Ust. speaks in a pelvic dialect of dark clots and ooze, with congestion that lifts under rest, coolness, and support. Its particular grace is to gather uterine haemorrhage, left ovarian irritation, fibroid/subinvolution states, and pruritus vulvae into one coherent picture—and then to underscore that same picture with hair and nail frailty: alopecia (even pubic), brittle ridged nails, hangnails, slow-healing excoriations. In attacks, motion, standing, and warmth inflate the flow; firm bandaging, lying still, cool applications, and evacuation of clots reduce the storm. If the bleeding is bright and gushing, Trillium speaks louder; if stringy and dark with “something alive,” Crocus does; if thin, dark, foul in a cold woman who desires cold, Secale leads; if bright with sacrum-to-pubes pain and a fiery sexual climate, Sabina. Ust. carries the middle register—dark, clotty, oozing, congestive, itching—and is at its best when the trophic signatures keep pace with the uterus. Clinical craft pairs the remedy with regimen: pelvic rest, support bandage, cool air, bowel regularity to avoid straining, and scrupulous but non-occlusive local care for pruritus. As these converge, haemorrhage shortens, intervals lengthen, headaches soften when flow is properly established, pruritus abates, and hair/nails slowly recover tone [Hale], [Allen], [Clarke], [Boericke], [Farrington], [Boger], [Dewey], [Phatak], [Tyler], [Nash], [Morrison], [Shore].