Great bearing down, as if pelvic contents would press out through the vagina; > by pressing up with the hand or sitting down (SEPIA crosses the legs).
Sensation of constriction in heart with uterine troubles.
Frequent desire for stool and urine with uterine displacements, tenesmus.
Tormented about her salvation.
Listless, yet does not want to sit still; restless, yet does not want to walk; hurried manner, desire to do something, yet no ambition; imperative duties, inability to perform them.
Depression of spirits: disposition to weep; aversion to food; indifferent about anything being done for her.
LILIUM TIGRINUM is one of the remedies that closely resembles SEPIA in its action on the uterine organs. This symptom, for instance, "WEIGHT, WITH FEELING AS IF THE PELVIC CONTENTS WOULD PASS OUT THROUGH THE VAGINA IF NOT PREVENTED BY PRESSURE WITH THE HAND (pressing up against the vulva, LILIUM TIG.), or by sitting down." There is no remedy that is more efficacious for uterine displacement than LILIUM. The persistent bearing-down feeling in the uterine region of LILIUM is attended with a feeling as if the pelvic viscera, indeed the whole abdominal contents, were being dragged downward, even from the chest and shoulders, towards the vagina.
The choice between LILIUM and SEPIA might not always be easy. The SEPIA case is more likely to be a chronic one. On the other hand, the LILIUM case is more intense, painful and distressing. The SEPIA cachexia, of course, would decide easily in its favor, if it is markedly present. There is more urinary irritation, or frequent desire to urinate, with LILIUM; indeed this is sometimes so severe as to make one think of CANTHARIS. Again, rectal irritation and distress is often found in conjunction with the urinary, in this respect reminding one of MERC. COR., CAPSICUM or NUX VOMICA.
With the uterine we often have quite an array of very severe heart symptoms. There are sharp quick pains, and much fluttering of the heart. This remedy also has in a marked degree the great characteristic symptom of CACTUS GRANDIFLORUS, "SENSATION AS IF THE HEART WERE CONSTRICTED OR HELD BY AN IRON BAND." This symptom, associated with the many other heart symptoms, has sometimes led to a prescription of CACTUS, when LILIUM was the remedy and VICE VERSA. The uterine symptoms are sometimes masked so as to be over-looked for the time by the violence of the heart symptoms. All these heart, urinary, and rectal symptoms seem to be mainly reflex, while the real trouble is centered in the uterus and its appendages.
The mind is also very markedly affected under LILIUM. Here it may resemble PULSATILLA for tearfulness; doubts her salvation, like VERATRUM ALBUM, SULPHUR and LYCOPODIUM and a constant HURRIED feeling, as of IMPERATIVE duties with utter inability to perform them. (See ARGENTUM NITRICUM.)