Cuprum Metallicum cupr.

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

NERVES: Cerebro-spinal axis. Digestive tract. Epigastrium. Abdomen. Muscles. Blood.

Worse

Emotions: Anger. Suppressions. Overtax. Motion. Hot weather. Vomiting. Loss of sleep. Touch. Raising arm.

Better

Cold drinks. Pressure over heart.

General

Sub-oxidation, affecting the centers of the medulla. Violent effects; in recurring symptom groups. CRAMPS AND SPASMS; of all kinds; radiating from or of single parts; extort cries; tonic, knotting the muscles; twisting the head awry; with trismus or hiccough; then deathly exhaustion, chills, spasmodic laughter, etc.; in chest; behind sternum; of fingers; calves > stretching leg out, or soles, etc.; nocturnal; < at menses; epileptic. Jerkings; during sleep. Pains; pressive, < touch; as from blows, being broken, etc.; in racking darts, through whole body. Continued weakness. Poor reaction. Easy relapses. Latency. Blueness.

Particulars

Hypersensitive: every drug overacts, without curing. Uneasy. Nervous. Sense of losing consciousness. Impulsive. Piercing shrieks. Delirium; loquacious; then cold sweat. Confusion. Melancholy; with spells of fear of death. Sullen; tricky; alternately yielding and headstrong. Vertigo; with internal tremor, > stool. Can't hold head erect or bores it into pillow. Crawling on vertex. Pulls her hair. Meningitis. Eyeballs oscillate behind closed lids. Face livid, pale or distorted. Closed mouth. Grinds teeth. Metallic taste. Puts tongue out like a snake. Loss of speech. Noisy swallowing. Nausea. Vomiting; violent; tormenting; > drinking; with agonizing colic, diarrhœa and shrieks or convulsions. Painful transfixion cramp. Hard pressure in epigastrium. Lies on stomach and jerks buttocks up. Tense abdomen. Frightful colic, > pressure, < raising arms. Spurting stools; of green water. Cholera. Suppressed urine. Cramps prevent coition. After-pains. Spasm of glottis. Dyspnœa; can't bear anything near mouth; < coughing or laughing. Asthma. Cough; in violent paroxysms; coughs herself out of breath; > cold drinks (Caus.), < deep breathing or bending back; with cramps, spasms (Zin.) or lachrymation. Whooping cough. Chest; loud rattle in; painful, constriction of (lower). Jerking hands and feet. Clenches thumbs into palms. Heavy ankles. Repressed or undeveloped eruptions, discharges, etc. (Zin.). Yellow, scaly eruptions. Slow pulse. Icy cold; afebrile. Chilly. Cold, clammy sweat; at night. Collapse.

Related

Complementary: Calc-c. Related: Ver-a.

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

Spasms and cramps : symptoms disposed to appear periodically and in groups. Mental and physical exhaustion from over-exertion of mind and loss of sleep (Coc., Nux); attacks of unconquerable anxiety. A strong, sweetish, metallic, copper taste in the mouth with flow of saliva (Rhus). Constant prostration and retraction of the tongue, like a snake (Lach.). When drinking, the fluid descends with a gurgling sound (Ars., Thuja). Cholera morbus or Asiatic cholera, with cramps in abdomen and calves of legs. Bad effects of re-percussed eruptions (of non-developed, Zinc.), resulting in brain affections, spasms, convulsions, vomiting; of suppressed foot-sweat (Sil., Zinc.). Convulsions, with blue face and clenched thumbs. Cramps in the extremeties; pains, soles, calves with great weariness of limbs. Clonic spasms, beginning in fingers and toes, and spreading over entire body; during pregnancy; puerperal convulsions; after fright or vexation; from metastasis from other organs to brain (Zinc.). Paralysis of tongue; imperfect stammering speech. Epilepsy: aura begins in knees and ascends; < at night during sleep (Bufo); about new moon, at regular intervals (menses); from a fall or blow upon the head; from getting wet. Cough has a gurgling sound, as if water was being poured from a bottle. Cough, > by drinking cold water (Caust. - < by drinking cold water, Spong.). Whooping cough: long-lasting, suffocating, spasmodic cough; unable to speak; breathless, blue face, rigid, stiff; three attacks successively (Stan.); vomiting of solid food after regaining consciousness (Can.); cataleptic spasm with each paroxysm. After pains; sever, distressing, in calves and soles.

Relations

Complementary: Calcarea. Compare: Ars. and Ver. in cholera and cholera morbus; Ipecac, the vegetable analogue. Ver. follows well in whooping cough and cholera. Apis and Zinc. in convulsions from suppressed exanthems.

Aggravation

Cold air; cold wind; at night; suppressed foot sweat or exanthema.

Amelioration

Nausea, vomiting and cough, by a swallow of cold water.

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

Cupr. acet. and Cupr. met. are generally conceded to have the same set of symptoms. One of the strongest indications for the use of this remedy is a strong metallic taste in the mouth. Rhus is the only other remedy that has this symptom in a marked form.

Spasms

Spasmodic affections generally; whooping cough where the attacks run into catalepsy; movements of the head; epilepsy; spasms, particularly which begin in the fingers and toes, then spreading all over the body; spasms clonic.

Sexual

Female: Menstruation too late; protracted complaints before.

Chest

Respiration oppressed; quick; with mucous rattle; unequal; complaints attending.

Pulse

Changed in general; imperceptible; small; soft.

Generalities

Outward appearance of the face bluish; bluish-red. Vomiting in general, which is very severe. Affections of soles of the feet; attacks of sick feeling; blackness of outer parts; cyanosis or morbus cæruleus; motions convulsive; bloated skin.

Worse

Before menstruation; from vomiting.

Better

From being mesmerized; during perspiration.

Where eruptions strike in, as in scarlet fever, etc., complaints may result such as excessive vomiting, great stupor, convulsions, etc., Cuprum takes high rank to cause the rash to re-appear, etc.

Convulsions during pregnancy, and puerperal convulsions which begin in the fingers or toes and spread all over the body; or where there is great restlessness between the attacks, either filling up the entire interval or only a part of the time.

Remedies following

Bellad., Hyosc., Pulsat., Stramon., Veratr.

Antidotes

Camphor., Hepar.

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

Audible gurgling of the drink passing from the esophagus. Epileptiform convulsions; trembling, tottering, and falling unconscious without a scream; frothing from the mouth; followed by a headache. Brain affections, convulsions, etc., from suppressed eruptions, or during dentition.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Copper

General

Spasmodic affections, cramps, convulsions, beginning in fingers and toes, violent, contractive, and intermittent pain, are some of the more marked expressions of the action of Cuprum; and its curative range therefore includes tonic and clonic spasms, convulsions, and epileptic attacks. Chorea brought on by fright. Nausea greater than in any other remedy. In epilepsy, aura begins at knees, ascends to hypogastrium; then unconsciousness, foaming, and falling. Symptoms disposed to appear periodically and in groups. Complaints begin in left side (Laches). Tape worm (colloidal Cuprum 3x).

Where eruptions trike in, as in scarlet fever, complaints may result, such as excessive vomiting, stupor, convulsions, which come within the sphere of this remedy. The pains are increased by movement and touch.

Head

Fixed ideas, malicious and morose. Uses words not intended. Fearful. Empty feeling. Purple, red swelling of head, with convulsions. Bruised pain in brain and eyes on turning them. Meningitis. Sensation as if water were poured over head. Giddiness accompanies many ailments, head falls forward on chest.

Eyes

Aching over eyes. Fixed, stary, sunken, glistening, turned upward. Crossed. Quick rolling of eyeballs, with closed eyes.

Face

Distorted, pale bluish, with blue lips. Contraction of jaws, with foam at mouth.

Nose

Sensation of violent congestion of blood to nose (Melilot).

Mouth

Strong metallic, slimy taste, with flow of saliva. Constant protrusion and retraction of the tongue, like a snake (Lach). Paralysis of tongue. Stammering speech.

Stomach

Hiccough preceding the spasms. Nausea. Vomiting, relieved by drinking cold water; with colic, diarrhœa, spasms. Strong metallic taste (Rhus). When drinking, the fluid descends with gurgling sound (Laur). Craves cool drink.

Abdomen

Tense, hot and tender to touch; contracted. Neuralgia of abdominal viscera. Colic, violent and intermittent. Intussusception.

Stool

Black, painful, bloody, with tenesmus and weakness. Cholera; with cramps in abdomen and calves.

Female

Menses too late, protracted. Cramps, extending into chest, before, during, or after suppression of menses. Also, from suppressed foot sweats (Sil). Ebullition of blood; palpitation. Chlorosis. After-pains.

Heart

Angina pectoris. Slow pulse; or hard, full and quick. Palpitation, præcordial anxiety and pain. Fatty degeneration (Phytol).

Respiratory

Cough as a gurgling sound, better by drinking cold water. Suffocative attacks, worse 3 am (Am c). Spasm and constriction of chest; spasmodic asthma, alternating with spasmodic vomiting. Whooping-cough, better, swallow water, with vomiting and spasms and purple face. Spasm of the glottis. Dyspnœa with epigastric uneasiness. Spasmodic dyspnœa before menstruation. Angina with asthmatic symptoms and cramps (Clarke).

Extremities

Jerking, twitching of muscles. Coldness of hands. Cramps in palms. Great weariness of limbs. Cramps in calves and soles. Epilepsy; auro begins in knees. Clenched thumbs. Clonic spasms, beginning in fingers and toes.

Skin

Bluish, marbled. Ulcers, itching spots, and pimples at the folds of joints. Chronic psoriasis and lepra (Hughes).

Sleep

Profound, with shocks in body. During sleep constant rumbling in abdomen.

Modalities

Worse, before menses; from vomiting, contact. Better, during perspiration, drinking cold water.

Relationship

Antidotes: Bell; Hepar; Camph. Copper is found in Dulcam, Staphisag, Conium and some other plants. Also in King-crab (Limulus).

Complementary: Calc.

Compare: Cupr sulph (burning at vertex; incessant, spasmodic cough; worse at night; tongue and lips bluish; locally, Cupr sulph in 1-3 per cent sol in inoperable sarcoma). Cupr cyan (meningitis basilaris); Cholas terrapina (cramps in calves and feet; rheumatism, with cramp-like pains); Plumb; Nux; Veratr. Cuprum oxydatum nigrum 1x (all kinds of worms, including tapeworms and trichinosis according to Zopfy's 60 years' experience).

Dose

Sixth 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

SPASM is the one word characterizing this remedy. Cramps or convulsions, in meningitis, cholera, cholera morbus, whooping cough, scarlatina, etc.

Spasms begin in fingers and toes and spreading from there become general.

Mental or bodily exhaustion from over-exertion of mind or loss of sleep.

Affections arising from suppressed skin troubles, especially from acute exanthemata.

The grand central characteristic symptom is expressed in one word -spasms. If in brain affections, congestions, meningitis or apoplexy Cuprum is to do any good, spasm will be present in some degree, at least, from a simple twitching of the fingers and toes to general convulsions. If in cardialgia, there is violent spasmodic griping and pressure, followed by vomiting. In cholera, cholera morbus, or cholera infantum the cramping pains are sometimes terrible. Dunham said: "In Camphor collapse is most prominent; in Veratrum album, the evacuation and vomiting; in Cuprum, the cramps." In whooping cough "children get stiff, breathing ceases, spasmodic twitchings; after a while consciousness returns, they vomit and recover but slowly;" or the child coughs itself into a complete "cataleptic spasm with each paroxysm of cough." In all kinds of repercussed exanthematic spasms, Cuprum is the first remedy to be thought of (see comparison with Zincum).

These spasms may also be found in dysmenorrhœa, in child bed, or in after pains. Then, aside from any and all kinds of local affections, Cuprum may be found indicated in epilepsia, chorea, and other purely nervous spasmodic affections of a general nature. There is one thing peculiar in the spasms of Cuprum that I have often observed, and it is a strong indication for the remedy, viz.: The spasm begins by twitching in the fingers and toes, and, spreading from there, becomes general.

There is another symptom which Farrington thought very valuable, viz.: "Mental and bodily exhaustion from overexertion of mind, or loss of sleep." This is similar to Cocculus and. Nux vomica. The other symptoms must decide between them. I have always used the metal instead of the acetate, because I used the potencies, and it acted promptly.

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

Craziness ; attacks with savage malice, with proud bearing, and at times interrupted by clonic spasms. Great anguish, like fear of death ; restlessness, groaning, and desire to escape. Attacks of rage (wants to bite the bystanders). Convulsive laughter. Incoherent, delirious talk.

Head

Vertigo while looking upwards, when reading ; the head inclines to bend forward ; worse during motion, better when lying down. Painful hollow sensation in the head. Tingling in the vertex. Convulsions of the head ; the head is moved from one side to the other ; is drawn to one side or falls forward ; aggravated or renewed by each contact (hydrocephalus). Headache after an epileptic attack. The head is twisted to one side ; falls forward. Purplish-red swelling of the head ; face purple-red and blue lips ; convulsion and twitches in the limbs ; worse when touched, which causes the swelling to pain.

Eyes

Eyes fixed (staring), sunken. Protruded, glistening eyes. Eyes are turned upward. Greater immobility of the pupils. Violent itching in the eyes (evening). Dim eyes ; they feel so weak that they close.

Ears

Boring pain in and behind the ear. Itching in the ear.

Face

Distorted muscles of the face ; sad, dejected expression. Paleness of the face ; changed features, full of anguish. Bluish face with bluish lips.

Mouth and Throat

Spasmodic contraction of the jaws. Difficult dentition in children, with convulsions. Inability to talk, on account of spasms in the throat. Foam at the mouth. Hoarse crying, like a child. Coldness of the tip of the tongue. Burning in the throat ; dryness of the throat, with thirst. Singultus and spasm of the œsophagus. When drinking, the beverage descends in the gullet with a gurgling noise. Excessive thirst, with great dryness of the throat. Sweet taste in the mouth. Desire for warm food ; cats hastily.

Stomach and Abdomen

Singultus preceding the spasms. Nausea, ascending from the stomach into the throat. Vomiting of water containing flakes, offensive smelling ; of bile, of blood. Excessive vomiting accompanied by colic, diarrhœa, spasms. Vomiting is prevented by drinking cold water. Pressure in the pit of the stomach ; worse from pressure. Gnawing and corroding sensation in the stomach. Violent colic, with great anxiety. Pressure in the abdomen, as from a stone ; worse from contact. Violent spasms in the abdomen, with convulsions. Ulcers ; (corroding, stinging) in the intestines.

Stool and Anus

Suppressed stool, with general heat. Violent watery diarrhœa (with flakes ; bloody diarrhœa).

Urinary Organs

Suppressed secretion of urine (and stool). Urine dark-red, turbid, with yellowish sediment ; viscous, offensive. Frequent nocturnal urination.

Respiratory Organs

Suffocative arrest of breathing. Asthma increases (at 3 A.M.) when bending the body backwards, when coughing, when laughing. Painful contraction of the chest, especially after drinking. Hurried breathing, with rattling in the bronchial tubes. Spasmodic constriction of the chest, obstructing breathing and preventing speech (after fright and anger). Hooping-cough in long continuing attacks, causing suffocative fits ; one swallow of cold water relieves. Violent palpitation of the heart (before the menses).

Extremities

Upper. Jerking in the arms and hands. The arms and hands are bluish marbled. Twitches of the muscles of the forearms and hands (morning). The fingers twitch. Herpes in the bends of the elbows, forming yellow scales, itching, especially in the evening. Inflammation of lymphatic vessels from the hand to the shoulder, with violent swelling of the hand. Coldness of the hands. Weakness and lameness of the hand. Lower. In the knee-joint weakness, pain, as if broken. Twitching of the muscles in the lower extremities. Painful cramp in the calves. Twitching of the toes. Burning of the soles of the feet. Suppressed perspiration of the feet.

Sleep

Deep sleep, with jerking in the limbs. Lethargic sleep. During sleep constant grumbling in the abdomen.

Generalities

Convulsions, with piercing cries. Clonic spasms. Epileptic attacks (at night), followed by headache.

Fever

Pulse small, weak and slow. Chilliness over the whole body, mostly in the extremities. Chilliness after every attack of indisposition (epileptic attacks). Debilitating, hectic, internal heat. Flushes of heat. Cold perspiration at night. Many attacks (epileptic attacks, attacks of mania) end with (cold) perspiration.

Skin

Herpes, with yellow scales. Dry itch. Old ulcers ; caries.

Conditions

Contact renews and aggravates many complaints. Aggravation from vomiting. Amelioration after drinking (a swallow of water relieves the cough).

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

Copper. Cu. (A. W. 63). Trituration.

Clinical

After-pains. Angina pectoris. Asthma . Asthma millari. Cardialgia. Catarrh. Chlorosis. Cholera. Chorea. Convulsions . Cough. Cramps. Croup . Cyanosis. Dentition. Dyspnœa. Emissions . Epilepsy. Eruptions. Erysipelas. Fainting. Gastric disturbance. Gout . Hæmatemesis. Herpes. Hysteria. Inflammations. Larynx, spasm of. Mania. Measles. Meningitis. Neuralgia. Palpitation. Paralysis . Pneumonia. Psoriasis. Ringworm. Sleeplessness. Spasms. Spinal irritation. Ulcers. Whooping-cough. Yellow fever.

Characteristics

Metallic copper is an antipsoric remedy, working from within outwards. It ranks with the most important of those which relieve states arising from the "striking inward" of diseases or the failure of eruptions or discharges to appear. It is this power to relieve internal spasm which renders it appropriate to the collapse stage of cholera, of which it is also, like Sulphur , a prophylactic either when worn next the skin, or when taken internally. Cuprum produces many skin eruptions, and also foot-sweat, and it corresponds to these, and also to the effects of suppression of eruptions, exanthems, and foot-sweat; whether these effects be internal pains or spasms or oppression of the brain and mental disturbance. Mackechnie made a brilliant cure of psoriasis in a young girl with Cuprum . The leading features of its symptomatology are: Cramps, convulsions, spasms of the most violent form, coming on from disappearance of pains, discharges, eruptions, mental derangement. With suppression of menses, patient screams. Tonic spasms of thumbs. Eyeballs turn up. Opisthotonos. Tonic and clonic spasms. "Convulsions during pregnancy and puerperal convulsions which begin in the fingers or toes, and spread all over the body; or where there is great restlessness between the attacks, either filling up the entire interval, or only a part of the time." Thus Guernsey. He also says that "a slimy metallic taste in the mouth" is one of the strongest indications for Cupr . Rhus is the only other remedy which has this symptom so marked. "Cramps or spasms beginning in hands and feet, extending to belly," is confirmed by J. C. McLaren. Mossa regards Cupr . as one of the remedies for the effects of fright, and relates the case of a girl who, after a fright, was affected by involuntary motions of left arm and leg developing into pronounced general chorea. Cupr . brought about slow but decided recovery. Another girl, 12, who had recovered from whooping-cough got a kind of chorea from repeated frights on seeing an epileptic. To the muscular movements was added silly behaviour: tongue heavy, speech slow, gait unwieldy. Frightened at night. Greediness in eating and drinking. Ign., Stram., Sul ., did little good. She became ill-natured. Cupr . every four days cured completely in three months. Mackechnie reports the case of a boy who became epileptic after being locked up in school. Very great improvement followed the administration of Cupr . Schwencke cured a case of epilepsy of forty years' standing with Cupr . 6 after Bell . and Hyo . had done some little good. The patient was a man aged 45. The fits began suddenly towards morning with chewing motion of lower jaw; gnashing of teeth; becomes upright and rigid in bed; shrieks; limbs convulsed. After giving way to violent anger, attacks become more severe; arms and legs were thrown outwards and trunk arched upwards. Cupr . was now given. For a time the attacks continued severe, but gradually improvement set in, and in less than three months they ceased altogether. The "anger" in this case and the "ill-humour" in Mossa's are noteworthy. Maliciousness is an indication for Cupr . In a second case cured by Schwencke, that of a man, 38, epileptic seven years, a pressive headache preceded the attacks, ascending from nape to forehead; then there was profuse salivation, head turned to left, eyes closed, tongue in active motion in open mouth, trunk arched upward, slight spasms of right arm outward. After attack, dulness of head, and feeling in body as if beaten. Cupr . first removed the fits and then the dulness of the head. Cupr . has pains like knife-thrusts, < on least motion; take away the breath, thinks he must die if they last. Speaks in a whisper. The thrusts go through to back from ensiform cartilage, from umbilicus. Restless tossing all night. Perfect stupor, with jerking of muscles. Paralysis of isolated muscles. Many unusual symptoms are produced, including maliciousness and desire to injure. Screaming, with cerebral or mental symptoms. Loquacious. Violent head pains < over left eye. Brain seems paralysed. Chlorosis from abuse of iron. Vomiting, hiccoughs, and spasms > by drink of cold water. Over-sensitiveness of skin, especially in region of stomach and fourth and fifth dorsal vertebræ. Touch and pressure < . < Before menses; from vomiting. Symptoms are < evening and night. Cold air and cold wind < ; cold drinks > (colic, cough &c.). Wrapping head > headache. < At new moon. Periodicity every 15, 30, or 60 minutes; every fortnight. Getting wet = epileptic attacks. > From being mesmerised; during perspiration. Suited to fair-haired people; and the carbo-nitrogenoid constitution. Women who have borne many children (after-pains).

Relations

Is antidoted by: Sugar, or white of egg mixed with milk and given freely. Hepar, or potash soap may be used after poisoning from food prepared in copper vessels. Aggravations are > by smelling Camphor. Dynamic antidotes: Bell., Cham., Chi., Con., Cic., Dulc., Hep., Ip., Merc., Nux v. Antidote to: Aur., Merc., Op. Complementary: Calc. Compare: Other Copper preparations, Calc. c., Gels. (overworked brain); Cicut. and Solaneaceæ (mental symptoms); Silic. (head pains > wrapping up head). Nux, Phos., Coloc., Camph., Secal., Verat., Arn., Apis., Zinc., Puls., Arsen. As if in a dream (Amb., Anac., Calc., Can. i., &c.) Loquacity (Hyo., Lach., Op., Stram., Ver.) Lack of reaction (Sul., Carb. v., Lauro., Val., Ambra, Caps., Pso., Op., Bell., Stram., Bry., Apis).

Causation

Suppressions. Fright.

Mind

Melancholy, with attacks of extreme anguish, like fear of death; restlessness, groaning, and desire to escape. ─ Want of moral courage. ─ Anxiety and tears, alternating with buffoonery. ─ Convulsive laughter. ─ Incoherent, delirious talk. ─ Mildness, alternating with obstinacy. ─ Unfitness for exertion, with fear to be idle. ─ Fits of abstraction, with fixed ideas of imaginary occupations at which the patient labours, or with lively songs; or else with malice and moroseness (with proud bearing, and at times interrupted by clonic spasms; craziness), and often with quick pulse, red and inflamed eyes, wandering looks, followed by sweat. ─ Attacks of rage (wants to bite the bystanders). ─ Furor. ─ Dementia. ─ Loss of sense and thought. ─ Delirium.

Head

Vertigo on reading, and on looking into the air. ─ Whirling vertigo, as if the head were going to fall forward ( < during motion, > when lying down). ─ Sensation (painful) as if the head were empty. ─ Pain in the parietal bone, so as to cause, crying out on putting the hand upon it. ─ Pain as from a bruise in the brain, and in the orbits, on moving the eyes. ─ Stupefying depression in the head, with tingling in the vertex. ─ Aching in the temples, < by the touch. ─ Pulling in the head, with vertigo, > by lying down. ─ Headache, in consequence of an epileptic attack. ─ External, burning shootings, in the side of the forehead, in the temples, and in the vertex. ─ Pains in the occiput and in the nape of the neck, on moving the head. ─ Swelling of the head, with redness of the face. ─ Distortion of the head on one side and backwards; the head is drawn to one side or falls forward; aggravated or renewed by each contact (hydrocephalus). ─ Purplish-red swelling of the head; face purple-red and blue lips; convulsion and twitches in the limbs; < when touched, which causes the swelling to pain.

Eyes

Itching (violent) in the eyes towards evening. ─ Aching in the eyes and in the eyelids, < by the touch. ─ Eyes, red, inflamed, wandering, or fixed (staring), sunken. ─ Convulsions and restless movements of the eyes. ─ Eyes are turned upward. ─ Greater immobility of the pupils. ─ Eyes prominent and sparkling. ─ Eyes closed (weak and dim). ─ Pupils insensible. ─ Obscuration of the sight. ─ Pains resembling a bruise in the orbits on turning the eyes.

Ears

Itching in the ears. ─ Tearing in the ears. ─ Pressure on the ears, as from a hard body. ─ Boring pain in and behind the ear.

Nose

Strong congestion in the nose. ─ Stoppage of the nose. ─ Violent fluent coryza.

Face

Face pale (changed features, full of anguish), with eyes downcast and surrounded by a livid circle. ─ Face bluish; bluish-red. ─ Spasmodic distortion of the muscles of the face. ─ Sad and anxious air. ─ Redness of the face. ─ Lips bluish. ─ Excoriation of the upper lip. ─ Aching of the lower jaw, increased by the touch. ─ Spasm in the jaw.

Teeth

Odontalgia, with acute pullings, extending into the temples. ─ Difficult dentition in children, with convulsions.

Mouth

Mouth clammy in the morning. ─ Accumulation of water in the mouth. ─ Foam at the mouth. ─ Sweet taste in the mouth. ─ Burning sensation in the mouth. ─ Coldness of the tip of the tongue. ─ Tongue clammy, loaded with a white coating. ─ Hoarse crying like a child. ─ Cries, like the croaking of frogs. ─ Loss of speech.

Throat

Inability to talk, on account of spasms in the throat. ─ Dryness of the throat, with thirst. ─ Inflammation of the pharynx, with impeded deglutition. ─ Singultus and spasm of the œsophagus. ─ Desire for warm food; eats hastily. ─ Audible sound of drink (gurgling) while swallowing it. ─ Swelling of the glands of the neck.

Appetite

Taste, sweetish, or metallic, acid, or salt. ─ Watery taste of food. ─ Desire for cold things in preference to hot.

Stomach

Constant risings. ─ Hiccough. ─ Singultus preceding the spasms. ─ Flow of water like saliva, after taking milk. ─ Nausea, with inclination to vomit, extending from the abdomen to the gullet; but chiefly in the epigastrium, with a feeling like intoxication, loathing, and putrid taste in the mouth. ─ Violent periodical vomitings, mitigated by drinking. ─ Vomiting is prevented by drinking cold water. ─ Vomiting in general, which is very severe. ─ Vomiting of bile, of water (containing flakes, offensive-smelling), of slimy matter, or even of blood. ─ Violent vomitings, with pressure in the stomach, cramps in the abdomen, diarrhœa, and convulsions. ─ Cramps in the stomach. ─ Excessively troublesome pressure on the stomach, and on the epigastrium, < by touch and by movement. ─ Anguish in the epigastrium. ─ Gnawing and corroding sensation in the stomach.

Abdomen

Pain, as from a bruise, in the hypochondria, on the part being touched. ─ Drawing pains from l. hypochondrium to the hip. ─ Violent pains in the abdomen, with great anxiety. ─ Abdomen hard, with violent pains on its being touched. ─ Pressure in the abdomen, as from a hard body, aggravated by the touch. ─ Retraction of the abdomen. ─ Spasmodic colic, with convulsions and shrill cries. ─ Tearing and gnawing (corroding, stinging ulcers) in the intestines.

Stool and Anus

Constipation, with great heat of body. ─ Violent diarrhœa (with flakes), sometimes sanguineous. ─ Bleeding of hæmorrhoidal tumours.

Urinary Organs

Urgent want to make water, with scant emission. ─ Frequent emission of fetid (dark-red, turbid, with yellowish sediment), viscid urine. ─ Burning shootings in the urethra, during and subsequent to the emission of urine. ─ Wetting the bed at night.

Male Sexual Organs

Swelling of the penis, with inflammation of the glans.

Female Sexual Organs

Before the catamenia, ebullition of blood, palpitation of the heart, and headache. ─ Menstruation too late; protracted; complaints before. ─ Menses absent for months; violent delirium. ─ Before, and during menses, cramps, convulsions, piercing shrieks; spasmodic dyspnœa; violent palpitation. ─ Menses not appearing after suppression of foot-sweat. ─ Torpid chlorosis.

Respiratory Organs

Obstinate hoarseness, with great inclination to lie down. ─ Bronchial râle, as if from mucus. ─ Tickling in the larynx. ─ Dry cough, with fits of suffocation, like whooping-cough. ─ Spasmodic affections generally; whooping-cough where the attacks run into catalepsy; movements of the head; epilepsy. ─ Cough, with expectoration of whitish mucus, during fits of spasmodic asthma. ─ Asthma increases (at 3 a.m.) when bending the body backwards, when coughing, when laughing. ─ Cough, in the morning, with expectoration of putrid matter.

Chest

Respiration accelerated, rattling, moaning, with convulsive efforts of the abdominal muscles. Short, difficult respiration, with spasmodic cough, and crepitation in the chest. ─ Cough, with wheezing respiration at each effort to breathe. ─ Difficulty of respiration, increased by coughing, laughing, throwing back the body, &c., as well as in the night. ─ Asthma when ascending or walking quickly, with necessity to breathe deeply. ─ Spasmodic asthma. ─ Fits of suffocation. ─ Pressure on the chest. ─ Painful contraction of the chest, esp. after drinking. ─ Cramps in the chest, which cut short the respiration and the voice (after fright and anger).

Heart

Spasm of heart. ─ Angina pectoris. ─ Palpitation of the heart (before the menses). ─ Pulse very changeable; imperceptible; small; soft.

Neck and Back

Sensation of heaviness in the axillary glands. ─ Swelling of the glands of the neck. ─ Paralysis of muscles of back up to neck. Hyperæsthesia of spinal column. ─ Backache top of sacrum.

Limbs

Cramps of limbs; contraction of joints.

Upper Limbs

Herpes in the bends of the elbows (forming yellow scales, itching, esp. in evening). ─ Swelling of the hand, with inflammation of a lymphatic vessel extending to the shoulder. ─ The arms and hands are bluish marbled. ─ Aching and acute pullings in the metacarpal bones. ─ Weakness and paralysis of the hand. ─ Starting of the hands, in the morning, after rising. ─ Torpor and shivering of the fingers. ─ Convulsions in the fingers, particularly which begin in the fingers and toes, then spreading all over the body; spasms clonic.

Lower Limbs

Pains in the legs, esp. in the calves of the legs during repose. ─ Tensive pain and cramps in the calves of the legs. ─ In the knee-joint weakness, pain as if broken. ─ Twitching of the muscles of the lower extremities. ─ Pressive and drawing pains in the metatarsus. ─ Burning sensation in the soles of the feet. ─ Sweat in the feet. ─ Suppression of sweat in the feet. ─ Painful weariness and stiffness in the limbs. ─ Convulsions in the toes.

Generalities

Pressive tearings or startings in the limbs. ─ Pain, as from a bruise in several places, esp. in the joints and in the limbs. ─ Aching in the bones. ─ Rheumatic pains. ─ Many pains, esp. those which are aching, are < on being touched. ─ Shaking pains, which traverse the whole body. ─ Shocks or painful blows in different parts. ─ On weeping, convulsions, with want of breath, and retraction of the thighs. ─ Clonic spasms. ─ Tonic spasms with loss of consciousness, turning of the head backwards, redness of the eyes, salivation, and frequent emission of urine. ─ Convulsions, with piercing cries. ─ Epileptic convulsions. ─ Epileptic attacks (at night), followed by headache. ─ Involuntary movements of the limbs, as in St. Vitus' dance, with redness of the face, distortion of the eyes, of the face, and of the body, tears and anxiety, buffoonery and desire to hide oneself. ─ The convulsions begin mostly in the fingers and in the toes. ─ Spasmodic laughter. ─ Convulsive startings, at night, when sleeping. ─ Violent convulsions, with great display of strength. ─ Paralytic affections. ─ Symptoms which appear periodically, and in groups. ─ Great lassitude, and sinking of the whole body. ─ Obstinate weakness. ─ Consumption. ─ Excessive sensibility of all the organs. ─ Fainting fits. ─ Outward appearance of the face bluish; bluish-red. ─ Affections of the soles of the feet; attacks of sick feeling; blackness of outer parts; cyanosis or morbus cæruleus; bloated skin.

Skin

Eruptions which resemble (dry) itch. ─ Tetters, with yellow scales. ─ Miliary eruptions, esp. on the chest and on the hands. ─ Old ulcers; caries.

Sleep

Profound sleep, with shocks in the body, and starting in the limbs. ─ Lethargic sleep. ─ During sleep constant grumbling in the abdomen.

Fever

Pulse small, weak, and slow. ─ Chilliness over the whole body, mostly in the extremities. ─ Shiverings after attacks of epilepsy. ─ Debilitating, hectic, internal heat. ─ Flushes of heat. ─ Slow fevers. ─ Cold sweat (at night). ─ Many attacks (epileptic attacks, attacks of mania) end with (cold) perspiration. ─ Violent nocturnal perspiration.

The Guiding Symptoms of Our Materia Medica

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

Mind

Marked lessening of memory. θ Scarlatina.
Weakness of memory, as well as cerebral functions in general ; in speaking he frequently has to think for the right word.
Delirium, even paralysis of brain, with symptoms of collapse.
Incoherent delirious talk.
Delirium : afraid of every one who approached him, shrinking away from them ; tries to escape ; in evening and in the dark.
Craziness ; attacks with savage malice, with proud bearing, at times interrupted by clonic spasms.
Attacks of rage, wants to bite the bystanders.
Mania characterized by a wild look and fear ; tries to escape.
Attacked suddenly with convulsions, with biting ; after attack, malicious disposition towards nurse, biting, and striking and doing everything to annoy her, passed her excrements on floor.
Mania with biting, beating, and tearing things to pieces ; insane foolish gestures of imitation and mimicry ; full of insane spiteful tricks, illusions of imagination, does not recognize his own family ; unhappy, apprehensive, anxious, and despairing ; precordial
anguish, pale, miserable look, general chilliness, not > by heat ; attacks en in sweat.
Bellows like a calf during delirium ; periodical uttering of shrill screams.
Whining, tremulous voice and manner.
Convulsive laughter.
Laughing ; grimaces ; exaltation and ecstasies ; melancholy and dread of society. θ Periodical chorea.
Violent weeping, anxiety, ludicrous gesticulations, and desire to hide one's self. θ Chorea.
Shuns everyone ; cannot be induced to go among people in evening ; very restless at night. θ Asthma.
Alternation of gaiety and depression, before attack. θ Whooping cough.
Unconquerable sadness, constant restlessness, as if some misfortune were approaching ; fears he will lose his reason.
Sadness while walking in open air, must stand still or sit down.
The child is afraid of strangers, while teething.
Afraid of and shrinking away from everyone who approaches him ; afraid of falling ; clinging tightly to nurse ; won't stay in bed, but in lap ; conscious, knows people ; tongue darting forth and back with great rapidity, like a snake's. θ Catarrhal
or exanthematic fevers ; scarlet fever without eruption ; during dentition.
Unusual quickness and briskness in erroneous ideas, one following the other quickly, all of an anxious character ; a staring look fixed on objects ; pulse quick, unequal ; profuse weakening sweat ; timid, bashful woman, eighth day
after confinement.
Paroxysms of anxiety ; full of fears.
Attacks preceded by great anxiety. θ Whooping cough.
Attacks of deathly anxiety without heat.
Loss of spirits ; anxiety ; fits of anguish and fear of death.
Restless tossing about and constant restlessness.
Irritable and changeable, at times gentle and sensitive, at others very contrary. θ Chorea.
Changeable mood ; children cross and irritable, or indifferent and dull, in brain affections.
Mental and bodily exhaustion, from overexertion of mind or loss of sleep ; pulse feeble, somewhat frequent, unequal ; skin moist, feet generally cold ; attacks of unconquerable anxiety ; head giddy and internally painful, feels as if he
would lose his senses ; sleep full of dreams, restless, unrefreshing.
Restless tossing about.

Sensorium

Deep sopor, with twitching and jerking of limbs.
Total loss of consciousness. θ Spasms.
Vertigo : on looking up, with dimness of sight, as though a veil were before eyes ; violent and long lasting, > by an evacuation of bowels ; with stupor ; reeling ; head giddy, cannot sit up in bed ; with weariness.
Vertigo of old people and slight apoplectic attacks.
While sitting, suddenly places head upon pillow of sofa, gently shakes head from side to side, about sixty times to the minute ; eyes closed ; expression of face pleasant ; twitching of eyelids with spasmodic rolling of eyeballs. θ Epilepsy.
Vomiting of watery substance from stomach, colic and spasms ; heat in forehead ; intense thirst ; cold water temporarily prevents vomiting, but not a distressing hiccough that seemed certain to end in a convulsion, after which child lay in a comatose state for twenty-four
hours ; heat of head is great, and while child was in a deep sopor, there were twitching and jerking of limbs, coldness of hands, and blueness of fingers. θ Cerebral meningitis.

Inner head

Pain in head, which feels hollow.
Violent pain in forehead, < over left eye ; sensation of pressure over left eye and root of nose ; nose seems stuffed up, yet there is a discharge of coryza ; loss of smell, taste imperfect ; heaviness of head as if brain would press out of forehead, with violent,
almost unbearable headache, < in left side and from motion, > when lying down ; she thinks an abscess is forming in brain, and pain will set her crazy. θ Catarrh of frontal sinus.
Violent agonizing headache, at distinct intervals, in paroxysms, lancinating pains, sometimes in forehead, sometimes in temple or occiput, < by slightest pressure.
Headache below os frontis, feels as if head would be torn asunder.
(In sick :) Painful tearing in forepart of head, with a sensation of pressing outwards ; great dulness and stupidity ; < when touched.
Stitches in temples, with redness of eyes.
Bruised pain in brain, and in orbit on turning eye.
Crawling sensation in vertex.
Strange tingling pain in vertex ; menses omitting.
Violent dull headache over glabella.
Violent continuous headache, increased periodically, with sensation as if cold water was poured on head ; cold hands and feet when headache subsides.
Chronic headache beginning in afternoon and continuing into night ; pain in region of left parietal bone, extending down neck and arms, and across chest, with spasmodic drawings, amounting almost to convulsions ; vertigo ; nausea ; chilliness, and frequent desire to
urinate.
Dulness and heaviness of head, with increasing anxiety.
Congestion to brain, with convulsive motions of extremities and of muscles of face ; eyes turned up, fixed ; half-closed lids ; pupils unaltered, insensible ; skin flabby and cool ; pulse small, and could not be counted ; slow,
heavy inspiration ; quick, moaning expiration.
Brain affections of children, with catarrhal fever, difficult dentition, or exanthematic diseases ; they cannot hold head up.
After meningitis, extreme weakness, want of appetite, fever in evening, sweat in morning, pulse thread-like, skin flabby, cold and moist.
Apoplexia nervosa ; loss of consciousness ; distortion of mouth and face, tongue partially paralyzed and curved to one side ; unable to speak ; paralysis of one or other of limbs.
Exacerbation in brain affections, evenings.
Headache after epileptic attacks.
Paralysis of brain with symptoms of collapse.
Metastasis to brain from other organs.

Outer head

Crawling sensation on top of head, as of something moving there.
Tossing about of head.
Convulsions of head ; head moves from side to side, is drawn to one side, or falls forward ; < or renewed by contact. θ Hydrocephalus.
Children cannot hold the head up. θ Brain affections. θ Whooping cough.
Purplish-red swelling of head ; face purple red, and lips blue ; convulsions and twitches in limbs ; < when touched, which causes the swelling to pain.

Sight and eyes

Eyes : dim ; fixed and staring ; protruding, glistening ; turned upward ; lustreless ; sunken, with blue rings ; feel so weak that they close.
Immobility of pupils.
Pressing pain in eyes.
Bruised pain in orbits when moving eyes.
Violent itching in eyes toward evening.
Eyes red, inflamed. θ Epilepsy.
Eyeballs red, move like a pendulum from side to side.
Quick rotation of balls, with lids closed ; severe pain in eye-balls during attacks.
Frequent twitching of lids of left eye, blepharospasm and photophobia. θ Asthma.
Inflammation : of periosteum and cellular tissue in orbita ; of lachrymal glands ; spots on cornea.

Hearing and ears

Distant drumming in ear, upon which he is lying, in morning, disappears on rising.
Difficult hearing.
Boring in and behind ears, pressing pain in front.
Itching in ear.
Swelling of meatus externus.

Smell and nose

Loss of smell.
Sensation of great congestion of blood to nose.
Affection of frontal sinuses, with pain in forehead, < over l. eye and root of nose, < from motion, > when lying ; nose feels stuffed ; yet sometimes discharges yellow and again watery matter ; smell gone ; taste imperfect.
Nosebleed ; sometimes on right side only. θ Pneumonia.
Copious fluent coryza.
Stoppage of nose.

Upper face

Expression : sad, depressed ; of suffering ; of prostration ; full of anguish.
Spasmodic distortion of face ; rolling of eyes. θ Epilepsy.
Face : very red, eyelids closed and balls constantly rotating ; pale ; grayish, dirty ; sunken, pinched ; icy cold.
Face red, puffed, covered with hot sweat. θ Asthma.
Face and lips blue.
Erysipelas of face disappears suddenly.

Lower face

Distortion of mouth, and of eyes ; at times risus sardonicus. θ Periodical chorea.
Mouth firmly closed ; spasmodic contraction of jaw.
Lips blue.
Froth from mouth.

Teeth and gums

Rending pain from teeth to temples.
Difficult dentition, with convulsions.
Gums ulcerated.
Trismus. θ Cholera asiatica.

Taste, speech, tongue

Taste : sweet, or sweetish metallic, coppery ; bitter.
Sudden metallic-sour taste in mouth, with flow of saliva, before outbreak. θ Spasms.
All food tastes like clear water.
Tongue darting forth and back with great rapidity.
Paralysis of tongue, stuttering, imperfect speech.
Tongue : red ; dry and rough, papillæ enlarged ; coated white, yellowish or brown ; trembling. θ Chorea.
Tip of tongue cold.
Chronic glossitis.

Inner mouth

Dry mouth. θ Brain affections.
Induration of salivary gland, with or without fistula.
Profuse salivation ; mercurial.
Saliva : sweet, stringy ; frothy, with cough.

Palate and throat

Palate red, fauces and tonsils inflamed.
Dull, piercing pain in left tonsil, < by external touch.
Feeling of constriction, and acute pain in throat.
Sensation as if constricted on swallowing.
Spasms of throat, preventing speech.
Burning in throat and dryness, with thirst.
Singultus and spasm of œsophagus.
Gurgling noise of drink passing down œsophagus.

Appetite, thirst. desires, aversions

Loss of appetite.
Great thirst for cooling drink ; a swallow of cold water > cough and vomiting.
Desire for warm food and drinks ; eats hastily.

Eating and drinking

Gurgling noise of drink passing down œsophagus.
A swallow of cold water > cough, or vomiting.
Milk brings on water-brash.

Hiccough, belching, nausea and vomiting

Hiccough : precedes vomiting and spasms ; begins attack of asthma.
Constant eructations ; rumbling in abdomen.
Nausea : ascending from stomach into throat ; excessive ; repeated but useless efforts at vomiting ; retching and throwing up of phlegm.
Nausea and vomiting after taking cold.
Nausea, vomiting and cramps during catamenia, or catamenia omitting.
Nausea, vomiting and torpid stool, with brain affections.
Severe retching with the stool. θ Dysentery.
Vomiting of water containing flakes, with violent colic and cramps.
Vomiting : in gushes of whey-like fluid ; frothy mucus ; bilious ; green ; forcible ; > by drinking cold water.
Vomiting of blood. θ Yellow fever.
Vomiting with the cough ; with convulsions.
Spasms preceded by violent vomiting of mucus.
Periodical attacks of vomiting.

Scrobiculum and stomach

Burning in epigastric region.
Sensitiveness of epigastrium ; it is sore to touch ; clothes feel uncomfortable.
Deathly feeling of constriction beneath sternum ; with pain behind ensiform cartilage. θ Cholera.
Pressure in pit of stomach, < from touch or pressure ;
Nausea, pressure in stomach, distress in chest, trembling of heart, arms and legs, with feeling of prostration. θ Cardialgia.
Sensation as of a round ball going to and fro under ribs, with various sounds, < from fluid food ; > from tight clothing or bandage around abdomen, and lying quiet.
Sensation as though something bitter were in stomach.
Gnawing and corroding sensation in stomach.
Violent pressure at stomach, with contractive pains at intervals.
Excessive tormenting pains in stomach and epigastric region.
Cramps in stomach and chest, cramps extending upward, with violent diarrhœa.
Spasms of stomach.
Bluish color of pit of stomach and chest during spell. θ Epilepsy.

Hypochondria

Drawing pain from left hypochondrium to hip.
Cirrhosis of liver ; hepatitis syphilitica.

Abdomen and loins

Pressure in abdomen as from a stone ; < from contact.
Pressure at stomach, nausea, eructations, rumbling in abdomen, sensation as of a round ball going to and fro under ribs, with various sounds ; < from fluid food, > by tight clothing or bandage around abdomen ; sleeplessness ; > from lying quiet.
Abdomen tense, or contracted, hot, and tender to touch.
Big belly, of children.
Cutting pains in umbilical region, as if a knife were thrust through to back, with piercing screams.
Cutting pains below navel, abdomen painful on touch, with diarrhœa.
Violent colicky, cutting, drawing pains in abdomen ; abdomen drawn in ; colic not increased by pressure ; great anxiety.
Violent intermittent colic.
Cramps in abdomen. θ Epilepsy.
Violent spasms in abdomen and upper and lower limbs, with piercing, distressing screams.
Intussusception of bowels, with singultus, violent colic, stercoraceous vomiting and great agony.
Ulcers in intestines, with corroding, stinging pain.
Spasmodic movements of abdominal muscles.
Inguinal gland swollen.

Stools and rectum

Stools : watery, with flakes ; bloody ; black ; watery ; green ; gray, with flocculent matter in cholera, also masses of whey-like fluid ; frequent ; not very copious ; in pernicious intermittents ; suppressed with general
heat.
Painful green stools, with violent cutting and tenesmus.
Involuntary thin stool. θ Eclampsia during dentition.
Diarrhœa : violent ; profuse squirting out ; with much wind passing ; with cramps.
Summer complaint of children, with brain affections.
Cholera morbus ; cold perspiration, pulse 120, frequent retching, occasional vomiting of a substance resembling coffee grounds, and frequent stools.
Chronic diarrhœa, especially in cachectic persons.
Cholera asiatica, spasmodic stage ; violent spasms, peculiar contractions of fingers and toes ; painful pressure in scrobiculum, < by touch ; audible gurgling noise of drink passing down ; contraction of chest before vomiting.
Much cramping of muscles, or cramps appearing after vomiting has ceased, in place of it ; icy coldness, pulselessness. θ Cholera asiatica.
From the beginning drawing and tension in muscles, slight convulsive starts, or later more continued cramps, particularly in calves. θ Cholera asiatica.
Spasmodic cramp with coldness, anxiety, thirst, gagging and diarrhœa. θ Cholera asiatica.
Frequent vomiting and stools of copious masses of whey-like fluids, with continuous pains in stomach and abdomen ; constant cramps with convulsive motions of lower limbs ; eyes sunken, face small, nose pointed, dark blue color of face, blue all over body, tongue cold,
aphonia ; heart-beat weak, pulse scarcely perceptible. θ Cholera asiatica.
Painful twitching and slight playing motions of muscles ; trismus ; painful contraction of chest ; painful cramps of calves ; painful convulsions of fingers and toes ; difficult, painful vomiting ; pressure in pit of stomach, < from touch ; constant
restlessness ; fear of death ; light delirium. θ Cholera asiatica.
Deathly anxiety without heat, restless tossing ; staring, sunken eyes ; pale bluish face, features changed and anxious ; hands cold, cold sweat ; violent thirst, hiccough, nausea in whole abdomen, but most in pit of stomach rising up into throat ; continuous,
violent vomiting > by drinking cold water ; aphonia, difficult breathing ; drawing, spasmodic or digging pain in calves. θ Cholera asiatica.
In second stage ; cramps, cold sweats, hoarseness, blue lips and nails, thirst, no urine, cold limbs, weak pulse, face and tongue cold, skin dough-like, in folds. θ Cholera.
In third stage : discharges of whitish fluid, thirst violent : sudden cries with violent clonic spasms of lower limbs or lying down ; fingers stiff and drawn crooked, eyes sunken, with dark or livid circles ; skin blue, slate-colored, and inelastic ; pulse
imperceptible. θ Cholera.
Constipation, alternating with diarrhœa.
Thread-worms ; round worms ; tape-worms.

Urinary organs

Ineffectual desire to urinate, with diarrhœa. θ Pregnancy.
Frequent desire to urinate. θ Neuralgia in head.
Must urinate during night.
Profuse discharge of a clear, watery urine during or after spell. θ Epilepsy.
Urine : acid ; straw-colored, turbid after standing ; a reddish, thin sediment adheres to vessel ; dark red, turbid, with yellowish sediment ; viscous, offensive ; bloody ; scanty or suppressed.
Great and slowly progressing emaciation ; suppurating tuberculosis of lungs, and evident signs of depression of brain ; very great thirst ; increased hunger ; sweetish taste of mouth ; increased urination, especially at night ; dry, very infrequent
stool ; decrease of sexual desire. θ Diabetes.
Scanty urine in brain affections.
Uremic convulsions.

Male sexual organs

Great nervousness in young men, who are prematurely old and have cramps in calves of legs and feet on attempting coition.
Secondary gonorrhœa ; discharge variable as to quantity, orifice of urethra sticking together.

Female sexual organs

Before menses : spasmodic dyspnœa ; convulsions ; violent palpitation.
Menstruation too late ; protracted.
Before or during menses, or after suppression, violent unbearable cramps in abdomen, extending up into chest, causing nausea, vomiting ; sometimes convulsions of limbs and piercing shrieks.
Frequent epileptic spasms during menstruation.
Menses not appearing after suppression of foot-sweat.
Torpid chlorosis.

Pregnancy. parturition. lactation

Violent and distressing cramps in uterine region, in pit of stomach, fingers and toes, or violent general spasms during pregnancy.
Spasms during parturition, with violent vomiting ; opisthotonos, or spreading of limbs and opening mouth.
Clonic spasms during pregnancy or parturition, when attack commences in one part, as in fingers or toes, or in a limb, and gradually spreads all over body ; great restlessness between the attacks.
During lying-in-time : sour-smelling sweat ; miliary eruption ; anxiety ; easily frightened ; heaviness of head ; soreness of abdomen to pressure : burning in small of back ; numbness of arms. Spasms commence with cramps in fingers and
toes ; hands and feet turned outward.
Violent spasmodic labor pains appearing at irregular intervals, often with violent cramps in lower extremities, or cramps may be confined to fingers and toes ; great restlessness between the pains.
Most distressing after-pains, particularly in women who have borne many children.
Cramping after-pains often produce cramp in extremities.
Swelling and induration of mamma.

Voice and larynx. trachea and bronchia

Speechlessness continues after consciousness is restored, after hysterical, epileptic, or other convulsions ; reflex aphonia from cerebral or other sympathetic causes ; spasmodic cough, or dyspnœa, due to spasm of larynx, diaphragm, or intercostal muscles, with
cyanotic state of lips, nails, etc.
Spasm of glottis, preventing speech.
Intermittent aphonia in a professional singer.
Continued hoarseness, so that he cannot speak a word, with desire to lie down.
Hoarseness as soon as he breathes dry cold air.
Hoarse crying, like a child.
Contraction of larynx with cough.
Head thrown far back on pillow ; mouth wide open ; cheeks dark red, almost purple ; eyes partly closed ; trachea hard as a bone and nearly even with chin ; breathing crowing and very difficult ; hands and feet cramped and rigid but not cold ; every
effort to swallow increases the spasms of glottis. θ Laryngeal spasm.
Croup, numerous cases.

Respiration

Sighing ; rolling from one side to another ; at intervals trying to take a deep inspiration.
Respirations deep and snoring, twelve to a minute.
Respiration hurried and noisy. θ Spasms.
Very rapid respiration, with rattling in bronchi, as if they were full of mucus.
Whistling breathing, with whooping cough.
Quick rattling breathing, with cough.
Between attacks of whooping cough, rattling on chest.
Constant spasmodic jerking motion of diaphragm, making breathing short ; muscles of chest and abdomen in constant motion, as after running fast ; talks like one out of breath, < from motion ; > on lying down.
Difficult, labored respiration ; much rattling of mucus.
Dyspnœa ; short, superficial, quick respirations, < by coughing, laughing, bending upper part of body backward, walking quickly, or inhaling acrid vapors.
When trying to take a deep breath, cough with whistling breathing ; dyspnœa in spasmodic fits, almost suffocating. θ Asthma.
Dyspnœa so intense, that he cannot bear a handkerchief before face.
Spasmodic dyspnœa after fright or vexation.
Asthma Millari ; violent attacks, without any cough, in children.
Violent asthmatic attacks come on suddenly, and cease suddenly ; during attacks, great dyspnœa, patient sitting in a bent position ; loud wheezing respiration ; cannot speak above a whisper ; dark red face ; eyes red and protruding ; trembling of
limbs ; profuse sweat ; attacks particularly < by long continued walking against the wind.
Quick, anxious respiration ; contraction of muscles in hypochondriac region during inspiration ; rattling of mucus deep in chest ; great restlessness, throwing herself about in bed ; face blue ; eyes wide open ; larynx drawn upward ; presses hands
violently against bed ; visible cramps of respiratory muscles ; predominant abdominal respiration ; difficult, hollow, hoarse cough, sometimes with a whistling or metallic ringing sound ; hands cold ; cold sweat on forehead ; spasmodic, small, and very frequent
pulse ; attacks followed by great prostration. θ Asthma Millari.
Beginning paralysis of lungs ; indicated by sudden difficulty of breathing, followed by great prostration.

Cough

Cough with interrupted, almost suppressed respiration.
Cough increases dyspnœa.
Dry, suffocating cough, with gagging, < at night, not permitting sleep.
Cough in children ; threatening to suffocate.
With every paroxysm of cough, child coughs itself into a fit ; appears as if it were dead.
Cough, with regular inhalation, but sighing exhalation.
Cough, < at night, with sensation of great dryness in pit of stomach.
Sound when coughing as if cough re-echoed in stomach.
Fatiguing cough with blowing of blood from nose.
Trembling after coughing.
Metastatic cough, with the characteristic sound of croup.
Nervous and spasmodic cough.
Dry cough with measles.
Difficult expectoration, with cough.
Blood in coughing in dark, mixed with phlegm.
Cough dry in evening, slight expectoration morning ; phlegm mixed with dark blood, of putrid taste and smell.
Cough after sea wind.
Cough : < by inhaling cold air ; taking deep breath ; laughing ; after eating solid food ; when bending backward ; on coming from cold air into warm room.
Cough > by drinking cold water.
Before the attacks, great anxiety ; attacks promoted by eating solid food ; they vomit particularly solid food. θ Whooping cough.
Three attacks in quick succession, most at night, with loss of breath. θ Whooping cough.
Paroxysm excited by phlegm in larynx, or a feeling of cramp in pharynx. θ Whooping cough.
Whooping cough, in long attacks, uninterrupted until breath is gone.
Attacks severe, with entire loss of breath, slight twitchings, rigidity ; do not recover for some time ; between attacks, perceptible rattling of mucus in chest. θ Whooping cough.
Whooping cough in most malignant from, > by swallowing cold water.
Children get stiff, breathing ceases, spasmodic twitchings, after awhile consciousness returns, they vomit, and recover but slowly. θ Whooping cough.
Child has a complete cataleptic spasm with each paroxysm of whooping cough.
Stadium nervosum of pertussis, each attack ending in convulsions.
Putrid phlegm. θ Whooping cough.
Pertussis, when vomiting follows each paroxysm of coughing.
Convulsive throwing up of tough, gelatinous mucus, during paroxysms ; afterwards constant rattling on chest ; convulsions of flexor muscles. θ Pertussis.

Inner chest and lungs

Spasmodic constriction of chest, obstructing breathing and preventing speech ; after fright or anger.
Spasmodic contraction of chest ; after drinking ; before vomiting, in cholera Asiatica ; with inclination to urinate ; with cough.
Nausea, pressure on stomach, and anxious contraction of chest ; trembling at heart ; trembling of arms and feet ; can't walk ; great weakness ; changed expression and paleness of face.
Pain behind ensiform cartilage, with a deathly feeling ; attacks of dyspnœa unto suffocation, cold face, blue lips, coldness all over.
Shooting pains in sides of chest, must cry out.
Feeling of a rush of blood to the chest.
Violent palpitation of heart, and slow, small, weak pulse. θ Paralysis after cholera, apoplexy, etc.
Rattling of mucus, deep in chest. θ Asthma Millari.
Lobular pneumonia, when formation of abscess threatens ; beginning paralysis of lungs, indicated by a sudden difficulty of breathing, followed by great prostration ; complication with whooping cough ; face earthy, dirty, bluish ; roof of mouth
red ; sweat sour-smelling ; diarrhœa.
Epidemic pneumonia ; after a few-days' dry coughing or a diarrhœa, either stitches, mostly in left side of chest, or a pressure behind sternum, or neither, but bronchitic symptoms by auscultation, with headache, fever or great prostration ; cannot take a deep breath, the
shooting pain prevents it ; in some cases dyspnœa, sudden feeling of suffocation, has to sit up, with a pale, collapsed face.

Heart, pulse and circulation

Anxious feeling about heart.
Boring pain in region of heart ; stitches below it.
Palpitation and spasms of heart.
Disturbed innervation of heart ; nervous palpitation with blueness of face, dyspnœa ; sudden death impending.
Attacks when excited or when exciting herself ; deathly feeling with pain behind ensiform cartilage ; cold face, blue lips, coldness all over ; sudden attack of dyspnœa unto suffocation. θ Angina
pectoris.
Nausea, pressure in stomach, anxious oppression of chest, trembling of heart ; also trembling in hands and feet, so that she cannot walk ; great lassitude ; paleness of face with altered expression ; constipation ; disturbed mind and sleep ; great
nervousness. θ Affection of heart.
Angina pectoris, attacks coming on from excitement and exertion ; slow pulse.
Pulse generally small, almost imperceptible, weak and very slow ; less frequently full, hard, and accelerated.
Pulse very changeable ; thready, tense ; small, hard and moderately frequent ; irritable in brain affections.
Pulse thready, tense, 100 per minute. θ Measles, with pneumonic symptoms.
Pulse quick, small. θ Scarlatina.
A strong pulse and a wild look.

Outer chest

Chest and epigastric region become blue. θ Epilepsy.

Neck and back

Throbbing carotids. θ Spasms.
Glands of neck indurated.
Paralysis of muscles of back up to neck ; also of the limbs ; lower limbs œdematous, but retain sensibility.
Hyperesthesia and great sensitiveness of spinal column from sixth cervical vertebra to small of back, slightest touch intolerable ; tearing, jerking pains in limbs.
Broad stitches as with a knife, under left scapula, near spinal column, independent of breathing.
Lancination in small of back in a transverse direction.
Burning and tearing in small of back.
Stiff, lame feeling in back and lumbar region.
Backache, top of sacrum ; griping and spasm about region of heart ; head troubles him a great deal.

Upper limbs

Anchylosis of shoulder-joint.
After overwork and mental anxiety, twitching in fingers, extending into hands, arms and body, to diaphragm ; upper portion of body and arms affected by a remittent convulsive shaking ; flushed face, hod head ; alternate laughing and crying, ending in profuse sweat ;
paroxysms excited by laughing, talking, or any exciting emotion ; at no time did the convulsive shaking or trembling extend below waist.
Jerking of arms and hands.
Left arm convulsively jerked as by an electric shock.
Drawing pains in both arms. θ Headache.
Drawing sensation in left arm, arm drawn involuntarily close to body ; formication and tearing in right hand. θ Epilepsy.
Sensation in right arm and forearm, as of constriction of different parts, and of great increase in size, it seeming to him at times to be larger than his whole body, and its motions not fully under control of will.
Numbness and lameness of arms and hands.
Inflammation of lymphatic vessels from hand to shoulder, with swelling of hand.
Tetter in bend of elbow, with yellow scabs ; itching violently, particularly in evening.
Frequent falling asleep of the hands, oppression of chest, and palpitation. θ Spinal irritation.
Can hold nothing in hand, the objects fall to the ground.
Clutches air with hands, unable to speak or swallow. θ Asthma.
Long-lasting trembling and shaking of right hand.
Coldness of hands, and bluish appearance of fingers.
Twitching in hands and fingers.
Stitching, rending or drawing pains in upper limbs.
Stiffened and inflamed hands and fingers.
Pain in middle finger as if pricked with a needle followed the next day by jerking of finger, which soon extended to all the fingers, to first one arm then the other, and finally, ere eight weeks elapsed, there was not a muscle in body which did not occasionally jerk involuntarily. θ Chorea
minor.
Fingers as if dead. θ Cholera.
Little vesicles on tips of fingers, oozing watery fluid.
Ringworm on point of right elbow, and crusts in bend of left.

Lower limbs

Paralysis of lower limbs. θ Psoas abscess.
Violent cramps in legs and feet.
Twitching in lower limbs, drawing them backward.
Lameness of lower limbs, with contraction of muscles.
Great weakness of legs, knees give way.
Weakness of knees, with painful drawing when walking and standing, which is very difficult, knees give way.
Frequent involuntary doubling up of knees in walking, bringing him to the ground ; with whining, tremulous voice and manner.
Weakness in knee-joint, pain as if broken.
Spasms and cramps in calves.
Drawing and digging pain in calf.
Muscles of calf contracted in knots ; convulsive twitching of fingers and toes ; cramping, colicky pains ; no vomiting or diarrhœa. θ Cholera.
Cramp in leg, from ankle up into calf.
Painful heaviness in ankle.
Child draws feet spasmodically upwards and backwards upon nates. θ Convulsions.
Icy coldness of feet, or burning in soles ; suppressed foot-sweat, or sweating of feet.

Limbs in general

Severe cramps in muscles of extremities, making her cry out with pain ; flexors strongly contracted, she imagines every moment the joints will break ; limbs hot and very sensitive to touch.
Cramps in limbs, fingers and toes.
Weakness and weariness of limbs.
Coldness of limbs and hands, bluish appearance of fingers ; low temperature, prostration.
Contraction of joints, particularly knees.
Twitching and jerking of arms and legs. θ Spasms.
(In sick :) Itching and tearing in limbs, and muscles of back, can hardly bear it.
Tingling in extremities ; twitching and jerking of limbs.
Peculiar contractions of fingers and toes. θ Cholera.
Convulsions beginning with cramps in lower extremities, and drawing in of fingers and toes, throwing about of limbs, frothing at mouth, and choking in throat.
Lameness, dragging of left leg ; twitching of left arm ; imperfect speech, tongue trembling ; inability to grasp and hold anything. θ Chorea.

Rest. position. motion

Lying : headache > ; drumming in ear upon which he lies ; pain in forehead > ; sensation as of a ball going to and fro under ribs > ; spasmodic jerking of diaphragm > ; twitchings >.
Sitting : sadness while walking compels ; sudden attack of epilepsy.
Standing : sadness while walking compels quiet ; painful drawing in knees.
Sitting in bent position : during asthmatic attack.
Motion : headache < ; pain in forehead < ; spasmodic jerking of diaphragm < ; twitching in arms and upper part of body brought on.
On opening eyes : eyeballs move about.
On moving eyes : pain in orbit.
Looking up : vertigo, with dimness of sight.
Lying down : sudden cries, clonic spasms of lower limbs.
Sitting up : giddiness of head while in bed, prevents ; sudden suffocation compels.
Rising : drumming in ear >.
Bending backward : dyspnœa < ; cough <.
Walking : sadness while ; dyspnœa < by quick ; asthma < ; painful drawing in knees ; involuntary doubling up of knees.
Exertion : angina pectoris coming on.

Nerves

Senses less acute, in cholera.
Restless tossing about and constant uneasiness.
Nervous trembling, with very great acuteness and sensitiveness of all the senses.
Weariness of long duration.
Great weakness of muscles and relaxation of body.
Great prostration, with nervous excitability, constant restlessness driving out of bed.
Twitching, jerking or starting during sleep.
Starting, grinding of teeth, in brain affections.
Twitching of limbs, followed by unconsciousness.
Twitchings and jerkings, which commence in fingers ; spasms often affect only one side, are painful, spread over whole body. θ Chorea.
Periodical chorea, muscular contortions, with laughter, grimaces, exaltation and ecstasies ; irregular movements commencing in fingers and toes ; twitchings, often confined to one side ; > when lying.
Involuntary motions of left arm and leg resulting from fright, and finally developing into chorea, so that she is unable to keep limbs quiet while awake ; control of tongue lost, and for a long time speech absent.
St. Vitus' dance in a girl of 7 years, after seeing a child in convulsions ; attack begins with shooting and burning in left arm ; arm convulsed, tossed about, so that whole body has to follow ; horrible distortion of eyes and face ; neck drawn to right
shoulder ; face red, sweating ; fever and thirst ; ends with making fun-creeping under table irritable, changing from a mild, sentimental mood to most stubborn obstinacy.
Chorea, or other clonic spasms, during pregnancy, when attacks commence in one part-the fingers or a limb and gradually extend until the whole frame is involved.
Face deathly ; lips cyanotic ; breathing only as it were by voluntary efforts ; rolling alternately each time the chest heaved, from right side to back, from back to right side again ; pulse thready, tense, 120 per minute.
Spasmodic affections in general ; whooping cough where attacks run into catalepsy ; epilepsy ; spasms, particularly which begin in fingers and toes, then spread all over body ; clonic spasms.
Spasms preceded by violent vomiting of mucus ; after spasm child screams, turns and twists until another occurs ; all troubles seem inclined to be translated to brain, threatening that organ with paralysis or dropsy.
Spasms with blue face and thumbs clenched across palms of hands.
Spasms come on in paroxysms, grouped with other symptoms which always appear with these paroxysms. θ Chorea.
Before outbreak, she feels a sudden metallic-sour taste in mouth, with flow of saliva ; dulness and heaviness of head, and an increasing anxiety which drives her to bed ; face grows red ; carotids pulsate ; reddened bulbi become
distorted ; throat and chest feel constricted ; she cannot speak ; respiration hurried and noisy, arms and legs jerk ; especially left arm is convulsively jerked as by an electric shock ; total loss of consciousness ; spell lasts from twenty to twenty-five
minutes ; body breaks out in sweat of an unpleasant odor ; urine flows involuntary ; gradually pulse grows slower, and moaning child falls into a comatose sleep, from which she awakes with dulness of head, slow remembrance, and excessive prostration ; spasms every
fourteen days. θ Spasms from fright after operation.
Spasms after vexation or fright.
Stiffness of whole body ; sometimes body bent forward.
Spasms from metastasis from other organs to brain.
Tonic spasms, throwing patient about bed with such violence, as to require several persons to hold her, sometimes body is bent backward like a bow ; unconsciousness ; constant trickling of saliva from mouth ; constipation ; frequent scanty, turbid urine.
In anemic conditions ; shrill cries during attack ; drowsy and stupid condition during intervals, with nausea and vomiting of slime ; bloated abdomen, with involuntary, thin discharges from bowels ; also when child loses its breath from crying, and draws its feet
spasmodically upwards and backwards upon nates. θ Convulsions of children.
General convulsions, with continued vomiting and violent colic, uremic eclampsia with loquacious delirium, followed by apathy, tongue and breath cold ; face distorted, often red ; eyes projecting, staring ; long, shrill screams ; finally exhaustion, sweat,
torpor, and cessation of convulsions.
Eclampsia of children, during dentition ; violent spasms, similar to epilepsy ; red face ; head and face puffed up ; shrill shrieks before attack ; nausea, violent retching with vomiting of mucus ; lethargy ; twisting, turning,
screaming ; belly distended and hard ; involuntary thin stools ; sometimes convulsive twitching of limbs, followed by senselessness.
Child lies on belly and spasmodically thrusts breech up.
Convulsions with biting.
Epileptic convulsions : trembling, tottering and falling unconscious, without a scream ; preceded by drawing in l. arm ; aura epileptica ; followed by headache ; during sleep at night ; each mew moon.
She becomes suddenly pale ; loses consciousness ; muscles of face and limbs jerk ; at last whole body becomes stiff ; falls down sometimes ; two or three attacks every week θ Epilepsy.
Epileptiform convulsions ; he trembled, staggered, and fell down unconscious, without crying.
Before attack : nausea, retching and throwing up of phlegm, bloated abdomen, drawing sensation in left arm, arm is drawn involuntarily close to body, formication and tearing in right hand, shuddering, goose-flesh, palpitation of heart, or sudden shriek and falling down,
without any premonitory signs.
During attack : fingers become dead ; involuntary discharge of urine ; bluish color of pit of stomach and chest ; chest and head covered with perspiration.
After attack : weeping ; headache ; profuse discharge of clear, watery urine ; long trembling and shaking of right hand ; sleep.
During intervals : anxiety ; tendency to be frightened ; burning in chest and abdomen, with chilliness of remainder of body ; burning and tearing in small of back ; numbness of arms.
In clearly idiopathic cases of epilepsy, with no organic lesions ; < about new moon ; after mental excitement ; fright.
Nocturnal epilepsy, or when the fits return at regular intervals (menses), beginning with a sudden scream ; unconsciousness ; loss of sensibility and throwing the body upwards and forwards ; coldness of hands and feet ; lividity of face ; clinching the
thumbs ; suffocative paroxysms ; frequent emission of urine ; turbid urine ; piercing, violent screaming ; difficult comprehension or stupor ; convulsions of children during dentition or from retrocession of exanthemata.
Epileptic attacks in consequence of getting wet ; drew herself up in bed like a ball, began to scream at slightest touch, or distorted her face as if from pain, and tried in every way to prevent feeling the pulse.
One or two days after cessation of menses, during night, unconsciousness, moaning, rattling in throat, frothing at the mouth, clinching of thumbs, with cramps in abdomen, loss of appetite, and yellowish-white coating of tongue. θ Epilepsy
after falling upon head.
(In sick :) Opisthotonic spasms, body arched, resting on occiput and heels.
Tetanus, with bending head back, and escape of urine.
Rigidity of limbs and trunk ; jaws closed, with loss of consciousness, redness of eyes, ptyalism and frequent micturition.
Nervous apoplexy, with convulsions, distortions of face, and palsy of speech. Atrophy of paralyzed parts, with paralysis of motor nerves, while sensation is normal ; paralysis of tongue ; choreic movement.
After apoplexy, when there is congestion in chest, strong palpitation of heart, or slow, weak and small pulse ; eyelids keep closed and twitch ; when opening eyes, eyeballs move about ; paralysis after cholera and typhus ; paralysis commencing
at periphery, and progressing towards centre.
Paralysis of tongue, stuttering, deficient speech ; the paralyzed limbs grow thinner, but preserve sensation ; frequently complicated with unyielding contractions or chorea like contractions.
Paralysis, could only turn head and neck ; feet insensible, bladder and rectum paralyzed.

Sleep

Frequent yawning. θ Diarrhœa.
Sleepy, without being able to sleep.
Sleeplessness ; tossing about.
Sleep heavy, even to comatose state.
Comatose sleep after vomiting.
During sleep : constant grumbling in abdomen ; jerking.
Sleep full of dreams.

Time

In morning : sweat ; drumming in ear ; slight expectoration with cough.
In evening : delirium ; cannot be induced to go among people ; fever ; exacerbation in brain affections ; itching in eyes ; cough dry ; tetter in bend of elbow with violent itching <.
Night : restless ; increased urination ; cough < ; three attacks of whooping cough in quick succession ; epileptic convulsions during sleep.

Temperature and weather

Heat : chilliness not > ; desire for warm drinks and food.
Cold air : hoarseness ; cough < by inhaling.
Cold water : prevents vomiting ; great thirst for ; cough and vomiting > by a swallow ; cough > by drinking ; whooping cough >.
From cold air into warm room : cough <.
Wind : asthma < by long continued walking against ; cough after sea wind ; cough < by north wind ; cough < by land wind.
Getting wet : epileptic attacks.

Fever

Shaking chill, with icy coldness, and severe cramps in extremities, and cold, clammy sweat.
Intense coldness and blueness of surface, with long continued, general cold sweat and great prostration.
Chilliness before the coughing attack. θ Whooping cough.
Chill over whole body, most severe on extremities.
Chill after every attack of indisposition.
Icy coldness of the whole body.
Skin : moist and cool, particularly extremities ; dry, burning hot ; warm, dry and withered.
Feverish sensation, as if cold wind was blowing out from the skin. θ Diarrhœa.
Cold shuddering with flushes of heat. θ Brain affections.
Either slight heat or burning. θ Brain affections.
Flushes of heat.
Fever, with thirst, frequent pulse and heat.
Skin, in beginning, dry, burning hot ; later, moderately warm, dry and withered, or moist and cool, particularly on extremities. θ Pneumonia.
Typhus, without high fever, but excessive weakness ; dissolution of blood ; nosebleed and petechiæ ; great prostration, with nervous excitability ; restless tossing about ; eyes dim, lustreless ; difficult hearing ; paralysis of heart.
Yellow fever ; attack of vomiting, mostly vomiting of blood.
Burning in the soles of the feet.
During spell, chest and head covered with perspiration ; during interval, burning in chest and abdomen, with chilliness of rest of body. θ Epilepsy.
Debilitating, exhausting internal heat.
Cold sweat at night.
Cold sweat on forehead. θ Cough.
Sweat, sour-smelling. θ Convulsions.
Many attacks end in sweat.
Foot-sweat ; also suppressed foot-sweat.

Attacks, periodicity

Sudden : convulsions ; cries with clonic spasms of lower limbs ; asthmatic attacks ; feeling of suffocation ; metallic-sour taste in mouth ; paleness ; sinking of swelling in erysipelas of scalp.
Constant : restlessness ; rotating of eyeballs ; eructations ; cramps with convulsive motions of lower limbs ; rattling on chest ; spasmodic jerking of diaphragm ; motion of muscles of chest and abdomen ; trickling of saliva from mouth ;
grumbling in abdomen during sleep.
Continuous : pains in stomach and abdomen ; violent vomiting ; hoarseness.
Intermittent : colic ; aphonia.
Paroxysmal : headache.
Periodical : uttering of shrill screams ; chorea ; headache ; attacks of vomiting.
Every fifteen, thirty, or sixty minutes : convulsions after confinement.
Every fourteen days : spasms.
Two or three times a week : epileptic attacks.
From twenty to twenty-five minutes : attack of spasms.
Beginning in afternoon and continuing into night : chronic headache.
For twenty-four hours : coma.
New moon : epileptic convulsions.
Chronic : headache ; glossitis ; diarrhœa.

Locality and direction

Right : bleeding from side of nose ; formication and tearing in hand ; sense of constriction in arm and forearm and of great increase in size ; trembling and shaking of hand ; neck drawn to shoulder.
Left : pain over eye ; pressure over eye ; headache < in side ; pain in region of parietal bone ; extending down neck and arms and across chest ; twitching of lids of eye ; pain in tonsil ; drawing pain from hypochondrium to hip ; stitches
in side of chest ; broad stitches under scapula ; convulsive jerking of arm ; drawing in arm, arm drawn close to body ; lameness and dragging of leg ; twitching of arm ; involuntary motions of arm and leg ; shooting and burning in arm ; drawing in arm
before epileptic convulsion ; blisters on foot.

Sensations

As if some misfortune was approaching ; as of a veil before eyes ; as if an abscess were forming in brain ; as if he would lose his senses ; as if nose was stuffed up ; as if brain would press out of forehead ; as if head would be torn
asunder ; as if cold water was poured on head ; as of something moving on top of head ; as of congestion of blood to nose ; as if throat was constricted on swallowing ; as of a round ball going to and fro under ribs ; as though something bitter were in the
stomach ; as of a stone in abdomen ; as if a knife were thrust from umbilical region through to back ; as of great dryness in pit of stomach ; as of rush of blood to chest ; as if he would suffocate ; as of constriction in r. arm and forearm and of great
increase in size ; as if r. arm and forearm were larger than whole body, and not under control of will ; as if middle finger were pricked with a needle ; as if knee-joint was broken ; as if cold wind was blowing out from skin ; as if bones would break.
Pain : in head ; in forehead, < over left eye ; in region of l. parietal bone, extending down neck and arms, and across chest ; in eyeballs ; acute, in throat ; behind ensiform cartilage ; tormenting, in stomach and epigastric region ; spasmodic
in calves ; behind ensiform cartilage, with deathly feeling ; in middle finger ; in bones.
Agonizing : headache.
Anguish : precordial.
Cutting : in umbilical region ; below navel ; in abdomen ; with stool.
Rending pain : from teeth to temples ; in upper limbs.
Tearing : in forepart of head ; in limbs ; in small of back ; in right hand ; in limbs and muscles of back.
Boring pain : in and behind ears ; in region of heart.
Piercing pain : in left tonsil.
Shooting pain : in sides of chest ; preventing breathing ; in left arm.
Lancinating : in forehead, temples or occiput ; in small of back.
Stitches : in temples ; < in left side of chest ; below heart ; broad, as with a knife, under left scapula.
Stitching : in upper limbs.
Stinging pain : with intestinal ulcers.
Jerking pains : in limbs ; in ulcers.
Digging pain : in calves.
Drawing pain : from left hypochondrium to hip ; in abdomen ; in calves ; in arms ; in left arm ; in knees.
Constriction : in throat ; deathly beneath sternum ; in throat and chest.
Contractive pain in stomach ; in chest.
Cramping : after-pains ; feeling in pharynx exciting cough.
Griping : about region of heart.
Colicky pain : in abdomen.
Gnawing : in stomach.
Corroding : sensation, in stomach ; pain, with intestinal ulcers.
Bruised pain : in brain, and in orbit on turning eye.
Burning : in throat ; in epigastric region ; in small of back ; in soles ; in left arm ; in chest and abdomen ; in sacrum.
Shocks : in sacrum.
Pressing : pain in eyes ; in front of ears.
Pressure : over left eyes and root of nose ; outward, in forepart of head ; in pit of stomach ; in stomach ; in abdomen ; painful, in scrobiculum ; on stomach ; behind sternum.
Oppression : of chest.
Aching : top of sacrum.
Dull pain : in left tonsil.
Dulness : of head.
Distress : in chest.
Anxious feeling : about heart.
Numbness : of arms ; of hands.
Tingling : pain in vertex ; in extremities.
Formication : in right hand.
Crawling : in vertex ; on top of head.
Heaviness : of head ; painful, in ankle.
Lame feeling : in back and lumbar region ; in arms and hands.
Hollow feeling : in head.
Itching : in eyes ; in ear ; tetter in bend of elbow ; in limbs and muscles of back ; of skin ; with eruption of blisters.

Tissues

Acts prominently upon alimentary canal, producing symptoms of gastro-intestinal inflammation, colic, diarrhœa, vomiting, etc. Secondarily, it affects profoundly the nerve centres, giving rise to spasmodic affections, cramps, convulsions and paralysis.
The chief characteristic of the drug is that its symptoms are disposed to appear periodically and in groups.
Hematemesis. θ Yellow fever.
Muscles are knotted and remain so.
Emaciation.
Pain in bones, as if they would break.
Promotes suppuration in swellings.
Inflammation of the cellular tissue.
Caries.
Gangrena senilis of foot in a man.

Touch. passive motion. injuries

Touch : headache < from ; convulsions of head < or renewed by ; swelling on head painful to ; pain in left tonsil < ; epigastrium sore to ; pressure in pit of stomach < ; of clothing over epigastrium uncomfortable ; pressure in abdomen
< ; abdomen tender to ; abdomen painful on ; pressure in scrobiculum < ; spinal column from sixth cervical vertebra to small of back intolerable to slightest ; screams at slightest.
Pressure : headache < from slightest ; pressure in pit of stomach < ; of tight clothing or bandage around abdomen > ; colic not < by ; abdomen sore to.

Skin

Skin over-sensitive, particularly in the region of the stomach and fourth and fifth dorsal vertebræ.
Skin : inelastic ; dough-like ; cold.
Unbearable itching, without eruption.
Prurigo, in children.
Rash on chest and hands.
Rash, on the third day after confinement ; copious, sour sweat ; anxiety ; starting at everything ; head heavy ; pressure in stomach ; abdomen sore on pressure ; great thirst ; shocks and burning in sacrum ; numbness
of arms ; convulsions every 15, 30, or 60 minutes.
Measles ; brings out the eruption, ameliorating the dry cough quickly.
Spots on arms.
Repercussion of eruption, with convulsions, vomiting or gagging ; pale face and twitching of limbs.
Watery vesicles on tips of fingers.
Tetters : spreading, oozing ; in the bend of the elbow, forming yellowish scabs.
(In sick :) Many red points, with minute blisters ; much itching, mostly during the day ; on the left foot, blisters filled with matter ; in cases of leprosy.
Sudden sinking of the swelling changing into a bluish color ; violent brain symptoms. θ Erysipelas of scalp and face.
Blackness of outer parts ; cyanosis or morbus ceruleus.
Eruptions resembling lepra, dry itch, measles and scarlatina.
Herpes, with yellow scales.
Hard inflamed ulcers, with jerking pain ; sensitive ulcers, with redness around edges ; pus scanty and corroding.
Old ulcers.
Lepra vulgaris.
Inflammation of lymphatic vessels from hand to shoulder, with violent swelling of the hand.

Stage of life, constitution

Light hair.
Corresponds to the carbo-nitrogenoid constitution of Grauvogl.
Girl, æt. 9 months, weak ; asthma Millari.
A very delicate child, about one year old ; asthma Millari.
Child, æt. 2 ; cerebral meningitis.
Boy, æt. 4, very irritable and easily angered, father healthy and robust, with inclination to asthma, of which the grandfather of boy suffers severely ; asthma.
Boy, æt 10, small, weak, pale, blonde complexion ; epilepsy.
Boy, æt 10, delicate, sensitive, excitable, of earnest disposition, easily excited to nausea ; cholera.
Boy, æt 10 ; epilepsy.
Girl, æt. 10 for two years ; spasms from fright, after operation for harelip.
Girl, æt, 10 since five years ; epilepsy.
Girl, æt ; 11 cramps.
A young soldier ; knees giving way.
A young soldier ; spasms after measles, with pneumonic symptoms.
Girl, æt ; 13, Ileus.
Girl, æt 15, otherwise healthy, not menstruated, has suffered for three years ; epilepsy.
Girl, æt ; 17 epilepsy.
Girl, æt, 18 delicate, with dark hair, brown eyes, and pleasant expression of face ; spinal irritation.
Girl, æt, 19 healthy ; menses scanty, but regular ; spasms.
Miss A., æt. 20 ; laryngeal spasms.
Girl, æt. 20, blonde ; epilepsy.
Young lady, before attack, courses suddenly suppressed by getting wet ; chorea minor.
Girl, æt. 23, robust, suffering for five years ; epilepsy.
Lady, about to be married, became very nervous from overwork and mental anxiety ; hysteria.
Woman, æt. 24, stout, after parturition ; convulsions.
Woman, married 7 years, childless ; disposition to fainting.
Young soldier on Mississippi ; measles and pneumonic symptoms.
Large, strong farmer ; asthma.
Woman, æt. 33, rather delicate and nervous ; dyspnœa.
Lady, æt. 43, tall, spare, delicate and nervous, had suffered for a long time ; neuralgia of head.
Man, æt. 47, small, lively disposition ; epilepsy.
Woman, æt. 48, weak ; cramps.

Relations

Antidoted by : Sugar or white-of-egg mixed with milk, and given freely. Hepar , or potash soap, may be used after poisoning from food prepared in copper utensils. Aggravations of Cuprum are lessened by
smelling alcoholic solution of Camphor. Dynamic antidotes : Bellad ., Chamom., Cinchona, Conium, Cicuta, Dulcam ., Hepar , Ipec, Mercur ., Nux
vom .
It antidotes : Aurum, Mercur, Opium .
Compatible : After Act. rac., Agaric., Stramon ., in chronic affections ; Calc. ostr., Caustic . and Nitrum act well after Cuprum in
epilepsy ; Arsen . follows well in cholera and other affections ; Veratr . follows well in whooping cough and cholera.
Complementary : Calc. ostr .
Compare : copper preparations generally ; Calc. ostr., Gelsem . (overworked brain) ; Cicuta , and Solanaceæ (mental symptoms) ; Bellad .
(inflammation of brain) ; Silic . (pains about head better from wrapping up warmly) ; Nux vom., Phosphor . (vomiting, diarrhœa) ; Coloc . (colic) ; Camphor,
Secale, Veratr . (cholera, cramps) ; Arnic., Ant. tart., Bryon., Cina, Ipec . (whooping cough) ; Apis, Zincum (hydrocephalus, or convulsions from suppressed exanthems) ; Plumbum
(paralysis) ; Cina (chorea) ; Pulsat . (malarial neuralgia after Quinine and Iron) ; Arsen . (suppression of urine, uræmia).

Lectures on Homoeopathic Materia Medica

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

Convulsions

Cuprum is pre-eminently a convulsive medicine. The convulsive tendency associates itself with almost every complaint that, Cuprum creates and cures.

It has convulsions in every degree of violence, from the mere twitching of little muscles and of single muscles to convulsions of all the muscles of the body. When these are coming on the earliest threatenings are drawings in the fingers, clenching of the thumbs or twitching of the muscles. It has twitching, quivering, trembling, and it has also tonic contractions, so that the hands are closed violently.

In this condition the thumbs are first affected; they are drawn into the palms and then the fingers close down over them with great violence. In the fingers and toes and in the extremities the spasmodic condition increases and extends until the limbs are in a state of great exhaustion. Tonic contractions, the limbs being drawn up with great violence and it seems as if the frame would be torn to pieces by the violent contractions of the muscles everywhere.

Mind

Often the contractions assume a clonic form, with jerking and twitching Cuprum has many mental symptoms. It has a great variety in its delirium, incoherent prattling, talking of all sorts of subjects incoherently. It has produced a variety of mental symptoms; delirium, incoherency of speech, loss of memory.

During its different complaints, such as cholera, some forms of fever, the puerperal state, dysmenorrhoea, congestion of the brain, etc., there is delirium, unconsciousness and jerking and twitching of the muscles.

The eyes roll in various directions, but commonly upwards and outwards or upwards and inwards. There is bleeding from the nose and the vision is disturbed. Between the convulsive attacks there is incoherent talk, delirium, during which the patient is spiteful, violent, weeping or shrieking. They go into convulsions with a shriek. In one place it is spoken of as bellowing like a calf.

This drug has the ability to produce a group of spasms followed by the appearance as if the patient were dead, or in a state of ecstacy. Convulsive conditions sometimes terminate in a state of stasis during which the mind ceases to act and the muscles remain quiet or only quiver.

This is often one of the leading features in whooping-cough when Cuprum is indicated. To bring it down to the language of the mother, the description which she gives of the little one, which will probably make you remember it better than if I use the text, she says that when the child is seized with a spell of this violent whooping cough, the face, becomes livid or blue, the finger nails become discolored, the eyes are turned up, the child coughs until it loses its breath, and then lies in a state of insensibility for a long time until she fears the child will never breathe again, but with violent spasmodic action in its breathing, the child from shortest breaths comes to itself again just as if brought back to life.

In the Cuprum patient the nerves are all the time wrought up to the highest tension; wants to fly, wants to do something dreadful.

Impulsiveness. Compelled to do something; restless and tossing about a constant uneasiness; nervous trembling; always tired. Great weakness of the muscles, and relaxation of the body when the convulsions are not on.

Twitching and jerking and starting during sleep. Grinding of the teeth with brain affections. Inflammations ceases suddenly and you wonder what has happened. All at once comes on insanity, delirium, convulsions, blindness; evidence of cerebral congestions and inflammation appearing with wonderful suddenness. Metastasis. A perfect change from one part of the body to another.

The same thing may occur from a suppressed eruption, or suppressed discharge, or a suppressed diarrhoea, and it goes to the brain affects the mind and brings on insanity; a wild, active, maniacal delirium.

Cuprum is not passive in its business. Violence is manifested everywhere. Violence in i ts diarrhoea, violence in its vomiting, violence in its spasmodic action; strange and violent things in its mania and delirium.

Hysterical cramps and hysterical attitudes may change in a night or in a day to St. Vitus' dance, and go on with it as if nothing had happened. Such is the suddenness with which it changes its character. This is not generally known of Cuprum - this constant changing about. Spasmodic affections in general. Spasmodic coughs, spasms all over the body.

Whooping cough

You have here all the violent features of a convulsive whooping-cough. In addition to what the mother says you may also observe a few things, but the whole make up of such a case, its whole nature, shows that it is a Cuprum whooping cough.

If the mother can get there quickly enough with a little cold water she will stop the cough. Cold water especially will relieve the spasm, and so the mother soon gets into the habit of hurry ing for a glass of cold water, and the child also knows, if it has tried once that glass of cold water will relieve it.

Whenever the respiratory organs are affected there is spasmodic breathing, dyspnoea. There is also rattling in the chest. The more dyspnoea there is the more likely his thumbs will be clenched and the fingers cramped.

In the lower part of the chest, in the region of the xiphoid appendix, there is a spasmodic condition that is very troublesome. It seems to be at times a constriction so severe that he thinks he will die, and at others a feeling as if he were transfixed with a knife from the xiphoid appendix to the back.

Some say it feels as if a lump were in that region and others as if much wind were collected in the stomach. It destroys the fullness of the voice, and it seems as if his life would be squeezed out. Sometimes then it takes the form of colic and sometimes of neuralgia.

If you examine the sensation of tightness in the region of the stomach you will see at once how the voice is affected. You will find the patient sitting up in bed; he tells you in a cracked and squeaking voice that he will soon die if he is not relieved; his face is a picture of fear and anguish he really looks as if he were going to die; the sensation is dreadful.

Cuprum speedily cures this complaint. This constriction and dyspnoea occur sometimes in cholera morbus and in painful menstruation. Spasms of the chest are also accompanied by this constriction and a nervous spasmodic breathing. He is not able to take a full breath.

Cramps

The Cuprum patient is full of cramps. There are cramps in the limbs and in the muscles of the chest, with trembling and weakness. In old age, and in premature old age, it is useful for those cramps that come in the calves, the soles of the feet, and the toes and fingers at night in bed.

In debilitated nervous, tremulous old people, Cuprum serves a peculiar purpose. When an old man, who has been single a long time marries, his cramps will sometimes prevent him performing the act of coition. He has cramps in the calves and soles as soon as he begins the act.

It is especially suitable to young men who have become prematurely old from vices, from strong drink, from late nights and various abuses, and these cramps are not unlikely to occur in such subjects.

Cuprum and Graphites are the two remedies for cramps coming under these circumstances, but whereas Cuprum is said to produce cramps that prevent the act, Graphites is said to bring on the cramps during the act. The two remedies however compete closely with each other, and hence if Graphites corresponds to the constitution of the patient, it should be given, and the same in regard to Cuprum. Sulphur also has cured this state.

Menstruation

In spasmodic conditions that come on during menstruation Cuprum is also useful. Painful menstruation with spasms commencing in the fingers and extending over the body. Tonic contractions that look like hysterical manifestations.

They may be hysterical, but that does not interfere with Cuprum curing, if they are only spasmodic or convulsive. Violent dysmenorrhoea with delirium, turning up of the eyes, contortions of the face and epileptiform manifestations.

In epilepsy calling for Cuprum we have the contractions and jerkings of the fingers and toes. He falls with a shriek and during the attack passes urine and faeces. It is indicated in epilepsy that begins with a violent constriction in the lower part of the chest as I have described, or with the contractions in the fingers that spread all over the body, to all the muscles.

Again, it is a remedy sometimes needed in the puerperal state before or after delivery. The case may be of uraemic character, but no matter; the urine is scanty and albuminous. During the progress of the labor the patient suddenly becomes blind.

All light seems to her to disappear from the room, the labor pains cease, and convulsions come on, commencing in the fingers and toes. When you meet these cases do not forget Cuprum. You will look a long time before you can cure a case of this kind without Cuprum.

Cholera

In cholera morbus with gushing, watery stools and copious vomiting, the stomach and bowels are emptied of their contents. The patient is fairly emptied out, becomes blue all over, the extremities are cold, there is jerking of the muscles, cramping of the extremities and of the fingers and toes, spasms of the chest; he is cold, mottled, blue in blotches, going into collapse; the finger nails and toe nails and the hands and feet are blue.

There are several remedies that look like Cuprum in such a condition. In cholera we would naturally hunt for such remedies as produce cholera-like discharges, more or less spasmodic conditions, the great blueness, coldness, sinking and collapse.

We would here refer to Hahnemann's observation. Hahnemann had not seen a case of cholera, but he perceived that the disease produced appearances resembling the symptoms of Cuprum, Camphor and Veratrum. He saw from the description of the disease that the general aspect of cholera was like the general aspect of Cuprum, Camphor and Veratrum , and these three remedies are the typical cholera remedies.

They all have the general feature of cholera, its nature and general aspect. They all have the exhaustive vomiting and diarrhoea, the coldness, the tendency to collapse, the sinking from the emptying out of the fluids of the body.

From what I have said you will see that the Cuprum case is, above all others, the spasmodic case. It has the most intense spasms, and the spasms being the leading feature, they overshadow all the other symptoms of the case.

He is full of cramps and is compelled to cry out with the pain from the contractions of the muscles. Camphor is the coldest of all the three remedies; the Camphor patient is cold as death. Camphor has the blueness, the exhaustive discharge, though less than Cuprum and Veratrum ; but whereas in the two latter remedies the patient is willing to be covered up, in Camphor he wants the windows open and wants to be cool.

Though he is cold he wants to be uncovered and to have the windows open. But just here let me mention another feature in Camphor. It has also some convulsions which are painful, and when the pain is on he wants to be covered up and wants the windows shut. If there are cramps in the bowels with the pain, be wants to be covered up.

So that in Camphor, during all of its complaints in febrile conditions (and fever is very rare in Camphor), and during the pains he wants to be covered up and warm, but during the coldness he wants to be uncovered and have the air.

In cholera, then, the extreme coldness and blueness point to Camphor.

Again, with Camphor there are often scanty as well as copious discharges, so that the cholera patient is often taken so suddenly that he has the coldness, blueness and exhaustion and almost no vomiting or diarrhoea, a condition called dry cholera. It simply means an uncommonly small amount of vomiting and diarrhoea.

This is Camphor. Another prominent feature is the great coldness of the body without the usual sweat that belongs to the disease. Cuprum and Veratrum have the cold clammy sweat, and Camphor also has sweat, but more commonly the patient needing Camphor is very cold, blue and dry and wants to be uncovered. That is striking.

Now we go to Veratrum and see that we can have three remedies very much alike, and so perfectly adapted to cholera and yet so different. Veratrum is peculiar because of its copious exhaustive discharges, copious sweat, copious discharges from the bowels, copious vomiting, and great coldness of the sweat. There is some cramping and he wants to be warm; he is ameliorated by hot drinks, and by the application of hot bottles which relieve pain and suffering.

These three remedies tend downward into collapse and death. Now to repeat: Cuprum for the cases of a convulsive character, Camphor in cases characterized by extreme coldness and more or less dryness, and Veratrum when the copious sweat, vomiting and purging are the features. That is little to remember, but with that you can enter an epidemic of cholera with confidence.

In cholera-like states there are other remedies which relate to Cuprum and which ought to be considered. Podophyllum has cramps, mainly in the bowels. It has a painless, gushing diarrhea with vomiting as well, and hence is useful in cholera morbus.

The cramps in Podophyllum, are violent, they feel to him as if the intestines were being tied in knots. The watery stool is yellow, and, if examined a little while after, it looks as if corn meal had been stirred into it. The odor is dreadful, smelling like a Podophyllum, stool. If you say it smells like stinking meat that only partly describes it; it is not quite cadaveric but it is horribly offensive and penetrating.

The stool is gushing, copious, and is accompanied by dreadful exhaustion.

"It is a wonder where it can all come from," says the mother, speaking of the exhausting diarrhea in an infant or in a child. The stool runs away gushingly, in prolonged squirts, with a sensation of emptiness, sinking, deathly goneness in the whole abdomen. Phosphorus also ought to be thought of in relation to Cuprum. It also has cramps in the bowels, exhaustive diarrhea, a, sinking as if dying, but commonly with heat of the skin, with burning internally, with gurgling of all the fluids taken into the stomach; as soon as they come to the stomach they commence to gurgle, and gurgle all the way through the bowel.

A drink of water seems to, flow through the bowel with a gurgle. Now this gurgling in Cuprum commences at the throat; he swallows with a gurgle; gurgling in the oesophagus when swallowing.

Convulsive cramps all over the body with twitching, jerking, trembling and blueness of the skin. Everything he does, all his actions are spasmodic, are convulsive. All the sphincters are convulsive, All the activities are irregular, disorderly and convulsive when poisoned with copper.

Bear these things in mind as we study every region in Cuprum. Repression or driving in of eruptions, attended with diarrhoea and convulsions, sometimes only convulsions. We note a case of measles or scarlet fever with a rash that has been suppressed by a chill or exposure to wind and convulsions have come on.

That belongs to Zincum and Cuprum, sometimes to Bryonia, but to Zincum and Cuprum particularly. Twitching of the limbs from a sudden suppression of a scarlet fever, with suppression of urine, chorea, etc.

Cramping of the muscles of the chest; cramping of the calves; cramp ing all over. Suppressed eruptions. Discharges that have been in existence quite a long time. The individual has become debilitated and worn out with excitement, but this discharge barely kept him alive. He has gradually grown weaker, but he has kept about because he had a discharge.

It has furnished him a safety-valve, If stopped suddenly convulsions will come on. That is like Cuprum. A woman has suffered a long time with a copious leucorrhoea and some unwise doctor tells her she must take injections and she checks it up for a few days, hysterical convulsions, crampings and tearings of the muscles come on; contractions of the fingers and toes. Discharges from old ulcers, fistulae suppressed.

Cuprum will re-establish a discharge that has been suddenly suppressed and convulsions followed. It stops the convulsions and reestablishes the discharge. It has caries, it has senile gangrene, or the gangrene that belongs to old age; old shriveled up octogenarians, whose toes and fingers get dark in spots; feeble circulation.

Chest

The face becomes purple. He loses his breath; suffocated. The mother thinks the child will never come to life again. Spasms of the chest; spasms of the larynx; spasms of the whole respiratory system of such a character that the child seems to be choking to death.

Whooping cough. With every spell of whooping cough comes this awful spasmodic state, this spasmodic coughing. Jerking of the muscles. Cuprum has spasms of the limbs with all sorts of contractions such as are found in hysterical constitutions.

Puerperal convulsions. Convulsions where a limb will first flex and then extend an alternation of flexion and extension. In a child you will see the leg all at once shoot out with great violence, then up against the abdomen again with great violence, and then again shoot out. It is hard work to find another remedy that has that. Tabacum has it, but not many others. Convulsions with flexion and extension are common to Cuprum. Convulsions of the limbs, twitching and jerking of the muscles. We get a part of the symptom-picture in one and part in another.

Head

Violent congestion in the head, violent pains in the head. Tingling pain in the vertex, severe pain in the vertex, bruised pain. Crawling sensation in vertex, stitches in the temples. Congestion of the brain, Meningitis. Headache after epileptic attacks. Paralysis of the brain with symptoms of collapse. Metastasis to the brain from other organs.

About the face; convulsions, jerking of the eyes; twitching of the lids. Bruised pain in the eyes. Spasms of the muscles of the eye so, that the eyes jerk and twitch, first from one side and then the other. Rolling of the eyes.

"Quick rotation of the balls with the lids closed.

Lids spasmodically closed"

Closed so that they seem to snap.

"Inflammation of the periosteum about the eyes and cellular tissue of the lachrymal glands."

Spots of ulceration on the cornea, Face and lips blue. The face is purple in convulsions and whooping cough; lips blue.

Inflammation of the tongue. Paralysis of the tongue, It is not an uncommon thing to find paralysis in Cuprum after convulsions, The violence of the convulsions seems to have brought about a re action and paralytic weakness, a numbness and tingling, a loss of motility.

"Spasms of the throat, preventing speech.

Sensation as if constricted on swallowing.

Great thirst for cold drinks."

Many complaints are ameliorated by drinking cold water. The spasms are sometimes mitigated by drinking cold water. The cough is brought on sometimes by inhaling cold air, but stopped by drinking cold water, like Coccus cacti.

"Desire for warm food and drinks.

Eats hastily."

Indigestion from milk. Then there is nausea, vomiting and diarrhea connected more or less with spasms. Spasms of the stomach. Spasms of the chest with diarrhea and vomiting. Cramps of the calves and the fingers and toes.

"Pressure in the stomach."

In the stomach and bowels periodical cramps. Cramps coming periodically. It has cured colic in the form of violent cramps coming every two weeks with perfect regularity. It has pain in the stomach, and a pain under the xiphoid appendix that seems as if it would take his life. If it is not removed he will certainly die in a little while.

Constriction across the chest, suffocation, cramps of the legs. Cuprum goes deep into the life, and it has many a time taken such a grand hold of an old hysterical subject that it has completely eradicated in a short time the hysterical tendency to cramps.

In Cuprum particularly, early in the cramps the thumbs commence to draw down. It is with difficulty that they can be lifted up. They will draw back again, and then the fingers will clinch over them and draw so tightly it is painful. In children with such convulsions, and in hysterics with such convulsions, Cuprum goes deep into the life and eradicates this tendency to convulsions and cramps. Uraemic convulsions. Convulsions with suppressed or scanty urine.

No urine in the bladder. in young girls beginning to menstruate, violent cramps in the limbs, cramps in the abdomen, diarrhoea, cramps in the uterus. Epileptic spasms coming at every menstrual period. Before or during menses, or after suppression, violent, unbearable cramps in the abdomen. A case something Iike this is not so very uncommon.

Women

Girls, at about the time of puberty, go in bathing, when their mothers have been a little too prudish, a little too sensitive, and have not told their daughters what they might expect, and to look out for bathing in cold water at certain times. The menstrual flow starts. From a cold bath she suppresses that flow and on come convulsions.

That is in keeping with Cuprum. Hysterical convulsions they may be called. They will take the form, quite likely, of hysterical convulsions; they may take the form of chorea. Instead of convulsions it may take the form of congestion of the brain with violent delirium.

Again, the menses not appearing after suppression, after sweat, and convulsions come on; frequent spasms during menses. Cuprum is not generally known to be such a wonderful medicine where there is anaemia; but it has chlorosis. It is a deep acting medicine. It affects with great power the whole voluntary system, the desires and aversions.

It is suitable in those girls who have always had their own way, have never been crossed, and when they grow older, and reach puberty, and have got to submit to some sort of discipline or never become women, they have mad fits, have cramps. Cuprum will sometimes make them sensible, so in that way it fits into the loves and hates. It belongs to the voluntary system most prominently.

Spasmodic respiration; great dyspnea, asthmatic breathing. Attacks of spasmodic asthma and most violent spasmodic coughs.

"Dry, hard, difficult cough, rattling in the chest, spasms.

Dry spasmodic cough until he suffocates.

Face is red or purple."