Alfalfa

Medicago sativa is a perennial flowering plant in the legume family Fabaceae, native to southwest Asia and cultivated globally as a high-protein forage crop. Its deep root system allows it to draw up minerals from the subsoil, making it nutrient-rich. In herbal and nutritional contexts, alfalfa is valued for its chlorophyll content, vitamins, and minerals. In homeopathy, the fresh leaves and flowering tops are tinctured to produce a remedy with a tonic and nutritive action, influencing assimilation, appetite, and metabolism. It is especially associated with loss of flesh, nervous exhaustion, and malnutrition following chronic illness, and with states of general debility.

Introduced into homeopathy in the late 19th century by Dr. E. M. Hale and Dr. J. C. Fahnestock, based on clinical use rather than formal proving [Hale]. Symptoms are drawn from clinical experience with debilitated patients and those recovering from prolonged illness.

Alfalfa embodies the principle of nutritive restoration: increasing appetite, improving assimilation, and building strength after chronic illness or exhaustion. It is not merely a digestive tonic but a constitutional restorer, especially suited to anaemic, underweight, easily fatigued individuals.

• Digestive system – Improves assimilation, relieves dyspepsia of nervous origin.
• Nutrition and metabolism – Increases body weight in cases of malnutrition.
• Nervous system – Restores vitality in nervous exhaustion.
• Genito-urinary system – Tonic influence in lactation; mild diuretic action.
• Constitutional state – Convalescence, neurasthenia, wasting diseases.

General mental dullness from exhaustion. Difficulty concentrating, irritability from fatigue, and a sense of apathy towards daily tasks [Hale]. Nervous weakness often secondary to long illness or overwork.

Restores normal sleep patterns in those with insomnia from nervous exhaustion [Clarke].

Acts as a general tonic, increasing weight, improving digestion and assimilation, and restoring energy after long illness, lactation, or excessive strain. Particularly indicated in the pale, thin, easily exhausted patient.

Occasional lightness of head or vertigo when rising quickly, due to anaemia. Dull headache from mental fatigue.

Tired, heavy eyes during prolonged mental effort.

No proving symptoms recorded.

No proving symptoms recorded.

Pale, often sallow complexion in chronic debility.

Taste flat or lacking; tongue pale. Appetite either diminished from nervous exhaustion or ravenous when assimilation improves.

Breathlessness from general weakness; improved by gradual restoration of nutrition.

Palpitation on exertion in anaemic or undernourished patients.

Restores appetite in anorexia from nervous or chronic illness [Hale]. Dyspepsia from worry or mental overwork. Sensation of weakness in the stomach; slow digestion; atonic dyspepsia with flatulence and discomfort after eating.

Flatulence, abdominal discomfort after meals. Mild constipation in debilitated states.

Mild diuretic action; may increase urine output and assist in elimination of waste products [Clarke].

Craves nourishing food as vitality returns. Prefers frequent, small meals.

Increases quantity and quality of milk in nursing mothers [Hale]. Supports recovery after childbirth when there is marked weakness and poor appetite.

Weakness and aching in lower back during fatigue.

General muscular weakness, tremulousness after slight exertion.

Pale, soft, and lacking healthy tone in the chronically debilitated.

• China officinalis – Debility after loss of fluids; more pronounced periodicity and digestive flatulence.
• Avena sativa – Nervous exhaustion with sexual debility; less direct action on assimilation.
• Ferrum metallicum – Anaemia with flushing; Alfalfa more nutritive and less circulatory reactivity.
• Cinchona arsenicosa – Debility with emaciation, but more restlessness and coldness.

• Complementary: China, Avena sativa, Ferrum phos.
• Follows well: China after haemorrhage or loss of fluids; Nux vomica for digestive stimulation.
• Antidotes: Camphora in acute medicinal overdose.

Valuable in convalescence, especially when weight gain and appetite recovery are slow [Hale]. Frequently prescribed in mother tincture or low potencies (1x–3x) to stimulate appetite and weight gain, particularly in children, the elderly, and nursing mothers. Can be combined with other tissue-building remedies for chronic malnutrition.

Mind

• Apathy from weakness
• Irritability from exhaustion

Stomach

• Appetite increased, with weight gain
• Dyspepsia from mental strain
• Digestion slow, atonic

Female

• Lactation, increases milk
• Weakness after childbirth

Generalities

• Debility from chronic illness
• Emaciation, with improved nutrition under treatment
• Convalescence, slow recovery

1. Hale, E. M., New Remedies, Clinical and Proving Records – Introduced clinical use; nutritive action; restoration in chronic illness and lactation.
2. Clarke, J. H., A Dictionary of Practical Materia Medica – Notes on appetite, assimilation, and use in nervous dyspepsia; improved sleep in exhaustion.
3. Allen, T. F., Encyclopaedia of Pure Materia Medica – Compilation of clinical effects and early case reports.
4. Boericke, W., Pocket Manual of Homeopathic Materia Medica – Keynotes for digestive and nutritive restoration.