursting headache as if eyes would fall out, or head burst, < from stooping, motion, coughing or shaking head ; continued hard motion relieves headache. I Pulsating headache in cerebellum, beginning in morning and lasting till noon or sometimes till evening; < from least motion, when turning eyes, when lying on back; > when lying on side, when closing eyes, when at rest and in a dark room. iPainful cracking in occiput. Jerking pain upward like electric shocks in head. ■ Beating: in head ; in occiput. ■ Paroxysms of hemicrania, stinging pain from within out- ward, in one (mostly 1.) side of head or forehead, with nausea, vomiting and contraction of pupils; < indoors and when walking fast ; > in open air and when lying on painful side. ■ Boring headache from within outward, forenoon till even- ing, feels as if he would die ; < from motion and stoop- ing ; > by rest when closing eyes, from external press- ure and sufficient sleep. ■ Sensation of coldness on vertex. ■ Headache with aversion to all food. ■ Hemicrania in hysterical women; pains stitching, press- ing, tearing or twitching with passive congestion of head ; in chronic cases where the nervous system has long been disordered ; leucorrhoea between menses ; sudor hystericus, peculiar sweet-smelling sweat, partic- ularly in axillse and about soles of feet ; face pale, dirty yellow, slender built. ■ Nervous, rheumatic or gouty pains in head, particularly in delicate, sensitive women. ■ Frequently recurring tearing, stitching pains in r. side of head, during pregnancy, i Hemicrania, r. side; drawing, tearing pains and now 301 SEPIA. and then stitches' as if from needles; < morning and evening; menses scanty and of too short duration. I Severe pressure in occiput with heat and redness of face; eyes painful; lassitude and tiredness of limbs; inclina- tion to cry ; is not disposed to do anything. I Sore pain in 1. eye and temple; throbbing, tearing and stitching pains in 1. temple extending downward ; stitch- ing, like in an ulcer, in 1. zygoma and teeth ; hair of head sensitive to touch ; pains < in paroxysms, w^th fainting; shivering; coldness of feet; transient heat; thirst; anxiety; despair of recover3^ ■ Migraine after catching least cold; tearing, boring pains and at times stitches ; must lie down and keep very quiet; closes eyes and presses head firmly to painful part; exposure to rough wind brings on an attack; aver- sion to food ; stools pappy ; menses too early. I 'Severe headaches, 1. side, hysterical in character; tear- ing, drawing pains beginning at 1. parietal region and becoming a pressing, throbbing pain in occiput, accom- panied by nausea and vomiting; could not open eyes or move them ; photophobia ; obstinate constipation ; vio- lent desire for an embrace during attack. I I Subject to headaches for five or six years; the pain is- shooting, at a fixed point over eyebrow, generally r., but to-day over 1.; pain causes twitching of eyebrow and ' desire to close eyes ; headache is < on moving eyes,. also on walking, every step seemed to jar; attacks come on suddenly and are intolerable first day, but always- leave him very weak and dreading a return for a day or two ; attacks excited by overfatigue, anxiety and vex- ation or overwork in school; occasionally severe sexual excitement with emission, not always with dreams, dur- ing sleep; this precedes but seldom accompanies head- ache; during headache there is inability to read, think or study ; a more frequent attack of bowels, nausea, dis- like to any food except toast or biscuits and tea ; urine increased, nearly colorless; tenderness of bone of side- of head affected and under corresponding supraorbital ridge ' I Vertigo as if intoxicated ; tension in forehead and press- ure as from a w^eight over eyes; pressure and burning in eyes and fog before r. eye (is blind in 1. eye), lassi- tude ; leucorrhoea, milky white, < during day. I I Violent stitches in forehead, cries out; the}^ distort his face; stitches return every five minutes during the day and night with unabating force, and extend into 1. eye and ear; lachrymation ; painfulness of scalp; cannO't find an easy position for his head ; every noise aggra- SEPIA. 302 vates his symptoms ; talking in the room is unbearable, cannot sleep. I I Headache every Saturday for several years; boring pain from within outward, accompanied by nausea and vomiting ; > binding head up tightly and after a good sleep. I I Periodical headache coming on at 2 p.m., lasting till bed- time. ■ Headache in terrific shocks. I Dull, stupid headache, with great mental depression; anaemia. ■ Shooting from forehead to vertex and both sides of face. ■ Chronic congestive headaches with photophobia and im- possibility to open eyes on account of weight on upper lid. ■ Gouty, or nervous headaches, from abdominal plethora or menstrual disturbances. ■ Headache with aversion to all food. ■ Chronic paroxysmal headaches in women during cli- maxis ; disorders of digestion, abdominal plethora and leucorrhoea. ■ Attacks of sick headache and sudden obscuration of sight with each attack. ■ Every time she goes shopping she has a severe nervous