Coffea cruda

noise, it may even be painful (Ther.); to pain, pleasure, etc. .................... Irritable and wakeful. Resents sympathy. Rushing ideas. Weeps, laments and tosses about. Now joyous, now gloomy. Faints easily. Brain seems torn, shattered or crushed. Clavus. Bright eyes. Acute hearing; overhears distant sounds. Faceache (r). Toothache; > ice water, < as it warms; pains into finger-tips; during menses. Stomach feels overloaded. Hot, itching genitals. After-pains. Cough incessant; of measles. Nervous palpitation; < sun heat. Trembling hands. Painfully sensitive skin. Itching scratches until it bleeds. NERVOUS SLEEPLESSNESS; from rush of ideas; awakes at or hears every sound; after pleasurable excitement.

NOISE. Touch. Odors. Air (Open. Cold. Windy). Mental: Emotions. Exertion. Overeating. Alcohol. Night.

Lying. Sleep. Warmth. Emotions cause severe symptoms. EXITABLE AND OVERACTIVE. OVERSENSITIVE; to

NERVES; cardiac. CIRCULATION. Sex organs. Women.

Complementary: Aco. Related: Coca. Ign. Antidotes: Cham. Ign. Nux-v.

Coffea cruda

Coffee. Rubiaceae.

Tall, lean, stooping persons, dark complexion, sanguine choleric temperament.

Oversensitiveness; all the senses more acute, sight, hearing, smell, taste, touch (Bell., Cham., Opium).

Unusual activity of mind and body.

Full of ideas ; quick to act, no sleep on this account.

Ailments: the bad effects of sudden emotions or pleasurable surprises (Caust. — exciting or bad news. Gels.) ; weeping from delight; alternate laughing and weeping.

Pains are felt intensely; seem almost insupportable, driving patient to despair (Acon., Cham.); tossing about in anguish.

Sleepless, wide-awake condition; impossible to close the eyes; physical excitement through mental exaltation. (Compare, Senecio, for sleeplessness from prolapsus, uterine irritation, during climacteric.)

Headache : from over-mental exertion, thinking, talking; one-sided, as from a nail driven into the brain (Ign., Nux) ; as if brain were torn or dashed to pieces; worse in open air.

Hasty eating and drinking (Bell., Hep.).

Toothache: intermittent, jerking, relieved by holding ice-water in the mouth, but returns when water becomes warm (Bis., Bry., Puls., Caust., Sep., Nat. s.).

Incompatible: Canth., Caust, Coc., Ign.

Aggravation. — Sudden mental emotion; excessive joy; cold, open air; narcotic medicines.

Lecture XXXVI — Ipecacuanha and Coffea

sion than is Coffea.

Coffea is also a remedy in eruptive diseases, when the eruption keeps the patient awake on account of the excessive itching and burning of the skin; the patient scratches even until the parts bleed. This symptom is due, in the Coffea case, to the hypersensitiveness of the skin.

Moreover, Coffea has fear of death, thus allying it with Aconite; this fear usuallly being present with the severe pains. All pain in the Coffea patient is intolerable. Kven a slight pain causes great complaint and crying and whining.

Coffea is often indicated in the toothache of children and of nervous people. Sometimes you will be led to give Chamomilla in these cases. You find the mental symptoms indicating that drug, yet it does no good, or it affords but partial relief. You may give Chamomilla when the face is red, when the child cannot bear the least pain and is cross and irritable, and when cold water in the mouth relieves for an instant. But if cold water relieves permanently, Cofiea is the remedy. The senses are all too acute under Coffea, not only the sense of touch but that of sight and of hearing also. Under the stimulating influence of this remedy the patient may see fine print with a degree of distinctness altogether unnatural. Distant noises seem to be magnified.

Coffea has a condition almost the reverse of the hypersesthetic state. It results from the secondary or depressant action of the drug. In its effect upon the circulation, at first it seems to increase the frequency of the pulse, showing that there is increased action of the heart. This is followed later by cardiac depression, with palpitation and irregular pulse. It must be remembered that this increased frequency of the pulse is not attended with an increase of force, as under Aconite, Bryonia and Baptisia. So you see that the stimulation is not genuine. On the contrary, it weakens the heart muscle, so that after awhile, if this drug be given long enough, or if coffee be indulged in as a beverage to excess, the heart exhibits a tendency to dilate. We find Coffea also indicated in diarrhoea, particularly that occurring among housewives; those who have a great deal of care and trouble in the management of the household.

Remember also the use of Coffea for fatigue arising from long journeys, especially during hot weather.

I wish to mention two or three other drugs analogous to Cojfea, that have recently been proved. Piper methysticum, also called Kavakava and Awa-samoa, is largely used in Polynesia as a beverage. It has also been proved as a medicine. Its effects seem to be something like those of coffee, for it produces at first a feeling of buoyancy or tension, as though every nerve were " strung-up " to its highest pitch. The prover feels that he can work hard without fatigue. If these effects reach their extremes, there is a feeling of mental tension as though the head were large, almost full to bursting. There is dizziness also; dizziness on closing the eyes or on directing the attention to any object. The vessels of the brain, and particularly those about the base of the brain, feel full, as if ligated (that is the symptom given in the language of the prover). Thus far you see it is somewhat similar to Coffea. But the secondary action quickly follows the use of Piper, and this reverse effect is characterized by what we may call brain-fag. The brain feels tired on awakening, as one feels after being out late at night and losing considerable sleep, or after a hard night's study. There is heavy, dull aching in the head, which is worse from reading, thinking or any use of the mind. The mental symptoms, be they those of excitement or of depression, are relieved by diversion of the mind. Further than this, Piper seems to produce convulsions, and it has cured them. The spasms simulate those of catalepsy. The mind is tired and yields to the least pressure. There is over-sensitiveness to all external impressions.

Gaiety, easy comprehension, irritability, excited; senses acute. Impressionable, especially to pleasurable impressions. Full of ideas, quick to act. Tossing about in anguish (Acon).

Unroasted Coffee Stimulates the functional activity of all organs, increasing the nervous and vascular activity. The drinking of coffee by the aged is likely to increase production of uric acid, causing irritation of kidneys; muscle and joint pains, and with the increased susceptibility of old people to the stimulating action of coffee and tea, their use should be curtailed or carefully watched. Great nervous

agitation and restlessness. Extreme sensitiveness characterizes this remedy. Neuralgia in various parts; always with great nervous excitability and intolerance of pain, driving to despair. Unusual activity of mind and body. Bad effects of sudden emotions, surprises, joy, etc. Nervous palpitation. Coffea is specially suited to tall, lean, stooping persons with dark complexions, temperament choleric and sanguine. Skin hypersensitive.

Worse, excessive emotions (joy), narcotics, strong odors, noise, open air, cold, night. Better, warmth, from lying down; holding ice in mouth.

Tight pain, worse from noise, smell, narcotics. Seems as if brain were torn to pieces, as if nail were driven in head. Worse in open air. Sensitive hearing.

Dry heat, with red cheeks. Prosopalgia extending to molar teeth, ears, forehead, and scalp.

Toothache; temporarily relieved by holding ice-water in the mouth (Mangan opposite). Hasty eating and drinking. Delicate taste.

Excessive hunger. Intolerance of tight clothing. After wine and liquor.

Menses too early and long lasting. Dysmenorrhœa, large clots of black blood. Hypersensitive vulva and vagina. Voluptuous itching.

Short, dry cough of measles in nervous, delicate children.

Violent irregular palpitation especially after excessive joy or surprise. Rapid high tension pulse and urinary suppression.

Crural neuralgia; worse, motion, afternoon and night; better, by pressure.

Wakeful; on a constant move. Sleeps till 3 am, after which only dozing. Wakes with a start, sleep disturbed by dreams. Sleepless, on account mental activity; flow of ideas, with nervous excitability. Disturbed by itching of anus.

Incompatible: Camph; Coccul. Complementary: Acon. Compare: Coffea tosta (Roasting develops certain vitamin-like substances (P. T. Mattei). Pigeons which have developed "deficiency" neuritis and paralysis on diet of polished rice lost their disabilities on the addition of 8 cc to a 5 % infusion of coffee to their food. Unroasted coffee was useless). Caffeine.––(A crystalline alkaloid-is a direct heart stimulant and diuretic. Dropsy depending on cardiac insufficiency. Myocardial degeneration. Cardiac insufficiency in pneumonia and other infectious diseases. Raises the blood pressure, increases pulse rate and stimulates the heart muscle; hence, a support in extreme feebleness or threatened failure. Stimulates the respiratory center, nerve centers and increases diuresis.

One of the best stimulants of the vaso-motor centers. Acute pulmonary œdema. Brachialgia and other neuralgias characterized by nocturnal exacerbations. Jousset uses equal parts of caffeine and sachar lac. 3 grains taken in divided doses every other day. Hypodermically, 1/4 grain. Excruciating facial neuralgia from decayed teeth); Acon; Cham; Nux; Cyp; Caffeine and plants containing it, as Kola, Thea, etc. Strong black coffee, drunk as hot as possible, is indispensable as an antidote in a large number of poisons, especially narcotics. Hot coffee by rectum in cases of extreme collapse. Antidotes: Nux; Tabac.

Third to two hundredth potency.

Coffea

Sensitiveness: This drug is characterized by a general sensitivity. Sensitiveness of vision, of hearing, of smell, of touch; sensitiveness to pain. it is most astonishing sometimes about this great sensitiveness. Pains are increased by noise. Sensitiveness of hearing is so great that sounds are painful. Pains in the face, toothache, headache; pains in the lower limbs; everywhere aggravated by noise.

All the nervous disturbances possible are found in this medicine, and they are all aggravated by noise. Even the opening of the door and the ringing of the door-bell produces great suffering. Such patients are so sensitive that they hear sounds which those in a state of health cannot hear.

Perhaps no medicine in the Materia Medica approximates this sensitiveness of hearing where it is accompanied with pain, unless it be Nux vom. Those practitioners who do not know this generally resort to Nux vom. for pains aggravated from voices in another room, or from noise or the sound of children.

Many remedies have increase of nervousness from noise; noise aggravates headache, and aggravates suffering about the head, and makes some persons nervous, But pain in the extremities aggravated by noise is peculiar. It seems that the noise disturbs him so that he cannot bear pain.

The Coffea state is brought on by emotions or violent excitement of the mind, but especially by joy or "pleasant surprise."

The result is sleeplessness, nervous excitement, neuralgia, twitching of muscles, toothache, face ache, red face and hot head.

You may be called to the bedside of a woman who has been laboring for some great cause. She works persistently, is successful, but goes to bed with weeping, delirium, neuralgia, sleeplessness. Her heart palpitates, her pulse flickers, she has fainting spells, and without Coffea she may die. Coffee drinkers who keep up through some ordeal and then break down are similarly affected.

The Coffea patient is sensitive to wine. A small amount of wine intensifies the nervousness, produces sleeplessness, flushed face, feverishness, great excitement. Not necessarily intoxication, but nervous excitement.

Coffea has a painful sensitiveness of the skin beyond comprehension. I remember one particular case. A woman bad her lower limb out of bed and it was as red as fire down one side. I walked toward it to put my hand on it. But she said, "Oh, don't touch it, I can't bear to have it touched; I can't touch it myself."

I asked how long this had been coming on. She said, "Ob, it all came on within an hour."

Such a symptom is common in coffee drinkers. There was no fever. Intense stinging, burning pains in the skin with the redness and heat with coarse rash coming on suddenly, leaving just as suddenly. The sensitive part is aggravated by cold air, aggravated by any wind or from fanning, from motion, yet aggravated by warmth. Aggravated from anyone walking across the floor. The woman I referred to scowled when I was walking toward the bed. A number of times I have seen such things relieved within a few minutes by Coffea.

Mind: Fainting from sudden emotions. Hysteria, nervousness, weeping. Pitiful weeping from pain trembling and weeping from hurt feelings; the slightest neglect. The greatest mental and physical exhaustion; great restlessness lying awake most of the night.

The wakefulness produced by Coffea is well known, even to the laity. It is taken by nurses to keep them awake nights with their patients. The Coffea patient is quick to act and to think. So full of ideas that she lies awake nights making plans, thinking of a thousand things; utterly unable to banish the thoughts that flood the mind; hears the clocks on the distant steeples, as do Opium, China and Nux vom.

Hears the dogs barking. So great is the brain activity, the mental excitement, that she hears noises that are purely imaginary. Memory active, easy comprehension full of ideas; increased power to think and to debate. Coffea increases the mental capacity. But after a while reaction follows; she becomes stupid and sleepy. There is no end to the fancies, to the visions. Fanciful visions come before the mind. Recalls things not thought of for years; recalls poetry that was recited in childhood. Eyes brilliant; pupils dilated; face flushed head hot.

Teeth: With all these nervous states the patient dreads the fresh air. He is extremely sensitive to cold, sensitive to the wind and cold weather. Complaints come on in the cold weather, from the cold air. Pain in the mouth and jaws, better from holding ice-cold water in the mouth. This applies to toothache and faceache where it is deep in the jaws. Hot head; inflamed condition of the gums. Pain in the teeth; rending, tearing pain in the teeth, brought on from exposure to cold, from emotions, from excitement, from joy; aggravated from motion; ameliorated by ice or ice-cold things; aggravated by warm food. Cannot drink warm tea, it so intensifies the pain. That is a particular. The particulars contrast with the generals. In one place you may see "better from cold" in black-faced type, but it relates to the face and jaws. Worse from cold is a general. Aversion to cold air, aversion to the open air unless it is very warm and still. Aversion to wind. "Neuralgic toothache entirely relieved by holding cold water in the mouth, returning as it becomes warm.

Toothache during the menstrual period. Complaints of anemic children during dentition."

Children: Those nervous, excitable children that talk to the nurse and the mother very rapidly with brilliant eyes, red face, cannot go to sleep. It will quiet the patient and actually favor the growth of the tooth in a painless manner. That is the description of a nervous child with many nervous brain and mental troubles. This child is extremely sensitive; it takes cold. The routine prescriber gives Belladonna to a child who has hot head, hot face and throbbing carotids, and when it does not help he gives more Belladonna, and increases the size of his dose until the child has a proving.

He makes a Belladonna child, out of it when Coffea would have cured it. In most instances where Belladonna is indicated the child is sluggish and stupid, and would like to sleep. With Coffea there is excitement. The child hears things its mother cannot hear; sees things; imagines things.

Wakes up in fright. Sees this, that and the other thing in the room. Wakes up excited as if it had visions. Looks for things, and finally sees they are not there. Such things are strong features of Coffea.

Ears: At times the head is hot, the face is flushed and, the eyes so brilliant that one fears apoplexy. Patients will often tell you that they hear a "noise" in the head, a ringing and roaring in the occiput.

The ear is the one organ capable of registering sounds. But strange to say, the ears are sometimes very deceiving. Roaring in the ears sometimes seems as if it were in the occiput. Sometimes it is accompanied with a sensation of tingling or bubbling in the head.

When patients say, "I have a roaring in the head,"

you know that means in the car; many times accompanying roaring, ringing in the ears, buzzing in the ears, is a peculiar sensation of vibration in the head that is mistaken by the patient for a sound.

I mention that because the Coffea patient feels a crackling or a bubbling in the occiput. The head feels badly; it feels too small. Headache, as of something pressing hard upon the surface of the brain.

You would naturally suppose there was a pressing because of the congestive state heretofore described.

"Headache as if the whole brain were torn and bruised, or dashed to pieces.

Worse from motion, noise or light."

The eye and the head symptoms are worse from noise and light.

"Headache intolerable.

Head feels small, and as if filled with fluid. Nervous hysterical headache.

One-sided headache."

There is another head symptom which is quite common. A feeling as if a nail were driven into the head. Coffea headaches are worse from walking, from motion; from the mere moving across the floor, he says he feels a draft of air on his head. And that is true of the pain in any part of the body.

If a Coffea patient should have a pain in the hand, swinging of the hand through the air will aggravate. It is worse both from the motion and from the air. I want to illustrate that in this way in order to show how sensitive he is to air, and especially the painful part to cold air; when he moves against the air, against even still air he feels it. But the amelioration of the toothache from cold is an exception, is a particular. The neuralgia of the face is a common feature of old coffee drinkers.

Sensitive persons take coffee and finally become habituated to it. They say they cannot get along without it. They must have coffee. Such individuals should stop coffee. When coffee furnishes a crutch it is a sure indication that drinking it must be stopped.

So it is with tea or any beverage. Such persons sometimes become sensitive to coffee, and they drink it in great quantities; the face becomes red; headaches come on, and other symptoms of Coffea. Stopping coffee brings out quite a proving, and you have to study Cham. and Nux for an antidote.

In all these remedies you get opposite effects. Now Opium will illustrate that. The first effect of Opium is to constipate. Let several doses be given, and as the effects of the Opium wear off he may have diarrhea. Opium eaters can seldom stop because a diarrhea comes on. If you should ever have an Opium case and diarrhea comes on Puls. will nearly always control it. But there are individuals who reverse that. Often small doses of Opium will bring on dysentery, and if it is increased, bloody dysentery and inflammation of the bowels come on. Of course, one is action and the other the reaction.

Women: A woman who is a confirmed coffee drinker will have menses too soon and lasting too long.Uterine hemorrhage is not uncommon. Another feature of Coffea is that the woman can scarcely wear the napkin during menstruation (Platinum).

The parts are in a state of hyperesthesia. The vagina is hot and sensitive, often preventing coition. In the text it reads "Great sensitiveness of female genital organs, with general excitability.

She is in a state of ecstacy.

Uterine hemorrhage with excessive sensitiveness of organs and voluptuous itching.

Metrorrhagia; large black lumps."

Sometimes large bright red lumps.

"Worse from every motion, with violent pain in the groins, and fear of death."

Excessive sensitiveness about the vulva with voluptuous itching, is a strong feature of Coffea, and you will often find such symptoms in coffee drinkers.

During and after labor we also see this great excitement, all these nervous manifestations. The nervous system is in a fret, and such a mental state as described comes on with afterpains; extremely sensitive to pain, cries out; sees visions; hears all sorts of noises. Pains aggravated from motion; aggravated from noise. Wants everybody to keep still in the house.Convulsions of children.

"Puerperal convulsions.

Extreme excitability."

"Palpitation of the heart, pulse fluttering." "Strong, quick palpitation of the heart with extreme nervousness, sleeplessness and cerebral erethism caused by unexpected news of great good fortune."

Let a woman about to go into confinement hear suddenly some unusually good news and the becomes almost ecstatic; carries the symptom all through confinement. The child is affected, the milk is affected. The milk flows away. Hemorrhage is likely to come on. Great nervousness, excitability, fear.