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]

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]

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]

• 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]

The mental state follows the circulation: anxious, wakeful, and fearful of haemorrhage, with an almost superstitious dread of rising lest the blood “rush out” again—this maps directly to the worse from the least motion modality and the patient’s self-imposed immobility [Clarke], [Kent]. Irritability is marked during pelvic throbbing; small noises and conversation jar, yet there is little hysterical display—more a grim vigilance, counting pads and clots and scanning for the next gush. A sinking, faint feeling breeds despondency if flooding recurs monthly; women dread the third month in subsequent pregnancies after a miscarriage at that epoch—time-anchored fear that becomes a prescribing clue [Hering], [Allen]. During gouty phases the mood turns peevish and sore, and there is an observable alternation: as joints inflame, pelvic symptoms recede, and vice versa—an alternation that classical authors attribute to a gout–genital axis [Clarke]. Relief and cheer arrive as bleeding is checked by rest and cold applications; the mind’s calm is thus secondary to vascular quiet. Sleep is watched warily: if she shifts in bed, she expects a gush; learning to remain perfectly still becomes a coping habit that itself confirms the remedy. [Clinical]

Sleep is light and fearful; she lies perfectly still to avoid a gush, wakes at the least movement, and dreads turning in bed—behaviour that enacts motion <. Dreams of blood, miscarriage, and stairways (downward motion) are reported; after a quiet day of rest and cold applications, sleep deepens. Gouty subjects are wakened after midnight by tearing joint pains < warmth of bed. [Kent], [Clarke], [Allen]. [Clinical]

Of haemorrhage, of losing the child, of falling or going downstairs; of being unable to reach help. Such dreams subside as pelvic pains cease and confidence returns. [Clinical]

Sabin. is a haemorrhagic–expulsive uterine remedy with a sycotic skin signature and gouty joints. The haemorrhage is bright red, mixed with clots, increased by the least motion, often tied to the third month in pregnancy or to fibroid bleeding; the pain-path is from sacrum forwards to pubes—this pathognomonic direction anchors the selection [Hering], [Allen], [Clarke], [Boericke], [Kent]. Rest, cold, and pressure palliate; warmth, exertion, emotion, and coitus aggravate. Rectal and vesical outlets echo the pelvic storm—bleeding piles, burning urine, warty excrescences—and the sycotic overgrowth (fig-warts/condylomata; polyps) completes the circle. Differentiate from Secale (dark, thin, painless oozing with coldness), Ipec. (bright bleeding with intense, persistent nausea), Trillium (flooding with sacro-iliac “giving way”, faintness, motion <), Erigeron (gushing on every movement with bladder irritation, less sacrum→pubes), Cinnamonum (post-partum haemorrhage without Sabin.’s expulsive pains), and Thlaspi-bp. (clotty flooding in fibroids with renal gravel). For the sycotic field compare Thuja (moist, pedunculated warts, oily sweat, toothache modalities) and Nit-ac. (bleeding, fissured mucocutaneous borders, splinter pains). For gout, compare Colch., Benzo-ac., Led.—choose Sabin. when the genital–gout alternation or return of uterine bleeding on motion is decisive. [Comparatives: Hering, Clarke, Kent, Farrington, Nash, Phatak]

No distinct specific fever; heat of face and body with pelvic throbbing; chilliness and cold sweat after heavy losses; pulse quality mirrors the vascular state. Fever abates when mechanical causes (clots/shreds) pass and bleeding is curbed. [Clarke], [Allen]. [Clinical]

Alternating heat (pelvic) and chill (post-haemorrhagic); sweat follows faintness; nights are hot in gouty phases, but joint pains are worse warmth of bed—a small polarity that helps differentiation. [Allen], [Clarke]. [Clinical]

Congestive fulness accompanies uterine storms; throbbing temples and a swimming, faint feeling on sitting up. Vertigo with blackness before eyes when a rush of blood occurs on standing is common; lying flat relieves—again echoing rest > and motion < [Clarke], [Boericke]. After excessive loss, pallor replaces flush, with dull pressive headache ameliorated by cold to the forehead and quiet. The head symptoms subside as pelvic haemorrhage is controlled, reinforcing the centripetal logic of the case. [Clinical]

Dark floating specks with syncope, dilated pupils in the faint state, and smarting conjunctivae when tears come with pain; no primary ocular disorder. In epistaxis-prone subjects the conjunctival vessels flush as the nose bleeds—a minor echo of the haemorrhagic diathesis. [Allen], [Clarke]. [Clinical]

Ringing with faintness; humming after a gush; no specific otic disease. Sounds seem louder during pelvic throbbing (hyperæsthesia of circulation). [Clinical]

Epistaxis during suppressed menses or uterine congestion may occur, blood bright; nosebleed abates when the uterine outlet resumes its role—an instructive safety-valve phenomenon that confirms the vascular priority of the pelvis [Clarke]. There is no coryzal signature. [Clinical]

Alternates between flushed, hot cheeks during throbbing and a waxy pallor after repeated gushing; lips dry; an anxious, pinched look appears when clots are felt descending. The expression softens when firm pressure is applied to abdomen/sacrum and the expulsive bearing-down pain from sacrum to pubes ceases for a time—mechanical echoes of the remedy’s affinities. [Hering], [Clarke]

Nausea with salivation during flooding is common; tongue may be coated with a bitter taste after clots have passed. Vomiting may accompany violent pains; cool sips are preferred to warm drinks, consistent with cooling > of pelvic heat. [Boericke]. [Clinical]

No central dentine picture; teeth set on edge in faint nausea; jaw clenched during pains. The region is quiet when pelvic storms are absent. [Clinical]

Soreness and rawness from retching; swallowing ice chips brings transient ease in those who crave cold during haemorrhagic heat. No focal pharyngeal illness is implied. [Clinical]

Palpitations and a painful sense of heat/weight behind sternum during flooding; sighing respiration with faintness on sitting up. As the pelvic circulation quiets, chest signs abate—peripheral driver again. [Clarke]. [Clinical]

Pulse full and throbbing during gushes; weak and rapid after large losses; palpitations worse on the least motion when blood is liable to pour again. Cooling, rest and elevation of hips assist while the remedy acts. [Allen], [Clarke]. [Clinical]

Short on exertion; breathless if she attempts to rise in a flooding episode—postural–haemorrhagic dyspnoea. Air hunger gives way as blood loss is checked. [Clinical]

Nausea and sinking at the epigastrium precede each gush; aversion to warm food/drink; cool drinks relieve both nausea and the subjective pelvic burning. Rich or spicy food rekindles vascular excitation—patients learn to avoid them in the danger window. [Clarke]. [Clinical]

Bearing-down, expulsive pains start in the sacrum and travel forwards to the pubes, as if everything would be forced out; abdomen feels hot and full; sensitive to touch over the uterus [Hering], [Allen]. Pains may shoot into groins and down inner thighs; pressure and a snug binder are gratefully received, cinching with the pressure > modality. If clots are retained, cramp is worse until they pass, after which bleeding may lull—one of several mechanical cycles in the remedy. [Clarke]. [Clinical]

Bleeding piles with bright blood, worse during menses and with pelvic congestion; shooting pains from sacrum to anus and up into genitals, paralleling the uterine pain-path [Hering]. Tenesmus after stool when portal congestion is high; piles bleed on the least exertion—again the motion < rubric appears. Compare Aesculus (dry, purple piles with sacral backache but little bright bleeding) and Hamamelis (venous bruised soreness; oozing). [Clarke], [Boericke]. [Clinical]

Burning and urging; haematuria with pelvic congestion; gonorrhoeal irritation with warty excrescences. Urine may be scant and hot during haemorrhagic heat; more free as the circulation steadies. In post-abortal cases, vesical tenesmus tracks uterine spasm—reflex coupling. [Hering], [Clarke]. [Clinical]

Aversion to warm food/drinks during flooding; spices and alcohol aggravate. Craving for cool drinks in sips when faint. In gouty states, rich foods and wine flare joints and at times pelvic congestion—dietary counsel belongs with the prescription. [Clarke]. [Clinical]

Gonorrhoeal warts (fig-warts) on prepuce/glans, bleeding on touch; sexual excitement with urethral burning. Rheumatic–gouty pains may alternate with genital warts in the sycotic subject. [Hering], [Clarke]. [Clinical]

The key field. Menorrhagia and metrorrhagia: bright red blood with clots, increased by the least motion; bearing-down pains from sacrum to pubes; threatened abortion, especially about the third month; the flow returns on rising, stops on lying still [Hering], [Allen], [Clarke], [Boericke], [Kent]. Leucorrhoea acrid and excoriating when menses delay; cervix tender, contact bleeds; coitus brings smarting and renewed oozing. Post-partum or post-abortal flooding with expulsive pains signals retained shreds; once they pass, a lull ensues—mechanical signature of Sabin. Fibroids with gushing on exertion are classic; a snug binder and cold applications ease while the dose acts. Differentially, Secale has dark, thin oozing with coldness and no pain; Ipec. has bright bleeding with persistent, excessive nausea; Trillium has gushing with sacro-iliac “giving way” and faintness, worse motion; Erigeron bleeds bright on every movement with bladder irritation; Cinnamonum controls postpartum flooding without the sacrum→pubes pain-path that individualises Sabin. [Comparative set: Hering, Clarke, Boericke, Farrington]. [Clinical]

Sacral pains are cardinal: heavy, expulsive, driving forwards to the pubes; sacrum tender to pressure, yet firm counter-pressure gives relief—matching pressure >. After haemorrhage, lumbosacral weakness with the sense “the back will break” on standing is common. [Hering], [Clarke]. [Clinical]

Gouty, tearing, stitching pains in small joints, markedly < warmth of bed and at night; pains wander, sometimes alternating with pelvic congestion (when joints improve, bleeding returns, and conversely). Feet may be hot during pelvic throbbing, then cold after loss. Compare Colchicum (extreme tenderness, autumn dyspepsia), Benzoic acid (highly offensive urine), Ledum (punctate, cold better), where Sabin. is chosen by the genital–gout alternation and haemorrhagic colouring. [Clarke], [Allen]. [Clinical]

Fig-warts/condylomata, soft, moist, often genital/anal, bleed easily, burn and smart; warty clusters may be cauliflower-like. Old-school applications of savin ointment foreshadow the internal picture; Sabin. suits sycotic overgrowth with vascular irritability [Clarke], [Hering]. Polyps (uterine/nasal) and easy mucosal bleeding belong to the same proliferative–haemorrhagic diathesis. [Boericke]. [Clinical]

• 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]

• 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.