Sarsaparilla officinalis
Smilax regelii / Smilax officinalis · Smilax officinalis,wild licorice,Sarsaparilla · Plant · Smilacaceae
Sarsaparilla is most effective for people who are depressed and anxious, blaming their state of mind on the pain they feel. They tend also to feel the cold.
Sarsaparilla has a strong affinity with the urinary tract. It is prescribed for cystitis characterized by a constant urge to urinate, pain as urination ends, and possibly blood or a sandy or gravelly precipitate in the urine. There may be involuntary dribbling of urine, especially on sitting down, and normal flow may only happen when in a standing position.
Key symptoms
- Severe pain at conclusion of urination
- Urine dribbles while sitting; child screams before and while passing urine
- Renal colic; sandy or bloody urine with gravel
- Pain from right kidney downward; tenesmus of bladder
- Periosteal pains due to venereal disease
- Eruptions on face, upper lip, and scalp following hot weather or vaccination
- Colic and backache at same time
- Despondent, sensitive, easily offended, ill humored
- Sand on diaper; renal colic and dysuria in infants
Worse (aggravation)
Better (amelioration)

Smilax (SARSAPARILLA)
Renal colic; marasmus and periosteal pains due to venereal disease. Eruptions following hot weather and vaccinations; boils, and eczema. Urinary symptoms well marked.
Mind
Despondent, sensitive, easily offended, ill humored and taciturn.
Head
Pains cause depression. Shooting pain from above right temporal region. Pains from occiput to eyes. Words reverberate in ear to the root of nose. Periosteal pains due to venereal disease. Influenza. Scalp sensitive. Eruptions on face and upper lip. Moist eruption on scalp. Crusta lactea beginning in face.
Mouth
Tongue white; aphthæ; salivation; metallic taste; no thirst. Fetid breath.
Abdomen
Rumbling and fermentation. Colic and backache at same time. Much flatus; cholera infantum.
Urinary
Urine scanty, slimy, flaky, sandy, bloody. Gravel. Renal colic. Severe pain at conclusion of urination. Urine dribbles while sitting. Bladder distended and tender. Child screams before and while passing urine. Sand on diaper. Renal colic and dysuria in infants. Pain from right kidney downward. Tenesmus of bladder; urine passes in thin, feeble stream. Pain at meatus.
Male
Bloody, seminal emissions. Intolerable stench on genitals. Herpetic eruption on genitals. Itching on scrotum and perineum. Syphilis; squamous eruption and bone pains.
Female
Nipples small, withered, retracted. Before menstruation, itching and humid eruption of forehead. Menses late and scanty. Moist eruption in right groin before menses.
Skin
Emaciated, shriveled, lies in folds (Abrot; Sanic), dry, flabby. Herpetic eruptions; ulcers. Rash from exposure to open air; dry, itching; comes on in spring; becomes crusty. Rhagades; skin cracked on hands and feet. Skin hard, indurated. Summer cutaneous affections.
Extremities
Paralytic, tearing pains. Trembling of hands and feet. Burning on sides of fingers and toes. Onychia, ulceration around ends of fingers, cutting sensation under nails. Rheumatism, bone pains; worse at night. Deep rhagades on fingers and toes; burn under nails. Tetter on hands; ulceration around ends of fingers (Psorin). Cutting sensation under nails (Petrol). Rheumatic pains after gonorrhœa.
Modalities
Worse, dampness at night, after urinating, when yawning, in spring, before menses.
Relationship
Complementary: Merc; Sep.
Compare: Berb; Lycop; Nat m; Petrol; Sassafras; Saururus-Lizard's tail--(Irritation of kidneys, bladder, prostate and urinary passages. Painful and difficult micturition; cystitis with strangury). Cucurbita citrellus-Water-melon. Infusion of the seed acts promptly in painful urination with constriction and backache, relieves pain and stimulates flow
Antidote: Bell.
Dose
First to sixth potency.

Generalities
: Sarsaparilla is suitable in low forms of chronic disease, especially in complex states resulting from mixed miasms; especially in cases of sycosis and syphilis; cases made complex by Mercury, sycosis syphilis, and psora. Weakness stamps itself on the whole economy, as in Merc., Lach. and other remedies.
Weakness
The tissues become flabby, refuse to heal when injured, ulcerate from slight causes. After an injury an open sore remains and is indolent or becomes phagedenic and spreads like. Ars., Lach and Merc. cor.
Weakness over the whole body; a paralytic feeling. In the mental sphere it manifests itself in a dazed state, he is unable to comprehend, the mind is slow, it is a weakness bordering on imbecility, which in the end it may reach. Weakness of the mind and the tissues.

Wild Liquorice. The rhizome of several species of Smilax. (The Officinal Sarsæ radix is imported from Jamaica.) N. O. Smilaceæ (by some classed as a sub-order of the Liliaceæ). Triturations and tincture of the dried rhizome.
Clinical
Asthma. Bladder, affections of. Bones, affections of. Breast, scirrhus of. Bright's disease. Calculi. Climaxis. Constipation. Dysmenia. Dyspepsia. Dysuria. Enuresis. Eruptions. Eyes, affections of. Faintness. Glands, enlarged. Gonorrhœa. Gout. Gravel. Hands, chapped. Headache. Hernia. Herpes; of prepuce. Hiccough. Intermittents. Marasmus. Masturbation, effects of. Melancholia. Mercury, abuse of. Mycosis. Nipples, retracted. Plica polonica. Renal colic. Rhagades. Rheumatism; gonorrhœal. Seborrhœa. Spermatic cords, swelling of. Spermatorrhœa. Strangury. Syphilis. Ulcers. Warts.

Wild Liquorice. (Smilaceae)
For dark-haired persons, lithic or sycotic diathesis. Great emaciation: skin becomes shriveled or lies in folds (Abrot., Iod., Nat. m., Sanic.). Headache and periosteal pains generally from mercury, syphilis or suppressed gonorrhoea. In children; face like old people; enlarged abdomen; dry, flabby skin (Bar. c., Op.). Herpetic eruptions on all parts of body; ulcers, after abuse of mercury, in syphillis. Rash from exposure to open air; dry, itch-like eruptions, prone to appear in spring; become crusty. Severe, almost unbearable pain at conclusion of urination (Berb., Equis., Med., Thuja). Passage of gravel or small calculi; renal colic; stone in bladder; bloody urine. Urine: bright and clear but irritating; scanty, slimy, flaky, sandy, copious, passed without sensation (Caust.); deposits white sand. Painful distention and tenderness in bladder; urine dribbles while sitting, standing, passes freely; air passes from urethra. Sand in urine or on diaper; child screams before and while …

Urinary Organs
Severe pain at the conclusion of urinating.
Urinary Organs
Urine dribbles while sitting, standing it passes freely.
Urinary Organs
Can only pass urine when standing.
Urinary Organs
Painful urination; child cries before urine starts.
Generalities
Great emaciation; the skin shrivels and lies in folds.

Phatak's chapter on Sarsaparilla officinalis is available in the app.
Read Phatak in the appClassical texts are in the public domain. Educational reference only — not medical advice.