Cocculus Indicus cocc.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

SENSORIUM. Cerebro-spinal axis: OCCIPUT. Lumbar. Muscles. Female sexual organs. One side.

Worse

Motion: BOAT. CARS. Carriage. Slight causes: Loss of sleep. Exertion. Pain. Noise. Touch. Emotions. Anxiety. Cold. Open air. Eating. During menses.

General

Acute senses with heavy or paralytic, muscular relaxation. Too weak to hold up head, stand or even speak. Paralysis. Tremor; intention; of head; lower jaw. Cramps; in masseters; abdomen; dysmenorrhœal; in heart. Benumbed. Spasms. Alternations. EMPTY, HOLLOW FEELING. Weak, nervous women, < menses. Vomiting with syncope. Hysterical asthma. Hysteria. Sensitive to cold.

Particulars

Dazed; things seem unreal. Slow grasp. Easily offended. Extremely sad, taciturn and peevish. VERTIGO; in forehead; in A.M.; with nausea; with palpitation; < raising head. Heavy head. Occiput; aches; < lying on it; > bending backward; OPENS AND SHUTS. Throat tickles; with lachrymation. Speaks or swallows with difficulty. Loathing. Nausea; rising into head. Retching. VOMITING. Train and sea sickness. Abdomen seems full of sharp stones; bloated. Colic; twisting (wind); nervous; hysterical; with faintness; with salivation. Clutching in uterus. Depleting menses; < standing on tip toe; replaced by gushes of leucorrhœa. Weak neck. SPINAL WEAKNESS; < lumbar; < walking. Paraplegia. Limbs go to sleep, < grasping objects. Alternations between arms. Humerus feels broken. Hands numb; alternately hot and cold. Knees weak; cracking. Clumsy gait. Sleepless, from mental or physical exhaustion. Drowsy. Low fever. Sweaty.

Related

Complementary: Petr. Related: Gel. Ign.

Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica

H. C. Allen · Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica · homeoint.org / Medi-T HTML text; edition not stated by the mirror (first edition 1898, Allen d. 1909)

Keynote

For women and children with light hair and eyes, who suffer severely during menstruation and pregnancy; unmarried and childless women. Adapted to book-worms; sensitive, romantic girls with irregular menstruation; rakes, onanists and persons debilitated by sexual excesses. Nausea or vomiting from riding in carriage, boat or railroad car (Arn., Nux m.), or even looking at at a boat in motion; sea- sickness; car-sickness. Headache: in nape and occiput; extending to the spine; as if tightly bound by a cord; with nausea, as if at sea; at each menstrual period; < lying on back of head. Sick-headache from carriage, boat or train riding. Diseases peculiar to drunkards. Loss of appetite, with metallic taste (Mer.). Time passes too quickly (too slowly, Arg. n., Can. I.). Great lassitude of the whole body; it requires exertion to stand firmly; feels too weak to talk loudly. Bad effects: from loss of sleep, mental excitement and nigh watching; feel weak if they lose but one hour's sleep; convulsions after loss of sleep; of anger and grief. Trembling of arms and legs; from excitement, exertion or pain. Vertigo, as if intoxicated upon rising in bed; or by motion of the carriage (Bry.). Sensation: in abdomen of cutting and rubbing on every movement, as of sharp stones; of hollowness in head and other parts (Ign.). During the effort to menstruate she is so weak she is scarcely able to stand from weakness of lower limbs (Alum., Carbo an.); after each period haemorrhoids. Leucorrhoea in place of menses, or between periods (Iod., Xan.); like the washings of meat; like serum, ichorous, bloody; during pregnancy. Cannot bear contradiction; easily offended; every trifle makes him angry; speaks hastily (Anac.). When fever assumes a slow, "sneaking," nervous form, with vertigo; with disposition to anger.

Relations

Compare: Ign., Nux, in chorea and paralytic symptoms; Ant. t. in sweat of affected parts. Has cured umbilical hernia with obstinate constipation after Nux failed.

Aggravation

Eating, drinking, sleeping, smoking, talking, carriage riding, motion or swing of ship; rising up during pregnancy.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

General

We may always think of this remedy for light-haired females, particularly those suffering from uterine complaints or menstrual difficulties, or troubles during pregnancy--e.g., nausea; pain in the back etc. In some bilious fevers, vomiting of bile in males.

(Other remedies suitable for complaints of light-haired people: Calc. carb., Capsic., Hyosc., Silic.)

Sensations

Of hollowness; as if bruised in the outer parts; same in the bones; numb feeling of outer parts; pricking, knocking or throbbing in inner parts; pain as if paralyzed; pressing together; burning, darting in the muscles; sensation as if single parts had gone to sleep.

Generalities

Affections of the right hypochondrium (particularly of the liver): inner hypogastrium, inner forehead, back, upper arm, bones of the arm. Contraction of pupils of the eye. Eructation. Obstructed evacuation. Blood-colored leucorrhœa. Aversion to the open air; apoplexy; chlorosis; hysterics. Immovability of parts affected; motion convulsive; laxness of muscles; palsy of limbs, or paralyzed limbs which may be painful or not; spasms in inner parts; paleness of the skin, red spots; shuddering in general.

Worse

In the open air; after drinking; in females particularly; during pregnancy; from riding in a carriage; on board ship (seasickness); on rising from the bed; when swallowing the spittle; from talking; from walking in the night; when walking in the open air.

Better

In the warm room.

(Other remedies better in warm room: Guaiac., Nux mosch., Nux vom., Silic.)

Remedies following

Arsen., Bellad., Hepar., Ignat., Nux vom., Pulsat., Lycop., Rhus tox., Sulphur.

Antidotes

Camphor., Nux vom.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Anxiety as if she had committed a great crime, startles easily. Very sensitive mood, everything worries her. Choking constriction in upper part of throat, which impedes breathing and provokes cough. Excessive nausea and other affections caused by the motion of a carriage, swing or ship. During the menses so weak that can scarcely stand or talk. Intolerance of open air whether cold or warm. Hysteria and other nervous troubles arising from over anxiety, night watching and consequent loss of sleep. Sensation of hollowness in one or more cavities of the body, especially the abdomen.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Indian Cockle (COCCULUS)

General

Within the sphere of action of Cocculus are many spasmodic and paretic affections, notably those affecting one-half of the body. Affects the cerebrum, will not cure convulsive seizures proceeding from the spinal cord (A. E. Hinsdale) Painful contracture of limbs and trunk; tetanus. Many of the evil effects of night-watching are relieved by it. It shows a special, attraction for light-haired females, especially during pregnancy, causing much nausea and backache. Unmarried and childless women, sensitive and romantic girls, etc. All its symptoms are worse riding in a carriage or on shipboard; hence its use in seasickness. Sensation of hollowness, or emptiness, as if parts had gone to sleep. Feels too weak to talk loud.

Mind

Capricious. Heavy and stupid. Time passes too quickly; absorbed in reveries. Inclination to sing irresistible. Slow of comprehension. Mind benumbed. Profound sadness. Cannot bear contradiction. Speaks hastily. Very anxious about the health of others.

Head

Vertigo, nausea, especially when riding or sitting up. Sense of emptiness in head. Headache in occiput and nape; worse, lying on back of head. Sick headache from carriage riding, cannot lie on back part of head. Pupils contracted. Opening and shutting sensation, especially in occiput. Trembling of head. Pain in eyes as if torn out of head.

Face

Paralysis of facial nerve. Cramp-like pain in masseter muscle; worse, opening mouth. Prosopalgia in afternoon, with wide radiations of pain.

Stomach

Nausea from riding in cars, boat, etc, or looking at boat in motion; worse on becoming cold or taking cold. Nausea, with faintness and vomiting. Aversion to food, drink, tobacco. Metallic taste. Paralysis of muscles preventing deglutition. Dryness of œsophagus. Seasickness (Resorcin. 1x). Cramp, in stomach during and after meal. Hiccough and spasmodic yawning. Loss of appetite. Desire for cold drinks, especially beer. Sensation in stomach as if one had been a long time without food until hunger was gone. Smell of food disgusts (Colch).

Abdomen

Distended, with wind, and feeling as if full of sharp stones when moving; better, lying on one side or the other. Pain in abdominal ring, as if something were forced through. Abdominal muscles weak; it seems as if a hernia would take place.

Female

Dysmenorrhœa, with profuse dark menses. Too early menses, clotted, with spasmodic colic. Painful pressing in uterine region, followed by hæmorrhoids. Purulent, gushing leucorrhœa between menses; very weakening, can scarcely speak. So weak during menstruation, scarcely able to stand.

Respiratory

Sensation of emptiness and cramp in chest. Dyspnœa as from constriction of trachea, as if irritated by smoke. Choking constriction in upper part of œsophagus, oppressing breathing and inducing cough.

Back

Cracking of cervical vertebræ when moving head. Paralytic pain in small of the back. Pain in shoulder and arms as if bruised. Pressure in scapula and nape. Stiffness on moving shoulders.

Extremities

Lameness; worse by bending. Trembling and pain in limbs. Arms go to sleep. One-sided paralysis; worse after sleep. Hands are alternately hot and cold; numbness and cold sweat now of one, now of the other hand. Numb and unsteady. Knees crack on motion. Lower limbs very weak. Inflammatory swelling of knee. Intensely painful, paralytic drawing. Limbs straightened out, painful when flexed.

Sleep

Spasmodic yawning. Coma vigil. Constant drowsiness. After loss of sleep, night-watching, nursing.

Fever

Chill, with flatulent colic, nausea, vertigo, coldness of lower extremities, and heat of head. Sweat general. Nervous form of low fever. Chilliness, with perspiration, and heat of skin.

Modalities

Worse, eating, after loss of sleep, open air, smoking, riding, swimming, touch, noise, jar; afternoon. Menstrual period. After emotional disturbance.

Relationship

Antidotes:; Coffee; Nux.

Compare: Picrotoxin-alkaloid of Cocculus--(epilepsy, attacks in the morning on leaving horizontal position, hernia, locomotor ataxia, night-sweats); Symphoricarpus (morning sickness); Petrol; Puls; Ignat.

Dose

Third to thirtieth potency.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

Weakness of cervical muscles, can hardly hold the head up.

Weakness in small of back as if paralyzed; gives out when walking; can hardly stand, walk or talk.

Hands and feet get numb; asleep.

Headache with nausea and vomiting; gets faint and sick on rising up or riding in carriage or boat.

General sensation of weakness; or weak, hollow, gone feeling in head, stomach, abdomen, etc.; < by loss of sleep or night watching.

Great distention with flatulent colic, wind or menstrual colic; crampy pains, inclined to hernia.

Farrington says: "Cocculus acts on the cerebro-spinal system, producing great debility of these organs. It causes a paralytic weakness of the spine, and especially of its motor nerves; thus we find it a certain and frequent remedy in paralysis originating in disease of the spinal cord. It is especially indicated in the beginning of the trouble, when the lumbar region of the spine is affected; there is weakness in the small of the back as if paralyzed; the small of the back gives out when walking. There is weakness of the legs, and by the legs I mean the entire lower extremities; the knees give out when walking, the soles of the feet feel as if they were asleep, the thighs ache as if they were pounded; first one hand goes to sleep, then the other; sometimes the whole arm goes to sleep and the hand feels as if swollen. These symptoms lie at the foundation of the symptomatology of the whole drug; they all seem to depend upon spinal weakness." Dunham says: "Its sphere of action is preeminently the system of animal life; the voluntary muscular system first, and then the sensorium are the primary seats of action. Nausea extending to the point of vomiting and accompanied by faintness and by severe vertigo when lifting the head is a characteristic symptom." Hughes says: "It influences the voluntary muscles rather than the intellectual powers; with this Hahnemann's provings entirely agree." Pareira says: "It acts rather on the voluntary muscles than the intellectual powers." We have given these quotations from different authors in order to find whether they afforded us much help from a practical standpoint. Dr. Hughes says the provings of Hahnemann corroborate these generalizations. We quote from the provings:

"Weakness of the cervical muscles with heaviness of the head, muscles seem unable to support the head." (Calc. phos, Verat. alb.). "Paralytic pain in the small of the back, with spasmodic drawing across the hips, which prevents walking." "His knees sink down from weakness, he totters while walking and threatens to fall to one side."

"At one time his feet are asleep, at another the hands." "The hand trembles while eating, and the more the higher it is raised." "Now one hand, now the other, seems insensible and asleep." The soles of the feet go to sleep, while sitting." "General attacks of paralytic weakness, with pain in the back."

All these are verified symptoms from Allen's Encyclopædia of Pure Materia Medica. They are in the simplest terms, and while they do agree with the statements of the above quoted learned men, acting upon the spine and motor muscles, could be applied to the cure of the sick according to the directions of Hahnemann by any layman of ordinary intelligence. Thus is the practice of curative medicine simplified, being delivered from speculative theorizings of dreamers, and if it will cure the sick in the case of a Cocculus patient, it will by the same unerring law of "symptom covering" do it in every curable case.

We might sum up the whole action of this remedy upon the nervous system in one word, viz., prostration, but what does that amount to for purposes of prescribing. Many remedies prostrate fearfully, but each one has its peculiar kind of prostration, and when men, like I heard a celebrated surgeon in a homœopathic college do, make their boast that they prescribed on physiological ground, without any regard to symptomatology, I can but feel that such know little or nothing of the art of homœopathic prescribing, no matter what their other attainments. According to Hahnemann's teachings symptomatology leads in scientific prescribing, no matter what the pathological condition.

Aside from the symptoms which attend the general prostration and spinal trouble, or coupled with them, we have the following which are characteristic. "Confusion or stupefaction of the head, increased by eating and drinking." "Vertigo, as if intoxicated and confusion of the mind." "Whirling vertigo on rising up in bed; which compelled him to lie down again." "Sick headache with nausea and inclination to vomit." "All these symptoms are made particularly worse by riding in carriage or boat." Sea-sickness. (Sea-sickness > on deck in fresh cold air.) (Tabac.). The headaches and vertigo of Cocculus are different from Bryonia, notwithstanding the fact that both are made worse by rising up in bed. In Bryonia and some other remedies the sickness at the stomach precedes the headache which in Cocculus is exactly the reverse. Painful sensation of weakness or emptiness in the head is found under Cocculus and is in keeping with the general weakness. This sensation of emptiness, which is another name for weakness, is a general characteristic of Cocculus, and is found in head, abdomen, bowels, chest, heart, stomach; in short, in all internal parts. The nausea of Cocculus, which is so constant a symptom of the headaches, is something like that which is so characteristic of Colchicum, viz.: "Extreme aversion to food, caused even by the smell of food, although with hunger." With Colchicum there is more pronounced nausea, as well as aversion. The patient is nauseated even to faintness. There is with Cocculus a metallic taste in the mouth.

The sensorium comes under the same profound depression that invades the general nervous system. The patient is sad, absorbed within himself, brooding, moody, silent, sits in a corner buried in sad thoughts, etc. This is particularly the case in nervous fevers. Depression, depression, depression. Cocculus has some very important symptoms in the abdominal and uterine regions.

One is great distention of the abdomen. This is found in both flatulent colic and dysmenorrhœa. In flatulent colic, for which it is so valuable a remedy, the patient complains of a sensation as if the abdomen were full of sharp sticks or stones. The attacks are often at mid-night. The flatus seems here and there, and passage of it does not seem to relieve much, for new forms again take its place.

Then again there seems to be great pressure in the inguinal region as if hernia would occur. In dysmenorrhœa, in addition to the distention, there are griping, cramping pains, which are very severe, and also a remarkable degree of weakness. She is so weak that she can hardly stand, walk or talk. This is very characteristic and, so far as weakness goes, resembles Carbo animalis, but in Cocculus it is in line with the general prostration of the remedy, while in Carbo animalis the flow weakens her. In Cocculus the flow may not be at all excessive, but on the contrary may grow less and less and a leucorrhœa appear in its stead, or even between the menses also. This is the way we have to differentiate between remedies if we are successful in practice.

Now, if I were to give the four great characteristic symptoms of this remedy they would be these:

1. Weakness of cervical muscles, with heaviness of head.

2. Affections caused or < by riding in cars, carriage or boat.

3. Sensation of weakness, or hollowness in various organs.

4. Ill effects from loss of sleep, night-watching or over-work. (Causticum Cuprum met., Ignatia, Nitric acid.).

Modalities

Modalities: < sitting up, moving, riding in carriage or boat, smoking, talking, eating, drinking, night watching; > when lying quiet.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

He sits as if wrapped in deep, sad thoughts, and does not take notice of any thing ; anxiety. The time passes too quickly.

Head

Giddiness, with nausea, when raising himself up in bed. Vertigo, as from intoxication. Stupid feeling in the head (cold perspiration on forehead and hands). Cloudiness in the head, increased by eating and drinking. Sensation of emptiness in the head. Headache, with nausea. The headache is aggravated after sleeping, eating or drinking (coffee), in the open air, while riding in a carriage ; and is relieved in a warm room, or when becoming warm in bed. Spasmodic trembling of the head, caused by weakness of the muscles of the neck ; worse after sleeping and in the open air, from coffee and tobacco better in the warm room.

Eyes

Pain in the eyes, as if they were torn out of the head (wit headache). At night the eyes cannot be opened ; they are aching. Dim-sightedness (after reading a short time the print is all blurred). Black spots before the eyes. Dryness of the eyelids.

Ears

Hardness of bearing, with noise. The right ear feels closed.

Nose

Very acute sense of smell. Swelling of the right half of the nose.

Face

Heat in the face and redness of the cheeks. Flushes of heat in the face after drinking. Swelling and induration of the submaxillary glands.

Mouth and Throat

Dryness of the mouth (in the night, without thirsty). Dryness of the œsophagus, with feeling of heat. Inability to swallow ; the œsophagus feels paralyzed. Difficulty of speech, as from paralysis of the tongue. Foamy phlegm before the mouth. Taste in the mouth coppery, metallic, sour (after eating and coughing).

Stomach and Abdomen

Aversion to food, drinking, tobacco and acids. Intense thirst, especially while eating. Frequent empty eructations, leaving a bitter taste in the mouth and throat. Eructations, with nausea and sticking pains in the pit of the stomach. Paroxysms of nausea with tendency to faint. Excessive nausea and vomiting when riding in a carriage, or from becoming cold. Nausea, with headache and pains in the intestines, as if bruised. Spasm of the stomach (cramp) during and after a meal, with griping tearing. Fulness and pinching in the stomach, with oppressed breathing. Constrictive pain in the stomach, preventing sleep. Sensation of emptiness in the abdomen. Hysterical spasms in the abdomen, in women. Distention of the abdomen. Flatulent colic, at night, aggravated when coughing.

Stool and Anus

Constipation ; the hard stool is expelled with difficulty. After the evacuation, violent tenesmus. Ineffectual desire for stool, with constipation. Contractive pain in the rectum, preventing sitting (in the afternoon). Diarrhœa, with emission of flatulency before the stool.

Urinary Organs

Frequent desire to urinate, with small discharges. Watery (pale) urine.

Sexual Organs

Men. Increased excitability of the sexual organs. The testicles feel bruised, especially when touched. Women. Menstruation too early, blood coagulated, or suppressed, with violent uterine spasms or abdominal colic. Discharge of bloody mucus during pregnancy.

Respiratory Organs

Oppressed breathing, from contractive sensation in the trachea, as if irritated by smoke, causing constant coughing. Oppression of the chest, caused by cough. Tightness and constriction of the right side of the chest. Stitches in the chest (sternum) when walking. Burning in the chest, extending into the throat. Sensation of emptiness of the chest. Hysterical spasms in the chest, with sighing and moaning. Palpitation of the heart, nervous, with anxiety.

Back and Neck

The muscles of the neck are weak ; they do not support the head. Cracking of the cervical vertebræ. Tremor in the back. Paralytic pain and paralysis of the back and small of the back.

Extremities

Upper. Pain, as if bruised, in the shoulder and bones of the arms, when lifting them up, and when touching them. Lameness of the arm (cannot write). The arms go to sleep, are insensible. Hot swelling of the hands. The hands are alternately hot and cold. Lower. Cracking in the left hip-joint. Paralytic immobility of the lower limbs. Paralysis of the lower limbs, from the small of the book downwards. The thighs feel paralyzed and bruised. Cracking of the knee during motion. Inflammation and swelling of the knee, with stitches. Hot swelling of the feet (evening, the left foot). Burning of the feet. Cold perspiration of the feet. Pain in the heel (os calcis), as if bruised.

Generalities

Paralysis, one sided with numbness in the limbs. Paralytic immobility of the limbs, with drawing pains in the bones. Sensation of emptiness, or of constriction in internal parts. Disposition to tremble (trembling of all the limbs). Hysterical spasms, with anguish. Great debility from slight exertion and inclination to faint. Attacks of gout, with swelling of the affected parts.

Sleep

Constant drowsiness. Sleeplessness on account of anxiety and bodily restlessness. Vivid dreams, exciting fear.

Fever

Pulse small and spasmodic ; sometimes it cannot be felt. Chilliness alternating with heat. Chill in the afternoon and evening, principally on the legs and in the back ; not relieved by heat. Continuous chilliness, with hot skin. Dry heat during the night. Flushes of heat, with burning heat of the cheeks and cold feet. Perspiration during the night, which is only cold on the face. Morning sweat, especially on the chest. Slight perspiration over the whole body, from the exertion. Perspiration of the affected parts. Intermittent fever, with colic and lameness of the small of the back.

Skin

Induration ; cold swelling of the glands, with stinging pains. Pale (chlorotic) skin. Ulcers very sensitive to contact.

Conditions

Great sensitiveness to the open (cold and warm) air. Aggravation from eating, drinking, riding in a carriage, talking and sleeping.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Cocculus Indicus. N. O. Menispermaceæ. A tincture is prepared from the powdered seeds, which contain a crystallisable principle Picrotoxine (which see), a powerful poison.

Clinical

Anger, effects of. Bones, affections of. Cerebro-spinal meningitis. Chorea. Colic . Convulsions. Debility. Faintness. Fear, effects of. Hæmorrhoids. Headache . Hernia. Intermittent fever. Knee, weakness of; cracking in. Memory, weak . Mental excitement, effects of. Menstrual headache. Menstruation, painful . Overstrain, bodily or mental. Palpitation. Paralysis . Parotitis. Phthiriasis. Rheumatism. Riding in carriage, effects of. Sea-sickness. Sleep, affections from loss of . Somnolence. Spasms. Spinal irritation. Tympany. Vertigo. Vomiting .

Characteristics

Cocculus has been used from ancient times as a poison for stupefying fish, and making them easy to catch. Correspondingly we find it produces great disturbance of the sensorium in human beings, and all the symptoms of intoxication. It is commonly used as an adulteration of beer to heighten its intoxicating properties. A very characteristic symptom is a sensation of hollowness or emptiness in the head or other parts. Allied to this is a sense of lightness of body. Another characteristic is an opening and shutting sensation, especially in the occiput. Along with the vertigo is nausea and vomiting which bring it into close relation with sea-sickness and carriage-sickness. Coccul . corresponds perfectly to the sensitive condition caused by loss of sleep and night-watching, and is the first remedy to think of for removing this. "Irritable weakness" is a leading note in the Cocculus effects. The Cocculus patient is very sensitive to fear, anger, grief, and all mental disturbances; also to noise and touch. Enlargement of liver after anger. Easily startled. Fear of ghosts and spectres. Stinging pains, stitches, constriction; in the hands a pithy feeling. Many symptoms are < at menstrual period; piles during menses. Cocculus has cured a case of delirium at onset of menses during first and second days; the patient said, "I always see something alive, on wall, floor, chairs, or anywhere, always rolling , and will roll on me." Cocculus is suited to persons of mild and sluggish temperament; light-haired persons; hypochondriacal, timid, fearful, and nervous persons. Other prominent features of Coccul . are: Paralytic pains, or pains as of dislocation. Paralytic weakness; lax-muscles. "Weakness of neck muscles with heaviness of head." Sensation as if single parts had gone to sleep. Immovability of parts affected. Of localities, the right hypochondrium (especially liver), inner hypogastrium, inner forehead, back, upper arm, and bones of arm are chiefly affected. This has been verified: "Spasmodic, flatulent colic, about midnight, flatus passed without relief," recurring several nights; promptly cured by Coccul . 3x. Lippe cured a case of enlargement of the liver after parturition, the indication being "the liver was more painful after anger." The sensitiveness to touch is very great and serves to indicate Cocculus in preference to other remedies in many affections where this is pronounced, in articular rheumatism, in ulcers, in neuralgic affections of bones. The least jar is unbearable (travelling by land or sea). < By touch, pressure, or jar. < From motion generally; moving body; rising from bed; bending over or stooping. < Kneeling; walking; swallowing saliva. Sitting > some symptoms. Many symptoms are < evening and night, especially about midnight and 1 a.m. Sensitive to air either hot or cold. Longs for cold drinks, but eating or drinking anything cold = tearing in limbs. < Open air. < From sun. < By warmth of bed. > In a room. A decoction of Cocculus is a domestic remedy used locally for destroying head- or body-lice.

Relations

Antidoted by: Camph., Cham., Cupr., Ign., Nux v., Staph. It antidotes: Alcohol, Tobacco, Cham., Cup., Ign., Nux v., and the fever of Thuj. Incompatible with: Caust., Coffee. Compatible: Follows well Aco. (endocarditis with fearfulness); Cham., Nux, Ign. Compare: Aco., Act. r.; Ant. c. (gastralgia), Agar. (somnolency), Ant. t., Ars., Bell., Calc., Carb. v. (parotitis), Cham., Coff., Cupr., Ign. (headache), Ip., Iod., Lach., Merc., Mosch., Nitr., Nux mos. (somnolency), Oleand., Petr., Puls. (headache), Rhus, Sabi., Sassafras, Scutel., Silic., Stram., Tab., Val., Ver. In effects from noise, Nux, Nit. ac. Sense of lightness, Asar., Can. ind., Calc., Gels., Sticta, Sil., Thuj.; menstrual sick headache, Lac. def.; fear of ghosts, Aco., Ars., Bro., Carb. v., Lyc., Pho., Pul., Sul., Zn. Umbilical hernia, Nux (without urging, Bry., Nat. mur., Ver.); < from kneeling, Mag. c., Sep.; nausea constant, Ip., Kali c., Sul., Ign., Acet. ac.; uterine spasm, dysmenia, dark flow, Ign. (Coccul. is distinguished by having weak, lame feeling in small of back; as if about to be paralysed; trembles on beginning to walk); weak from talking, Ver., Sul., Calc.; functional paralysis from fatigue or mental emotions, Ign., Pho., Nat. m., Collins.; in occipital headache, Gels., jug. c. Weakness of neck muscles, Ant. t.; > putting head back, Seneg. ( < , Clem., Cinnab.). Compare also: Picrotoxin and Picric acid in paralytic sensations and effects of fatigue. Teste places Coccul. in his Causticum group.

Causation

Anger. Fright. Noise. Sleep, loss of. Seasickness. Travelling. Over-strain, mental or bodily. Sun. Tea-drinking.

Mind

Pre-occupation of mind, and sad and melancholy reflections, as if the patient had sustained wrongs. ─ He sits as if wrapped in deep sad thoughts, and does not take notice of anything; anxiety. ─ Loss of will and power to decide on any action. ─ Hypochondriacal humour; despair. ─ Strong, anxious apprehension, inquietude, and fear of death. ─ Disposition to be frightened. ─ Excessive susceptibility. ─ Disposition to take everything in bad part and to be angry. ─ Mania. ─ Mistakes concerning the lapse of time; it passes too quickly.

Head

Confusion of the head, esp. after eating or drinking. ─ Dulness in the head, increased by reading or meditation. ─ Vertigo, as from intoxication, or on rising up in the bed, with inclination to vomit, which forces the patient to lie down again. ─ Fits of vertigo, with nausea and loss of consciousness. ─ Headache, with inclination to vomit or vomiting, and pain as from a bruise in the intestines. ─ The headache is aggravated after sleeping, eating, or drinking (coffee), in the open air, while riding in a carriage; and is relieved in a warm room, or when becoming warm in bed. ─ Violent aching pains, esp. in the forehead. ─ Stupid feeling in the head (cold perspiration on forehead and hands). ─ During motion, headache, as if the eyes were being torn from the sockets, with vertigo. ─ Pain in the head, which seems, as it were, empty and hollow, or sensation of constriction in the brain. ─ Pulsative pains, sometimes in the crown of the head, sometimes in the temples. ─ Convulsive trembling of the head, caused by weakness of the muscles of the neck; worse after sleeping and in the open air, from coffee and tobacco; better in the warm room.

Eyes

Pressure and pain, as from a bruise, in the eyes, and difficulty in opening the eyelids at night. ─ Pain in the eyes, as if they were torn out of the head (with headache). ─ Convulsive rolling of the balls of the eyes during the spasms. ─ Pupils very much dilated; or contracted. ─ Dryness of the eyelids. ─ Inflammation of the eyelids. ─ Eyes prominent and glassy. ─ Dim-sightedness (after reading a short time the print is all blurred). ─ Confusion of sight, with black spots before the eyes. ─ Phantoms before the eyes.

Ears

Buzzing in the ears, with hardness of hearing, and sensation as if the ears were stopped; with noise as from rushing water. ─ The r. ear feels closed. ─ Swelling of the parotids.

Nose

Swelling of the nose, sometimes semi-lateral (r.). ─ Coryza, with ulcerated nostrils. ─ Very acute sense of smell.

Face

Face of a burning red, puffed and hot. ─ Transient heat in the cheeks. ─ Flushes of heat in the face after drinking. ─ Blue circles round the eyes. ─ Face convulsively contracted. ─ Cramps in the cheek-bone and in the masseters. ─ Swelling and induration of the sub-maxillary glands.

Teeth

Pains in carious teeth, but only when eating. ─ Looseness of the teeth, with swelling of the gums.

Mouth

Dryness of the mouth (in the night), without thirst. ─ Foam before the mouth, forming bubbles. ─ Tongue loaded with a yellow coating.

Throat

Difficulty of speech, as from paralysis of the tongue. ─ Dryness of the throat. ─ Excessive sensitiveness of the palate; the food seems to be too strong, or too salt. ─ Constriction in the gullet, which seems to be paralysed. ─ Burning pain in the œsophagus, and in the throat, with sulphurous taste in the mouth.

Appetite

Metallic, copperish taste. ─ Acid taste, esp. after a meal, or when coughing. ─ Acid taste of bread. ─ Bitter taste of tobacco. ─ Desire for cold drinks, and esp. for beer. ─ Thirst during a meal. ─ Excessive loathing of all food and drink. ─ Repugnance to all acids. ─ Bulimy.

Stomach

Risings, with pain in the stomach and in the epigastrium. ─ Risings with inclination to vomit. ─ Frequent empty eructations, leaving a bitter taste in the mouth and throat. ─ Eructations with nausea and sticking pains in the pit of the stomach. ─ Empty, or fetid and putrid risings. ─ Attacks of nausea inducing syncope. ─ Inclination to vomit on rising up in the bed, which compels the patient to lie down again. ─ Inclination to vomit during a meal, or in consequence of a chill, with abundant accumulation of saliva. ─ Vomiting and nausea from the motion of a carriage, or of the sea. ─ Sensation of fulness in the stomach, with difficulty of respiration. ─ Violent cramp-like pains, squeezing, as if from a claw and cramps in the stomach, sometimes a short time after a meal. ─ Anxious oppression and pinchings in the epigastrium, with difficulty of respiration.

Abdomen

Pain in the hypochondria as from a bruise. ─ Pressive pain in the hepatic region, aggravated by coughing or stooping. ─ Shootings in the hepatic region. ─ Abdominal pains, as if the intestines were bruised, or as from an internal abscess, when moving. ─ Pressure, as from a stone, in the umbilical region, and in the abdomen. ─ Sensation in the abdomen, as if it were hollow and empty. ─ Inflation of the abdomen. ─ Contractive pinchings in the upper part of the abdomen, with suspension of respiration. ─ Burning pains, pullings and tearings in the abdomen. ─ Cramp-like pains in the abdomen. ─ Hysterical spasms in the abdomen, in women. ─ Flatulent, cramp. like colic, esp. at night, aggravated by coughing, or by stooping forwards. ─ Tendency to protrusion of inguinal hernia.

Stool and Anus

Constipation, with tenesmus. ─ Evacuation hard and difficult. ─ Ineffectual desire for stool, with constipation. ─ Contractive pain in the rectum, preventing sitting (in the afternoon). ─ Diarrhœa, with emission of flatulency before the stool. ─ Loose evacuation of a putrid smell. ─ Fæces soft and yellow, which cause burning in the anus.

Urinary Organs

Aqueous urine with urgent inclination. ─ Frequent want to make water, even in pregnant women. ─ Frequent desire to urinate, with small discharges.

Male Sexual Organs

Itching in the scrotum. ─ Pulling pains as from a bruise in the testes, on their being touched. ─ Great sensibility and excitability of the genital parts, with desire for coition.

Female Sexual Organs

Premature catamenia, with cramps in the abdomen. ─ Painful catamenia, with abundant discharge of coagulated blood, followed by hæmorrhoids. ─ Suppression of catamenia, with spasmodic and pressive colic, flatulency, paralytic debility, oppression, anxiety, cramps in the chest, fits of nausea, even to fainting, and convulsive movements of the limbs. ─ Catamenia too scanty and irregular, with leucorrhœa in the intervals. ─ (Metrorrhagia.). ─ Discharge of sanguineous mucus from the uterus, during pregnancy. ─ Leucorrhœa like blood. ─ Leucorrhœa, similar to water in which meat has been washed, intermixed with a sanious and purulent serum. ─ Cramps in the uterus.

Respiratory Organs

Fatiguing cough, from oppression of the chest, which manifests itself only during the cough. ─ Oppressed breathing, from contractive sensation in the trachea, as if irritated by smoke, causing constant coughing. ─ Periodical cough, every fourth night, towards midnight, or about two o'clock in the morning, with constriction in the throat which brings on coughing.

Chest

Suspension of respiration, which stops in the pit of the throat, as if from constriction of the throat. ─ Tightness and constriction of r. side of chest. ─ Stitches in the chest (sternum) when walking. ─ Short, intermittent respiration. ─ Pressure on the chest, as if from a stone. ─ Hysterical spasms in chest. ─ Cramps in chest, with sighs and groans. ─ Tensive constriction in the chest, sometimes on one side only, with difficulty of respiration. ─ Gurgling and sensation of emptiness in the chest. ─ Fatigue of the chest, from reading aloud. ─ Congestion in the chest, with anxiety. ─ Red spots on the chest.

Heart

Palpitation of the heart; nervous, with anxiety.

Neck and Back

Cracking of the vertebræ of the neck, during movement. ─ Weakness of the muscles of the neck, which are inadequate to the support of the head. ─ Red spots on the neck. ─ Paralytic tearings (in the back and) in the loins. ─ Pullings and tearings in the back, esp. when speaking, walking, and stooping. ─ Tremor in the back. ─ Shootings between the shoulder-blades, and in the loins.

Upper Limbs

Lancinations in the shoulder-joint, and in the arm, during repose. ─ Lancinating pains in the arm, proceeding from a wounded finger. ─ Convulsions of the arm, with retraction of the thumbs. ─ Paralysis of the arms. ─ Palpitation of the muscles of the arm. ─ Pain, as from a bruise, in the bones of the arm, during movement (when lifting them up, and when touching them). ─ Lameness of the arm (cannot write). ─ Hot and arthritic swelling of the hands. ─ Numbness, or heat and cold alternately, of one or other of the hands. ─ Tingling of hands and paralytic trembling. ─ Torpor of the hands. ─ Cramp-like contractions, and starting of the fingers.

Lower Limbs

Paralysis of the lower limbs, proceeding from the loins. ─ Drawing tearings in the knees, feet, and toes. ─ Pain as if from a bruise in the thighs, during movement. ─ Pain in the heel (os calcis) as if bruised. ─ Cracking in l. hip-joint. ─ Cracking of the knees, during movement. ─ Inflammatory swelling of the knee, with transient lancinations. ─ Burning sensation in the feet. ─ Hot and itching swelling of the feet, sometimes in the evening. ─ Numbness in the feet. ─ Cold and perspiration of the feet.

Generalities

Pullings and paralytic tearings, by fits, or continuous, in the limbs and in the bones. ─ Paralytic immobility of the limbs, with drawing pains in the bones. ─ Convulsive movements of the muscles in different parts. ─ Aching, digging pains in the limbs. ─ Pains, as from a bruise, even in the internal organs. ─ Sensations of hollowness; as if bruised in outer parts; same in bones; numb feeling of outer parts; sensation as if single parts had gone to sleep. ─ Affections of the r. hypochondrium (particularly of the liver); inner hypogastrium, inner forehead, back, upper arm, bones of the arm. ─ Aversion to open air; hysterics; paleness of the skin, red spots; shuddering in general. ─ Sensation of hollowness or of constriction in the internal organs. ─ Painful sensibility of the limbs to the slightest touch. ─ Painful stiffness and crackings in the joints. ─ Semi-lateral sufferings. ─ Rheumatic pains, with hot swelling of the parts affected. ─ Attacks of gout, with swelling of the affected parts. ─ Shooting pains in lymphatic swelling. ─ Engorgement and induration of the glands. ─ Hæmorrhage. ─ Cramps and convulsions of the limbs, and of the whole body, sometimes induced by ulcers, or by wounds, painfully sensitive to the touch, or on using the parts affected. ─ Convulsive movements of the limbs and of the muscles, as in St. Vitus' dance. ─ During the convulsive fits, face red, puffed, and hot. ─ Trembling of the limbs. ─ Attacks of epilepsy. ─ Paralysis, chiefly semi-lateral, with insensibility of the parts affected. ─ Aggravation of the sufferings by sleep, speech, drinking, and eating, but esp. on taking coffee or smoking tobacco, as well as by cold air. ─ Hysterical spasms, with anguish. ─ Weakness and loss of strength, after the least bodily fatigue, movement, or the interruption of sleep. ─ Want of vital energy. ─ Fainting fits. ─ Numbness, sometimes of the hands, sometimes of the feet, in transient fits. ─ The open air is insupportable, whether it be warm or cold. ─ Emaciation.

Skin

Great itching, esp. in the evening, or when undressing, or at night in bed. ─ Red pimples, like grains of millet, with itching in a warm temperature. ─ Eruption of hard and knotty pimples, with red areolas and burning pain. ─ Induration, cold swelling of the glands, with stinging pains. ─ Ulcers very sensitive to contact. ─ Red spots in the chest and on the side of the neck. ─ Pale (chlorotic) colour of the skin.

Sleep

Obstinate inclination to sleep in the morning. ─ Sleeplessness on account of anxiety and bodily restlessness. ─ Spasmodic yawning. ─ Sleep retarded in consequence of a great flow of ideas. ─ Half sleep, like coma vigil. ─ Sleep interrupted by frightful anguish and inquietude. ─ During sleep, starts, cries, convulsive movements of the hands, of the eyes, and of the head. ─ Vivid dreams, exciting fear. ─ Anxious, frightful dreams, dreams of death, of disease, &c. ─ Fear of ghosts at night. ─ Sleep unrefreshing, with frequent waking.

Fever

Shivering, and sensation of cold, with trembling. ─ In the evening, shivering and shuddering in the back. ─ Chill in the afternoon and evening, principally on the legs and in the back; not relieved by heat. ─ Dry heat during the night. ─ Perspiration during the night, which is only cold on the face. ─ Morning sweat, esp. on the chest. ─ Intermittent fever, with colic and lameness of the small of the back. ─ Fever, with tendency to become chilly, though the skin is hot to the touch. ─ Chilliness alternating with heat. ─ Burning heat and redness of the cheeks, often with cold in the feet. ─ Fever with cramp-like pains in the stomach, and paralytic weakness in the loins. ─ Easy perspiration during movement, with great fatigue. ─ Sweats night and morning. ─ Pulse full, hard, and frequent. ─ Pulse small and spasmodic; sometimes it cannot be felt.

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Stupid feeling in head.
Loud cries of despair, and irritation, alternate with stupefaction of brain. θ Prosopalgia.
Memory weakened, or want of memory ; head readily fatigued by mental exertion.
Distracted ; he easily forgets of what he has just thought.
During the attack speech difficult, afterwards difficulty in reading and thinking. θ Vertigo.
Time passes too quickly.
Often failed to use right expression for thoughts, could scarcely recollect anything ; mumbled, so that it was great trouble for him to pronounce his words. θ Typhoid.
Thinks and answers correctly but slowly ; takes a long time in reflecting.
Slowness of comprehension ; cannot find the right word ; what has passed he cannot remember ; forgets himself, cannot talk plainly, or is irritable, speaks hastily, cannot bear least noise or contradiction.
Difficulty in understanding what is heard or read and in appreciating the lapse of time.
Thoughts fixed on one unpleasant subject ; she is absorbed within herself and observes nothing about her.
She appears imbecile ; at other times acts like a maniac, is wicked, talks constantly ; dances and makes all kinds of gesticulations. θ Mental derangement following amenorrhœa.
Angry and indignant form of delirium, when roused complains of dizziness and cephalalgia, as if head was tightly compressed ; soon falls into a murmuring stupor, with tossing of head and trembling of hands ; has not slept an instant for seven days. θ Encephalitis.
Mental derangement with vertigo, constant desire to escape ; great fear and talkativeness.
Talkativeness with witty joking.
Irresistible inclination to sing and tra la ; a kind of mania.
Sobbing, moaning and groaning.
Intolerance of noise or any disturbing influence.
Lies with eyes closed, regardless of what is passing around him.
Languid, shirks her work. θ Amenorrhœa.
Is sad and complaining.
Great sorrowfullness, with constant inclination to sit in a corner buried in thought.
Changeable, hypochondriacal humor, melancholy reflections ; disposition to be anxious and frightened.
Melancholy and sad ; indulges in sad reveries ; is sensitive to insults, slights and disappointment.
Melancholy and sadness, with weeping and constant profound absorption in sorrowful thoughts ; great apprehensive anxiety of conscience, and feeling at heart as after committing a wicked deed, with desire to escape.
Pale, prostrated and full of despair. θ Menorrhagia.
Apprehensive mood ; fears death and unknown dangers.
Great fear of death. θ Gastritis.
Frightened look.
Mental terror during paroxysm. θ Puerperal eclampsia.
Little concerned as to his own health, he is very anxious about others' sickness.
Mild, indolent and despondent in the face of difficulties.
Tearful chagrin about least trifle.
Vacillating, cannot accomplish anything at her work or finish anything ; with contracted pupils.
Nothing pleases her, is tearful and easily discouraged. θ Chronic diarrhœa.
Very sensitive mood ; everything worries him ; irritable ; sullen.
Excessive irritability, excited by loud talking or least increase of temperature.
Very easily affronted ; every trifle makes him angry.
Angry and indignant form of delirium. θ Encephalitis.
Startles very easily.
When her mind is turned away from herself her sufferings are forgotten.
Ill effects of anger and grief.

Sensorium

Vertigo : as if intoxicated ; with confusion of mind ; with nausea ; when rising from a recumbent position ; whirling ;
(In sick :) things whirl from right to left ; with dulness in forehead, as if there was a board across head ; with pressure in forehead ; with flushed hot face and head ; following palpitation of heart.
Vertigo, occurring every two weeks and lasting several days ; comes during stool, when assuming an erect position in bed, while standing, but most frequently after eating.
Dizziness with ringing in ears and headache. θ Typhoid.
Hysterical dizziness.
Giddy, empty feeling, as if there was no head.
Sensation of emptiness and hollowness in head, < in open air and after eating, > when getting warm in bed.
Congestion of blood to head, with mental derangement. θ Amenorrhœa.
Sensation of cloudiness in head, with dim-sightedness and black spots before eyes after reading.
Clouded, confused feeling in head, with aching pain in forehead.
Dulness of head, as after being drunk.
Confusion of head, generally increased by eating and drinking.
Dulness and confusion of head, < by reading, frequently obliged to pause in order to understand what he is reading.
Confusion of head ; giddiness when sitting up ; roaring in ears ; heat in head and shivering of whole body. θ Typhoid.
Objects around seem to move up and down on sitting up, with nausea.
Constant sensation as if about to faint. θ Dysmenorrhœa.
Semi-consciousness.
Is conscious during paroxysm, but cannot move. θ Puerperal eclampsia.
Syncope following any bodily exertion.
Falls down unconscious, with nausea and vertigo.
Falls suddenly to the ground unconscious, no restorative calls forth least sign of life.
Coma and coma vigil.
Seasickness.

Inner head

Thinking fatigues head.
Painful sensation of emptiness in head.
Head dizzy, heavy and painful. θ Intermittent fever.
Weight in head, with great weakness of muscles of neck.
Pressing pain in forehead, from without inward, with nausea ; < by riding in a wagon ; reading and thinking ; from eating ; drinking and sleeping ; > during rest, in-doors.
Beating in forehead, evenings, < before and after eating ; also when riding, especially in cold air ; from talking ; > in doors.
Drawing, pulsating pain, especially in forehead, with nausea, violent vomiting and sense of contusion in hypogastrium.
Headache chiefly in forehead and temples ; somewhat in vertex.
Compression, dull and undulating sensation in frontal region.
Frequent attacks of headache over right frontal eminence, which last a few minutes, followed by a violent, lancinating, throbbing pain, then a sensation of formication felt over this part, after which headache ceases.
Headache as if something forcible closed eyes, or as if eyes were being torn out.
Pains pass from over right eye into head.
Brain feels as if constricted by a ligature, throbbing in temples.
Stitches in temples and in right frontal region.
Sensation of a blunt body forced slowly into right temple.
Pressing, throbbing headache in both temples.
Headache in temples as if head was seized in a vise.
Throbbing in vertex < by motion of eyes and touch of fingers, with congestion to head.
Violent headache extending from vertex to left side of forehead and nose. θ Apoplexy.
Headache in occiput and nape, pain as if opening and shutting like a door.
Headache, pain extending down spine ; head hot ; eyes and balls protruding.
Violent, dull headache, cannot lie a moment on back of head, forced to lie on side ; cannot bear least light ; noise excites nausea, feeling of seasickness, objects move up and down.
Violent headache, which compels patient to sit up, < by talking, laughing, noise, or bright light.
Sick headache, with vertigo. θ Spinal irritation.
Headache, with nausea and inclination to vomit.
Nervous or gastric headaches, with nausea as if at sea, violent vomiting or cramps.
Painful concussion in brain when walking, moving head, or talking.
Feeling as if brain was rolled up or compressed into a small bulk.
Constrictive headache, tearing and boring pain, with heat and nausea.
Head is painful as if bound up ; as if tightly bound by a cord ; as if nerves in head were drawn up tightly.
Lancinating pain, especially on one side of head.
Pressing headache from without inward ; or, as if compressed by a bandage ; or, as if screwed together.
Digging and boring in head.
Violent, throbbing, tearing headache, < by motion and talking and in evening.
Headache < during heat, with heaviness in head, < on sitting up. θ Intermittent.
Headache from working in sun, or from riding through sand in hot sun.
Sick headache from riding in a carriage, boat, train of cars, etc.
Headache, with colic, after catching cold.
Headache returns at each catamenial period.

Outer head

Sensation on left side of occiput as if hair was rising up. θ Eczema capitis.
Convulsive trembling of head from weakness of muscles of neck ; < in open air and after sleeping ; from coffee and tobacco ; > in warm room.
Spasmodic shaking of head.
Tossing of head and incessant trembling of hands. θ Encephaloid.
Cramplike pain in left temporal muscle.
Severe tearing pains on one side of head, especially in bones and particularly in left jaw.
Head is most relieved by leaning it back.

Sight and eyes

Objects seem to move up and down.
Dark spot before eyes, though objects appear clearly.
Muscæ volitantes ; a black figure seems to float before eye, moving as eye moves, yet without impairing vision.
Black spots before eyes after reading.
While reading, can only see left half of line of writing.
Dim-sightedness.
Light does not affect the eyes, sight being gone. θ Encephalitis.
Pain in left side of head and eye, then blindness and unconsciousness. θ Puerperal eclampsia.
Sclerotic of left eye most inflamed ; a rose-colored, inflamed circle, deeper in color next cornea, diminishing towards canthi ; cornea dim, as if colored with dust, surrounded by a bluish-white circle ; iris of left eye inflamed,
especially towards its inner border ; pupil drawn upward, angular and contracted ; photophobia and contraction of upper lid, no lachrymal flux, sees as through a veil. θ Rheumatic
ophthalmia.
Rheumatic glaucoma, with venous hyperemia, dilated pupils, insensibility to light, haziness of lens and vitreous, severe pain in and around eyes ; iritis, with corneal and scleral complications, pupils irregular and contracted, blue borders around cornea, photophobia, no
lachrymation, tearing pains in brow and left side of head.
Pupils dilated or contracted.
Eyes open and immovable. θ Puerperal eclampsia.
Eyes closed, with balls constantly rolling ; pupils dilated. θ Sudden unconsciousness.
Eyes protruding.
Headache : as if eyes would be torn out ; or as if eyes were forcibly closed.
Stitches or shooting in eyes from within outward.
Pressure in both eyes, as from dust in them.
Dull pressure on outer border of orbit.
Blue margins around eyes.
Pressive and contused pain in eyes at night, with difficulty in opening lids.
Jerking of eyelids.
Eyelids feel as if paralyzed. θ Typhoid.
Dryness of lids.
Eyelids inflamed.

Hearing and ears

Sensitiveness of hearing ; dreads sudden noise.
Noise in ears like rushing of water, with hardness of hearing.
Roaring or ringing in ears. θ Typhoid.

Smell and nose

Sense of smell either acute or weak.
Worse from strong smells.
Sneezing ; coryza.
Discharge from nose bloody ; pus-like.
Ulcerated nostrils. θ Intermittent.

Upper face

Countenance devoid of all signs of mental activity.
Red cheeks and heat of face, in cold room.
Flushed hot face and head with vertigo or unconsciousness.
Burning heat and redness of face with great thirst and small, hard pulse. θ Inflammation of liver.
Face bloated, hot and red ; suffused with perspiration, which stands out in drops, and is now cold, now hot ; eyes closed ; unconsciousness ; spasmodic jerks through whole body ; face very much distorted. θ Convulsions.
Intoxicated aspect. θ Intermittent.
Face pale ; blue around eyes ; pinched, pale features and sharp nose ; pale and sallow, puffy and bloated ; yellowish-grey ; eyes dull and glassy ; earthy, with a very painful expression.
Leaden hue of face, anguish about heart. θ Puerperal eclampsia.
Face puffed, sometimes bluish. θ Chorea.
Quivering and twitching of eyelids, facial muscles and limbs. θ Typhoid.
Attacks of prosopalgia coming on regularly in afternoon ; before occurrence of paroxysm, irritable disposition, prostration, yawning, chilliness, coldness of feet ; then follows a violent jerk in affected nerve (pes anserinum) ; boring, stitching,
crushing, lancinating pains in jaws, drawing, jerking in sympathetically affected nerves ; these radiations extend very far, as far as finger points.
Face distorted and cold to touch. θ Prosopalgia.
Wing of nose, corner of mouth and tip of tongue distorted. θ Apoplexy.
Paralysis of one side of face.
Tearing pains in eyebrows and left side of head, < in evening and at night. θ Rheumatic ophthalmia.
Sensation of dull pressure on left malar bone ; cramplike pains in temporal and malar regions, < on opening mouth.
Swelling of one eye and half of nose in morning, after a violent headache during night.
Sweat in face, cold.

Lower face

Quivering of lower jaw and chattering of teeth when attempting to speak. θ Intermittent.
Pressive, benumbing, cramplike pain in region of malar bone and masseter muscles, < by opening jaw.
Lips parched and dry, slight thirst. θ Encephalitis.
Corners of mouth sore. θ Intermittent.
Pustule below right angle of mouth, with tensive pain when touched.
Swollen, hard glands under lower jaw, and nodes on forearm, which are painful when stroked.
Swelling of parotid glands.

Teeth and gums

Chilly feeling through teeth, and fine drawing in borders of teeth. θ Prosopalgia.
Teeth are long and loose.
Hollow tooth, pains only when chewing, even soft food ; not when biting with empty mouth.
Drawing in dental nerves continues during remission of paroxysm. θ Prosopalgia.
Toothache in upper incisors.
Toothache, with headache and ringing in ears. θ Gastritis.

Taste, speech, tongue

Taste : bitter ; putrid ; sour ; nauseous ; offensive ; metallic ; coppery ; like sulphur ; pappy.
Putrid, sour taste, with aversion to acid drinks. θ Intermittent.
Foul taste in mouth. θ Cramps.
Metallic taste with loss of appetite.
Food tastes as if it lacked salt.
Sourish taste after a meal.
Tobacco tastes bitter.
Bitter taste at root of tongue.
Speaks hastily, cannot endure contradiction.
Talks in a muttering, mumbling manner ; it requires great effort to speak the words plainly. θ Typhoid. θ Apoplexy.
Speech difficult at beginning of attacks of vertigo ; afterwards, difficulty in reading and thinking ; attacks occur every fourteen days.
Tongue seems paralyzed ; speech difficult.
Tip of tongue distorted. θ Apoplexy.
Peculiar sensation at root of tongue. θ Puerperal eclampsia.
Sensation of swelling at root of tongue.
Pain at base of tongue when stretching tongue out.
Dry, rough tongue.
Dryness of tongue, with a whitish-yellow coat, without thirst.
Complains of dryness of tongue, which is moist and clean. θ Intermittent.
Tongue coated white and dry upon edges.
White coating on tongue. θ Typhoid.
Tongue covered with white mucus. θ Gastritis.
Yellow coated tongue, with aversion to food.

Inner mouth

Dryness of mouth, at night, without thirst.
Dryness and burning of mouth and throat, œsophagus seems inflamed, with difficulty in swallowing.
Sensation of dryness in mouth, with frothy saliva and violent thirst.
Afflux of saliva with nausea and vertigo.
Thick saliva. θ Puerperal eclampsia.

Palate and throat

Burning in palate and dryness in fauces.
Paresis of deglutition and of tongue. θ Typhoid.
Pressive pain in tonsils, < when swallowing saliva than when swallowing food.
Choking constriction in upper part of fauces, with difficult breathing and irritable cough, or disposition to cough.
Sensitiveness of throat and a sense of constriction as if lame.
Spasms in throat. θ Prosopalgia.
Dryness in pharynx and œsophagus. θ Intermittent.
Burning in œsophagus, extending into fauces, with taste of sulphur in mouth.

Appetite, thirst. desires, aversions

Sensation of hunger at epigastrium, with disgust for food.
Will eat nothing but bread and water, at other times eats ravenously. θ Mental derangement from amenorrhœa.
Loss of appetite, metallic taste in mouth.
Extreme aversion to food, caused even by smell of food, although with hunger.
Sensation of hunger or of emptiness, even to fainting, or real bulimy.
Intense thirst while eating.
Longing for cold drink, especially beer.
Thirst with aversion to drink ; drinking < tension in abdomen. θ Intermittent.
Thirstless.
Slight thirst, lips parched and dry. θ Encephalitis.
Aversion to sour things and to beer.

Eating and drinking

All symptoms and affections, particularly of head, < by eating or drinking.
Coffee aggravates headache.
Eats and drinks very little. θ Intermittent fever.
After eating or drinking anything cold, tearing pains in limbs. θ Leucorrhœa.
After eating, pains of contusion, of pressure, of grinding and squeezing in pit of stomach.

Hiccough, belching, nausea and vomiting

Hiccough.
Eructations : empty ; fetid ; bitter ; putrid, causing sore pain in epigastrium and chest ; followed by pain (stitching) in stomach.
Nausea felt in head.
Marked tendency to nausea resembling seasickness, as if stomach heaved up and down, becomes sick by looking at the pitching of a vessel.
Nausea : with vertigo and muscæ volitantes ; caused by tormenting dryness in pharynx, > by swallowing ( θ intermittent) ; in afternoon after
every drink, it seems to be mostly in mouth ; provoked by eating, drinking, motion, becoming cold, or sudden change of posture ; producing fainting ; to point of vomiting, with faintness and vertigo when lifting head ; with inclination to vomit, in morning, can scarcely
rise on account of faintness.
Nausea and inclination to vomit while riding in a carriage, boat, train of cars, etc.
Disposition to vomit, with profuse flow of saliva, on getting a chill or taking a cold.
Disposition to vomit in connection with headache and pain in bowels, as if bruised.
Ineffectual efforts to vomit. θ Gastritis.
Directly after rising, nausea and vomiting of food. θ Intermittent fever.
Morning nausea and vomiting of food and mucus, especially at night, with sleeplessness, headache and constipation.
Vomiting of mucus and water, with distension of abdomen, pain < after vomiting. θ Hepatitis.
Vomiting of green mucus > oppression in chest. θ Intermittent.
Unable to retain any food on stomach ; vomit foul, sometimes bitter. θ Colic.
Vomit : sour ; bitter ; bilious ; of bad odor.

Scrobiculum and stomach

Contractive pain in epigastrium, taking the breath.
Epigastrium commences to bloat with beginning of chill, increases more and more ; sensitive to external touch ; spasmodic internal heaving. θ Intermittent.
Collection of wind in epigastrium. θ Prosopalgia.
Sensation in stomach as if one had been a long time without food till hunger was gone.
Sensation as though a worm were moving in stomach.
Painful sensation of fulness in stomach impeding respiration. θ Gastritis.
Spasms of stomach with shortness of breath, fulness with griping in stomach, followed by a sensation of emptiness.
Violent spasms of stomach, with griping, tearing pains.
In morning between 8 and 9 o'clock, after a quiet night, twisting sensation in stomach, with great pain, nausea, anxiety and perspiration ; empty eructations without much relief ; foul taste in mouth ; attacks last three to four hours, each attack growing less severe as
evening advances.
Violent attacks of gastralgia, she has to roll and twist, is thirsty, gasps for breath, sometimes wakes from sleep.
Violent cramp of stomach ; griping, pinching, constrictive pain.
Pain beneath stomach immediately after eating.
Tensive feeling below stomach as if waist was constricted by a tight band, < from pressure. θ Intermittent.
Pinching, constrictive pain in upper abdomen after eating, extending to left side of abdomen and chest.
Chronic dyspepsia from abuse of stimulants or from too long study.
Acidity of stomach. θ Chronic prosopalgia.

Hypochondria

Pressive pain in hepatic region, < by coughing and bending over.
Stitches in hepatic region. θ Gastritis.
Pain in region of spleen, at first < then > by lying on that side. θ Intermittent.
Enlarged spleen. θ Typhoid.
Pain as if beaten in both hypochondria.
Pain in right hypochondriac region extending towards epigastrium and stomach, < by bending forward, coughing and breathing ; cannot bear least touch. θ Acute hepatitis.
Abdomen feels distended and tense, particularly in left hypochondriac region, which is painful on pressure. θ Intermittent.

Abdomen and loins

Emptiness and sensation of hollowness in abdomen.
Great distension of abdomen. θ Dysmenorrhœa.
Tension in abdomen oppressing chest and hindering deep inspiration and talking. θ Intermittent.
Abdomen feels distended and tense, particularly in left hypochondriac region, which is painful on pressure. θ Intermittent.
Tension in abdomen < by drinking. θ Intermittent.
Great rumbling in bowels.
Gurgling in abdomen with sensation of contraction near umbilicus. θ Typhoid.
Abdomen drawn spasmodically towards vertebral column ; then becoming swollen and distended, with constantly changing swellings over surface. θ Colic.
Spasmodic, flatulent colic about midnight, flatus passed without relief ; belching relieves, < by coughing, pain severest in epigastric, umbilical and right iliac regions.
Distension of abdomen, flatulent colic, pain in umbilical and hypogastric regions as of a heavy stone ; every movement or touch pains as from an internal ulcer.
Spasmodic, crampy pain in abdomen, with feeling of distension followed by oppressed breathing and sensation of emptiness in bowels.
Sensation in abdomen as if sharp stones rubbed together at every movement.
Pressure, sticking and cutting pains in various parts of abdomen, chiefly around navel.
Darting pain below umbilicus through to spine. θ Typhoid.
Pain in left side of abdomen < by bending double.
Pain under left ribs < from pressure, sleep disturbed when lying on that side. θ Intermittent.
Several stitches through abdomen and lower part of back, from before backward, early in morning, in bed.
Constant pain in right iliac region near cecum, < from least touch ; pain often remits, returning, however, very much aggravated ; during paroxysm, drawing pains through whole abdomen, causing her to work the limbs constantly ; can find relief
in no position. θ Cold during catamenia.
Constricting pains in hypogastrium, with pressure towards genitals, and qualmishness in epigastrium.
Rupture pain < on right side ; fulness in groin, with sensation as if all would give way there.
Painful inclination to a hernia, especially after rising from sitting.
Protrusion takes place very slowly, as if from a paralytic state of abdominal ring. θ Inguinal hernia.
Incarcerated hernia ; chill ; cutting and burning in abdomen ; scrotum as large as a man's fist, hot and tense ; pulse full.

Stools and rectum

Fetid or hot flatus ; emission of hot flatulence before stool.
Incarcerated flatus ; obstruction of bowels.
For a week, watery stools, three or four a day ; but there would be a dozen if he yielded to it ; none in night, but comes on directly after rising from bed, has scarcely time to dress, diarrhœa < from standing, > by sitting down, with stool, pain in bowels, which causes
dyspnœa, sweat and faintness.
Stools : yellow, soft, fecal ; slimy ; fetid ; frequent ; thin, painless.
Thin, yellowish, painless stools only by day. θ Chronic diarrhœa.
Diarrhœa, with sensation in abdomen as of sharp stones rubbing together.
Diarrhœa from riding but a short distance in an omnibus or car.
Soft, loose stool, sometimes yellow, with burning in rectum. θ Gastritis.
Diarrhœa, with bilious vomiting.
Simultaneous with vomiting, sudden, thin, black, slimy, very fetid stool. θ Intermittent.
Small, frequent stools accompanied by flatus.
Urging to stool and burning in rectum, feces at first dry and fetid, later scanty, watery, offensive and weakening. θ Intermittent.
Disposition to stool, but peristaltic motion in upper intestines is wanting.
Constipation. θ Dysmenorrhœa.
Hard stool every other day, expelled with great difficulty.
Foul-smelling stool. θ Colic.
Prolapsus recti after stool.
After stool, violent tenesmus, even unto fainting.
Hemorrhoidal flux.
Contractive pain in anus, preventing sitting, afternoons.
Burning and itching in anus ; anus contracted.

Urinary organs

Frequent desire to urinate, with small discharge.
Tensive aching pain in orifice of urethra, between acts of micturition.
Itching and stinging near fossa navicularis.
Diuresis. θ Prosopalgia.
Watery urine.
Urine scanty, clear and smarting. θ Intermittent.
Involuntary discharge of urine during an attack of epilepsy.

Male sexual organs

Increased sensitiveness of genitals.
Excitement of genitals, with desire for coition.
Alternate excitement and depression of genitals.
Weakness with excitability of sexual organs, sensitiveness of testicles.
Seminal emissions at night ; spermatorrhœa.
Drawing, sore pain in testicles when touched.
Itching of scrotum.

Female sexual organs

Painful pressure in uterus, with cramps in chest, fainting and nausea.
Cutting, cramping pains, particularly in region of uterus and ovaries, on appearance of menses. θ Dysmenorrhœa.
Uterine cramps.
Violent abdominal spasms caused by extreme mortification during menstrual period ; howling, crying and moaning.
Cramps deep in abdomen, instead of monthly flow ; pressure in chest and anxiety ; is so weak she can scarcely speak.
Catamenia appears too early, with violent colic.
Catamenia two weeks before the time. θ Intermittent.
Menstruation seven days too early, with distension of abdomen and cutting, contracting pains in abdomen on every motion and every breath, together with contraction of rectum.
Menstruation eight days too early, pain in upper region of abdomen on every motion, when stooping, and even while sitting, as if inner parts were suffering from sharp pressure of a stone ; the parts painful to external touch as if there was an internal
ulcer.
During each catamenial period, return of headache.
During effort to menstruate she is so weak that she is scarcely able to stand or talk.
Dysmenorrhœa followed by hemorrhoids.
Catamenia lessen during abdominal spasms and become copious with abatement of the pains.
Discharge coming in gushes and mixed with mucus during menstrual period.
Menses profuse and too often ; when rising upon feet it gushes out in a stream.
Menses too frequent, with scanty, coagulated, dark blood, with uterine spasms, cardialgia or enteralgia in nervous, sensitive women with irregular menses, spinal irritations and disordered (hysterical) minds.
Menstruation difficult, with violent spasmodic pain in abdomen and loins, < by motion, cold and contact.
Suppression of menses, with spasms in abdomen or chest.
Amenorrhœa causing mental alienation.
Menses fitful, scanty and irregular.
Scanty discharge of a few drops of black, coagulated blood.
Sudden cessation of menses.
Menses become more and more scanty until they finally disappear, but the leucorrhœa is constant.
Leucorrhœa in place of menses or between periods.
Leucorrhœa, like serum, mixed with a purulent, ichorous liquid ; leucorrhœa like the washings of meat ; bloody ; gushing out on bending or squatting down ; with frequent urging to urinate, during pregnancy.
Shivering over the mamma.

Pregnancy. parturition. lactation

Vertigo, not allowing her to rise from bed ; nausea and vomiting, faint feeling and some fever.
Bloody, serous, painless discharge from uterus during pregnancy.
Leucorrhœa, with frequent urging to urinate during pregnancy.
Third month of pregnancy, profuse discharge of bloody mucus.
Spasmodic and irregular labor pains.
Terrible pain in small of back, with hour-glass contraction of uterus.
Spasms following difficult labor, and those brought on by changing position of patient.
Shivering over mamma.

Voice and larynx. trachea and bronchia

Voice whimpering and tremulous. θ Intermittent.
Speech difficult. θ Vertigo.
Talking aggravates all symptoms, particularly of head.
Tightness in larynx.

Respiration

Respiration short, noiseless, for several hours scarcely perceptible. θ Sudden unconsciousness.
Respiration quick, anxious and oppressed. θ Convulsions.
Respiration slow, heavy and laborious. θ Apoplexy.
Pants for breath. θ Amenorrhœa.
Obstruction of breath at throat pit, as if throat was constricted.
Dyspnœa : as from constriction in larynx ; from pain in bowels during diarrheic stool ; in amenorrhœa.
Cannot take a deep inspiration on account of tension in abdomen and oppression of chest. θ Intermittent.

Cough

Disposition to cough from irritation high up in larynx, or from constriction in trachea and chest.
Fatiguing, racking cough from oppression of chest, particularly at night.
Tickling cough.
After coughing, coppery, metallic, sour taste in mouth.
Cough < by indulging disposition to cough.
Spasmodic cough occurring in anemic and hysterical women.

Inner chest and lungs

Oppression of chest caused by tension in abdomen, which hinders deep inspiration and talking. θ Intermittent.
Much oppression of chest, a stony sort of a feeling.
Contractive tension of right side of chest, taking breath away.
Cramping pain in chest during menstrual period. θ Dysmenorrhœa.
Pressure under ribs > by belching.
Oppression in chest > by vomiting of green mucus. θ Intermittent.
Audible rumbling in left side of chest, as if from emptiness, especially noticeable when walking.
Sense of emptiness or of constriction in chest, heart or stomach.
Cramps in chest, hysteric, with sighing and moaning.
Fine stitches in various parts of chest.

Heart, pulse and circulation

Anguish about heart, face leaden in hue. θ Puerperal eclampsia.
Palpitation. θ Spinal irritation.
Tremulous palpitation of heart, from quick motion and mental excitement ; with anxiety ; dizziness and faintness and with great tendency to fall.
Palpitation after rheumatism.
Irregular murmuring action of heart ; pulse 100. θ Apoplexy.
Palpitation of heart, followed immediately by vertigo, then stretching of arms, thumbs being drawn inward over palms of hands.
During an attack of palpitation he seizes an object by which he may support himself, has vertigo and sensation as if about to faint.
Pulse, small, hard, frequent. θ Sudden unconsciousness.
Pulse small and spasmodic, often imperceptible, weak, seldom hard and somewhat accelerated.
Very quick pulse and beat of heart.
Pulse frequent, small and tense. θ Intermittent.
Pulse 96. θ Typhoid.
She feels her pulses beat through whole body during heat, at times palpitation. θ Intermittent.
Endocarditis : occasional inflammatory attacks, great anxiety, distorted face ; great weakness ; with inflammatory swelling of knees ; when there remains great fearfulness ; after Acon.
Chlorosis.

Outer chest

Painful stiffness of neck when moving it.
Disabling drawing in small of back.
Red, irregular shaped spots on skin, over whole chest and on sides of neck and behind ears, without heat or itching.

Neck and back

Sensation of cracking or stiffness of vertebræ.
Pain in neck on moving head, as if cervical vertebræ were stiff. θ Intermittent.
Stiffness of cervical muscles and great weakness. θ Spinal irritation.
Weakness of cervical muscles, with heaviness of head.
Stiff pain in cervical muscles on moving neck and on yawning.
Paralytic drawing of sides of throat.
Stitches between scapulæ and in small of back. θ Gastritis.
Stitches in scapulæ from right to left.
Pressure in scapulæ and nape of neck.
The pain extends down spine. θ Headache.
Trembling in back.
Paralytic pain in small of back, with spasmodic drawing across hips, which prevents walking, with anxious, fearful mood.
Sensitiveness, as if paralyzed, in back and neck.
She has a great deal of pain in back, as if menses were coming on.
Spasmodic constriction through whole length of spine, especially on motion.
Drawing, lacerating or boring pain in back.
During short intervals of consciousness, complains of great sensitiveness of back and neck and whole spine. θ Encephalitis.
Sensitiveness of vertebra to touch, but cannot locate pain. θ Intermittent.
Pain in lower part of spine and trembling of limbs. θ Spinal irritation.
Constant pain in back, shooting through body to both sides and along spine to occiput and even to temples at times, < by walking and stooping ; tenderness on pressure on vertebral spines from last dorsal vertebra to sacrum ; frequent giddiness ; does not fall asleep
until late on account of pain.

Upper limbs

Stitches in shoulder joint and muscles of upper arm, during rest.
When lifting arm after a meal he feels an excessive, drawing bone pain in shoulder joint and long bones of arm ; when touching parts they feel bruised and contused.
Sensation as of very fine, delicate wires or fibres pulling and continually in motion, down both arms from elbow to hand.
Stitches in right upper arm.
Sensation as if arms were asleep, which alternates with a similar feeling in back, jerking of arms with drawing in thumbs. θ Intermittent.
Arms as if asleep, lame ; with a crawling sensation.
Numbness and paralytic feeling in arms.
Pain with heaviness of arm.
Pain in arms felt on lifting them.
Arms stretched, thumbs drawn inward over palms of hands, with vertigo. θ Palpitation.
Forearm asleep, with sensation as if hand was swollen.
Convulsions of arms with clenching of thumbs-a sort of epileptic paroxysm.
Pains radiate as far as points of fingers ; paralyzed feeling in arm of that side of body corresponding to affected side of face. θ Prosopalgia.
Numbness of right and then of left hand. θ Gastritis.
Now one hand and again the other is numb as if asleep.
Twitching and jerks in hands and fingers.
Incessant trembling of hands. θ Encephalitis.
Hand trembles while eating, and the more the higher it is raised.
Paralysis of hand when writing.
Paralysis of left hand and fingers, particularly of extensors.
Hands feel pithy, lose their sensibility.
Now one hand and again the other is alternately hot or cold.
Hands look blue and as if frozen. θ Chorea.
Hard, dry blotches, surrounded by red borders, on limbs, wrists and backs of fingers.
Blister on edge of hand where finger commences.

Lower limbs

Paralytic immobility of lower limbs extending from sacrum.
Lameness and cracking in hip and knee joints.
Weakness in lower limbs as if paralyzed. θ Dysmenorrhœa.
Unwieldiness of lower extremities, legs cannot be lifted in walking, but are dragged along.
Legs become more and more useless. θ Chorea.
Paralysis of lower limbs, with stiffness, numbness and bruised feeling.
Paralysis of lower extremities : proceeding from small of back, and arising from cold ; after abuse of mercury.
Anguish with convulsive motions of extremities.
Spasms and convulsions of extremities.
Pain as if beaten in thighs.
Boil or pimples on inner side of thigh.
Knees sink down from weakness ; totters while walking and threatens to fall to one side.
Paralytic pain in knee joints.
Disagreeable pain in knees, cannot rest in any position, < from motion. θ Intermittent.
Inflammatory swelling of knee, with transitory stinging pains.
Cracking in knees when moving.
Acute articular rheumatism, pain springing from joint to joint, with redness, swelling and stiffness ; slightest touch or motion causes intense pain.
Sensation of heaviness of feet. θ Typhoid.
Soles of both feet go to sleep while sitting.
Burning in feet. θ Gastritis.
Hot, itching swelling of feet.
Cold feet.
Œdema of feet, with paralysis of lower limbs, after a cold.
Superficial abscess just above root of nail of right little toe, pain as if a hot iron went into it on raising foot from ground in walking ; walks with very great difficulty.

Limbs in general

Trembling in all the limbs with chilliness, which does not disappear, even in a warm room, especially evenings.
Trembling and jerking in limbs, occurring frequently, but not lasting long. θ Typhoid.
Paralytic condition of limbs, with drawing pain in bones.
Paralytic rigidity of extremities-a sort of partial paralysis.
Paralytic weakness of right side, numbness in right upper and lower extremities. θ Spinal irritation.
Great weakness ; aching of limbs, feeling of weight in feet. θ Typhoid.
Here and there in limbs, a laming-drawing, as if in bones, continuous or in attacks.
The limbs are painful when moved, as if they would be broken or crushed by bending.
Tearing pain in limbs, especially after eating or drinking anything cold. θ Leucorrhœa.
Painful lameness in arms and legs ; can scarcely rise from seat, with loss of power.
Upper arm and thigh cannot be moved in their joints on account of a lame pain.
Involuntary motions of right arm and right leg, cease during sleep.
Unable to move right arm and right leg, a feeling of numbness as if fallen asleep.
Violent spasms of arms and legs, which were continually shaken and pushed from the body. θ Convulsions.
On rising in morning, involuntary movements of right hand and then of right foot. θ Chorea.
Now the hands and again the feet "go to sleep," alternately, in short attacks.
Paralysis of left hand and foot. θ Apoplexy.
Hands and feet cold, face pale. θ Palpitation.
Hands and feet become cold after change of position. θ Intermittent.
Convulsive motions of the limbs whenever she wants to use them.
Cracking and creaking in joints.
Painful stiffness of joints.
Pain in bones as if bruised.

Rest. position. motion

Rest : < pressing pain in forehead, with nausea ; stitches in shoulder joint and muscles of upper arm, during.
After lying down in bed : constant yawning and stretching.
Sitting : < heaviness in head ; > headache ; pain in upper region of abdomen ; soles of both feet go to sleep ; diarrhœa >.
Standing : vertigo ; < diarrhœa.
On lying on left side : sleep disturbed on account of pain under left ribs.
Pain in region of spleen, first < then > by lying on that side.
Cannot lie a moment on back of head, forced to lie on side.
Motion : < headache, nausea, pains in abdomen ; as if sharp stones rubbed together in abdomen ; tremulous palpitation of heart ; spasmodic constriction through whole length of spine ; disagreeable pain in knees, cannot rest in any position ; cracking in
knees ; articular rheumatism, with intense pain from slightest ; limbs painful as if they would be broken or crushed by bending ; painful lameness in upper arm or thigh prevents.
On moving body : faintness, with spasmodic distortion of muscles of face.
Changing position : spasms during puerperal state from ; hands and feet become cold after.
Sudden change of posture provokes nausea.
When rising from a recumbent position : vertigo.
On sitting up : giddiness ; objects around seem to move up and down ; headache.
Rising from sitting : painful inclination to hernia.
On rising from bed : diarrhœa.
When rising upon feet : menstrual discharge gushes out in a stream.
Bending over : pressive pain in hepatic region < ; pain in r. hypochondriac region, extending towards epigastrium and stomach <.
Bending double : pain in left side of abdomen <.
When stooping : pain in upper region of abdomen ; pain in back, shooting through body to both sides and along spine to occiput and temples <.
Bending or squatting down : leucorrhœa gushes out.
When moving head : painful concussion in head.
When lifting head : faintness and vertigo.
Leaning head back : head most relieved.
From motion of eyes : throbbing in vertex.
On opening mouth : cramplike pain in temporal and malar regions.
Yawning : stiff pain in cervical muscles.
When chewing : pains in hollow tooth.
When stretching tongue out : pain at base of tongue.
On moving neck : stiffness of neck and pain.
When lifting arm : bone pain in shoulder joint and long bones of arm.
The higher the hand is raised the more it trembles.
When writing : paralysis of hand.
When walking : painful concussion in brain ; audible rumbling in left side of chest as if from emptiness ; pain in back shooting through body to both sides and along spine to occiput and temples < ; legs are dragged ; totters and threatens to fall to one
side ; as if a hot iron went into right little toe on raising foot from ground.
Convulsive motion of limbs whenever she wants to use them.
Has to roll and twist, with violent attacks of gastralgia.

Nerves

Great hyperesthesia of all senses and an exalted susceptibility to impressions.
Extreme irritability of nervous system, especially of spinal cord. θ Prosopalgia.
The least noise or jar is unbearable.
A slight noise or slight unexpected touch causes starting and trembling all over body. θ Intermittent.
Sensitiveness of talking, warm air, riding and grief.
Nervousness of twelve years standing aggravated to insanity by grief ; commenced while riding in a boat.
Trembling, from excitement, overexertion and pain.
Trembling over whole body. θ Dysmenorrhœa. θ Prosopalgia.
Shuddering.
Tired feeling with some headache after convulsive attacks, wants to lie down much of the time ; easily startled. θ Palpitation.
Weakness, with trembling ; feels too weak to talk aloud ; cannot give her symptoms.
Great lassitude of whole body, it is an exertion to stand firmly ; faintness from slightest exertion.
Prostration and exhausting sweat over whole body from slightest exertion.
Sensation of seasickness.
Faintness on moving body, with spasmodic distortion of muscles of face.
Faintness caused by pain in bowels during diarrheic stool.
Fainting fits, epileptiform and hysterical convulsions, paralysis.
Melancholia, nervous fevers, nervous weakness, hysteria, convulsions, syncope.
Hysteric complaints, with sadness.
Automatic movements of muscles and tendons.
Twitching of isolated groups of muscles.
Spasms through whole body, coming like electric shocks. θ Epilepsy.
Spasms, occurring frequently at midnight.
Spasms, hysterical, or from cerebro-spinal irritation.
Sudden spasms from non-appearance or sudden checking of menses.
Violent convulsions and cramps, especially in lower extremities, in chest and in abdomen.
Convulsions after loss of sleep.
Puerperal eclampsia ; paroxysms passing off with a sigh after several minutes ; paroxysms then become more frequent, last longer and come during sleep or when awake ; spells cause mental terror at the time ; is conscious during paroxysm,
but cannot move, eyes open and immovable.
Tetanus, chorea.
Attacks of paralysis weakness, with pain in back.
Numbness, migratory, coming and going.
Paralysis, one-sided, with numbness, bruised feeling and stiffness.
Hemiplegia, left side, with coldness of affected part.
Apoplexy.
Paralysis of face, tongue or pharynx, paraplegia.
Paralytic affections originating in small of back after taking cold, with cold feeling of extremities and œdema of feet ; likewise after apoplexy.
No reflex movement produced upon tickling sole of right foot, while on tickling that of left, limb is drawn up. θ Sudden unconsciousness.
Locomotor ataxia.
Post-diphtheritic paralysis.

Sleep

Spasmodic yawning.
Constant yawning and stretching after lying down in bed.
Sleepiness or a half waking state, with dreams. θ Typhoid.
Somnolence and stupor.
Unconquerable sleepiness, least interruption of sleep is followed by great loss of strength, eyelids heavy and shut as if paralyzed ; drowsiness may increase to coma.
Must remain constantly in bed because of great sleepiness and weakness, on rising vertigo and dizziness. θ Intermittent fever.
Sleep disturbed when lying on left side on account of pain under left ribs. θ Intermittent.
Many thoughts of business of day prevent sleep for an hour, wide awake at about 1 o'clock, cannot go to sleep again.
Sleep disturbed by excessive anxiety and restlessness.
Frequent waking from sleep as from fright.
Wishes to sleep, but directly on closing eyes a frightful sensation, as of a hideous dream, comes over him, making him start up again.
Sleeplessness. θ Dysmenorrhœa.
Sleeplessness from long-continued nursing ; from night watching.
Maniacal sleeplessness.
Anxious, frightful dreams.
Sleep aggravates all the symptoms, particularly of head.
Does not feel refreshed in morning, yawns incessantly.
Slightest loss of sleep tells on him.
Ill effects from loss of sleep and night watching.

Time

Early in morning : in bed, stitches through abdomen and lower part of back.
In morning : after a violent headache during night, swelling of eye and half of nose ; inclination to vomit ; nausea and vomiting of food and mucus ; on rising, involuntary movements of right hand and then of right foot ; does not feel refreshed, yawns
incessantly ; sweat, principally on chest.
In morning between 8 and 9 o'clock ; twisting in stomach, nausea, anxiety and perspiration ; empty eructations, foul taste in mouth ; attacks last three or four hours, each attack growing less severe as evening advances.
About 11 A. M. : chilliness, with great disgust at even smell of food.
In afternoon : prosopalgia ; nausea after every drink ; contractive pains in anus ; internal chill, with shivering through whole body, but more in back and on legs ; prosopalgia.
During day : thin, yellowish, painless stools.
In evening : beating in forehead ; headache < ; tearing pains in eyebrows and left side of head < ; trembling in limbs with chilliness ; internal chill, with shivering through whole body, but more in back and on legs ; shaking chill ; chills run down
back ; itching of skin.
At night : pressive and contused pain in eyes with difficulty in opening lids ; tearing pain in eyebrows and left side of head ; dryness of mouth without thirst ; nausea and vomiting of food and mucus, with sleeplessness ; seminal emissions ; fatiguing,
racking cough from oppression of chest ; night sweats ; in feather bed, much itching of skin.
About midnight : spasmodic, flatulent colic ; spasms.
About 1 o'clock : wide awake, cannot go to sleep again.

Temperature and weather

Warmth : itching of skin from.
Warm air : is sensitive to.
Sun : headache from working in, or from riding through sand.
In-doors : pressing pain in forehead, with nausea ; beating in forehead >.
In warm room : convulsive trembling of head < ; trembling in limbs with chilliness.
From warmth of bed : sensation of emptiness and hollowness in head >.
Cold : spasmodic pains in abdomen during menstruation < by.
Open air : sensation of emptiness and hollowness in head ; < ; convulsive trembling of head < ; cannot bear cold or warm air.
Cold air : beating in forehead < ; sensitive to.
In cold room : red cheeks and heat of face.
Eating or drinking anything cold : tearing in limbs after.
Cold drinks : longing for.

Fever

Before chill and before shaking commences, during an hour, and while extremities were becoming cold, a great dread of the coming paroxysm. θ Intermittent fever.
During paroxysm restless and anxious, no thirst ; during chill, which was internal, great trembling, particularly of head, which she could not support. θ Intermittent.
Chilliness began about 11 A. M., and was attended with great disgust at even smell of food. θ Intermittent.
Internal chill in afternoon and evening, attended with shivering through whole body, but more in back and on legs ; not > by external warmth.
Frequent shivering mingled with heat, later chill, followed by heat ; skin at times moist, perspiration does not relieve. θ Intermittent.
Shaking chill in evening, preceded by shivering and blueness of nails.
Upward and downward shaking instantly ceases when vomiting and diarrhœa set in, but coldness continues for an hour longer when fever begins to predominate. θ Intermittent.
Chills run down the back in evening.
Chill frequently alternating with heat. θ Chronic diarrhœa. θ Typhoid.
Continuous chilliness with hot skin. θ Gastritis.
Flushes of heat, with burning heat of cheeks and cold feet.
Heat in head and chilliness in body. θ Typhoid.
Dry heat the whole night through.
Fever setting in with giddiness, during fever a state of apparent stupor with consciousness and no confusion of thought. θ Intermittent.
During heat : headache < ; heaviness in head, < on sitting ; she feels her pulse beat through whole body ; at times palpitation. θ Intermittent.
Hectic fever, with emaciation and night sweats.
Intermittent fever, with colic and lameness of small of back.
Low, nervous, bilious and lingering cases of gastric fever.
Insidious nervous fevers, particularly in cases which have been produced by frequent fits of anger, or are accompanied by great disposition to anger.
Febrile stage followed by general perspiration, profuse, clammy, offensive, runs off from chest in streams. θ Intermittent.
Morning sweat principally on chest.
Prostration and exhausting sweat over whole body from slightest exertion.
Sweat, caused by pain in bowels, during diarrheic stool.
Perspiration stands out in drops on face, is now cold and then again hot. θ Convulsions.
Cold sweat now of one, now of the other hand.
Sweat of body from evening till morning, attended with cold sweat on face.
Sweat of affected parts.
Temperature very slightly affected or increased. θ Typhoid.

Attacks, periodicity

Sudden : unconsciousness ; thin, black, slimy, very fetid stool ; cessation of menses ; spasms from non-appearance or sudden checking of menses.
Spasmodic : shaking of head ; jerks through whole body ; drawing of abdomen towards vertebral column ; flatulent colic ; pains in abdomen ; pains in abdomen and loins during menstruation ; labor pains ; cough ; drawing across hips ;
constriction through whole length of spine ; yawning.
Transitory : stinging pains in swollen knee.
Frequent : attacks of headache over right frontal eminence ; stools ; desire to urinate ; giddiness ; trembling of limbs ; waking from sleep as from fright ; shivering mingled with heat ; alternation of chill with heat.
Constant : inclination to sit in a corner buried in thought ; talking ; sensation as if about to faint ; trembling of hands ; rolling of eyeballs, eyes being closed ; pain in right iliac region, near cecum ; working of limbs, with drawing pains in
abdomen ; leucorrhœa ; pain in back ; yawning and stretching after lying down in bed ; chilliness with hot skin.
Lasting a few minutes : frequent attacks of headache over r. frontal eminence.
For an hour : many thoughts of business of day prevent sleep.
For several hours : respiration scarcely perceptible.
Lasting through whole night : dry heat.
From evening till morning : sweat of body, with cold sweat on face.
Lasting several days : vertigo.
For seven days : has not slept an instant ; watery stools, three or four a day, but there would be a dozen if he yielded to it.
Regularly in afternoon : attacks of prosopalgia.
Every other day : hard stool.
Every two weeks : vertigo, which lasts several days ; attacks of vertigo, with difficult speech and difficulty in reading and thinking.
At each catamenial period : headache returns.
Intermittent fever.
Chronic : diarrhœa ; dyspepsia ; prosopalgia.
For twelve years : nervousness aggravated to insanity by grief.

Locality and direction

Right : frequent attacks of headache over frontal eminence ; stitches in frontal region ; as if a blunt body was forced slowly into temple ; pustule below angle of mouth ; pain in hypochondriac region extending towards epigastrium and stomach ;
pain in iliac region with flatulent colic ; constant pain in iliac region, near cecum ; rupture pain on side ; contractive tension of side of chest, taking breath away ; stitches in upper arm ; superficial abscess above root of nail of little toe ; paralytic
weakness of side ; numbness in upper and lower extremities ; involuntary motions of arm and leg ; unable to move arm or leg ; feeling of numbness in arm and leg, as if asleep ; involuntary motions of hand and then of foot.
Left : compression, dull and undulating sensation in frontal region ; headache extending to side of forehead and nose, from vertex ; sensation as if hair was rising up on side of occiput ; cramplike pain in temporal muscle ; tearing pains in jaw ; pain in
side of head and eye ; sclerotic of eye inflamed ; iris of eye inflamed ; tearing pains in side of head ; tearing in side of head ; dull pressure on malar bone ; hypochondriac region feels distended and tense, and is painful on pressure ; pain in side of
abdomen ; pain under ribs ; audible rumbling in side of chest, as if from emptiness ; paralysis of hand and foot ; hemiplegia of side.
From right to left : things whirl ; stitches in scapulæ ; numbness of hands.
From before backward : stitches through abdomen and lower part of back.
From within outward : stitches or shooting in eyes.
From without inward : pressing pain in forehead ; pressure in glands.

Sensations

As if her head was tightly compressed ; as if there was a board across head ; as if there was no head ; as if about to faint ; as if eyes were being torn out ; as if brain was constricted by a ligature ; as if a blunt body was forced slowly into
right temple ; as if head was seized in a vise ; as of seasickness ; as if brain was rolled up or compressed into a small bulk ; as if head was bound up ; as if head was bound tightly by a cord ; as if nerves in head were drawn up tightly ; as if head was
compressed by a bandage, or as if screwed together ; as if hair was rising up on left side of occiput ; as if something forcibly closed eyes ; as of dust in both eyes ; as if eyelids were paralyzed ; as if tongue was paralyzed ; as of swelling at root of
tongue ; as if œsophagus was inflamed ; as if throat was lame ; as of hunger in epigastrium ; as if stomach heaved up and down ; as if one had been a long time without food till hunger was gone ; as though a worm was moving in stomach ; as if waist was
constricted by a tight band ; as if opening and shutting like a door, in occiput and nape ; as if cervical vertebræ were stiff ; as if paralyzed in back and neck ; as if menses were coming on ; as of very fine, delicate wires or fibres pulling and continually in
motion down both arms from elbow to hand ; as if arms were asleep, which alternates with a similar feeling in back ; as if hand was swollen ; as if forearm was asleep ; as if hands were asleep ; as if lower limbs were paralyzed ; as if beaten, in thighs ;
as if a hot iron went into right little toe ; as of weight in feet ; as if limbs would be broken or crushed by bending when moved ; as if right arm and leg were asleep ; as if beaten, in bones ; as if beaten, in both hypochondria ; as if abdomen was distended
and tense ; as of a heavy stone in hypogastric region ; as of an internal ulcer in abdomen ; as if all would give way at groin ; as of sharp stones rubbing together in abdomen ; as if inner parts were suffering from sharp pressure of a stone ; as if throat was
constricted ; as of stiffness or cracking of vertebræ.
Pain : in head ; from over right eye into head ; in left side of head and eye ; in stomach ; beneath stomach immediately after eating ; in region of spleen ; in epigastric, umbilical and right iliac regions with flatulent colic ; in hypogastric
region ; in left side of abdomen ; under left ribs ; in bowels, with stool ; in small of back ; extending down spine ; in back ; in lower part of spine ; in back, shooting through body to both sides and along spine to occiput and even to temples at
times ; in arm ; in bones.
Lancinating : over right frontal eminence ; especially on one side of head ; in jaw.
Cutting : in various parts of abdomen, chiefly around navel ; in region of uterus and ovaries on appearance of menses ; in abdomen.
Lacerating : in back.
Darting : below umbilicus through to spine.
Boring : in head ; in jaws ; in back.
Stitches : in temples ; in right frontal region ; in eyes ; in jaws ; in hepatic region ; through abdomen and lower part of back, from before backward ; between scapulæ and in small of back ; in scapula from right to left ; in shoulder joint
and muscles of upper arm ; in right upper arm.
Fine stitches : in various parts of chest.
Dull stitches : in skin.
Stitching pain : in stomach ; in jaw.
Sticking : in various parts of abdomen, chiefly around navel.
Stinging : near fossa navicularis ; in swollen knee ; in glands.
Shooting : in eyes.
Jerking : in pes anserinum ; in nerves sympathetically affected by prosopalgia ; in arms.
Tearing : in head ; on one side of head, especially in bones and left jaw ; in brow and left side of head ; in eyebrows and left side of head ; in limbs ; in stomach ; in bones.
Laming-drawing : here and there in limbs, as if in bones.
Paralytic drawing : of sides of throat.
Spasmodic drawing : across hips.
Disabling drawing : in small of back.
Fine drawing : in borders of teeth.
Drawing : in forehead ; in nerves sympathetically affected by prosopalgia ; in dental nerves ; through whole abdomen ; in testicles when touched ; in back ; bone pain in shoulder joint and long bones of arm ; in thumbs ; in bones of limbs.
Burning : of mouth and throat ; in palate ; in œsophagus, extending into fauces ; in abdomen ; in rectum ; in anus ; in glands ; in feet.
Twisting : in stomach.
Smarting : urination.
Sore pain : in epigastrium and chest ; in testicles ; in bones.
Tensive pain : in pustule below right angle of mouth ; beneath stomach.
Contractive tension : of right side of chest, taking breath away.
Pinching : in stomach ; in upper abdomen, extending to l. side of abdomen and chest.
Squeezing : in pit of stomach.
Griping : in stomach.
Crushing pain : in jaws.
Grinding : in pit of stomach.
Digging : in head ; in bones.
Painful concussion : in head.
Contused pain : in hypogastrium ; in eyes ; in pit of stomach ; in shoulder joint and long bones of arm.
Compression : in left frontal region.
Cramping pains : in abdomen ; in region of uterus and ovaries and appearance of menses ; in chest during menstrual period.
Cramplike pain : in left temporal muscle ; in temporal and malar regions ; in region of malar bone and masseter muscles.
Cramps : of stomach ; in chest ; in uterus ; deep in abdomen ; in lower extremities.
Constriction : of throat ; in larynx ; in trachea ; in chest ; in heart ; in stomach ; of internal parts.
Constrictive : headache ; pain in stomach ; pain in upper abdomen, extending to left side of abdomen and chest ; pains in hypogastrium.
Choking constriction : in upper part of fauces.
Spasmodic constriction : through whole length of spine.
Contractive pain : in epigastrium, taking the breath ; in anus ; in abdomen.
Contraction : near umbilicus ; of rectum.
Pressing pain : in forehead ; in both temples.
Pressive pain : in eyes ; in region of malar bone and masseter muscles ; in tonsils ; in hepatic region.
Painful pressure : in uterus.
Pressure : in forehead ; in both eyes ; in pit of stomach ; in various parts of abdomen, chiefly about navel ; towards genitals ; in chest ; under ribs ; in scapula and nape of neck ; in glands.
Dull pressure : on outer border of orbit ; on left malar bone.
Oppression : in chest ; of respiration.
Anguish about heart.
Rupture pain : on right side.
Gouty pains : in joints.
Paralytic pain : in small of back ; in knee joints ; in bones.
Bruised pain : in bowels ; in shoulder joint and long bones of arm ; in lower limbs ; in bones.
Aching : in forehead ; of limbs.
Sensitiveness : of throat ; of genitals ; of testicles ; in back and neck ; of whole spine.
Disagreeable pain : in knees.
Benumbing pain : in region of malar bone and masseter muscles.
Painful lameness : in arms and legs.
Painful stiffness : of neck ; of joints.
Stiff pain : in cervical muscles.
Tensive aching : in orifice of urethra between acts of micturition.
Tension : in abdomen.
Tightness : in larynx.
Painful sensation of emptiness in head.
Emptiness : in head ; in abdomen ; in bowels ; in chest ; in heart ; in stomach ; in internal parts.
Fulness : in groin.
Painful sensation of fulness : in stomach.
Heaviness : of head ; in head ; of arm ; of feet ; of eyelids.
Weight : in head ; in feet.
Throbbing : over right frontal eminence ; in temples ; in vertex ; in head.
Beating : in forehead ; in feet ; in skin.
Pulsating pain : in forehead.
Spasmodic internal heaving : in epigastrium.
Undulating sensation : in left frontal region.
Irritation : high up in larynx.
Excitement : of genitals.
Nausea : felt in head ; seems to be mostly in mouth.
Qualmishness : in epigastrium.
Faintness : from slightest exertion ; from pain in bowels during diarrheic stool.
Crawling : in arms.
Formication : over right frontal eminence.
Numbness : in arms ; of right then of left hand ; of lower limbs ; in right upper and lower extremities.
Tickling : cough.
Stiffness : of lower limbs.
Stony sort of feeling : in chest.
Pithy feeling : of hands, with loss of sensibility.
Hollowness : in head ; in abdomen.
Trembling : in back ; of limbs.
Paralytic weakness : of right side.
Weakness : of muscles of neck ; of sexual organs ; of cervical muscles ; in lower limbs ; of knees.
Paralytic feeling : in arms ; in arm of that side of body corresponding to affected side of face.
Lameness : in arms ; in hip and knee joints ; of small of back.
Confusion : of mind ; of head.
Dulness : in forehead ; of head as after being drunk ; in left frontal region.
Peculiar sensation : at root of tongue.
Cloudiness : in head.
Depression : of genitals.
Dryness : of lids ; of tongue ; of mouth ; in fauces ; in pharynx and œsophagus ; of lips.
Itching : in anus ; near fossa navicularis ; of scrotum ; swelling of feet ; of skin ; on chest, tibiæ and in axillæ.
Burning heat : of face.
Heat : in head ; in feet.
Shivering : over mamma.
Chilly feeling : through teeth ; in body.
Coldness : of feet ; of face ; of hands ; of extremities.

Tissues

Ill effects of loss of sleep and mental excitement.
Vomiting and intestinal spasm dependent on reflex action, such as megrim, and also in nervous women at the menstrual period.
"Acts chiefly upon those portions of nervous system which control muscular movements, found in anterior portion of cranio-spinal axis."
"It influences the voluntary muscles rather than the intellectual powers."
"While convulsions are produced in acute poisoning, paralytic symptoms abound in the continued experiments of the provers."
Violent emesis ; syncope.
Ovario-uterine organs : spasms ; hyperesthesia.
Paraplegia occurring in debilitated, nervous persons.
Paralysis of inner parts.
Pain of muscles when touched.
Anemic states ; impeded, sluggish circulation giving rise to œdema.
Paralytic pain ; tearing ; soreness ; digging ; or as if beaten in bones.
Assisted the expulsion of necrosed bone after fracture of head of femur.
Gouty pains or cracking in joints.
Glands : burning ; pressure from out inward ; hot swelling ; cold ; stinging.
Emaciation.
Patient has a sunken, corpse-like appearance. θ Intermittent.

Touch. passive motion. injuries

Touch : throbbing in vertex < from ; tensive pain in pustule below right angle of mouth from ; epigastrium sensitive to ; right hypochondriac region sensitive to least ; pain as from an internal ulcer in abdomen from ; constant pain in right
iliac region near cecum < from least ; drawing sore pain in testicles ; upper region of abdomen painful ; spasmodic pains in abdomen during menstruation < ; vertebræ sensitive ; bruised and contused pain in shoulder joint and long bones of arm ; articular
rheumatism with intense pain from slightest ; starting and trembling all over body from slight, unexpected ; pain in muscles ; ulcers very sensitive.
Pressure : < tensive feeling below stomach ; left hypochondriac region painful on ; < pain under left ribs ; vertebral spines from last dorsal vertebra to sacrum tender.
When stroked : swollen, hard glands under lower jaw, and nodes on forearm painful.
Least jar unbearable.
Riding : beating in forehead < ; in a carriage, boat or train of cars, sick headache ; nausea and inclination to vomit ; diarrhœa ; sensitiveness to.
From riding in a wagon : nausea with pressing pain in forehead worse.

Skin

Skin feels soft, is white and moist. θ Typhoid.
Paleness of skin ; wretched color. θ Intermittent.
Skin pale and lax.
Much itching, especially in evening when undressing, or at night in a feather bed, or from warmth.
Burning and itching as from nettles.
Burning, itching stitches and dull stitches in skin.
Itching on chest, tibiæ and in axillæ.
Ulcers very sensitive to touch.
Miliary eruptions or red spots, < on undressing.
Adenitis, cold, hard glandular swellings.
Hard blotches, containing no fluid, surrounded by a red areola.
Single pimples filling with pus, and then drying up and disappearing, on nose, temple, chest and between scapulæ.
Wine-colored (red), irregular spots on chest and behind ears.

Stage of life, constitution

Mild and sluggish temperament ; light hair.
Hypochondriacal, melancholy, timid, fearful persons.
Depression of nervous system, with little disturbance of vegetative sphere.
Women of great nervous and paralytic weakness, with suppressed or very painful menstruation.
Indicated after mental and bodily overtaxation.
Suits especially bookworms and sensitive, romantic girls with irregular menstruation ; onanists, rakes and other debilitated persons ; drunkards.
Chlorotic females.
Cramps of unmarried girls and childless women.
Often indicated with children and women.
Chronic prosopalgia in ladies of high rank, of ages varying from 30 to 40 years ; abdominal plethora, extreme irritability of nervous system, especially of spinal cord ; wind in epigastrium ; acidity ; obstinate constipation ; diarrhœa ;
menstrual colic ; bland, thick leucorrhœa ; spinal irritation, with nocturnal pains ; temperament choleric ; through long-continued suffering had been brought into a state of desperation, constantly changing, and that quickly, from pusillanimity and despondency to
extreme gayety.
Girl, æt. 6, small, weak ; intermittent.
Robust girl, æt. 8 ; sudden lameness of right arm and leg.
Girl, æt. 8 ; palpitation.
Boy, æt. 12 ; encephalitis.
Girl, æt. 12 ; necrosis of femur.
B., æt. 14 ; abscess of toe with diarrhœa.
Girl, æt. 15 ; paralysis.
Girl, æt. 16, tall, slender, blonde hair, delicate complexion ; chronic diarrhœa.
Girl, nervous, delicate, addicted to much coffee drinking, and compelled to sit much ; dysmenorrhœa.
Boy, æt. 16, slender ; chorea.
Boy, æt. 16, strong, well nourished ; typhoid.
Boy, æt. 17 ; vertigo every two weeks.
Girl, æt. 18, slender, has not yet menstruated ; sudden attack of unconsciousness followed by hemiplegia.
J. Q., æt. 19, married, lymphatic temperament, delicate as a child, subject to headache and pain in back, menstruates regularly since 16th year ; pain in back.
Girl, æt. 19 ; acute articular rheumatism.
Girl, æt. 20, healthy, strong, menses regular ; cramps from cold during catamenia.
Miss ---, æt. 20 ; spinal irritation.
Man, æt. 22 ; incarcerated hernia.
Servant girl, æt. 24 ; amenorrhœa.
Woman, æt. 26 ; leucorrhœa during pregnancy.
Woman, æt. 26 ; plethoric constitution ; menorrhagia.
Woman, æt. 28 ; sanguine temperament ; leucorrhœa.
Mrs. T., æt. 29 ; puerperal eclampsia.
Man, æt. 30, cachectic appearance ; colic.
Delicate woman of good family, married late ; intermittent.
Man, æt. 34, had scabies all over, later rheumatism of l. arm, also had pneumonia ; heart disease.
Man, æt. 34, formerly had itch ; cramps in stomach.
Miss H., æt. 35, plethoric ; headache for 15 years, came shortly after appearance of menses.
G, æt. 43, strong, muscular, formerly suffered from rheumatic pains in limbs ; rheumatic ophthalmia.
Mrs. B., æt. 48, nervo-sanguine-bilious temperament, scrofulous diathesis, has prolapse of pelvic viscera ; intermittent.
Woman, æt. 50, large, emaciated ; apoplexy.
Mother, æt. 69, much exposed to cold ; arthritic ophthalmia.
Old man, compelled to stand during his work ; inguinal hernia.

Relations

Antidoted by : Camphor., Chamom., Cuprum, Ignat., Nux vom .
It antidotes : Alcohol, Chamom., Cuprum, Ignat., Nux vom., Tabac .
Compatible : After Acon . in endocarditis with fearfulness ; after abuse of Chamom . ; after Chamom . and Nux vom . in
gastralgia ; after Ignat . and Nux vom . in paralytic symptoms, in chorea.
Incompatible : Coffee.
Compare : Acon., Act. rac., Ant. crud . (gastralgia) ; Agar . (somnolency) ; Ant. tart. ; Arsen., Bellad., Calc. carb., Carb. veg . (lingering pain of
parotitis) ; Chamom., Coffea, Colchic., Cuprum , Ignat . (headache) ; Ipecac., Iodium, Laches . (sopor) ; Lycop., Mercur., Moschus, Nitrum ,
Nux vom . (somnolency) ; Oleander, Petrol ., Pulsat . (headache) ; Rhus tox., Sabina, Sassafras, Scutellaria , Silica ,
Stramon., Tabac., Valeriana, Veratr .

Lectures on Homoeopathic Materia Medica

James Tyler Kent · Lectures on Homoeopathic Materia Medica · homeoint.org / Séror HTML text (Kent d. 1916; public domain)

Lecture

We will study the general system and The mind as usual. Cocculus slows down all the activities of the body and mind, producing a sort of paralytic weakness. Behind time in all its actions.

Slowly

All the nervous impressions are slow in reaching the centres. If you pinch this patient on the great toe he wants a minute and then says "oh," instead of doing it at once. In response to questions he answers slowly, after apparent meditation, but it is an effort to meditate.

And so with all nervous manifestations, thought, muscular activity, etc. He cannot endure any muscular exertion, because he is weak; he is tired. First comes this slowness, then a sort of visible paralytic condition, and then complete paralysis. This may be local or general. There are certain causes which produce these effects. A wife nursing her husband, a daughter nursing her father, becomes worn out by the anxiety, worry and loss of sleep.

She is exhausted; unable to sustain any mental or physical effort; weak in the knees, weak in the back, and when the times comes for her to sleep she cannot sleep. Sickness brought about in this manner is analogous to that caused by the Cocculus poison, and hence Cocculus from the time of Hahnemann to the present time has been a remedy for complaints from nursing, not exactly complaints that come on in the professional nurse, for Cocculus needs the combination of vexation, anxiety and prolonged loss of sleep, such as you have in the mother or daughter who is nursing, or the nurse when she takes on the anxiety felt by a member of the family; a wife nursing her husband through typhoid, or other long spell of sickness.

At the end of it she is prostrated in body and mind, she cannot sleep, she has congestive headaches, nausea, vomiting and vertigo. That shows how a Cocculus case begins. One who is thus exhausted in body and mind goes out for a ride. She gets sick headache, pain in the back, dizziness, nausea and vomiting. She gets into the car to take a journey. Sick headache comes on. She goes on a mile or two and will have nausea, vomiting and sick headache. She feels weak all over, feels as if she would sink away.

The Cocculus patient gets into a wagon to ride, sick headache, nausea, vertigo come on. The Cocculus patient cannot endure motion. Aggravated by talking, by motion, by the motion of the eyes, by riding. Wants plenty of time to turn the head cautiously to see things. Wants plenty of time to move, to think, to do everything. The whole economy is slowed down, inactive.

Tremulous, tired, excitable. The hands tremble when taking hold of anything, or he takes hold of awkwardly and drops it. Incoordination runs through this remedy, and hence it has been used with good effect in locomotor ataxia. It has staggering and numbness. Numbness is quite a feature of this remedy. Numbness of the lower extremities, in the fingers, in the shoulder, of the side of the face. Complaints from anxiety.

Mind

Extreme irritability of the nervous system. The least noise or jar is unbearable. You have heard that Bell. is worse from a jar. So is Cocculus, and quite like Bell. Cocculus is also like Belladonna in its sleeplessness, and other general conditions.

This sensation of seasickness and dizziness is sometimes felt all over the body; a sort of faint feeling which is followed sometimes by loss of consciousness, or a paralytic rigidity.

Joints

Stiffness of the joints is a common feature in Cocculus. It belongs to the limbs in general. But it is such a strong symptom I will mention it here. Limbs straightened out and held there for a while are painful when flexed. Persons who have been suffering from anxiety, prostrated, will lie on the back, straighten out the limbs, and get up only with great difficulty.

The doctor comes and he discovers what is the matter. He bends the limbs and she screams, but she is relieved after the bending, and then she can get up and move about.

You cannot find that anywhere else. It is entirely without inflammation. It is a sort of a paralytic stiffness, a paralysis of the tired body and mind. The Cocculus headaches and backaches, pains and distress are present.

A man will stretch out his leg on a chair and be cannot flex it until he reaches down with his hands to assist. Such things are strange. Faintness on moving the body, fainting from pain in the bowels, from colic. With all this slowing down of the thoughts and activities the patient remains extremely sensitive to suffering, sensitive to pain.

Spasms through the body Iike electric shocks, convulsions after loss of sleep. This patient goes on with nervousness and excitement, anxiety and loss of sleep until convulsions supervene. Tetanus. Cholera, attacks of paralytic weakness with pain, paralysis of the face, of the eyes, paralysis of the muscles everywhere, paralysis of the limbs. Even diphtheria has been known to induce a state very much like I have described as due to loss of sleep and anxiety.

I remember a case of paralysis of the lower extremities that was prescribed for by a very careful homeopathic physician many years ago. It was one of the things that surprised me in the early days of my prescribing and observation.

It was the case of a little girl with paralysis of lower extremities after diphtheria and no hope was given. But Doctor Moore (he was then an Octogenarian) looked over the case. I was acquainted with the family and with the doctor.

He studied the case carefully and gave Cocculus c.m. It was not many days before the child began to move the legs, and the condition was perfectly cleared up, and I have never ceased to wonder at it. It was a good prescription perfectly in accord with all the elements of the case.

Doctor Moore was one of the pupils of Lippe and Hering.

You can hardly see what is coming when the mental activities are slowed down, from anxiety, and loss of sleep, such as we have in nursing. The mind appears like approaching imbecility, and as you look upon the true Cocculus case you wonder if that patient has not been growing insane for a year or two, because the mind seems almost a blank. He looks into space and slowly turning the eyes toward the questioner answers with difficulty. It occurs in nervous prostration, in typhoid fever. It is so nearly like Phos. Acid., that the two remedies must be carefully individualized. Time passes quickly.

He cannot realize that it has been a whole night. A week has gone by, and it seems but a moment, he is so dazed. Slowness of comprehension; cannot find the right word to express his thoughts, so slowly does his mind work; what has passed he cannot remember; forgets what he has just read; cannot talk; cannot bear the least noise; cannot bear the least contraction.

The tongue will not respond. There is confusion of mind and difficulty of articulation. An idea comes into his mind and becomes fixed. He cannot convert it or move it, but it just stays there, and if he speaks he will say something that will cause you to realize that that same idea is holding on to him. So he appears to be in a state of imbecility.

Vertigo

Mental derangement with vertigo. With most all the mental symptoms there is vertigo. He lies in a state of apparent unconsciousness, yet knows all that is going on and at times is even able to remember and describe what was going on, but does not even wink; does not move a muscle.

There is an appearance of ecstacy, a smile upon the face. Knows what is going on, yet with complete relaxation of the muscles without speech or apparent recognition of anyone. Perfectly relaxed, and yet knowing what is going on. That resembles catatonia. Unable to think.

Fears death. Feels as if some awful thing was about to happen. All this is the result of grief, anxiety, vexation, prolonged loss of sleep.

The vertigo is visually attended with nausea. A Cocculus case cannot look out of the car window, cannot look down from the boat and see water moving, without nausea immediately.

Perhaps you can even now surmise what the head symptoms are to be. With the headaches comes dizziness, extreme nausea and gastric symptoms.

Headaches brought on from riding in a wagon or riding in the cars or on shipboard; headache from motion. Cannot accommodate the eyes to moving objects; dizziness and whirling and headache.

Congestion of the head, pressing, throbbing headache. Headache as if the skull would burst, or like a great valve opening and shutting. Sick headache with vertigo. Headache again from working in the sun. Sick headache from riding in a carriage.

Eyes

Dim sightedness and disturbance of vision. Paralytic weakness of the muscles of the eyes, as well as the muscles of accommodation. The face becomes pale and sickly. Pale as death, with pains in the face, vertigo and nausea.

Tearing pains in the face. Neuralgia of the face.

Face bloated. Quivering and twitching of the muscles of the face. Paralysis of the muscles of the face. Numbness of the face. Twitching, jerking, numbness, paralysis, tearing pains.

Prostration and nervous exhaustion accompany most of the complaints of Cocculus.

Stomach symptoms. Loathing of food. Metallic taste in the mouth. Bitter taste in the mouth. Sour, nauseous taste in the mouth, and no food tempts him. He lies there sick with a little fever or a "cold."

Headache, vertigo, nausea, loathing. Intermittent fevers with pains in the limbs, especially in the knees and bones of the legs, with that peculiar stiffness, nausea, and loathing of food. In intermittent fever or perhaps a low typhoid state, we have this loathing of food with nausea.

You go to the bedside and you ask the nurse,

"What have you been feeding the patient?" and the patient gags. The thought of food makes the patient gag.

The nurse will say that every time she mentions food the patient gags. The thought of food or the smell of food in the other room, or in the kitchen, will nauseate the patient. Two medicines have this: Cocculus and Colchicum.

Paralysis

Paralytic conditions. Paralysis of the oesophagus. Cannot swallow.

"Paralytic condition of the throat after diphtheria."

Sore throat with low forms of fever. The fever is gone but the patient does not rally, there is much nervous trembling, numbness, twitching of muscles and great weakness. Sensation as though a worm were crawling in the stomach.

Spasms of the stomach. Violent attacks of gastralgia, violent cramp of the stomach. Griping, pinching, constrictive pain. The pain in the bowels feels as if the intestines were pinched between sharp. stones.

This causes fainting and vomiting. Colicky pains in the bowels great distension of the abdomen, such as is found in typhoid fever tension of the abdomen after drinking; flatulent colic.

Tearing, cutting, spasmodic pains in the bowels. Radiating pains in the bowels accompanying diarrhea. A paralytic condition of the rectum. Inability to press at stool. Urging to stool and burning in rectum. Disposition to stool, but peristaltic motion in upper intestines is wanting.

Women

Copious menstrual flow, menses too soon; last too long. Catamenia two weeks before the time. In women prostrated from grief and from anxiety, and from prolonged loss of sleep, menses come too soon, are copious and prolonged.

Headache, vertigo, nausea. Violent, cramping pains in the bowels, clutching pains in the uterus during menstruation. Again, just such a patient as described will have a suppression of the menstrual flow, or for weeks and months will have no menstrual flow; or just at the time the menstrual period should come on there is a copious leucorrhea that takes the place of the menses.

The woman is emaciated, and grows more and more sickly and chlorotic. The face is of greenish, yellow, sallow hue.

"Leucorrhea in place of the menses," or

"copious leucorrhea between the menstrual periods."

The heart is weak, pulse feeble. Paralytic weakness in the limbs, numbness, jerking of the muscles, twitching, quivering, loss of sensation, loss of power, muscular weakness in all the limbs. Numbness and paralytic feeling in the limbs.

Awkwardness of the fingers and hands. On attempting to grasp the one band with the other there is migratory numbness, or a more permanent numbness associated with paralytic weakness, sometimes changeable; sometimes one side is numb and the other paralyzed.

The soles of the feet go to sleep. Numbness of the soles of the feet, such as we have in locomotor ataxia; cold feet. The knees give way from weakness. Totters while walking and threatens to fall to one side. Knees stiff. Paralysis of the lower extremities, proceeding from the small of the back. Arising from cold, from the abuse of Mercury.

Paralysis of the lower limbs, with stiffness, numbness and bruised feeling.

Sleeplessness from long nursing and from night watching; that is a symptom that I have called your attention to so often. Anxious, frightful dreams; ill effects from loss of sleep and night watching.

"Slightest loss of sleep tells on him."

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

General

For women and children with light hair and eyes, who suffer severely during menstruation and pregnancy; unmarried and childless women.

Adapted to book-worms, sensitive, romantic girls with irregular menstruation; rakes, onanists and persons debilitated by sexual excesses.

Nausea or vomiting from riding in carriage, boat or rail-road car (Arn., Nux m.), or even looking at a boat in motion; sea-sickness.

Headache: in nape and occiput; extending to the spine; as if tightly bound by a cord; with nausea, as if at sea; at each menstrual period; < by lying on back of head.

Sick headache from carriage, boat or train riding.

Diseases peculiar to drunkards.

Time passes too quickly (Ther.—too slowly, Arg. n., Can. I.).

Cannot bear contradiction; easily offended; every trifle makes him angry; speaks hastily (Anac.).

Great lassitude of the whole body; it requires exertion to stand firmly; feels too weak to talk loudly.

Bad effects: from loss of sleep, mental excitement and night watching (Colch.); feel weak if they lose but one hour's sleep; convulsions after loss of sleep; of anger and grief.

Vertigo: as if intoxicated, when rising in bed or from carriage riding; must lie down (Bry.—worse when sitting than walking, and extreme when lying down and closing the eyes, Apis).

Sensation: in abdomen of cutting and rubbing on every movement, as of sharp stones; of hollowness in head and other parts (Ign.).

During the effort to menstruate she is so weak she is scarcely able to stand from weakness of lower limbs (Alum., Carbo a.); after each period hemorrhoids.

Leucorrhœa: in place of menses, or between periods (Iod., Xan.); like the washings of meat; like serum, ichorous, bloody; during pregnancy.

Aggravation

Drinking, eating, sleeping, smoking, talking, riding in a carriage, cold air; motion of carriage, swing or ship.

Amelioration

At night, after sweat.

Type

Bilious and lingering gastric; insidious, "sneaking," low, typhoid, nervous; especially when produced by fits of anger or disposition to anger.

Prodrome

Great dread of the coming paroxysm (Nat.).

Time

8-11 A. M. Afternoon or evening.

Chill

Without thirst. Chilliness alternating with heat. Shaking chill for half an hour at 8 A. M., without thirst and without subsequent heat (Caust.). Shaking chill over the whole body in the afternoon, or in the evening. Chill, with severe colic, not relieved by a warm stove; with lameness of the small of the back; chill more in the back and on the legs; in afternoon or evening; with shivering through the whole body; not $>$ by external warmth. Continuous chilliness with hot skin. Chilliness at 11 A. M. with disgust for even smell of food. Shaking chill (upward and downward) ceases when diarrhœa and vomiting set in. Nervous, spasmodic symptoms. The cold stage is predominant.

Heat

Without thirst. Dry heat during the night. Flushes of heat, with burning cheeks and cold feet. Intolerance of both cold and warm air (of cold air, Bar., Camph.). Burning heat in the cheeks, which are glowing hot, with coldness of whole body, or only of the feet (Caps.). Now one hand, now the other, is alternately hot or cold (Dig.—see Caust.—one foot hot the other cold, Lyc.). Vertigo and nausea on raising the head.

Stupor with consciousness.

Sweat

Of the body from evening till morning, which is cold only on the face. Sweat in the morning, especially on the chest.

Cold sweat, now on one, now on the other hand. Sweat over the whole body during the slightest motion (Bry.). Sweat of the affected parts (Amb., Ant. t.).

Tongue

Coated white, edges dry. Loss of appetite, with metallic taste (Mer.). Tobacco tastes bitter. Aversion to sour things (desire for pickles, Ant. c.).

Ayprexia.—When the fever threatens to assume a slow, "sneaking," nervous form, attended with vertigo; dull pains in the head, general weakness and physical depression; anorexia, with a tongue comparatively clean, but a marked tendency to nausea—as if the stomach was always nauseated, Cocculus should be thought of.