The essence of Fagopyrum is venous heat with itching margins. The organism is flushed and full under warmth; the skin—especially at the borders where skin turns mucosa (nostrils, anus, vulva, scrotal root)—becomes a field of crawling, pricking, and then burning if rubbed. The moment of undressing is diagnostic: as the warm skin meets room air, a storm of pruritus breaks out; covers on, it blazes; window open, it quiets. This thermal law (worse warmth/bed/undressing; better cool air/uncovering/cold ablutions) threads the whole case and reappears in the head (congestive pressure, desire to uncover), in the heart (palpitation after meals in warm rooms, relieved by a turn in the air), in the chest (oppression > open air), and in the rectum (hæmorrhoidal itching and burning, better cool washing). Pathophysiologically the picture matches a rutin-bearing polygonaceous herb: a capillary–venous remedy with reflexes in the skin. Toxicology’s “fagopyrism”—photosensitive pruritus and erythema—explains the urticarial flashes and sun-tingling that attend the remedy’s constitution [Hughes], [Clarke].

The clinical art is to separate Fagopyrum from its neighbours: Aesculus is drier, more sacral and constrained, with hard stools; Aloe has sudden, urgent, mucous stools and a lax sphincter; Ratanhia burns like knives after stool; Hamamelis bleeds and bruises; Sulphur is the archetypal heat-itch with foulness and early-morning exacerbations. Fagopyrum sits between and before them when itch prevails over pain, heat over foulness, and air and cold ablution are the direct antidotes. In the skin field it is not corrosive like Kreosotum, nor destructive and “burning-better-cold” like Euphorbium; it is a prick-and-flush remedy—the urticant storm of the venules—ending when the room cools.

Thermally the subject is warm-worse, craving air; constitutionally more restless than depressed; miasmatically Sycotic–Psoric with venous dilatation and mucous irritation. Pace is evening-centred: hot supper → flush, pruritus, palpitation; window open → relief. Practical counsel mirrors the modalities: cool the room at dusk; avoid hot baths and late spiced meals; keep clothing loose; wash the itchy margins with cool water; walk gently in the open air after meals. In prescribing, the decision often turns on the undressing test: if disrobing at night is the moment of worst itching—and if hæmorrhoidal margins behave like the rest of the skin—Fagopyrum is faithful.

Potency choice: low to mid (3x–6x/6C) for hæmorrhoidal and daily pruritic states with frequent repetition; 30C–200C when the keynote thermal law and undressing-itch are crystalline; LM/Q for chronic venous/skin cycles prone to relapse [Boericke], [Nash], [Vithoulkas]. Dose to sensation: repeat while heat-itch returns; space as the need for cold lessens. Sequencing often runs Nux vom. (dietetic excess, sedentary) → Fagopyr. (heat-itch and venous head) → Aesculus/Hamamelis (residual sacral fullness or bleeding). Clinical pearl: when a “piles” case says, “The worst is undressing and getting into bed; I must sponge with cold water and open the window,” give Fagopyrum first; the rest arrange themselves in its wake.

• Complementary: Silicea, Pulsatilla
• Antidotes: Camphora, Nux vomica
• Follows well: Hepar sulphuris in ulceration
• Precedes well: China in nervous exhaustion
• Inimical: None noted

Fraxinus americana is the remedy of the heavy uterus. Its essence is mechanical: a large, subinvoluted or fibroid womb hangs upon lax ligaments, drags down the sacrum, presses upon bladder and rectum, and bleeds—often dark and clotty. The woman is improved by recumbency and support; she avoids standing, walking, stairs, and above all jar. She will say, “I must lie down; if I go about it feels as if everything would come out.” The left ovary often declares itself by dragging pains to groin and down the thigh, worse before menses and on jar; and each cycle shows the vascular law: the head, chest and pelvis feel full until the flow is free; the freer it runs, the better she feels. This is not Sepia’s internal aversion and exercise-amelioration, nor Lilium’s moral tumult and restless pacing: Fraxinus is quiet, mechanical–vascular, a body whose weight and bulk have out-run its supports [Clarke], [Boericke], [Farrington].

Thermal and dietary notes are simple: close warmth and hot, spiced meals heighten flushing and fulness; cool air and light fare steady the pulse [Hughes]. The reflexes are consistent: the back feels “broken” at the sacrum until the pelvis is held; the bladder and rectum protest until emptied; the head ceases its pressure when the uterine outlet does its work. The practitioner’s tests are practical. The Binder Test: many will show immediate improvement when the pelvis is supported. The Bed Test: recumbency in the afternoon removes the worst weight; renewed standing brings it back. The Flow Test: the worst head and chest oppression subside when the bleeding runs freely; clot-retention renews cramp and faintness until clots are passed. When these tests are answered “yes,” and especially when a postpartum story of subinvolution or a middle-life history of fibroids stands behind, Fraxinus earns precedence before the constitutional remedy.

Sequencing often runs: Bellis perennis (trauma/soreness) → Fraxinus (bulk/bearing-down + clotty flooding) → Sepia/Helonias (residual atony and constitutional state). In crises of gushing bright flow, Trillium may be interposed; if the picture shifts to bright arterial bleeding with thyroidic heat, Ferrum iodatum may supersede; if purple congestion with exalted desire colours the case, Murex is nearer. Dosing is guided by mechanics: low to mid potencies (ϕ/3x–6x or 6C) for daily management of subinvolution and pressure symptoms; 30C–200C when the keynote triad (bulk + bearing-down + clotty flooding with left ovarian drag) is clear and the organism reactive [Boericke], [Dewey]. Repeat by need—often around the cycle or after over-exertion—and space as the woman can be up without weight and as nocturnal flooding ceases. Adjunctive measures should copy the modalities: pelvic support; rest in recumbency at day’s fall; avoid jar and stairs; loosen waistbands; cool, airy rooms; and a light unspiced diet. Under these laws the “heavy uterus” learns lightness.