Cocculus Indicus cocc.

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

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

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

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

Complementary: Petr. Related: Gel. Ign.

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

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

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

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

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

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

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

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

In the warm room.

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

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

Camphor., Nux vom.

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

Indian Cockle (COCCULUS)

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

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

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

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

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

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

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

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

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

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

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

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

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

Antidotes:; Coffee; Nux.

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

Third to thirtieth potency.

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

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

Hands and feet get numb; asleep.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Continue in Clarke 28 more passages →

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

Continue in Hering 47 more passages →

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tearing pains in the face. Neuralgia of the face.

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

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

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

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

You go to the bedside and you ask the nurse,

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

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

Paralytic conditions. Paralysis of the oesophagus. Cannot swallow.

"Paralytic condition of the throat after diphtheria."

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

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

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

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

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

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

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

"Leucorrhea in place of the menses," or

"copious leucorrhea between the menstrual periods."

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

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

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

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

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

"Slightest loss of sleep tells on him."

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

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

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

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

Sick headache from carriage, boat or train riding.

Diseases peculiar to drunkards.

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

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

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

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

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

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

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

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

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

At night, after sweat.

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

Great dread of the coming paroxysm (Nat.).

8-11 A. M. Afternoon or evening.

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

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

Stupor with consciousness.

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

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

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

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

Stupid feeling in the head.
Slowness of comprehension.
Time passes too quickly.
Thoughts fixed on one unpleasant subject; she is absorbed and observes nothing about her.
Sobbing, moaning and groaning.
Sudden great anxiety.
Vacillating, cannot accomplish anything at her work or finish anything; with contracted pupils.
Very easily affronted; every trifle makes him angry.
Startles very easily.

Vertigo: as from intoxication, or with inclination to vomit, when rising up in bed; must lie down.
Head befogged, generally increased by eating and drinking.
Dulness of the head, as after being drunk.
Sensation of emptiness and hollowness in the head, worse in open air and after eating, better when getting warm in bed.

Headache, with nausea and inclination to vomit.
Headache as if the eyes were being torn out.
Pressing headache from without inwards; or as if compressed by a bandage; or, as if screwed together.
Pressing pain in forehead, from without inwards, with nausea; aggravated by riding in a wagon; from eating; drinking and sleeping; from thinking; ameliorated during rest, in-doors.
Violent headache, cannot lie on back of head, must lie on side; worse least light; noise excites vomiting.
Beating in forehead, evenings, worse before and after eating; also when riding, especially in cold air; from talking; better in-doors.
Headache in occiput and nape, sensation of opening and shutting like a door; even in spotted fever.

Convulsive trembling of the head from weakness of the muscles of the neck; worse in the open air and after sleeping; from coffee and tobacco; better in warm room.
Cramp-like pain in left temporal muscle.

Dimsightedness; obscured vision.
Dark spot before the eyes, though objects appear clearly.
Bruised pain in eyes, with inability to open lids, at night.
Pupils: dilated; contracted.
Eyes protruding.
Eyes closed, with the balls constantly rolling about.
Eyelids inflamed.

Sensitiveness of hearing.
Noise in the ears like rushing of waters, with hardness of hearing.

Sense of smell either acute or weak.
Discharge from nose bloody; pus-like.
Worse from strong smells.

Face: pale; blue around the eyes; sweat in face, cold.
Red cheeks and heat of face, in cold room.
Pressive, benumbing and cramp-like pains in region of malar bones and masseter muscles; worse opening jaw.

Pustule below the right angle of mouth, with tensive pain when touched.
Swollen hard glands under the lower jaw, and nodes on the forearm, which are painful when stroked.

Hollow tooth, pains only when chewing, even soft food; not when biting with empty mouth.

Taste: bitter; putrid; sour; offensive; metallic; like sulphur.
Food tastes as though salted too little; tobacco tastes bitter.
Yellow-coated tongue with aversion to food.
Tongues as if paralyzed; pains at base when protruded.

Dryness of the mouth, at night, without thirst.
Sensation of dryness in mouth, with frothy saliva and violent thirst.

Dryness in the pharynx.
Pressive pain in the tonsils, worse when swallowing the saliva than when swallowing food.
Burning in the œsophagus, extending into the fauces, with taste of sulphur in the mouth.
A sort of paralysis, preventing swallowing.
Choking constriction in upper part of fauces, with difficult breathing and irritable cough, or disposition to cough.

Hunger without appetite.
Thirst with aversion to drink.
Thirstless.
Disgust for beer; aversion to sour things.
Longing for cold drink, especially beer.

All symptoms and affections, particularly of the head, increased by eating or drinking.
Coffee aggravates the headache.

Frequent empty eructations; then she wants to eat.
Nausea which is felt in the head, and inclination to vomit, in morning, can scarcely rise on account of faintness.
Nausea and vomiting when riding in a carriage or getting cold.
Disposition to vomit, with profuse flow of saliva, on getting a chill or taking a cold; also, in connection with headache and pain in the bowels, as if bruised.
Vomit: sour; bitter; of bad odor.

Violent cramp of stomach; also with flatulency and much saliva; gastralgia.
Contractive pain in the epigastrium, taking the breath.
Painful sensation of fulness in the stomach.

Pain as if beaten in hypochondria.
Pressive pain in the hepatic region, increased by coughing and bending over.
Stitches in hepatic region.

Emptiness and sensation of hollowness in the abdomen.
Sensation in abdomen as if sharp stones rubbed together on every movement.
Great rumbling in the bowels.
Spasmodic flatulent colic about midnight, flatus passed without relief; belching relieves; pain severest in epigastric, umbilical and right iliac region.

Contractive pain in rectum, preventing sitting, afternoons.
Stool followed by tenesmus recti causing faintness.
Diarrhœa, with sensation in abdomen as of sharp stones rubbing together.
Diarrhœa only through the day, thin yellowish, without pain.
Incarcerated flatus; obstruction of the bowels.
Hard stool every other day, expelled with great difficulty.

Frequent desire to urinate, with small discharge.
Watery urine.

Seminal emissions at night.
Excitement of the genitals, with desire for coition.
Increased sensitiveness of the genitals.
Drawing, sore pain in the testicles when touched.
Itching of scrotum.

Menses profuse and too often, when rising upon the feet it gushes out in a stream.
Scanty discharge of black blood.
During the effort to menstruate, she is so weak that she is scarcely able to stand.
Leucorrhœa in place of the menses.
Leucorrhœa, like serum, mixed with a purulent, ichorous liquid.
Dysmenorrhœa followed by hemorrhoids. Also with severe cutting in the womb, or sensation as if later was distended; seasick feeling flatulent gastralgia.
Painful pressure in uterus, with cramps in chest, nausea and vomiting.

Shivering over the mammæ.
Discharge of bloody mucus from the uterus, during pregnancy.
Spasmodic and irregular labor-pains.
Terrible pain in small of back, with hour-glass contraction of uterus.
Spasms following difficult labor, and brought on by changing the position of the patient.

Tightness in the larynx.
Talking aggravates all the symptoms, particularly of head.

Obstruction of breath at the throat-pit, as if the throat were constricted.

Fatiguing cough from oppression of the chest.
Cough increased by indulging the irritation.

Contractive tension of right side of chest taking the breath.
Cramps in the chest, also hysteric.
Audible rumbling in the left side of chest, as if from an emptiness, especially noticeable when walking.

Pulse small and spasmodic, often imperceptible, seldom hard, somewhat accelerated.
Palpitation of the heart, from quick motion and mental excitement, with dizziness and faintness.

Painful stiffness of neck when moving it.
Disabling drawing in the small of the back.
Paralytic pain extending over hips; with anxiety and apprehension.
Spasmodic constriction through the length of the spine; worse on motion.

Stitches in the shoulder-joint and muscles of upper arm, during rest.
Stitches in the right upper arm.
Now one hand, and again other, is numb and as if asleep.
Now one hand, and again other, is alternately hot or cold.

Pain as if beaten in the thighs.
Inflammatory swelling of knee, with transitory stinging pains.
Cracking in the knees when moving.
Lower limbs: nearly paralyzed; paralytic feeling and drawing in thighs.
Hot, itching swelling of the feet.
Cold feet.
Œdema of feet, with paralysis of lower limbs, after a cold.

Involuntary motions of right arm and right leg, cease during sleep.
Here and there in the limbs, a laming drawing, as if in the bones, continuous or in attacks.
Cracking and creaking in joints; painful stiffness of joints.
Now the hands, and again the feet, "go to sleep", alternately, in short attacks.

Rest: 3, 32. Motion: 19. Walking: 28. Moving: 33. Moving head: 31. Quick motion: 29. Slight exertion: 40. Rising on the feet: 23. Rising up in bed: 2. Bending over: 18. Change of position: 24. Must lie down: 2. Sitting: 20. Cannot stand: 23, 36. Lying: 3.

Great lassitude of the whole body, it is an exertion to stand firmly.
Feels to weak to talk loud.
Epilepsy in the morning on rising from bed; fever afterwards.
Hysteric complaints, with sadness.
Paralysis of face, tongue, or pharynx; paraplegia, with numbness and tingling.

Sleeplessness from night watching; also from pure mental activity.
Sleep disturbed by excessive anxiety and restlessness.
Sleep aggravates all the symptoms, particularly of head.
Anxious, frightful dreams.

Morning: 16, 40. Afternoon: 20, 40. Evening: 3, 40, 46. Night: 5, 12, 22, 40, 46. Evening till morning: 40. Midnight: 19. Day: 20.

Cannot bear the cold or warm (open) air.
Getting cold: 16. Cold room: 8. Cold air: 3. Open air: 2, 4. Getting warm: 2. External warmth: 40. Warm room: 4. In-doors: 3, 4.

Chill frequently alternating with heat.
Internal chill in afternoon and evening; attended with shivering through whole body, but more in back and on legs; not relieved by external warmth.
Continuous chilliness, with hot skin.
Dry heat the whole night through.
Flushes of heat, with burning heat of cheeks and cold feet.
Sweat of the body from evening till morning, attended with cold sweat on the face.
Morning sweat principally on the chest.
Sweats over the whole body from the slightest exertion.
Sweat of the affected parts.

Every other day: 20.

Right: 9, 18, 19, 28, 32, 34. Left: 28. Without inwards: 3, 44. Above downwards: 33.

Emaciation.
Anæmic states.
Gouty pains or cracking in the joints.
Paralysis of inner parts.
Paralytic pain; tearing; soreness; digging; or as if beaten in the bones.
Glands: burning; pressure from out inwards; hot swelling; cold; stinging.

Touch: 9, 22, 46. Stroking affected part: 9. Riding in carriage or sailing: 3, 16.

Much itching, especially in the evening when undressing, or at night in a feather-bed.
Ulcers very sensitive to touch; pains in thin peripheries.

Often indicated with children and women.
Light hair.
Drunkards.

Ailments from: Chamom., Cuprum, Ignat., Mercur., Nux vom. in gastralgia.

A tincture is made from the dried fruit of Anamirta Cocculus, W. and A.

It produces violent convulsions and loss of control over muscles; excessive vertigo and nausea. ▶ Paralysis of muscles.

Rhus tox., Zinc., Nux v ., Plumb., Phos., Arg. nit.

▶ Starts easily. ▶ Inclination to trouble. ▶ Fell to the ground, trembled, vomited and became senseless. ▶ Convulsions; tetanic; clonic, in upper limbs, then general, with frothing at the mouth; tonic and clonic, with severe contortions and shocks of limbs and danger of suffocation, trismus, biting of the protruding tongue, bloody foam from mouth and nose at every expiration, tetanic stiffness of whole body alternating with convulsive shocks, with cold sweat, dilated pupils, fixed look, unconsciousness, convulsive shocks when the skin was pinched.

Epileptic attack, intoxicated feeling on sitting down, then staring without answering questions, then fell unconscious, bent himself together with unintelligible cries, passed urine involuntarily, general convulsions, the outstretched hands clenched, with paroxysmal choking in throat, foam at the mouth, hands cold, face covered with cold sweat and spasmodically distorted, eyes glassy, protruding then he stood up, but did not answer questions, showed his teeth and bellowed at those who spoke, endeavored to strike the bystanders, face expressed rage, then groaning and grunting, after recovery aversion to all nourishment. ▶ Twitching of various parts of muscles (Zinc.), agg. lower limbs, as after a long walk. ▶ Hæmorrhages. ▶ (Compare convulsions with Cicuta and Nux v.).

▶ Sticking in cold swollen glands, at least on touch, with heat; S. in parts previously inflamed, if touched with fingers; burning S. here and there. ▶ (Tearing in hard swollen glands.). ▶ Drawing pain in limbs and abdominal muscles, as from taking cold. ▶ Paralytic drawing in side of neck and in other places, at times almost like an intermittent, paralytic pressure. ▶ Alternation of diarrhœa, vomiting, sopor and delirium.

Indolence; with taciturnity, also in morning after waking. ▶ Inclination to lie down. ▶ Avoids the open air. ▶ Restless. ▶ Want of vital energy. ▶ Weakness; general, several days at 9 A.M., with heaviness of limbs, so that she must sleep; from slightest exertion, with exhausting sweat; from slightest loss of sleep; when walking; agg. sitting; attacks of paralytic, with pain in back (Rhus t.); so that it is difficult to stand firmly (Rhus t.). ▶ Faintness; on motion, with distortions of facial muscles. ▶ Hemiplegia on left side. ▶ Immobility. ▶ Aggravation from cold air (Rhus t.) from coffee (Nux v.); smoking tobacco (Nux v.); drinking, eating, sleeping and speaking aggravate head symptoms.

General tendency to paralysis, heaviness and sluggishness of the whole body, numbness; sometimes trembling and jerking of various groups of muscles; at times unconquerable drowsiness. ▶ Spasmodic affections; epilepsy characterized by cold extremities and numbness; chorea, the patient is exhausted; hysteria, especially menstrual, complaints of numbness and weakness of the extremities; particularly useful in complaints resulting from loss of sleep. ▶ General hyperæsthesia of all senses, intolerance of the least excitement. ▶ Symptoms of emptiness and hollowness in thoracic or abdominal cavities are frequently associated with the symptoms of weakness of paralysis. ▶ General bad effects of prolonged insomnia. ▶ Nervous exhaustion, with profound weakness of extremities, aching in thighs, falling asleep of limbs, weak, empty feeling in chest or abdomen.

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It produces violent convulsions and loss of control over muscles; excessive vertigo and nausea. Paralysis of muscles.

Paralytic immobility of the limbs, with drawing pains in the bones.
One-sided paralysis, with numbness of the limbs.
Paralytic attack, with pain in the back, so that it is difficult to stand steadily.
Sensation of emptiness and constriction of internal parts.
Tendency to tremble.
Great weariness from the slightest effort, amounting even to faintness.
Intolerance of the open air, both warm and cold.
General aggravation from eating, drinking, sleeping, talking, driving and smoking.

Clinical:
General tendency to paralysis; heaviness and sluggishness of the whole body, numbness; sometimes trembling and jerking of various groups of muscles; at times unconquerable drowsiness.
Spasmodic affections; epilepsy characterized by cold extremities and numbness; chorea, the patient is exhausted; hysteria, especially menstrual; complains of numbness and weakness of the extremities; particularly useful in complaints resulting from loss of sleep.
General hyperæsthesia of all senses; intolerance of the least excitement.
Symptoms of emptiness and hollowness in the thoracic or abdominal cavities are frequently associated with the symptoms of weakness or paralysis.
General bad effect of prolonged insomnia.
Nervous exhaustion, with profound weakness of extremities, aching in thighs, falling asleep of limbs; weak, empty feeling in chest or abdomen.

Sadness.
Sensitive; everything offends him.
Great anxiety.
Intolerance of noise.
Easily startled.
Memory lost.
Sits in deep thought.

Clinical:
It is especially adapted to cases which present a mental condition of stupidity; slow of comprehension or cannot think of words with which to express themselves; the mind feels benumbed, especially with vertigo, nausea, etc.
Mental derangements resulting from suppression of menses.
Melancholy; is wrapped in profound sadness, with apprehension, desire to escape, etc., the consequences of vexation, with grief.

Convulsive trembling of the head.
Aching, with nausea.
Headache < cold air.
Head seems tied up; brain feels rolled up into a small ball.
General confusion or vertigo, < eating and drinking; < rising up in bed, with nausea, and with dullness in the forehead as if a board were bound across the forehead.
Pain in the forehead as if eyes would be torn out.

Clinical:
Vertigo as if intoxicated is an almost constant concomitant of Cocculus symptoms, generally associated with a feeling of stupefaction of head and numbness and unsteadiness of extremities.
Sick headaches, pain especially seated in occiput, extending down spine; extremely sensitive to external impressions, with constant nausea and vertigo.
Sick headaches, especially brought on by reading in cars and carriages; sea-sickness.

Bruised pain in the eyes, with inability to open them at night.
Pain in the eyes as if they would be torn out of the head.
Pupils contracted.
Vision dim, with black spots before the eyes.

Sound of rushing water in the ears, with difficult hearing.

The lines of the face are deepened; it seems drawn.
Earthy color, with a painful expression.
Heat of the face, with red cheeks, even in a cold room.

Clinical:
Paralysis of facial nerve, involving the lids of one eye and side of the face.
Attacks of prosopalgia, recurring regularly, preceded by irritable disposition, prostration, yawning, chilliness, coldness of feet; pains are boring and crushing, and extend even as far as the fingers.
Tearing pains in the whole left side of the head and face, followed by paralysis.

Tongue dry, or dry at the edges, without thirst.
Tongue coated white or yellow.
A metallic taste, with loss of appetite.
General dryness of the mouth and throat.

Swallowing difficult, particularly on account of choking contraction in the upper part of pharynx, which even impedes breathing and causes cough, particularly on account of loss of power of the faucial muscles.
Speech difficult on account of paralysis of the tongue and other muscles.

Loss of appetite; even aversion to food.
Hunger, but the smell of food causes aversion.
Thirst, especially when eating.
Aversion to all acids.
Eructations, empty; bitter; efforts to eructate which are ineffectual, and instead of which there is hiccough.
Nausea in the morning, so that she can scarcely rise; especially when riding in a wagon or the cars.
Nausea, with salivation and headache and bruised feeling in the abdomen.
Nausea, associated with faintness.
Griping, pinching, constrictive pains in the stomach.
Pain beneath the stomach after eating.
A feeling as if a worm were moving about in the stomach.
Cramps in the stomach while eating and immediately afterward, with violent pinching and clawing.
A feeling of fullness and griping in the stomach, with oppressed breathing.

Pinching and griping in the upper part of the abdomen, and oppression of breath.
Great flatulent distention; gas seems to collect in small masses; the gas seems to be confined by spasmodic constriction of the bowels, sometimes > lying on one side.
A feeling of emptiness in the abdomen.
Ulcerative pain in the abdomen.
The inguinal hernia is apt to protrude and become incarcerated, especially on rising from a seat.
An internal feeling in the groin as if stuffed, and as if the bowels would fall out.
A weak pain in the right inguinal ring as if something would be forced out, while sitting, > rising.

Clinical:
Flatulent colic only slightly ameliorated by evacuating gas; attacks come on at night, associated with feeling of emptiness, nausea, vertigo, etc.
Gastralgia from suppression of menses.
Excessive flatulent distention of abdomen and dysmenorrhœa.
A valuable remedy in hernias, both umbilical and inguinal; is particularly indicated when the abdominal muscles are weak and it seems as if a hernia would easily take place.
Flatulent colic in pregnancy, etc.
The flatulent colic ameliorated by eructating gas, aggravated by coughing.

Diarrhœa; thin, whitish-yellow water.
Constipation, with ineffectual urging to stool on account of lack of peristaltic motion.

Clinical:
Diarrhœa brought on by riding in cars or carriage, aggravated by drinking cold water, with flatulent distention; colic; feeling as if sharp stones rubbing together in abdomen; numbness of legs, vertigo, nausea, etc.

Urine watery.
Frequent urging to urinate, with scanty discharge.

Menstruation too early, with distention of abdomen and cutting-contractive pain in abdomen on every motion and every breath, with contraction of rectum.
Menstruation too early, with distention of abdomen and pain in upper abdomen on every motion and when sitting, as from sharp pressure of a stone, with pain on touch as from an internal ulcer.

Clinical:
Menses too profuse, gushing, very exhausting, with menstrual colic, as from sharp stones rubbing together; flatulent distention and dysmenorrhœa and suppressed menstruation, with numbness remote symptoms, vertigo, nausea, flatulent colic, numbness of extremities, etc.
Suppression of menses, with purulent gushing leucorrhœa and flatulent abdomen.

Dyspnœa, as from constriction in the throat.
Short-breathed, on account of tension in the abdomen and oppression of the chest.
Fatiguing cough, with oppression of the chest.
Cough seemed to be caused by a constriction of the air passages.

Palpitation.

Weakness in the muscles of the neck, with heaviness of head; can scarcely hold it up, > leaning head backward.
Stiff pain in the muscles on moving the head, or on yawning.
Stiffness in the cervical muscles, with great weakness.
Cracking in the cervical vertebræ.
Paralytic pain in the small of the back, with spasmodic drawing across the hips, preventing walking, with anxiety and fear.

Clinical:
Great weakness of cervical and dorsal muscles, then paralysis; in spinal irritation, with great hyperæsthesia of all senses.
Constant pain in back, shooting through body to both sides and along spine to occiput, and even to temples at times, aggravated by walking and stooping; tenderness from pressure on vertebral spines from last dorsal vertebra to sacrum; frequent giddiness; does not fall asleep until late on account of pain.

General trembling, especially in the evening, with chilliness.
Paralytic drawing pains in the limbs; can scarcely rise, with loss of appetite.
Stiffness of all the joints; painful.
The feet and hands fall asleep.
Sticking pain in the shoulder joint and muscles of the arm, during rest.
Bone pain in the arms, as if beaten, on raising them.
The arms fall asleep.
Trembling of the hand when eating, < on raising it.
One hand, and then the other becomes insensible and asleep.
Paralytic immobility and paralysis of the lower extremities from the small of the back downward.
A bruised pain in the thighs.
The knees crack on motion; sometimes become inflamed and swollen, with stinging pains.
The knees knock-under from weakness; he totters when walking and threatens to fall to one side.
Burning in the feet.
Feet fall asleep when sitting; swelling of the feet.

Constant yawning and stretching after lying down in bed.
Loss of sleep on account of anxiety and physical restlessness.
Anxious dreams.

Constant chilliness, with hot skin.
Chill in the evening and shivering, especially in the back.
Exhausting sweat on motion.

Clinical:
Intermittent fever; chill, associated with flatulent colic, nausea, disgust at the smell of food, vertigo, etc.; chill, frequently partial, with coldness of lower extremities and heat of head; the chill mingles with the heat and the febrile stage seems to be imperfectly developed; the sweat is general, cold only on the face; the attack followed by extreme debility and by numerous Cocculus symptoms.
Low types of malarial fevers, typhoid, rheumatic, relapsing, etc., with intense headache at base of occiput; vertigo, nausea, extreme faintness, numbness; great difficulty in collecting ideas.

Coc. / (Cock.) / The Cook.

Cocculus,-Thou "Knockout" sprite!
Nervousness is thy delight.
Not unfrequently, indeed,
With a biliousness in lead.
Nausea then thy symptoms bold,
Felt when riding, or when cold.
Or when rising up in bed,
Or with ailments in the head,
Or with stomach cramp, that may
Take the very breath away.
Numbness is thy charge to keep,
Holding hands and feet asleep,
Giving us to see by this
Tokens of paralysis.
Which spells of trembling may
With hysteric fits hold sway.
Worse by eating, drinking, talk,
Smoking, riding, taking walk.

The Cook,- Has stomach cramp.

The Cook., "Aunt Grace" has a leaky tin cup.

This Cook,-Who is subject to Trembling spells,-Is at the Mexican Zoo, gaping at old Agar Knight's mossy ale cup.

Cramp Pain in the stomach: Coc., Ant. c., Graph., Lyc., Kal. c., Stan., Cup.

Trembling in General: Coc., Mer., Hyo., ZN., Gel., Pho., Con., Agar., Arg. n., Mos., Lach., Cup.-(Weak trembling knees, Coc., Pul.-Trembling head, Coc., Asa., Mer., Tart. e., Verat. a.-Trembling abdomen, Iod., Lil. t.-Internal trembling, Camp., Sul. a.)

He sits, as though' buried in deep thought, and takes no notice of his surroundings. Time passes too rapidly. Mild, indolent temperament. Sadness during the sufferings. Intense anxiety. Intolerance of noise. Timidity, easily startled. Bade effects of grief with anger. Dull confusion in head everything seems unreal.

With qualmishness when raising up in bed, or moving. As if intoxicated.

Sense of emptiness or hollowness in. Inward pressing, or sticking ache in forehead. Throbbing in forehead. Convulsive trembling of, from weakness of cervical muscles and neck. Dull compression in either temple or half of forehead, as if brain were screwed in. Headache with nausea. Worse: During and after meals, drinking, evening, carriage riding, cold or open air, after sleep, coffee, tobacco. Better: In house, when quiet, warmth of bed.

Pain as though' they would be torn out of head. Inability to open them at night. Contracted pupils. Dim vision, and black spots before. Progressive amaurosis.

Increased sensitiveness of smell.

Burning heat of, with red cheeks. Distorted features. Swelling and induration of submaxillary glands.

Dryness in, and in throat. Impeded swallowing, as from paralysis of throat. Bubbling foam from. Difficult speech, as from paralysis of tongue.

Appetite: Aversion to food, drink and tobacco. Great thirst, especially when eating. Aversion to all sour foods.

Taste: Sour, in mouth, after eating and coughing. Sulphurous, in mouth, Bitter to tobacco.

Eructations: With pain in epigastrium and nausea. Hiccup, at once after eating.

Nausea, etc. - Attacks of, ending in fainting. Nausea and vomiting. from driving (riding), and becoming cold.

Spasm in, during and immediately after eating, with intense clutching and squeezing. Fullness and pinching in, and in abdomen with oppression of breathing.

Constrictive pain in upper and lower. Sense of emptiness in. Hysterical abdominal spasms in women. Painful soreness in. Protruded and incarcerated inguinal hernia.

Flatulence: Nightly, spasmodic, wind colic especially worse coughing. Pushing upward.

Hard, every other day. Retarded. ineffectual urging, from want of peristaltic action in upper intestines. Bright colored, pale stool by day only.

Intense tenesmus of, after stool.

Watery. Frequent urging to urinate, with scanty discharge.

Sensitiveness of, with greatly excited sexual desire. Bruised pain in testicles.

Menses: Too early, with intense, spasmodic pain sin abdomen. Suppressed wit abdominal colic.

Difficult, as from constriction of larynx

Racking, with oppression of chest which comes on during cough. Irritation to, as from narrowing of trachea

Sticking pain in. Spasmodic constriction of. Burning in, ascending into throat. Sense of emptiness in. Anxious palpitation. Trembling about heart.

Paralysis of spine and lumbar region (tabes dorsalis).

Neck: Weakness of muscles of. Snapping of cervical vertebrae.

Bruised pain in bones of arms on raising them. Asleep feeling in arms. Hot swelling of hands.

Paralytic immobility, and paralysis below lumbar region. Bruised pain in thighs. Inflammation and swelling with stitches in knee. Burning in feet. Hot swelling of feet.

Paralytic immobility of limbs with drawing bone pains. Unilateral paralysis with deadness of limbs. Hemiplegia. Sense of emptiness or constriction of internal parts. Hysterical spasms with sadness. inclination to tremble. Gouty pains without swelling of affected parts. Great fatigue, even to fainting, from slight exertion. Intolerance of open air, warm as well as cold. The Sufferings are intensified by driving, eating, drinking, sleeping, talking, and smoking. Twitchings, numbness and extremes sensitiveness to cold.

Hard, cold, swollen glands, with sticking pains.

Bruised pain, or tearing and burrowing in.

Anaemic paleness of. Ulcers, very sensitiveness, on account of anxiety and bodily restlessness. Anxious dreams. Greatly refreshed by an undisturbed sleep. Feels much better at night than by day.

Pulse: Small and spasmodic, often imperceptible, seldom hard, and somewhat accelerated. Chill: Very frequently alternates with heat. Internal, with shuddering over whole body, most on back and legs, not relievable by external heat, in afternoon and evening. Constant chilliness, with hot skin. Heat, Dry, through the whole night. Over running, with burning heat of cheeks and cold feet. Intermittent fever with spasms of stomach and lameness of small of back. Sweat: The whole night, it is cold on face only. In early morning, most on chest. Exhausting, over whole body from least movement. On painful parts.

Allied Remedies: Agar., Ant-t., Bism., Calc-c., Caust., CHAM., Cupr., IGN., Ip., Kali-c., Mos., Nux-m., Nux-v., Oleand.

Complementary: Petr.

One-sided paralysis with numbness of the limbs.

Paralysis from the small of the back downward (bladder, rectum and legs).

Disposition to tremble.

Stiffness and crackling of the joints.

Sensation in inner organs of emptiness or constriction.

From little exercise be becomes very much fatigued, even to fainting.

Bones feel as if they were broken.

Tearing and gnawing in the bones.

Hard, cold swelling of the glands with stinging pains.

Intermittent fever with lameness in the small of the back and colic.

Swimming and giddiness with nausea.

Of approved valuation in sea sickness.

Aversion to the open air (warm and cold).

Bad effects from anger or from chamomilla.

Aggravation from loss of sleep, talking, riding in a carriage and smoking tobacco.