Cocculus indicus

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.

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

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

Complementary: Petr. Related: Gel. Ign.

Cocculus Indicus

Cocculus Indicus. Menispermaceae,

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 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.).

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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; 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.

and paralytic symptoms; Ant. t., in sweat of affected parts.

Has cured umbilical hernia with obstinate constipation, after Nux failed.

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

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Lecture XXV — Menispermaceae — Cocculus indicus

MENISPERMACEiE.

The MejiispermacecB is not a yery large order of plants, there being derived from it but one remedy that we shall consider in this course of lectures. That remedy is Cocculus Indicus. The name given to the order has been derived from the shape of the seeds.

Cocculus Indicus.

Cocculus Indicus owes its properties to an active principle called Picrotoxine, this term being derived from two Latin words meaning, when combined, " bitter poison." You will notice by the schedule on the board that I have arranged the symptomatology of the remedy under two heads, first, the nerves, and secondly, the organs in general. ' Cerebro-Spinal.

Cocculus Indicus.

i. Nerves. < Debility.

Typhoid.

Spasms.

2. Organs.

Now, whatever individual characteristics you may have for a drug in an individual case, these characteristics should agree with the general effects of the drug ; otherwise, you are making a partial selection. To illustrate : under Belladonna, you know of the symptom, " sleepy, but cannot get to sleep ; '

' that is characteristic of the remedy. But we find the same symptom under Cinchona, Ferritin, and Apis. How are you to distinguish between them ? By taking the general effect of Belladonna as a groundwork, into which the particulars must fit.

Now, we shall find under Cocculus symptoms that are under many other drugs, but in no other drug do they hold the same relation as they do here. What, then, is the general effect of Cocculus Indicus? This effect is the well-known action of the drug on the cerebro-spinal system, it having very little influence on the nerves and the ganglionic system. How can you find this out ? Not very easily, I confess, but yet this has been done, by studying the drug as a whole, by endeavoring to discover, by means of physiology, pathology, or any other science that bears on the subject, on what portions of the body it acts, what functions it alters, and what tissues it changes. Then you have a strong basis on which to build your symptomatology. Cocculus acts on the cerebro-spinal system, producing great debility of these organs ; the action of the drug on the brain itself I will explain to you when I come to speak of its use in typhoid fever. We will now consider the remedy as it affects the spinal cord. 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. Especially is it indicated in the beginning of the trouble, whether it results from functional or from severe organic disease of the cord ; whether the disease be spinal irritation from loss of seminal fluid, softening of the spinal cord, or locomotor ataxia. It is especially indicated in these cases 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 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 had been pounded ; first one hand then the other goes to sleep ; sometimes the whole arm falls asleep, 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. We find these symptoms common enough in women with menstrual difficulties, when the back gives out in the morning, after venereal excesses, and also from loss of sleep.

There is a concomitant symptom which you almost always find associated with those just mentioned, and that is a feeling of hollowness in some one of the cavities of the body, either in the head, chest, or abdomen. It is more than a weakness ; it is an absolute feeling as though the parts were hollow. Talking tires these patients very much. The debility of Cocculus is of spinal origin. Especially is it apt to follow loss of sleep ; the patient cannot sit up even one or two hours later than usual in the evening without feeling languid and exhausted throughout the entire day following.

Let me next enumerate the typhoid symptoms of Cocculus ; under this heading I shall speak of those of the brain. You would not expect Cocculus to be indicated in a case of typhoid fever when the changes in or ulceration of Peyer's patches are marked, or where there are profuse diarrhoea, pneumonia, and similar complications. But in the nervous type of the fever, when the cerebro-spinal system is bearing the brunt of the disease, Cocculus becomes one of the remedies that will help us through the case. The symptoms indicating it are the following : the patient complains of great vertigo, and this is made worse when sitting, or when attempting to change from a reclining to a sitting posture. It is often associated with nausea, inclination to vomit, and even fainting. Bryonia also has this symptom. So far as the symptom itself is concerned there is no difference between Bryonia and Cocculus, yet, if you examine the case thoroughly, you will find that in Cocculus it is weakness of the cerebro-spinal nerves that gives origin to it. There is great confusion of the mind; a sort of bewildered, heavy state might better explain what I mean. It requires a great effort to speak plainly. In some cases they cannot find the words they wish to convey their meaning. Generally, such patients lie quietly wrapped in thought; the eyelids are heavy, as though they could hardly be lifted. Here is a symptom reminding you of Gelsemium. If the patient is still conscious enough to describe to you his condition, he will complain of a feeling of tightness of the brain, as though every nerve in the head were being drawn up tightly. At other times, he has this empty, hollow, vacant feeling in the head. Any attempt to move the patient produces faintness or even fainting away. The tongue is usually coated white or yellow ; there is bitter taste in the mouth. The abdomen is greatly distended and tympanitic ; this tympanites under Cocculus is not the same as under Cinchona, Carbo veg., Colchicum, Sulphur, or even Lycopodium.

There are several origins of tympanites. It may come from the bloodvessels, from the air swallowed with the food, from changes in the food itself, and also from retention of flatus. The latter condition is the. cause of the tympany under Cocculus Indicus. It is not to be thought of as a remedy when flatus results from decomposition of food. That calls for Carbo veg. Cocculus has considerable oppression of the lungs, this being of nervous origin. It is usually referred by the patient to the walls of the chest. The patients are sleepless, or at least business thoughts crowd on the mind and keep them in a half-waking state, here again resembling Bryonia. These are the symptoms which lead you to Cocculus Indicus in typhoid states.

The next division for consideration is '

' Spasms.

' Cocculus Indicus is useful in spasmodic affections when the patient is greatly debilitated as to the cerebro-spinal nervous system. Irritable weakness is the condition which gives rise to the spasms for which Cocculus is the remedy. It is especially useful when spasmodic symptoms ensue as a result of prolonged loss of sleep. This condition we meet with more frequently in women than we do in men. The former are also more subject to spinal weakness. You may also use Coccuhcs for spasms after suppressed menses. The eyes are usually closed during these convulsions, and there is rapid oscillation of the eyeballs beneath the closed lids. But the woman must be of a weak, nervous temperament, or Cocculus is decreasingly indicated.

Under the heading '

' Organs '

' we still have a word to say about Cocculus. First, as to the headache. Some years ago there was an epidemic of spotted fever in this city. During that epidemic many children died, especially in its earlier days. After a while there was discovered a symptom characteristic of the epidemic, and that was intense headache in the occipital region, in the lower part of the back of the head, and in the nape of the neck. The intense headache was manifested in various ways. Children in a stupor would manifest it by turning the head back, so as to relieve the tension on the membranes of the brain; others, who were conscious, would put their hands to the back of the head, while still others complained of pain in the back of the head, as if the part were alternately opening and closing. That symptom was under Cocculus. There were very few fatal cases after Cocculus was used. Occipital headaches are hard to cure. Cocculus is a good remedy. Gelsemium is another. In the latter there is passive arterial congestion, by which I mean that the arterial blood flows freely to a part, the pulse being full and round, and not hard and tense, as under Belladonna or Aconite. There is often thick speech, too, with Gelsemium.

Still another remedy for occipital headache is the Juglans cathartica, sometimes called Juglans cinerea, or the butternut. This I consider to be the best remedy for sharp pjains in the occipital region. They are often accompanied by nausea, dull pain in the right hypochondrium, jaundice and other symptoms of liver involvement.

We have already anticipated some of the symptoms of Cocculus pertaining to the female genital organs. The menses are either profuse, coming too often or with a gush, and very debilitating, or they are tardy in their appearance, and the patient suffers each month from what has been termed menstrual colic. We have a little group of remedies for this condition, consisting of Cocculus, Pulsatilla and Chamomilla. First let me describe the symptoms of Cocculus. This remedy is indicated by a colic in which the pain is as if there were sharp stones rubbing against each other in the abdomen. There is very often with this colic excessive distension of the abdomen from accumulation of flatus. The colic is especially liable to awaken the patient at midnight. It is relieved by belching, but returns again from the reaccumulation of flatus. The patient is, of course, irritable. Under Chamomilla the menstrual flow is very dark. The mental symptoms described to you in my lecture on that drug are necessarily present.

Pulsatilla has scanty menstrual flow, coming by fits and starts, griping pains doubling the patient up ; but the disposition is mild and tearful.

Cyclamen is similar to Pulsatilla. It has chilliness with the pains;, crying, tearful mood ; dyspepsia, made worse by eating fat food and pastry ; scanty menses ; menstrual colic. But we make the distinction here : Cyclameji does not have relief in the cool air or in the cool room, and in many cases Cyclamen has thirst. The resemblance between Cocculus and Cyclamen lies in the fact that both remedies suit a depressed condition of the cerebro-spinal nervous system. More particularly the indications for Cyclamen are these : the patient feels dizzy ; is weak from any motion ; is highly anaemic ; and usually worse when sitting up. These symptoms are commonly associated with dimness of vision. We also find under Cyclamen this flatulent colic, arising from wind in the bowels, coming on at night, and relieved only by getting up and walking about. Compare also, in menstrual colic, Ignatia and Nux vomica.

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.

Indian Cockle 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.

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

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.

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.

Cocculus Indicus

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

Slowly: All the nervous impressions are slow in reaching the centres. If you pinch this patient on the great toe he wants a minute and then says "oh," instead of doing it at once. In response to questions he answers slowly, after apparent meditation, but it is an effort to meditate. And so with all nervous manifestations, thought, muscular activity, etc. He cannot endure any muscular exertion, because he is weak; he is tired. First comes this slowness, then a sort of visible paralytic condition, and then complete paralysis. This may be local or general. There are certain causes which produce these effects. A wife nursing her husband, a daughter nursing her father, becomes worn out by the anxiety, worry and loss of sleep.

She is exhausted; unable to sustain any mental or physical effort; weak in the knees, weak in the back, and when the times comes for her to sleep she cannot sleep. Sickness brought about in this manner is analogous to that caused by the Cocculus poison, and hence Cocculus from the time of Hahnemann to the present time has been a remedy for complaints from nursing, not exactly complaints that come on in the professional nurse, for Cocculus needs the combination of vexation, anxiety and prolonged loss of sleep, such as you have in the mother or daughter who is nursing, or the nurse when she takes on the anxiety felt by a member of the family; a wife nursing her husband through typhoid, or other long spell of sickness. At the end of it she is prostrated in body and mind, she cannot sleep, she has congestive headaches, nausea, vomiting and vertigo. That shows how a Cocculus case begins. One who is thus exhausted in body and mind goes out for a ride. She gets sick headache, pain in the back, dizziness, nausea and vomiting. She gets into the car to take a journey. Sick headache comes on. She goes on a mile or two and will have nausea, vomiting and sick headache. She feels weak all over, feels as if she would sink away. The Cocculus patient gets into a wagon to ride, sick headache, nausea, vertigo come on. The Cocculus patient cannot endure motion. Aggravated by talking, by motion, by the motion of the eyes, by riding. Wants plenty of time to turn the head cautiously to see things. Wants plenty of time to move, to think, to do everything. The whole economy is slowed down, inactive.

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

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

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

Joints: Stiffness of the joints is a common feature in Cocculus. It belongs to the limbs in general. But it is such a strong symptom I will mention it here. Limbs straightened out and held there for a while are painful when flexed. Persons who have been suffering from anxiety, prostrated, will lie on the back, straighten out the limbs, and get up only with great difficulty. The doctor comes and he discovers what is the matter. He bends the limbs and she screams, but she is relieved after the bending, and then she can get up and move about.

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

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

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

I remember a case of paralysis of the lower extremities that was prescribed for by a very careful homeopathic physician many years ago. It was one of the things that surprised me in the early days of my prescribing and observation. It was the case of a little girl with paralysis of lower extremities after diphtheria and no hope was given. But Doctor Moore (he was then an Octogenarian) looked over the case. I was acquainted with the family and with the doctor. He studied the case carefully and gave Cocculus c.m. It was not many days before the child began to move the legs, and the condition was perfectly cleared up, and I have never ceased to wonder at it. It was a good prescription perfectly in accord with all the elements of the case. Doctor Moore was one of the pupils of Lippe and Hering.

You can hardly see what is coming when the mental activities are slowed down, from anxiety, and loss of sleep, such as we have in nursing. The mind appears like approaching imbecility, and as you look upon the true Cocculus case you wonder if that patient has not been growing insane for a year or two, because the mind seems almost a blank. He looks into space and slowly turning the eyes toward the questioner answers with difficulty. It occurs in nervous prostration, in typhoid fever. It is so nearly like Phos. Acid., that the two remedies must be carefully individualized. Time passes quickly. He cannot realize that it has been a whole night. A week has gone by, and it seems but a moment, he is so dazed. Slowness of comprehension; cannot find the right word to express his thoughts, so slowly does his mind work; what has passed he cannot remember; forgets what he has just read; cannot talk; cannot bear the least noise; cannot bear the least contraction.

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

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

There is an appearance of ecstacy, a smile upon the face. Knows what is going on, yet with complete relaxation of the muscles without speech or apparent recognition of anyone. Perfectly relaxed, and yet knowing what is going on. That resembles catatonia. Unable to think. Fears death. Feels as if some awful thing was about to happen. All this is the result of grief, anxiety, vexation, prolonged loss of sleep. The vertigo is visually attended with nausea. A Cocculus case cannot look out of the car window, cannot look down from the boat and see water moving, without nausea immediately.

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

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

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

Eyes: Dim sightedness and disturbance of vision. Paralytic weakness of the muscles of the eyes, as well as the muscles of accommodation. The face becomes pale and sickly. Pale as death, with pains in the face, vertigo and nausea. Tearing pains in the face. Neuralgia of the face. Face bloated. Quivering and twitching of the muscles of the face. Paralysis of the muscles of the face. Numbness of the face. Twitching, jerking, numbness, paralysis, tearing pains. Prostration and nervous exhaustion accompany most of the complaints of Cocculus.

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

Headache, vertigo, nausea, loathing. Intermittent fevers with pains in the limbs, especially in the knees and bones of the legs, with that peculiar stiffness, nausea, and loathing of food. In intermittent fever or perhaps a low typhoid state, we have this loathing of food with nausea. You go to the bedside and you ask the nurse, "What have you been feeding the patient?" and the patient gags. The thought of food makes the patient gag.

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

Paralysis: Paralytic conditions. Paralysis of the oesophagus. Cannot swallow.

"Paralytic condition of the throat after diphtheria."

Sore throat with low forms of fever. The fever is gone but the patient does not rally, there is much nervous trembling, numbness, twitching of muscles and great weakness. Sensation as though a worm were crawling in the stomach. Spasms of the stomach. Violent attacks of gastralgia, violent cramp of the stomach. Griping, pinching, constrictive pain. The pain in the bowels feels as if the intestines were pinched between sharp. stones.

This causes fainting and vomiting. Colicky pains in the bowels great distension of the abdomen, such as is found in typhoid fever tension of the abdomen after drinking; flatulent colic. Tearing, cutting, spasmodic pains in the bowels. Radiating pains in the bowels accompanying diarrhea. A paralytic condition of the rectum. Inability to press at stool. Urging to stool and burning in rectum. Disposition to stool, but peristaltic motion in upper intestines is wanting.

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

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

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

"Leucorrhea in place of the menses," or "copious leucorrhea between the menstrual periods."

The heart is weak, pulse feeble. Paralytic weakness in the limbs, numbness, jerking of the muscles, twitching, quivering, loss of sensation, loss of power, muscular weakness in all the limbs. Numbness and paralytic feeling in the limbs.Awkwardness of the fingers and hands. On attempting to grasp the one band with the other there is migratory numbness, or a more permanent numbness associated with paralytic weakness, sometimes changeable; sometimes one side is numb and the other paralyzed. The soles of the feet go to sleep. Numbness of the soles of the feet, such as we have in locomotor ataxia; cold feet. The knees give way from weakness. Totters while walking and threatens to fall to one side. Knees stiff. Paralysis of the lower extremities, proceeding from the small of the back. Arising from cold, from the abuse of Mercury.

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

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

"Slightest loss of sleep tells on him."