{"id":16132,"remedy_name":"Coca","remedy_type":"Herbal Remedy","alternative_names":[""],"miasm":"Syphilitic Miasm","temperament":"Chilly","aggravation_time":"Evening","keynote_indications":"Complaints related to mountain climbing. Altitude, mountain sickness.  Palpitations, \ndyspnea, anxiety and inso mnia. Dizziness, dyspnea and exhaus tion on going to high altitudes, mountain \nclimbing, airplane flying etc. \nExhaustion of the brain and nervous sys tem from physical and mental strain. Muscle exhaustion. Ringing in \nthe ears, deafness and also fever (Chin. ). Tooth decay. Voice loss. Nocturnal bedwetting. \nEmphysema(Queb.). Characteristic sensation as if a worm or small foreign bodies were under the skin, \nmoving away when touched. \nCocaine poisoning causes a sensation as if small foreign bodies were under the skin, generally like grains \nof sand or else as of a worm under the skin. \nIt is known as Magnan's Symptom, after the neurologist who first described it. His description is \u201ca sensation \nas if foreign bodies were under the skin, generally small round substances like grains of sand.\u201d \nKorkasoff reported a case of multiple neuritis in which this symptom was present. The patient was a woman \n \n \nwho was being treated for a uterine affection by means of vaginal tampons containing c ocaine. A \ndiscontinuance of these caused the disappearance of the symptom.","modalities":"Better from wine. Better after dinner. Better lying on face. Better quick motion. Better open air. \nBetter after sunset. Worse from cold air. Worse ascending, high altitudes. Worse climb ingmountains. \nWorse mental or physical exertion. Worse walking. Worse sitting. Worse salty food.","symptoms_by_system":{"Mind":"Lively mood, inclination for mental work. Clearness of mind at night.  Hurry in movements. Timidity. \nBashful, ill at ease in society. Craves solitude, obscurity and darkness.  Irritability on waking in morning. \nConfusion of mind. Personal appearance neglected. Deceitful. Sense of right and wrong abolished.  \nMelancholy from nervous exhaustion. Mental prostration alternating with exhila ration. Mental depression and \ndrowsiness. Muddled feeling in brain. Want of will power. Forsaken feeling. Loss of energy. Unpleasant feeling \nabout himself. Slow in finding words to express oneself. \nLoquacious excitement with blissful visions. Great mental excitement.  Exhilaration, before menses. \nWonderful visions. Hallucinations of hearing. Very changeable mood. Pleasant fancies. Loquacious excitement \nwith blissful visions. Sense of impending death. Overpowered by indescribable anxi ety. Nervousness and \nnightly restlessness of children during dentition. Fear of falling when walking. Lively mood, inclination for mental work. Clearness of mind at night.  Hurry in movements. Timidity. \nBashful, ill at ease in society. Craves solitude, obscurity and darkness.  Irritability on waking in morning. \nConfusion of mind. Personal appearance neglected. Deceitful. Sense of right and wrong abolished.  \nMelancholy from nervous exhaustion. Mental prostration alternating with exhila ration. Mental depression and \ndrowsiness. Muddled feeling in brain. Want of will power. Forsaken feeling. Loss of energy. Unpleasant feeling \nabout himself. Slow in finding words to express oneself. \nLoquacious excitement with blissful visions. Great mental excitement.  Exhilaration, before menses. \nWonderful visions. Hallucinations of hearing. Very changeable mood. Pleasant fancies. Loquacious excitement \nwith blissful visions. Sense of impending death. Overpowered by indescribable anxi ety. Nervousness and \nnightly restlessness of children during dentition. Fear of falling when walking.","Vertigo":"Fainting fit from climbing mountains. Vertigo and fainting after exertion. Vertigo with shocks coming \nfrom occiput. Vertigo with involuntary quick stepping when walking. \nCOMMENTS - Dr. J. W.  Springthorpe described a variety of this symptoms expe rienced by himself and \nrecorded in a paper entitled \u201cThe Confessions of the Cocainist.\u201d He called it \u201cHunting the Cocaine bug.\u201d \u201cYou \nimagine,\u201d he says, \u201cthat in your skin are worms or similar things, moving along. \n\u201cIf you touch them with wool and espe cially with absorbent wool, they run away and disappear, only to peep \ncautiously out of some corner to see if there is any danger. These worms are projected only on the Cocainist's \nown person or clothing. He sees them on his linen in his skin, creeping along his penholder, but not on other, \npeople or things and not on clothes brought clean from the laundry.\u201d \nCooper cured a case of chronic rheumatism in an aged woman who had this symptom with the fraction of a \ngrain of cocaine given in single doses at long intervals. \nIn a case reported in Lancet, June, 1886, a man who had a 4 percent solution of cocaine applied to a tooth \nswallowed twenty to thirty drops of the solution. Half an hour after, he was seized wi th a feeling of faintness \nand giddiness followed by an attack of palpitation with a sense of flushing, especially up the back. \nThere was a marked diminution of smell, great difficulty in producing vomiting, a scarlatina -like rash over the \nbody, especially about the neck, dimness of vision, relaxation of sphincters and weakness of limbs. The mind \nremained clear, but the pulse was fast, weak and intermittent. \nA striking case was recorded in the British Medical Journal of December 13,1890. At a meeting of the  Paris \nAcademie de Medecine on December 2nd, M. Hallopeau presented a communication after distinguishing two \nforms of cocaine poisoning: the acute in which the symptoms are produced imme diately after a dose and \nspeedily pass off, and the chronic in which they are due to the prolonged use of the drug. \nHe then related a case that in his opinion showed that the poisonous effects, while coming on acutely, might \nlast for a considerable time. On March 7, 1890, a man had about eight milligrams o\u00ed hydrochlorate of cocaine \ninjected into his gum as a preliminary to the extraction of a tooth. Toxic symptoms at once supervened. \nThere was intense precordial oppression with thready pulse and extreme excitement and loquacity. The patient \nwalked about the room, hitting out at random with his fists and crying out that he was dying. In ten minutes he \nbecame quiet and the tooth was extracted after which he was able to walk home, but arrived there in a state \nof extreme prostration. \n \n \nThen ensued a train of nervous symptoms, such as continual headache, intractable sleeplessness, a bad taste \nin the mouth with attacks of excitement accompanied by giddiness, faintness, and a sense of impending death. \nAll brain work was impossible, the patient could not do the simplest sum in arithm etic and was in a state of \nprofound depression. A sense of formication and numbness in the hands and forearms was almost incessant. \nThis condition lasted four months. It was two months after the injection before the least improvement was \nobserved, and then progress towards recovery was very slow. \nM. Hallopeau thought the symptoms indicated a poisonous action of cocaine on the nervous centers and \nespecially the brain. As it is impossible to suppose that so small a quantity of the drug should have remained \nin the circulation, he was driven to conclude either that it was stored up in the cells of certain nervous centers \nor that it produced in them persistent lesions. \nAmong other effects observed from its use in dentistry are \u201cmental depression and drowsiness an d intense \noppression in chest, dilatation of pupils, acceleration of pulse and breathing and mental excitement.\u201d  \nW. J. Guernsey quoted in H. P., November, 1888 from Med. Register, August 11, 1888, the experience of J. \nE. Shadle, who applied pledgets of a 4 percent solution of cocaine to the nasal cavities of a man of 35, \npreparatory to operation. \nOn each occasion he complained of a \u201ccold, gone, relaxed feeling about the external genitals and a sensation \nas if he penis were absent. Towards the end of treat ment he noticed a permanent weakness of the sexual \norgans and finally seminal losses and impotence set in and continued until the Cocaine was entirely withheld.\u201d \nR. K. Ghosh noted experiences with Coca (which he finds in drop doses act better in such cases  than in the \npotencies) in pal pitation and dyspnea on ascending, when arising from nervous causes, especially in \ncomplaints from self-abuse generally. \nAfter the invigorating effects of cocaine have passed off, including the sense of lightness and ability to climb a \nmountain without fatigue, or when the intoxication has been carried to a further degree, there is a sense of \nheaviness, numbness and drowsiness with a disinclination to move. \nExtreme weariness, especially weakness of the legs. Extreme affects f rom altitude sickness. Fatigue. \nCharacteristic headache, headaches of high altitudes. Tight headache, as if a rubber band were stretched \nacross the forehead. \nAfter affects from altitude sickness (Carb - V., Sil., Calc.). Can be used prophylactically if ther e's a history of \naltitude sickness or lung weakness. Asthma aggravated by altitude. Effects of cold, cough from cold air, rheu -\nmatism from slightest cold. \nExcessive secretion of urine with or with out sugar. Nocturnal bedwetting. General affect of relaxing  the \nsphincters. Sensation as if the esophagus would be rent by force of rising flatus. Nymphomania after childbirth \nduring menses, from irritation of eczema or other disorders of the vulva in satyriasis.","Head":"Fainting fit from climbing mountains. Headaches of high altitudes. Headache with vertigo, preceded \nby flashes of light. Shocks coming from occiput with vertigo. Like a band across forehead. Migraine, worse \ncoughing, better eating, sunset. Pressive pain in occiput. Sensation as if brain was muddled. Fullness and \npressive pa in in forehead. Occiput painful and tender to touch, worse coughing. Occipital headache with \nchilliness. Violent headache, just over eyes with low ringing in ears. Fainting fit from climbing mountains. Headaches of high altitudes. Headache with vertigo, preceded \nby flashes of light. Shocks coming from occiput with vertigo. Like a band across forehead. Migraine, worse \ncoughing, better eating, sunset. Pressive pain in occiput. Sensation as if brain was muddled. Fullness and \npressive pa in in forehead. Occiput painful and tender to touch, worse coughing. Occipital headache with \nchilliness. Violent headache, just over eyes with low ringing in ears.","Eyes":"Pressure and pain in eyes. Aching pain behind eyes causing feeling as if squinting inwards. Diplopia. \nIntolerance of light with dilated pupils. White, dark and fiery spots before the eyes. Flickering before the eyes. \nDark cloud before eyes. Indistinct vision soon followed by head ache and nausea. Pupils dilated with great \nphotophobia. Heaviness of lids.","Ears":"Tinnitus. Noises in ears. Ringing, buzzing, and humming in ears with fever. Acute and painful hearing.","Mouth":"Mouth dry, especially on waking. Peppery sensation in the mouth. Tongue furred. Tooth decay. Lips \nblue, swollen, chapped. Lips and gums pale. Dryness \nCoca erythroxylon of lips and mouth. Ulceration at corners of mouth. Taste salty, slimy, bitter. Taste lost in \nmorning. Fetid breath. \nNose - Sense of smell greatly diminished. Nosebleedfrom high altitudes.  Nosebleed passing from right to \nleft. Sneezing, and running of clear water from nose. Heat and irritation in nostrils.","Throat":"Hoarseness, worse af ter talking. Voice loss. Weak vocal cords. Uvula feels swollen, swallowing \ndifficult. Dryness early in morning. Tuberculosis of larynx. Belchings, rise with noise and violence, as if it would \nsplit the esophagus. Tickling in fauces and pharynx. Hawking of small, transparent lumps of mucus, chiefly in \nmorning.","Chest":"Sudden attack of cramp in chest, became cold and unable to continue the ascent. Intense oppression \nin chest. Rush of blood to chest with slight headache. Heaviness and oppression of chest.  Pain under \nclavicles, worse under left. Transient, shooting, in chest, between third and \nsixth ribs, worse during deep inspiration. Constitutions - Suited to old people. Short- breathed people, weakly, \nnervous, fat, plethoric people. Children with marasmus. Angina pectoris from climbing mountains or over -exertion. Violent and audible palpitations with \nflushing. Violent palpitations from overexertion. Rapid pulse with violent sweating. Pulse extremely slow \nand intermittent, loses one beat in four. Palpitations with weak heart and dyspnea.  Pulse weak and \naccelerated, increased arterial tension. Throbbing of \nheart against ribs audible. Exhaustion of heart with irregular action. \nKidneys - bine stitches in female urethra before urinating. Frequent desire, with increase, flow. Film on urine. \nUrine smells like sweat. Yello wish red flocculent deposits, oily scum on surface. Nocturnal bedwetting. Pains \nin perineum at end of urination. Decrease of solids in urine. Urine turbid on standing and covered with a light \npellicle. Oppressed breathing at night. Altitudes sickness.  Rapid breathing.  Want of breath, worse \nascending, high altitudes. Cough from cold air or fast walking. Short of breath, especially in aged athletes. \nDyspnea of those who use tobacco or whiskey to excess. Emphysema. Asthma, spasmodic variety. Senile \nasthma. Obstructed breathing and heaviness in chest oblige him to walk slowly. Incessant dyspnea, with \ndesire to take a deep breath. Hawking of small, transparent pieces of mucus. Expectoration of small limps like \nboiled starch, after rising in morning. He moptysis. Upper portion of both lungs as if constricted, during whole \nday.","Stomach & Abdomen":"Empty feeling or full feeling in stomach. Incarcerated flatus, r ises with noise and violence, as if it \nwould split the esophagus. Dyspepsia, especially in hypochondriacs. Hiccough after supper. Active digestion. \nFrequent eructations. Weak and difficult digestion. \nTemperature - Sense of flushing, especially up the back with palpitations. Chilliness and headache in \nafternoon. At night, heat and sleeplessness, with throbbing in arter ies. Night sweats. Flushes of heat on the \nback and burning in abdomen. Extreme weariness accompanies the fever. Tympanitic distention of abdo men. Pressure and tension in hypochondria after meals. Violent \npains with bloated distention. Colic. Passage of much flatulence. Violent bellyache, better frequent discharges \nof inodorous flatus. \nCausations - Ascending, high altitudes. Retards hunger and thirst. Very little need of nourishment, even during heavy work and remarkable \nvigor. Great satiety for a long time. No appetite except for sweets. Aversi on to solid food. Desires stimulants. \nCraving for alcohol and tobacco. Ailments from salt food. Can't eat salty food. Great thirst. Bad effects of \nstimulants, alcohol and tobacco.","Urinary & Genital":"Diabetes with impotency (Ph -ac.). Sensation as if penis were absent. Emis sions. Spermatorrhea and \n \n \npartial impo tence. Nervous prostration from sexual excess. Satyriasis. Weakness, seminal emissi ons with \nvoluptuous dreams. Menses flow in gushes, awake ning her from sound sleep. Nymphomania during menses and after \nchildbirth.","Extremities":"Weakness of limbs. Feeling of internal cold with numbness of hands and feet. Crawling, numbness of \narms. When walking, takes involuntary quick steps, head inclined forward with vertigo. Rheumatism, coming \nfrom slightest cold.","Skin":"Itching and prickling under the skin. Like a worm or insects crawling under the skin,  moving away \nwhen touched. Scarlatina-like rash over body. Increased heat of skin.","Sleep":"Nervousness with nightly restless ness during teething. Chronic sleeplessness. Inclination to sleep, \nbut can find no rest. Great drowsiness. Awakens with a shock in brain. Can find no rest anywhere, but sleepy. \nAwakes with a shock in brain when lying on back."},"schema_version":"1.0","api_provider":"Allahshafi"}