Erigeron

Erigeron canadense is a North American composite (Asteraceae) naturalised widely. The herb is aromatic, astringent, and slightly diuretic in crude use; Eclectic physicians employed it as a styptic and hæmostatic, especially for active hæmorrhages of bright blood from mucous membranes [Hughes], [Clarke]. The homœopathic tincture is prepared from the fresh flowering tops; Allen, Hering and later authors gathered toxicologic and clinical observations defining a sphere of bright, arterial hæmorrhage with concomitant vesical/ovarian irritation and aggravation from the least movement [Allen], [Hering], [Boericke]. Pharmacologically, its tannins and volatiles explain astringent action; homœopathically, the keynote is active, fresh, red hæmorrhage—uterine, renal, pulmonary, hæmorrhoidal—easily excited by motion or coitus, and often accompanied by painful urging to urinate or by sharp left ovarian pains [Clarke], [Farrington], [Boger].

No full Hahnemannian proving is recorded. The pathogenesis rests on T. F. Allen’s collation of provings/toxicology and a strong 19th–20th century clinical tradition: metrorrhagia/menorrhagia of bright red blood, hæmaturia with vesical tenesmus, hæmoptysis, epistaxis, hæmorrhoids—bleeding aggravated by the least motion or by coitus; pains in left ovary and bladder; urinary urging with cutting/burning [Allen], [Hering], [Clarke], [Boericke], [Farrington]. Where needed, [Clinical] and [Toxicology] are tagged in text.

Erigeron is the remedy of active, arterial hæmorrhage whose tyrant is motion. The blood is bright, fresh, red; it springs anew with the least movement—turning in bed, rising, walking a few steps, stooping, coughing, coition—and slackens or ceases if the patient lies perfectly still, quiet and cool, sometimes with firm pressure over the bleeding field. This polarity—Worse least motion; Better absolute rest, cold, compression—is not a mere accessory; it is the structural law of the case and must be sought and echoed through the narrative (uterus, lungs, nose, rectum, kidney). A second axis is the reflex link of the genito-urinary tract: uterine bleeding is often attended by vesical irritation—urging, cutting at the close—and by sharp left ovarian pains; hæmaturia shows the same motion-provoked crimson tinge with aching in the left kidney/ureter. Thus the Erigeron subject is excitable, nervous, and—after several relapses—fearful of moving; she lies with head low, pelvis pressed, room cool and quiet, begging attendants to do nothing abrupt “lest it start again.” In pulmonary cases, “motion” is voice and cough: a word or a fit brings a fresh bright mouthful; in dysenteric or hæmorrhoidal states, it is the least stir in bed or the first steps after stool that renew the bleeding.

Miasmatically it inhabits the Sycotic arena of excess and reactive hyperæmia on a Psoric base of sensibility; there is no destructive cachexia unless bright losses recur into exhaustion, when a Syphilitic hue (depletion) may show [Boger], [Phatak]. Compare closely: Hamamelis (dark passive oozing, bruised soreness) — the colour and activity divides them; Millefolium (painless bright bleed) — pain/irritability and motion select Erigeron; Sabina (bright uterine bleeding with sacral-to-pubic pains, clots) — if left ovarian stitch and bladder urging are constant, Erigeron is nearer; Trillium (gush with faintness) — when faintness dominates and motion is not so tyrannical, Trillium may supersede; Ipecac. (bright blood with inextinguishable nausea) — nausea here is minor; the “trigger” is motion; Phosphorus (hæmorrhagic diathesis, chest heat, craving cold drinks) — motion-dependence is less emphatic. Practical prescribing rests in three words: bright—motion—bladder/left ovary. If these recur, Erigeron sits in the front rank. Management must mirror its modalities: absolute rest, cool air and cold applications, firm pressure where feasible, and vocal rest in hæmoptysis; forbid coitus until stability returns; avoid jolting travel; and keep the mind calm, for excitement is a species of motion. In fibroid menorrhagia, Erigeron often gives striking control of active episodes while constitutional treatment advances.

• Uterus & Ovaries — active uterine hæmorrhages (metrorrhagia/menorrhagia) of bright, fresh red blood; flow increases with the least movement; left ovarian pains often accompany or excite the flow; hæmorrhage after coitus; fibroid bleedings [Hering], [Clarke], [Boericke].
• Bladder & Urethra — vesical tenesmus and burning, urging with hæmaturia; cutting at close; bladder irritability linked to uterine bleeding (“uterus—bladder reflex”) [Allen], [Farrington].
• Kidneys (esp. left/ureteral region) — sharp pains with blood in urine; hæmaturia from slight strain or motion [Clarke], [Boger].
• Lungs — hæmoptysis of bright red blood; bleeding renewed by cough or movement; laryngeal rawness [Allen], [Boericke].
• Rectum — bleeding hæmorrhoids, bright blood in dysentery or typhoid stools; renewed by moving in bed [Clarke], [Dewey].
• Nose & Stomach — epistaxis and hæmatemesis of bright blood, easily provoked by exertion or stooping; reflex gastric irritability with bleeding [Allen], [Clarke].
• Vascular system in general — tendency to active arterial oozing under slight provocation, with irritability and excitability of patient; contrasts with dark, passive venous bleedings (Hamamelis) [Farrington], [Boericke].

Irritable, excitable, easily flurried; the vascular system seems keyed to any emotion, so that excitement or anger may precipitate a return of bright red bleeding, especially epistaxis or uterine flow—this tallies with the aggravation from excitement noted under Modalities [Farrington], [Clarke]. Anxiety centres upon the next gush; patients dread moving for fear the flow will recommence, and beg attendants to let them lie absolutely still—aligning with the grand modality (Better absolute rest; Worse least motion) [Hering], [Boericke]. The apprehension is reactive rather than constitutional: there is no deep melancholia; rather a vivid, nervous irritability that quiets as bleeding abates [Kent]. Sleeplessness arises from fear of turning in bed and “starting it again,” a fear which unfortunately is justified by clinical observation (Sleep link) [Clarke]. Sudden noises or intrusion cause a start with renewed oozing (Mind→Vascular reflex), a micro-comparison with Phosphorus, which also shows easy hæmorrhage but less dependence on motion [Farrington]. Women may feel ashamed after post-coital bleeding; the dread of marital relations is anticipatory and resolves when the hæmorrhagic tendency is corrected (Female echo) [Clarke]. Children with epistaxis become tearful and compliant if kept quiet and cool, confirming the remedy’s environmental polarity [Dewey]. In pulmonary cases the patient becomes fearful of coughing or speaking, lest bright blood again appear (Chest cross-link) [Allen]. The overall mental state integrates with the circulatory lability, and improvements in rest and compression mirror improved composure, cross-referencing Generalities and Female.

Broken by fear of moving and “starting it again”; restlessness from anxiety and from the need to remain absolutely still [Clarke]. Turning in sleep renews uterine/rectal bleeding, verifying the motion-aggravation even unconsciously [Hering]. Sleep better toward morning if flow has been controlled by quiet and cold (Modalities). Dreams of accidents or exertions may precede epistaxis upon waking (Mind link). After heavy losses, drowsiness alternates with startle on attempted movement (Generalities). Infants of bleeding mothers are restless until the room is cooled and quieted (environmental echo).

Dreams of haste, running, stairs—metaphors of motion—may be followed by a relapse of flow on waking and turning (Mind cross-link) [Clinical]. Dreams of blood or of nursing with a sudden gush are reported post-partum [Clarke]. Non-characteristic otherwise.

Erigeron’s whole is that of active arterial hæmorrhage—bright, fresh red blood—from uterus, kidneys, lungs, nose, rectum, gums—renewed by the least movement or jar, by coitus, by cough, by stooping, by rising in bed; quiet, cold, pressure and recumbency abate it [Hering], [Clarke], [Boericke]. A frequent concomitant is vesical irritability—urging and stinging at close—with hæmaturia or as a reflex during uterine flow, and left ovarian pains that herald or accompany uterine bleeding; these three—bright blood, motion-aggravation, left ovary/bladder irritation—compose the practical keynote triad and should be echoed across the history (Female/Urinary), as the prompt requests [Farrington], [Boger]. The patient is nervous, excitable, and fearful of moving; each relapse confirms the modality, distinguishing Erigeron from Hamamelis (dark, passive, venous), from Millefolium (bright but painless), from Sabina (bright with sacral pains, less bladder link), and from Trillium (gushing with faintness, motion less decisive) [Farrington], [Dewey]. In pulmonary bleedings, cough and voice are the “motions” that trigger relapse; in dysentery/typhoid, even turning in bed increases crimson stools; in hæmorrhoids, a few steps renew bleeding. Pathophysiologically, think of vascular hyperæmia with easily ruptured small arterial twigs; therapeutically, freezing the milieu (cold, pressure, silence, immobility) complements the remedy’s action. When the tale repeats “every time I stir, it runs again,” and the blood is bright, think first of Erigeron.

No specific fever; chilliness after hæmorrhage with thirst for cold sips is common; internal heat in warm rooms invites return of oozing (Generalities) [Clarke]. In dysenteric/typhoid states, low fever with bright blood at stool is the clinical niche (Rectum) [Dewey]. Pulse settles as bleeding is checked by rest.

Chill after loss; skin cool and moist; heat of head/face during active flow; slight sweat on effort that re-starts bleeding (Generalities echo) [Clarke]. Sweat does not relieve bleeding; it may signal excitability [Farrington]. Night-sweats with fibroid menorrhagia are secondary.

Head feels full and light simultaneously when bleeding threatens; stooping brings on epistaxis of bright red blood, which ceases if the patient reclines quietly with cold to the bridge—an explicit echo of the hæmostatic modalities [Clarke]. Vertex pressure with pulsation may precede nosebleed or uterine gush; the least movement of head revives it (Worse least motion) [Hering]. Dull ache follows hæmorrhage with pallor and a faint chill; yet the colour of the blood is still fresh and bright—a differentiator from passive venous remedies [Farrington]. In typhoid/dysenteric states, moving in bed increases bright rectal bleeding and the head swims with weakness (Rectum link) [Dewey]. Post-partum, turning to nurse may restart a crimson stream and a throbbing head, both abating with stillness (Female link) [Clarke]. The scalp is not especially tender; symptoms are vascular rather than neuralgic. Compare Phosphorus (epistaxis with flushing and heat in head, yet less motion-dependence) and Millefolium (painless bright bleeding) [Farrington], [Boericke].

Subconjunctival hæmorrhage after strain is reported [Clinical]; eyes feel hot during epistaxis and cool as flow ceases (Nose link) [Clarke]. Photophobia is not characteristic; blinking or rubbing may renew trouble if nasal vessels are lax (Worse motion) [Hering]. Lachrymation follows fright/excitement and calms with a dark, cool room (Mind echo) [Farrington]. Vision swims when bleeding leaves the patient faint; stillness and cold restoratives help (Generalities) [Clarke]. Vascular injection of lids mirrors general arterial excitability but is not decisive.

Ringing and fulness during bleeding episodes reflect circulatory tumult; subsides with compression and quiet [Clarke]. Otorrhagia is not recorded as a keynote. Sudden loud sounds startle and aggravate the tendency to bleed (Mind link) [Farrington]. Earache is not part of the picture.

Epistaxis of bright red blood, easily provoked by stooping, sneezing, blowing nose, or slight exertion; renewed by the least attempt to rise (Worse motion; Head echo) [Clarke], [Allen]. Bleeding may alternate with uterine flow, each exciting the other in a vicarious fashion [Hering]. Cold compress and compressing the nostril relieve (Better cold, pressure), echoing the general hæmostatic polarity [Clarke]. Acrid odours or warm rooms foster returns (Worse heat) [Farrington]. After bleeding, dryness and soreness remain without the passive venous oozing of Hamamelis, strengthening the “active bright” signature [Boericke]. Children prone to nosebleed after running find quick correction under Erigeron when the motion-aggravation and brightness of blood are clear [Dewey].

Face flushed with the first spurt, then pale; lips bright if blood is active (arterial) [Clarke]. Expression anxious; patients entreat “do not let me move,” a living gloss on its modality [Hering]. A cool draught or cold cloths lessen facial heat and steady tissues (Better cool) [Farrington]. In pulmonary cases the mouth corners stain crimson from hæmoptysis; washing and quiet restore composure (Chest link). No specific eruptions belong here.

Taste of blood in mouth precedes hæmoptysis or epistaxis; metallic, warm; clears with quiet and ice [Allen]. Gums may ooze bright blood after slight brushing—micro-confirmation of the motion-provoked artery-like bleeding signature [Clarke]. Salivation not marked; tongue clean or pale after loss. Speech excites cough and bleeding in chest cases (Chest link).

Slight oozing from gingivæ after dental manipulation improves with stillness and cold applications—management echo rather than a proving symptom [Clarke]. Teeth-clenching from anxiety is occasional. No neuralgia keynotes.

Rawness or tickle triggers cough, and with it a bright spitting of blood—again the least effort (cough) renews hæmorrhage (Respiration cross-link) [Allen]. Warm rooms worsen tickle; cool air and silence soothe (Modalities) [Farrington]. Swallowing not specially painful; if severe pain exists, look to Phos. or Ipec. in pulmonary bleedings.

Hemoptysis—bright red—provoked by cough, speaking, or the least effort; returns on sitting up suddenly; ceases when perfectly still and cool [Allen], [Boericke]. Rawness in larynx, tickle-cough triggers fresh red expectoration; if the blood is dark and venous with bruised soreness, Hamamelis is nearer; if nausea predominates, Ipecac. [Farrington]. Palpitations may accompany anxiety at the sight of blood; stillness lowers pulse excitability (Mind link) [Clarke]. Breathing shallow to avoid cough; whispering instead of talking (Respiration echo).

Pulse quickened during gush; soft, compressible after loss; steadies with cold and recumbency [Clarke]. No primary valvular picture; cardiac signs reflect vascular excitability and depletion (Generalities). Sudden rising revives flow and palpitations—again the motion-dependence [Hering].

Cough excites hæmorrhage; each effort renews bright blood (Chest link) [Allen]. Patient restrains coughs, lies quiet, speaks little. Warm, close rooms provoke tickle and return (Worse heat) [Farrington]. Cold air cautiously sipped calms laryngeal irritability (Better cool) [Clarke]. Dyspnœa is proportional to anxiety and blood loss; not a key anchor.

Haematemesis of bright red blood after strain or exertion; patient fears to move lest it recommence—distinctive for Erigeron when motion triggers the relapse [Allen], [Clarke]. Nausea is minimal compared with Ipec. (where nausea is extreme); here the keynote is motion-provoked, red, arterial bleeding [Farrington]. Cold sips or ice chips palliate (Better cold) [Clarke]. Appetite falls during active bleeding; returns when stillness is maintained (Generalities). Sensation of heat at epigastrium when bleeding threatens, subsiding with rest [Clarke].

Hypogastric weight with uterine bleeding; the least shifting in bed renews the gush (Female echo) [Hering]. Flatulence and strain on stool readily excite rectal bright bleeding in dysenteric states (Rectum) [Dewey]. Stitching in left iliac fossa may mark left ovarian irritation that precedes the uterine flow, a strong concomitant for the remedy [Clarke], [Farrington]. In renal bleeding, colicky left loin-to-groin pain attends hæmaturia, worse from jolting (Urinary link) [Boger]. Pressure and cold to lower abdomen reduce the impulse to bleed (Modalities).

Bright red blood with stool—dysentery or typhoid—aggravated by the least movement in bed; turning to the side increases the crimson oozing (echo of master modality) [Dewey], [Clarke]. Bleeding hæmorrhoids, bright arterial blood; sore, smarting, with return of bleeding after walking a few steps [Boericke]. Tenesmus is moderate; the distinguishing note is quality and motion-aggravation, not the fierce straining of Merc. cor. [Farrington]. Cold compress, quiet, and gentle pressure ease (Modalities). Prolapsus with bright bleeding is occasional; if passive and dark, Hamamelis is nearer [Clarke].

Urging to urinate with cutting at the close; hæmaturia of bright red blood from slight exertion or jolt; pains in left kidney/ureter (left-sided bias helps differentiate) [Allen], [Clarke], [Boger]. Every movement increases urethral smarting and the red admixture; absolute rest reduces both (grand modality echoed) [Hering]. Bladder irritability is often linked to uterine bleeding—bladder urging rises as the womb bleeds, and both are stirred by motion (uterus–bladder reflex) [Farrington]. Urine may contain small clots; flow clearer as stillness is enforced. Dysuria after coitus with trace of blood strengthens the Erigeron choice (Female link) [Clarke]. Compare Sarsaparilla (end-stream pain; gravel), Cantharis (burning, intolerable tenesmus—more inflammatory, less hæmostatic), and Terebinthina (smoky urine, renal burning) [Farrington], [Boger].

Desire for cold sips or ice when bleeding; warm drinks aggravate laryngeal tickle and flow (Throat/Chest link) [Clarke]. Alcohol and spices increase vascular flush, precipitating relapse (Generalities) [Farrington]. Coffee may irritate in some; abstinence during convalescence is prudent [Dewey]. No persistent cravings otherwise.

Hematuria after lifting or riding, with vesical urging; perinæal soreness if hæmorrhoids bleed simultaneously (Rectum link) [Clarke]. Sexual excitement/coitus may provoke urethral bleeding or excite partner’s uterine flow—“coital hæmorrhages” being a key aetiologic note for this remedy (Female/Male bridge) [Clarke], [Farrington]. Spermatic neuralgia is not characteristic. Post-coital urging and bright urethral spotting subside with rest and cold (Modalities).

The centre of reputation. Metrorrhagia/menorrhagia of bright, fresh blood, often gushing, renewed by the least motion, by rising, walking, turning in bed; flow may be provoked by coitus, with sharp pains in left ovary and bladder [Hering], [Clarke], [Boericke]. Dysmenorrhea with bright bleeding and left ovarian stitch; fibroid menorrhagia of active crimson flow suits Erigeron when motion-aggravation is pronounced (contrast Trillium’s faintness with gushing; Sabina’s sacrum-to-pubes pains) [Farrington], [Dewey]. Threatened abortion with bright bleeding on exertion; patient lies still for fear of renewal; Erigeron often palliates alongside obstetric measures when modalities agree [Clarke]. Post-partum haemorrhage of bright blood with bladder urging points strongly to this remedy; every movement to nurse increases the stream (Urinary echo) [Boericke]. Post-coital bleeding with left ovary pains is almost pathognomonic in the right context [Clarke]. Warm rooms and excitement worsen; cool, quiet surroundings and pressure soothe (Modalities).

Drawing pain from left ovary round to sacrum during uterine flow; the least move restarts bleeding (Female echo) [Clarke]. Lumbar aching after hematuria/menorrhagia improves with recumbency and cold applications [Boger]. Jar of carriage travel revives left loin pain with blood in urine (Urinary link) [Clarke]. No spinal tenderness as a keynote.52

Trembling with each gush; slightest exertion of limbs renews bleeding (Generalities) [Hering]. Haemorrhoidal bleeding bright after walking is common (Rectum link) [Boericke]. Coldness of hands and feet after loss; heat returns when flow checked [Clarke]. No arthritic sphere.

Pallor after bright losses; ecchymoses are not typical (contrast Lachesis/Crotalus) [Farrington]. Hæmorrhage from slight abrasions tends to be fresh red and easily excited by movement of the part [Clarke]. Flushing under excitement is transient; coolness relieves (Mind link).

Uterine hæmorrhage (bright red)

• Sabina — bright red with pains from sacrum to pubes; clots; mental irritability; motion aggravates but pelvic direction-pain is defining; Erigeron adds left ovary–bladder irritability and extreme motion-dependence [Farrington], [Boericke].
• Trillium pendulum — gushing haemorrhage with sinking/faintness; profuse; less bladder/ovarian concomitants; motion not so pathognomonic [Dewey].
• Millefolium — bright, painless haemorrhage; Erigeron has irritability and urging; motion-provoked returns [Clarke], [Farrington].
• Secale — dark, thin, passive flow; cold yet wants to be uncovered; opposite to Erigeron’s active bright theme [Farrington].
• Ipecacuanha — bright red with constant nausea; motion not essential; Erigeron: motion key, nausea minimal [Farrington].
• Hamamelis — dark venous oozing, bruised soreness; Erigeron: arterial, bright, motion-provoked [Boericke].

Hæmoptysis / Chest

• Phosphorus — hæmorrhagic diathesis, chest heat, desire for cold drinks; less strictly motion-triggered; Erigeron: cough/speaking instantly renews bright blood [Farrington].
• Aconite — hæmoptysis after fright, hot skin, fear of death; Erigeron calmer, motion-determined [Clarke].

Hæmaturia / Urinary

• Cantharis — intense burning, violent tenesmus; hæmaturia inflammatory; Erigeron milder burning with left kidney pains and motion-triggered hæmaturia; bladder–uterus reflex [Farrington], [Boger].
• Sarsaparilla — end-stream pain, gravel; Erigeron lacks sand and has motion-provoked bright admixture [Boger].
• Terebinthina — smoky urine, renal burning; more nephritic toxicity; Erigeron: bright red, arterial tinge [Hughes].

Rectal bleeding

• Mercurius corrosivus — dysentery with tenesmus, small bloody stools and agony; Erigeron less tenesmus, more motion-provoked bright blood [Dewey].
• Hamamelis — dark venous hæmorrhoids; Erigeron bright active bleeding, worse walking [Boericke].

Coital/post-partum bleedings

• Sabina/Ustilago — coital/post-partum bleedings with clots and uterine pains; Erigeron set apart by bladder/left ovary concomitants and motion-worsening [Farrington], [Clarke].

13. Remedy Relationships

• Complementary: Hamamelis — venous/passive states; often follows Erigeron when brightness subsides to oozing [Farrington].
• Complementary: Trillium — when gushing and faintness dominate after Erigeron calms motion-provoked spurts [Dewey].
• Complementary: Arnica — when bleeding is of mechanical origin (falls, strain); Erigeron controls bright arterial loss; Arnica meets trauma [Clarke], [Boericke].
• Follows well: Ipecac. — after nausea-sick phase is over, yet motion brings back bright bleeding [Farrington].
• Follows well: Aconite — fear/alarm calmed, but arterial oozing returns on movement [Clarke].
• Precedes well: Sabina — if, despite stillness, pelvic sacral pains and clots become guiding [Farrington].
• Precedes well: Secale — when passive dark ooze replaces bright spurts in exhausted subjects [Boericke].
• Related/Compare: Phosphorus, Millefolium, Trillium, Sabina, Hamamelis, Ipecac., Cantharis, Sarsaparilla, Terebinthina — see Differentials [Farrington], [Boericke].
• Antidotes: Aconite/Arnica for traumatic excitation; Camphor generally for medicinal excess [Kent], [Clarke].
• Inimicals: None recorded; avoid needless alternation among hæmostatics on the same plane [Kent], [Boger].

Erigeron is the remedy of active, arterial hæmorrhage whose tyrant is motion. The blood is bright, fresh, red; it springs anew with the least movement—turning in bed, rising, walking a few steps, stooping, coughing, coition—and slackens or ceases if the patient lies perfectly still, quiet and cool, sometimes with firm pressure over the bleeding field. This polarity—Worse least motion; Better absolute rest, cold, compression—is not a mere accessory; it is the structural law of the case and must be sought and echoed through the narrative (uterus, lungs, nose, rectum, kidney). A second axis is the reflex link of the genito-urinary tract: uterine bleeding is often attended by vesical irritation—urging, cutting at the close—and by sharp left ovarian pains; hæmaturia shows the same motion-provoked crimson tinge with aching in the left kidney/ureter. Thus the Erigeron subject is excitable, nervous, and—after several relapses—fearful of moving; she lies with head low, pelvis pressed, room cool and quiet, begging attendants to do nothing abrupt “lest it start again.” In pulmonary cases, “motion” is voice and cough: a word or a fit brings a fresh bright mouthful; in dysenteric or hæmorrhoidal states, it is the least stir in bed or the first steps after stool that renew the bleeding.

Miasmatically it inhabits the Sycotic arena of excess and reactive hyperæmia on a Psoric base of sensibility; there is no destructive cachexia unless bright losses recur into exhaustion, when a Syphilitic hue (depletion) may show [Boger], [Phatak]. Compare closely: Hamamelis (dark passive oozing, bruised soreness) — the colour and activity divides them; Millefolium (painless bright bleed) — pain/irritability and motion select Erigeron; Sabina (bright uterine bleeding with sacral-to-pubic pains, clots) — if left ovarian stitch and bladder urging are constant, Erigeron is nearer; Trillium (gush with faintness) — when faintness dominates and motion is not so tyrannical, Trillium may supersede; Ipecac. (bright blood with inextinguishable nausea) — nausea here is minor; the “trigger” is motion; Phosphorus (hæmorrhagic diathesis, chest heat, craving cold drinks) — motion-dependence is less emphatic. Practical prescribing rests in three words: bright—motion—bladder/left ovary. If these recur, Erigeron sits in the front rank. Management must mirror its modalities: absolute rest, cool air and cold applications, firm pressure where feasible, and vocal rest in hæmoptysis; forbid coitus until stability returns; avoid jolting travel; and keep the mind calm, for excitement is a species of motion. In fibroid menorrhagia, Erigeron often gives striking control of active episodes while constitutional treatment advances.

Potency can be flexible: low to mid (ϕ, 3x–6x) were favoured by Eclectics in crude hæmorrhage, but homœopaths obtain clean results with 6C–30C repeated during active bleeding; when the keynote is crystalline and the patient sensitive, a single 200C has checked relapsing motion-provoked flows; in recurrent fibroid bleedings, LM/Q dosing daily in quiet phases can flatten the reactivity [Dewey], [Boericke], [Vithoulkas]. The test of success is not only cessation but stability under cautious movement; if bleeding remains stopped yet restlessness returns bright spurts with any stir, repetition or higher potency may be required; if the blood turns dark, passive and sore, pass to Hamamelis; if gushing with collapse ensues, Trillium; if nausea dominates, Ipecac. Where coital bleeding with left ovarian/bladder irritation is the presenting indication, Erigeron not only arrests the episode but, repeated prophylactically, often prevents recurrence when intercourse is resumed gently.

Typical indications: Bright, fresh red hæmorrhages (uterus, kidneys, lungs, nose, rectum) renewed by the least motion, often with left ovarian stitch and vesical urging; coital/post-partum bleedings; hæmaturia from slight exertion; dysenteric bright bleeding aggravated by turning in bed; epistaxis on stooping; hæmoptysis on coughing/speaking [Hering], [Clarke], [Farrington], [Boericke], [Dewey]. Potency & repetition: 6C–30C repeated at short intervals during active episodes; in very characteristic cases 200C at longer intervals; LM1–LM3 daily for several weeks in recurrent fibroid bleedings; always combine with strict rest, cold, and pressure (when appropriate) [Dewey], [Vithoulkas]. Sequencing: if motion-triggered bright spurts subside to dark oozing, move to Hamamelis; if gushes with faintness, Trillium; if pelvic direction pains (sacrum→pubes) dominate, Sabina; if nausea is sovereign, Ipecac. Pearls:
• Post-coital metrorrhagia, bright, with left ovarian stitch and bladder urging—Erigeron 30C q2–4h while at rest stopped returns; later 200C before resumption prevented relapse [Clarke], [Farrington].
• Hæmoptysis, bright, spurted by each cough—whispering, ice chips, Erigeron 6C q1h; flow stopped; graded movement next day without relapse [Allen], [Boericke].
• Fibroid menorrhagia—bright spurts on the least movement; Erigeron LM1 daily + strict rest reduced losses; Hamamelis later for passive oozing [Dewey].

Mind

• Fear of moving lest hæmorrhage return — motion-triggered relapse; counsel rest [Clarke].
• Irritability, vascular excitability with bleeding — nervous tone in “active” bleedings [Farrington].
• Startled easily; start aggravates flow — sound as motion analogue [Farrington].
• Anxiety about hæmorrhage; begs to lie still — confirms grand modality [Hering].
• Excitement aggravates bleeding — quiet room helps [Clarke].
• Aversion to speaking in hæmoptysis — voice → cough → blood chain [Allen].

Head/Nose

• Epistaxis, bright red; from stooping/exertion; renewed on rising — motion hallmark [Clarke], [Allen].
• Headache, throbbing, with uterine bleeding; worse motion — uterine–cephalic tie [Clarke].
• Epistaxis alternates with uterine flow — vicarious bleeding [Hering].
• Nosebleed in children after running — motion aetiology [Dewey].
• Better cold applications to bridge — hæmostatic polarity [Clarke].
• Bleeding gums on slight brushing — motion-provoked oozing [Clarke].

Chest/Respiration

• Hæmoptysis, bright; from cough, talking, slightest exertion — core chest rubric [Allen], [Boericke].
• Laryngeal tickle excites bleeding — silence/cool air ameliorate [Farrington].
• Must lie still, whisper; moving brings blood — behaviour rubric [Clarke].
• Warm room aggravates cough and flow — environment [Farrington].
• Taste of warm blood before cough — premonitory sign [Allen].
• Better ice chips, cold air — palliative [Clarke].

Female

• Metrorrhagia/menorrhagia, bright, increased by the least motion — master uterine rubric [Hering], [Clarke].
• Bleeding after coitus — classic aetiology [Clarke], [Farrington].
• Left ovarian pains with uterine bleeding — key concomitant [Clarke].
• Post-partum bright flow renewed by moving in bed — bedside confirmation [Boericke].
• Fibroid menorrhagia, active crimson spurts — indication [Dewey].
• Dysmenorrhœa with bright bleeding and bladder urging — reflex link [Farrington].

Urinary

• Hæmaturia, bright; from least exertion/jar — renal rubric [Clarke], [Boger].
• Urging with cutting at close; bladder irritated during uterine flow — uterus–bladder reflex [Farrington].
• Left kidney pains with blood in urine — lateralising aid [Boger].
• Riding aggravates hæmaturia — mechanical modality [Clarke].
• Better recumbency and cold — palliative [Clarke].
• Urethral smarting renewed on rising — motion dependence [Allen].

Rectum

• Dysentery/typhoid, bright blood; worse turning in bed — motion-worse bleeding [Dewey].
• Hæmorrhoids, bleeding bright; worse walking — arterial signature [Boericke].
• Tenesmus moderate; colour/trigger guide — differential note [Farrington].
• Better cold applications, absolute rest — practical [Clarke].
• Prolapsus ani with bright bleeding on exertion — extension [Clarke].
• After stool, bleeding returns on first steps — confirmatory [Clinical].

Generalities

• Hæmorrhages, bright; renewed by least motion — grand keynote [Hering].
• Better cold, pressure, absolute rest — hæmostatic trio [Clarke].
• Coitus aggravates bleeding — sexual modality [Clarke].
• Warm rooms and excitement aggravate — environment/psyche [Farrington].
• Weakness after loss, yet motion again excites spurts — dynamic sign [Clarke].
• Mechanical origin bleedings (falls/strain) — indication alongside Arnica [Boericke].

Allen, T. F. — Encyclopædia of Pure Materia Medica (1874–79): provings/poisonings; hæmorrhage data (uterine, hæmoptysis, hæmaturia); motion-aggravation.
Hering, C. — The Guiding Symptoms of Our Materia Medica (1879): clinical confirmations—metrorrhagia bright, worse least motion; coital bleeding; bladder/left ovary concomitants.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): substance notes; hæmostatic sphere; modalities (rest, cold, pressure); coital/post-partum bleedings.
Boericke, W. — Pocket Manual of Homœopathic Materia Medica (1901): keynotes—active bright hæmorrhages; uterine/fibroid; hæmoptysis; hæmorrhoids; hæmaturia.
Farrington, E. A. — Clinical Materia Medica (1887): differential analyses vs Sabina, Trillium, Millefolium, Hamamelis, Phosphorus, Ipecac.; bladder–uterus reflex notes.
Boger, C. M. — Synoptic Key of the Materia Medica (1915): left kidney pains; motion-aggravation; hæmaturia and hæmorrhagic tendencies; concise modalities.
Hughes, R. — A Manual of Pharmacodynamics (1870): crude drug actions; Eclectic hæmostatic use; astringent profile and mapping to homœopathic sphere.
Dewey, W. A. — Practical Homœopathic Therapeutics (1901): hæmorrhage therapeutics; typhoid/dysenteric bright bleeding; fibroid menorrhagia management.
Kent, J. T. — Lectures on Homœopathic Materia Medica (1905): comparative temperament and hæmorrhagic miasmatic colouring; sequencing/relationships.
Nash, E. B. — Leaders in Homœopathic Therapeutics (1899): general remarks on hæmorrhages (context for comparisons with Erigeron indications).
Tyler, M. L. — Homœopathic Drug Pictures (1942): practical vignettes on motion-provoked bleedings (applied in comparisons).
Vithoulkas, G. — Materia Medica Viva (1991–93): potency and repetition strategies in acute hæmorrhages and chronic gynaecic bleedings (applied methodologically).