Sabina

An evergreen conifer (Cupressaceae). The young tops and twigs contain a hot, volatile oil (historically “oil of savin”; principles include sabinol/sabinyl esters and allied terpenes) with potent emmenagogue/abortifacient action in the crude; toxicology shows violent uterine contractions and haemorrhage, gastro-enteritis, nephritic irritation, collapse and even death when abused—lines that foreshadow the remedy’s uterine haemorrhage with gushing bright blood and clots, and burning pains [Hughes], [Clarke]. Tincture from fresh twigs. Old-school use of savin ointments for fig-warts (condylomata) and verrucae anticipated the homeopathic sphere: sycotic overgrowths with easy bleeding and irritation [Clarke], [Boericke]. [Toxicology]

Historically employed as a powerful emmenagogue/abortifacient, a dangerous practice responsible for many poisonings; externally as a caustic for warts and as a rubefacient liniment in rheumatism in folk medicine [Hughes], [Clarke]. These uses explain later uterine, haemorrhagic, and sycotic skin affinities.

Hahnemann and early provers documented hemorrhagic tendencies, bearing-down uterine pains running from sacrum to pubes, gushing bright-red bleeding with clots, and exquisite pelvic sensitivity; Hering, Allen, Kent and Clarke confirmed the obstetric/gynaecological indications (threatened abortion—especially about the third month), as well as condylomata/fig-warts, rheumatic–gouty joint pains, and bleeding piles that mirror the uterine state [Hahnemann], [Hering], [Allen], [Kent], [Clarke], [Boericke]. [Proving] [Clinical]

• Uterus & cervix (primary): Menorrhagia/metrorrhagia with gushing bright-red blood and clots, worse from the least motion; bearing-down pains from sacrum to pubes; threatened abortion, chiefly third month; retained portions after miscarriage; subinvolution and fibroid bleeding. Cross-ref. Female, Generalities, Modalities. [Hering], [Allen], [Clarke], [Boericke], [Kent]
• Placental site/post-partum: Flooding with expulsive pains; oozing returns on moving or standing; faintness with open-fontanel feeling in extreme losses. Cross-ref. Fever, Generalities. [Clarke], [Boericke]
• Vagina/vulva: Rawness, smarting, irritable condylomata that bleed; coexistent leucorrhoea worse after menses. Cross-ref. Female, Skin. [Hering], [Clarke]
• Rectum/haemorrhoids: Bleeding piles with shooting from back to genitals; piles worse during menses or in uterine congestion; bright blood. Cross-ref. Rectum, Female. [Hering], [Boericke]
• Skin (sycotic proliferations): Fig-warts/condylomata, bleeding or painful; soft, moist, often genital or around anus; polyps and mucosal overgrowths (nose/uterus). Cross-ref. Skin, Nose, Female. [Clarke], [Hering]
• Joints (gouty/rheumatic): Tearing, sticking arthritic pains, worse warmth of bed and night; gout alternates with pelvic complaints (“metastatic” note). Cross-ref. Extremities, Generalities. [Clarke], [Allen]
• Urinary tract: Burning and urging, haematuria with pelvic congestion; gonorrhoeal irritation with warty excrescences. Cross-ref. Urinary, Skin. [Hering], [Clarke]
• Mind/nerve: Irritable, anxious, dreads haemorrhage, restless with pelvic pains; mental gloom when flooding recurs. Cross-ref. Mind, Sleep. [Kent], [Clarke]
• Vascular/haemorrhagic diathesis: Bright arterial bleeding from mucosae; epistaxis in uterine congestion. Cross-ref. Nose, Generalities. [Allen], [Clarke]

• Absolute rest (lying still) during haemorrhage; worse on moving soon as they rise. [Hering], [Clarke]
• Cold applications to hypogastrium or cool, open air during flooding (subjective soothing). [Clinical], [Clarke]
• Firm pressure to sacrum/abdomen (binding, tight bandage). [Clinical], [Kent]
• Dark, quiet room; avoidance of excitement that rekindles uterine throbbing. [Clarke]
• After expulsion of retained shreds/clots (bleeding lessens for a time). [Allen], [Hering]
• Elevated pelvis/hips in bed when faintness threatens (practical). [Clinical]
• Cool drinks in sips during nausea from flooding. [Boericke]
• Local cautery/caustic for condylomata (as old-school adjunct) alongside internal remedy. [Clarke]
• Alternate cold–warm foot-baths for gouty limbs after uterine storm resolves. [Clarke]

• Least motion—turning in bed, standing, walking, descending stairs—at once increases gushing. [Hering], [Clarke], [Kent]
• During and after coitus (pelvic congestion bleeds). [Clarke]
• Pregnancy (about the third month)—threatened abortion. [Hering], [Allen]
• Warmth and heated rooms; warm bed for joint pains; flush and throbbing increase. [Clarke], [Allen]
• Sudden cessation of habitual discharges (e.g., suppressed gonorrhoea/lochia) followed by pelvic and articular storms. [Hering], [Clarke]
• Touch of cervix/uterus (exams, pessaries) provokes bleeding. [Clarke]
• Music/emotion/exertion—any excitement that drives the circulation. [Kent], [Clarke]
• Night for gouty pains; forenoon or on rising for gushing. [Allen], [Clarke]
• Warm bathing around menses (pelvic congestion). [Clinical]
• Alcohol or spices—vascular flush, renewed oozing. [Clarke]

• Threatened abortion / menorrhagia (bright, clotty; motion <)
  • Secale — Dark, thin, painless oozing; patient cold, wants to be uncovered; uterus atony. Sabin.: bright, clotty, expulsive pains sacrum→pubes, motion <. [Clarke], [Boericke]
  • Ipecacuanha — Bright bleeding with persistent nausea, clean tongue; pains less expulsive. Use when nausea dominates despite rest. [Hering], [Clarke]
  • Trillium pendulum — Gushing on the least motion with sacro-iliac “giving way” and faintness; resembles Sabin., but the sacrum→pubes pain-path and third-month keynote favour Sabin. [Farrington], [Boericke]
  • Erigeron — Bright bleeding from every movement with urinary irritation; less expulsive back-to-front labour-like pains. [Clarke], [Boericke]
  • Cinnamomum — Post-partum haemorrhage, passive; lacks Sabin.’s expulsive labour-like pains. [Clarke]
  • Thlaspi bursa-pastoris — Uterine fibroids with clotty flooding and cramps, often with urinary gravel; Sabin. chosen by motion < and sacrum→pubes path. [Clarke]
  • Belladonna — Hot, throbbing uterus, bright bleeding with congestive fever, but pains more sudden and throbbing than expulsive. [Kent], [Clarke]
• Sycotic proliferations (warts/condylomata)
  • Thuja — Moist, pedunculated, cauliflower warts; oily sweat; mental fixed ideas; less haemorrhagic drive than Sabin. [Hering], [Clarke]
  • Nitric acid — Bleeding, fissured outlets with splinter pains; warts more fissured and painful; less uterine haemorrhage picture. [Clarke]
  • Causticum — Flat warts on face/hands; urinary weakness; lacks uterine flooding. [Boericke]
• Bleeding piles (bright)
  • Hamamelis — Venous, bruised soreness, oozing; less expulsive sacral pains. [Clarke]
  • Aesculus — Dry, purple piles with sacral backache but little bleeding; Sabin. piles bleed freely, bright. [Boericke]
  • Nit-ac. — Splinter pain at anus with bleeding; multiple outlet fissures. [Hering]
• Gouty/rheumatic alternation
  • Colchicum — Extreme tenderness, nausea from food odours; less genital alternation. [Clarke]
  • Benzoic acid — Strongly offensive urine, gout nodosity; not a haemorrhagic remedy. [Clarke]
  • Ledum — Pains > cold, ascending rheumatism; no uterine keynote. [Farrington]

• Complementary: Thuja — over the sycotic terrain (warts/condylomata) when Sabin. has checked the vascular storm. [Clarke], [Hering]
• Complementary: Hamamelis — venous tone and bruised soreness after Sabin. halts gushing. [Clarke]
• Follows well: Ipec. (when nausea dominated early), Bell. (hot congestive onset) before the case centres in Sabin.’s expulsive, clotty bleeding. [Kent], [Clarke]
• Precedes well: Trillium, Thlaspi-bp. in fibroid terrains if bleeding recurs with exertion; China and Ferrum to repair post-haemorrhagic anaemia when the storm is past. [Clarke], [Boericke]
• Inimical/antidotal notes: Avoid heating measures in pelvic crises (hot baths); cooling, rest, pressure synergise the prescription. [Clarke]

Essence. A haemorrhagic uterine storm with labour-like expulsive pains beginning in the sacrum and running forwards to the pubes, discharging bright blood with clots, and decidedly worse from the least motion. The woman lies perfectly still; she dreads turning or standing because the flood returns the moment I move. This mechanical signature—motion produces a gush—singles out Sabin. and must be echoed by the patient’s behaviour. The same vascular–proliferative diathesis shows at the margins as fig-warts/condylomata that bleed on touch, and bleeding piles that flare with pelvic congestion. A subsidiary gouty strand runs through certain cases, with tearing, stitching joint pains worse warmth of bed and at night, alternating with pelvic distress, as if the organism toggled its inflamed surface from synovium to endometrium and back [Clarke], [Allen], [Hering].

Polarities and pace. Thermal: pelvis is hot and throbbing, yet the person craves coolness to the part; joints are worse warmth of bed. Postural: rest, recumbency and elevated pelvis help; standing/walking/descending hurt. Time: third month is a red-flag epoch for threatened abortion; night brings gout pains. Reactivity: emotion, music, warmth, coitus amplify the vascular wave; pressure, cold, silence switch it off. Comparative frame: Secale bleeds dark and thin without expulsive pain and with chill, Ipec. nauseates incessantly, Trillium gives pelvic giving-way with motion-worse flooding; Erigeron is motion-bleeding + bladder irritation; Cinnamomum is more passive postpartum. On the sycotic side, Thuja and Nit-ac. share warts but lack the motion-gush + sacrum→pubes triad. When that triad is present—together with the clinical third-month history—Sabin. is rarely missed.

Case pearls. Threatened abortion at twelve weeks with bright, clotty bleeding, sacrum→pubes pains, flow returning on standing; quieted by Sabin. 30C, pelvic rest, hips elevated, cold compress—bleeding ceased, pregnancy continued [Hering], [Clarke]. Fibroid menorrhagia, gush on steps, binder and Sabin. reduced loss month by month until operation avoided [Boericke]. Bleeding condylomata at vulva with fibroid flooding improved together—sycotic–vascular arc addressed by Sabin.; Thuja followed for residual warts. [Clinical]

• Threatened abortion (≈3rd month), bright clotty bleeding, pains sacrum→pubes, motion <: Sabin. 30C–200C; strict bed-rest, hips elevated, cold compress; avoid vaginal examinations and heat. If nausea dominates, a single Ipec. dose may clear the way; return to Sabin. for the mechanical picture. [Hering], [Clarke], [Boericke], [Kent]
• Fibroid menorrhagia with gush on exertion/steps: Sabin. between and during menses; insist on firm abdominal binder, cool regime; reassess need for Thlaspi-bp. or Trillium if relapse. [Clarke], [Boericke]
• Post-abortal/post-partum flooding with retained shreds: Sabin. while arranging mechanical evacuation if indicated; do not delay if haemodynamic risk—homeopathy supports but does not replace obstetric care. [Clarke], [Allen]
• Condylomata/fig-warts, bleeding and painful: Sabin. internally; gentle local care; consider Thuja later for residua. [Hering], [Clarke]
• Gout alternating with pelvic storms: during quiet pelvis, address gout diet; Sabin. when the genital–gout alternation is explicit. [Clarke], [Allen]

Mind

• MIND — ANXIETY — haemorrhage; about — rising — from — fear of gush. — Behaviour mirrors motion <. [Clarke], [Kent]
• MIND — FEAR — abortion; of — after previous miscarriage at third month. — Time-anchored dread guiding the prescription. [Hering], [Allen]

Female / Uterus

• UTERUS — ABORTION — tendency — third month — about. — Epochal keynote. [Hering], [Allen]
• UTERUS — HAEMORRHAGE — bright red — clots — motion, least — aggravates. — Core Sabin. rubric. [Clarke], [Boericke], [Kent]
• PAIN — SACRAL — extending to pubes — labour-like — haemorrhage; during. — Pathognomonic direction. [Hering], [Clarke]
• LOCHIA — RETURN — motion, from — bright. — Post-partum echo. [Clarke]
• LEUCORRHOEA — excoriating — after menses. — Irritable mucosa. [Hering]

Rectum

• HAEMORRHOIDS — BLEEDING — bright — menses, during — aggravates. — Pelvic congestion mirror. [Hering], [Boericke]
• PAIN — SACRUM — rectum; to — shooting. — Pain-path echo. [Clarke]

Skin / Genitals (sycosis)

• WARTS — CONDYLOMATA — genital — bleeding — on touch. — Sycotic proliferations. [Hering], [Clarke]
• POLYPI — uterus; nose — bleeding tendency. — Proliferative–vascular diathesis. [Clarke]

Generalities / Modalities

• GENERALITIES — MOTION — aggravates — haemorrhage. — Mechanical key. [Kent], [Clarke]
• GENERALITIES — HEAT — aggravates — joint pains; haemorrhage. — Warmth fans both fields. [Allen]
• GENERALITIES — PRESSURE — abdomen — ameliorates — haemorrhage. — Binder logic. [Clarke]
• GENERALITIES — COLD — applications — ameliorate — pelvic pains. — Cooling >. [Clarke]

Extremities (gout)

• PAIN — TEARING/STITCHING — joints — night — bed, warmth of — aggravates. — Gout strand. [Clarke], [Allen]

Nose

• EPISTAXIS — menses — suppressed — during. — Safety-valve bleeding. [Clarke], [Allen]

Hahnemann — Materia Medica Pura / Chronic Diseases (early 19th c.): proving fragments—uterine pains, bleeding, pelvic direction.
Hering — The Guiding Symptoms of Our Materia Medica (1879): threatened abortion (third month), sacrum→pubes pains, condylomata, piles.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–79): uterine/rectal haemorrhage, epistaxis links, urinary irritation, gout notes.
Clarke — A Dictionary of Practical Materia Medica (1900): toxicology (abortifacient), menorrhagia/fibroids, condylomata, relationships, regimen.
Boericke — Pocket Manual of Homoeopathic Materia Medica (1901): flooding on least motion; obstetric uses; skin and warts; comparisons.
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): keynote emphasis—motion <, sacrum→pubes pains; comparative obstetrics.
Farrington, E. A. — Clinical Materia Medica (late 19th c.): menorrhagia/abortion differentials (Trillium, Erigeron, Ipec., Secale).
Hughes, R. — A Manual of Pharmacodynamics (1870s): drug chemistry; emmenagogue/abortifacient toxicology explaining haemorrhagic sphere.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1907): crisp keynotes—clotty bright bleeding, expulsion pains, motion <.
Boger, C. M. — Synoptic Key of the Materia Medica (1915): condensed grid of haemorrhage, motion <, sycotic tendencies.
Dunham, C. — Lectures on Materia Medica (1870s): obstetric cautions; mechanical management alongside the dose.
Tyler, M. L. — Homoeopathic Drug Pictures (1942): bedside reminders—binder, cold compress; contrasts with Secale, Trillium, Erigeron.