Restless and easily irritated. Tendency toward melancholy and brooding over physical complaints. Fear of death during cough or heart palpitation. Weak memory; forgetful in conversation. Sadness alternates with anxiety about health. Tendency to exaggerate symptoms. Old people may feel helpless, abandoned, or overly preoccupied with minor ailments.
Sleep
Restless due to cough or bladder urgency. Waking early with cough and choking. Frequent waking to urinate. Dreams of falling or being smothered. Cannot lie on the right side due to chest pain.
Dreams
Of suffocation, drowning, or being buried alive. Dreams of falling from a height. Restless sleep with vivid dreams that disturb breathing.
Generalities
Weakness in elderly or those with chronic catarrhs. Right-sided complaints, especially chest and pleura. Sudden onset of cough, worse from any exertion. Dropsy from cardiac or renal causes. Bladder weakness in children and elderly. Symptoms often alternate: cough and urinary, chest and abdomen. Prone to mucous accumulation with difficult expectoration. Deep-acting in conditions that develop slowly.
Fever
Low-grade fever with chills in the evening. Flushes of heat followed by sweat. Heat localised in face and chest. Fever alternating with cough. Feels cold even in warm room.
Chill Heat Sweat
Chill begins in back and spreads outward. Heat worse in evening. Sweat profuse during cough, especially on face. Sweat offensive or sour-smelling. Sweat relieves headache but aggravates cough.
Head
Fullness and throbbing in forehead during cough. Headache worsens on bending down or coughing. Hair feels sensitive to touch. Frontal headaches, worse in the morning, often from catarrhal congestion. Dullness of mind with heaviness in occiput.
Eyes
Lachrymation during cough. Eyes red and watery during catarrhal states. Eyestrain with photophobia in the morning. Feeling of pressure in orbits. Lids swollen in congestive states.
Ears
Ringing or roaring sounds in the ears, especially in the elderly. Pain radiates from chest to ears during coughing. Ears feel stopped during catarrh. Twitching of muscles around ears during sleep.
Nose
Profuse coryza with frequent sneezing. Watery discharge in the morning. Irritating nasal mucus with raw sensation. Nose runs all day but stops at night. Nasal obstruction worse in damp weather. Epistaxis in elderly during cough.
Face
Redness during coughing fits. Perspiration on the face, especially forehead and upper lip. Expression anxious during palpitations or cough. Puffiness around eyes in dropsical states.
Mouth
Dryness of mouth and throat without thirst. Profuse saliva during coughing. Bitter taste in the morning. Tongue white-coated, especially at the base. Burning sensation on tongue tip.
Teeth
No significant symptoms.
Throat
Rawness and tickling in the larynx, worse in the morning. Irritation leads to violent paroxysms of coughing. Feeling of mucus lodged behind the sternum. Throat pain shoots to ears during cough.
Chest
Extremely sensitive right chest, with stitching, tearing pains. Spasmodic cough, deep and tearing, worse on talking, laughing, or lying on right side. Cough ends in sneezing or involuntary urination. Mucus difficult to expectorate, rattling in chest. Oppression of chest with need to sit up. Right-sided pleurisy with fluid accumulation. Intercostal pain with pleuritic irritation. Cough worse in morning and when lying down. Pain under the sternum with every cough.
Heart
Palpitations from slightest exertion. Sensation of sinking or weakness at the heart. Beating felt in chest and throat. Angina-like pains radiating down left arm. Worse in elderly with heart insufficiency. Weak pulse, occasionally irregular. Useful in early stages of congestive heart failure.
Respiration
Difficult, shallow breathing. Dyspnoea worse from motion or lying down. Must sit up to breathe. Breathing short, with long sighs. Deep breath triggers cough. Children awaken coughing and gasping. Orthopnoea in dropsical states.
Stomach
Nausea in the morning, especially after coughing. Aversion to food with empty feeling in epigastrium. Hunger alternates with complete loss of appetite. Nausea accompanied by accumulation of mucus. Vomiting of mucus and bile.
Abdomen
Flatulence with rumbling, especially in the evening. Stitching pains in right hypochondrium, worse on inspiration. Sensation of fullness and distension. Pressive pain in epigastrium during cough. Constipation alternating with diarrhoea in elderly.
Rectum
Soft, slimy stool with urging. Diarrhoea in children during teething or cold. Rectal tenesmus. Painful hemorrhoids with burning and itching. Stool difficult to pass even when soft.
Urinary
Involuntary urination from cough, sneeze, or laughter. Constant dribbling in old people or after prostate surgery. Pain in bladder region before and during urination. Urine cloudy with white sediment. Sudden, urgent desire to urinate. Worse in the morning and during cough.
Food
Craves sour food and cold drinks. Aversion to meat and milk. Nausea after eating, especially in morning. Better from small sips of water. Appetite irregular; often ravenous followed by disgust.
Male
Pain in testes during coughing. Weakness in sexual desire. Prostate irritation with dribbling and urgency. Occasional itching or burning in urethra.
Female
Leucorrhoea with backache. Incontinence of urine during pregnancy or post-delivery. Weak bladder tone in elderly women. Menses too early and profuse, with dragging sensation. Cough aggravates pelvic symptoms.
Back
Stiffness in dorsal region, especially in the morning. Pain in lumbar spine, worse from motion. Cold feeling in the back. Sacral pain extending down legs. Backache precedes urinary urgency.
Extremities
Coldness of hands and feet, especially during cough. Cramping of calves during sleep. Weakness of lower limbs in elderly. Swelling of ankles in cardiac or renal dropsy. Pain in right shoulder blade extending to chest. Formication in legs.
Skin
Dry and scaly in chronic cases. Dropsical swellings with shiny skin. Cold, clammy sweat in acute conditions. Pale, flabby appearance. Skin eruptions suppressed, followed by internal affections.
Scilla maritima is a perennial plant native to Mediterranean coastal regions, characterised by its large bulb and spiky inflorescence. The bulb contains potent cardiac glycosides (e.g. scillaren), similar in action to digitalis. In homeopathy, the remedy is prepared from the fresh bulb and is known for its action on the lungs, heart, bladder, and mucous membranes, particularly where there is mucus accumulation, spasmodic cough, or urinary weakness.
Used in herbal medicine as an expectorant and emetic. In ancient Greece and Egypt, squill was employed in cough syrups and heart tonics, though its toxic profile limits modern usage.
Proved by Hahnemann and introduced in Materia Medica Pura. The toxicological effects of the fresh bulb were well known historically and corroborated by homeopathic proving.
Lungs and bronchi – spasmodic cough, chronic bronchitis
Urinary system – bladder weakness, incontinence, dribbling
Heart and circulation – palpitations, heart failure symptoms
Serous membranes – dropsical effusions
Gastrointestinal tract – mucus secretion, nausea
Right side of the body – right chest, pleura, ribs
Children and elderly – cough and urinary incontinence
Squilla (Red variety) – More burning and restlessness; deeper action on circulation
Causticum – Incontinence with cough, but more left-sided and associated with paralysis
Antimonium tart. – Rattling mucus with difficult expectoration, but more weakness and cyanosis
Drosera – Spasmodic cough, worse after midnight, but more whooping character
Digitalis – Similar cardiac symptoms, but more fear, sinking sensation, and pulse irregularity
Senega – Elderly patients with sticky mucus and dyspnoea, but more sternum pain and backache
Complementary: Digitalis, Kali carb
Antidotes: Camphora, Nux vomica
Follows well: Bryonia (in pleuritic states), Spongia
Inimical: Phosphorus (may interfere in chronic cases with bleeding tendency)
Scilla maritima embodies the tension between pressure and release—mucus not expectorated, urine not retained, breath not fully drawn. It acts on those who are burdened by internal retention and external leakage. The hallmark is a violent cough with pressure symptoms (head, bladder, chest) and paradoxical relief through discharge—vomiting, sweating, urination. It is a remedy of frail constitutions, the elderly, and children, where vital fluids accumulate and overwhelm weakened structures. Right-sided, spasmodic, and aggravating in the morning, Scilla is deeply needed in congestive states with lack of tone and control.
Effective in spasmodic morning cough with urinary incontinence, especially in the aged
Use in right-sided pleurisy or bronchitis with difficult expectoration
Bladder weakness in postpartum or elderly patients with dribbling
May be useful in cardiac asthma or early congestive heart failure with orthopnoea
Consider for children with tickling cough and involuntary urination
Cough
Morning, violent
Ends in sneezing
With involuntary urination
Worse lying on right side
Deep, spasmodic
Urinary
Incontinence, cough during
Dribbling, aged people
Urine, offensive, cloudy
Chest
Right side, pain
Stitching, pleura
Oppression, must sit up
Generalities
Right-sided
Dropsy, cardiac
Weakness, aged
Mind
Restlessness
Anxiety during cough
Melancholy, health-related
Samuel Hahnemann – Materia Medica Pura: Original proving and symptomatology
J.H. Clarke – Dictionary of Practical Materia Medica: Full symptom development and clinical examples
C. Hering – Guiding Symptoms: Confirmed clinical use in elderly and respiratory pathology
Disclaimer: The content on this page is for educational purposes only and is not medical advice. Always seek guidance from a qualified healthcare professional before starting any treatment.
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