# Coca

## Remedy Classification
- **Type:** Herbal Remedy
- **Miasm:** Syphilitic Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Evening

## Keynote Indications
Complaints related to mountain climbing. Altitude, mountain sickness.  Palpitations, 
dyspnea, anxiety and inso mnia. Dizziness, dyspnea and exhaus tion on going to high altitudes, mountain 
climbing, airplane flying etc. 
Exhaustion of the brain and nervous sys tem from physical and mental strain. Muscle exhaustion. Ringing in 
the ears, deafness and also fever (Chin. ). Tooth decay. Voice loss. Nocturnal bedwetting. 
Emphysema(Queb.). Characteristic sensation as if a worm or small foreign bodies were under the skin, 
moving away when touched. 
Cocaine poisoning causes a sensation as if small foreign bodies were under the skin, generally like grains 
of sand or else as of a worm under the skin. 
It is known as Magnan's Symptom, after the neurologist who first described it. His description is “a sensation 
as if foreign bodies were under the skin, generally small round substances like grains of sand.” 
Korkasoff reported a case of multiple neuritis in which this symptom was present. The patient was a woman 
 
 
who was being treated for a uterine affection by means of vaginal tampons containing c ocaine. A 
discontinuance of these caused the disappearance of the symptom.

## Modalities (Aggravations / Ameliorations)
Better from wine. Better after dinner. Better lying on face. Better quick motion. Better open air. 
Better after sunset. Worse from cold air. Worse ascending, high altitudes. Worse climb ingmountains. 
Worse 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.
- Bashful, ill at ease in society.
- Craves solitude, obscurity and darkness.
- Irritability on waking in morning.
- Confusion of mind.
- Personal appearance neglected.
- Deceitful.
- Sense of right and wrong abolished.
- Melancholy from nervous exhaustion.
- Mental prostration alternating with exhila ration.
- Mental depression and 
drowsiness.
- Muddled feeling in brain.
- Want of will power.
- Forsaken feeling.
- Loss of energy.
- Unpleasant feeling 
about himself.
- Slow in finding words to express oneself.
- Loquacious excitement with blissful visions.
- Great mental excitement.
- Exhilaration, before menses.
- Wonderful visions.
- Hallucinations of hearing.
- Very changeable mood.
- Pleasant fancies.
- Loquacious excitement 
with blissful visions.
- Sense of impending death.
- Overpowered by indescribable anxi ety.
- Nervousness and 
nightly 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.
- Bashful, ill at ease in society.
- Craves solitude, obscurity and darkness.
- Irritability on waking in morning.
- Confusion of mind.
- Personal appearance neglected.
- Deceitful.
- Sense of right and wrong abolished.
- Melancholy from nervous exhaustion.
- Mental prostration alternating with exhila ration.
- Mental depression and 
drowsiness.
- Muddled feeling in brain.
- Want of will power.
- Forsaken feeling.
- Loss of energy.
- Unpleasant feeling 
about himself.
- Slow in finding words to express oneself.
- Loquacious excitement with blissful visions.
- Great mental excitement.
- Exhilaration, before menses.
- Wonderful visions.
- Hallucinations of hearing.
- Very changeable mood.
- Pleasant fancies.
- Loquacious excitement 
with blissful visions.
- Sense of impending death.
- Overpowered by indescribable anxi ety.
- Nervousness and 
nightly 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 
from occiput.
- Vertigo with involuntary quick stepping when walking.
- COMMENTS - Dr.
- J.
- W.
- Springthorpe described a variety of this symptoms expe rienced by himself and 
recorded in a paper entitled “The Confessions of the Cocainist.” He called it “Hunting the Cocaine bug.” “You 
imagine,” he says, “that in your skin are worms or similar things, moving along.
- “If you touch them with wool and espe cially with absorbent wool, they run away and disappear, only to peep 
cautiously out of some corner to see if there is any danger.
- These worms are projected only on the Cocainist's 
own person or clothing.
- He sees them on his linen in his skin, creeping along his penholder, but not on other, 
people or things and not on clothes brought clean from the laundry.” 
Cooper cured a case of chronic rheumatism in an aged woman who had this symptom with the fraction of a 
grain of cocaine given in single doses at long intervals.
- In a case reported in Lancet, June, 1886, a man who had a 4 percent solution of cocaine applied to a tooth 
swallowed twenty to thirty drops of the solution.
- Half an hour after, he was seized wi th a feeling of faintness 
and giddiness followed by an attack of palpitation with a sense of flushing, especially up the back.
- There was a marked diminution of smell, great difficulty in producing vomiting, a scarlatina -like rash over the 
body, especially about the neck, dimness of vision, relaxation of sphincters and weakness of limbs.
- The mind 
remained clear, but the pulse was fast, weak and intermittent.
- A striking case was recorded in the British Medical Journal of December 13,1890.
- At a meeting of the  Paris 
Academie de Medecine on December 2nd, M.
- Hallopeau presented a communication after distinguishing two 
forms of cocaine poisoning: the acute in which the symptoms are produced imme diately after a dose and 
speedily pass off, and the chronic in which they are due to the prolonged use of the drug.
- He then related a case that in his opinion showed that the poisonous effects, while coming on acutely, might 
last for a considerable time.
- On March 7, 1890, a man had about eight milligrams oí hydrochlorate of cocaine 
injected into his gum as a preliminary to the extraction of a tooth.
- Toxic symptoms at once supervened.
- There was intense precordial oppression with thready pulse and extreme excitement and loquacity.
- The patient 
walked about the room, hitting out at random with his fists and crying out that he was dying.
- In ten minutes he 
became quiet and the tooth was extracted after which he was able to walk home, but arrived there in a state 
of extreme prostration.
- Then ensued a train of nervous symptoms, such as continual headache, intractable sleeplessness, a bad taste 
in the mouth with attacks of excitement accompanied by giddiness, faintness, and a sense of impending death.
- All brain work was impossible, the patient could not do the simplest sum in arithm etic and was in a state of 
profound depression.
- A sense of formication and numbness in the hands and forearms was almost incessant.
- This condition lasted four months.
- It was two months after the injection before the least improvement was 
observed, and then progress towards recovery was very slow.
- M.
- Hallopeau thought the symptoms indicated a poisonous action of cocaine on the nervous centers and 
especially the brain.
- As it is impossible to suppose that so small a quantity of the drug should have remained 
in the circulation, he was driven to conclude either that it was stored up in the cells of certain nervous centers 
or that it produced in them persistent lesions.
- Among other effects observed from its use in dentistry are “mental depression and drowsiness an d intense 
oppression in chest, dilatation of pupils, acceleration of pulse and breathing and mental excitement.”  
W.
- J.
- Guernsey quoted in H.
- P., November, 1888 from Med.
- Register, August 11, 1888, the experience of J.
- E.
- Shadle, who applied pledgets of a 4 percent solution of cocaine to the nasal cavities of a man of 35, 
preparatory to operation.
- On each occasion he complained of a “cold, gone, relaxed feeling about the external genitals and a sensation 
as if he penis were absent.
- Towards the end of treat ment he noticed a permanent weakness of the sexual 
organs and finally seminal losses and impotence set in and continued until the Cocaine was entirely withheld.” 
R.
- K.
- Ghosh noted experiences with Coca (which he finds in drop doses act better in such cases  than in the 
potencies) in pal pitation and dyspnea on ascending, when arising from nervous causes, especially in 
complaints from self-abuse generally.
- After the invigorating effects of cocaine have passed off, including the sense of lightness and ability to climb a 
mountain without fatigue, or when the intoxication has been carried to a further degree, there is a sense of 
heaviness, numbness and drowsiness with a disinclination to move.
- Extreme weariness, especially weakness of the legs.
- Extreme affects f rom altitude sickness.
- Fatigue.
- Characteristic headache, headaches of high altitudes.
- Tight headache, as if a rubber band were stretched 
across the forehead.
- After affects from altitude sickness (Carb - V., Sil., Calc.).
- Can be used prophylactically if ther e's a history of 
altitude sickness or lung weakness.
- Asthma aggravated by altitude.
- Effects of cold, cough from cold air, rheu -
matism from slightest cold.
- Excessive secretion of urine with or with out sugar.
- Nocturnal bedwetting.
- General affect of relaxing  the 
sphincters.
- Sensation as if the esophagus would be rent by force of rising flatus.
- Nymphomania after childbirth 
during 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 
by flashes of light.
- Shocks coming from occiput with vertigo.
- Like a band across forehead.
- Migraine, worse 
coughing, better eating, sunset.
- Pressive pain in occiput.
- Sensation as if brain was muddled.
- Fullness and 
pressive pa in in forehead.
- Occiput painful and tender to touch, worse coughing.
- Occipital headache with 
chilliness.
- Violent headache, just over eyes with low ringing in ears.
- Fainting fit from climbing mountains.
- Headaches of high altitudes.
- Headache with vertigo, preceded 
by flashes of light.
- Shocks coming from occiput with vertigo.
- Like a band across forehead.
- Migraine, worse 
coughing, better eating, sunset.
- Pressive pain in occiput.
- Sensation as if brain was muddled.
- Fullness and 
pressive pa in in forehead.
- Occiput painful and tender to touch, worse coughing.
- Occipital headache with 
chilliness.
- 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.
- Intolerance of light with dilated pupils.
- White, dark and fiery spots before the eyes.
- Flickering before the eyes.
- Dark cloud before eyes.
- Indistinct vision soon followed by head ache and nausea.
- Pupils dilated with great 
photophobia.
- 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 
blue, swollen, chapped.
- Lips and gums pale.
- Dryness 
Coca erythroxylon of lips and mouth.
- Ulceration at corners of mouth.
- Taste salty, slimy, bitter.
- Taste lost in 
morning.
- Fetid breath.
- Nose - Sense of smell greatly diminished.
- Nosebleedfrom high altitudes.
- Nosebleed passing from right to 
left.
- 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 
difficult.
- Dryness early in morning.
- Tuberculosis of larynx.
- Belchings, rise with noise and violence, as if it would 
split the esophagus.
- Tickling in fauces and pharynx.
- Hawking of small, transparent lumps of mucus, chiefly in 
morning.

### Chest
- Sudden attack of cramp in chest, became cold and unable to continue the ascent.
- Intense oppression 
in chest.
- Rush of blood to chest with slight headache.
- Heaviness and oppression of chest.
- Pain under 
clavicles, worse under left.
- Transient, shooting, in chest, between third and 
sixth ribs, worse during deep inspiration.
- Constitutions - Suited to old people.
- Short- breathed people, weakly, 
nervous, fat, plethoric people.
- Children with marasmus.
- Angina pectoris from climbing mountains or over -exertion.
- Violent and audible palpitations with 
flushing.
- Violent palpitations from overexertion.
- Rapid pulse with violent sweating.
- Pulse extremely slow 
and intermittent, loses one beat in four.
- Palpitations with weak heart and dyspnea.
- Pulse weak and 
accelerated, increased arterial tension.
- Throbbing of 
heart against ribs audible.
- Exhaustion of heart with irregular action.
- Kidneys - bine stitches in female urethra before urinating.
- Frequent desire, with increase, flow.
- Film on urine.
- Urine smells like sweat.
- Yello wish red flocculent deposits, oily scum on surface.
- Nocturnal bedwetting.
- Pains 
in perineum at end of urination.
- Decrease of solids in urine.
- Urine turbid on standing and covered with a light 
pellicle.
- Oppressed breathing at night.
- Altitudes sickness.
- Rapid breathing.
- Want of breath, worse 
ascending, high altitudes.
- Cough from cold air or fast walking.
- Short of breath, especially in aged athletes.
- Dyspnea of those who use tobacco or whiskey to excess.
- Emphysema.
- Asthma, spasmodic variety.
- Senile 
asthma.
- Obstructed breathing and heaviness in chest oblige him to walk slowly.
- Incessant dyspnea, with 
desire to take a deep breath.
- Hawking of small, transparent pieces of mucus.
- Expectoration of small limps like 
boiled starch, after rising in morning.
- He moptysis.
- Upper portion of both lungs as if constricted, during whole 
day.

### Stomach & Abdomen
- Empty feeling or full feeling in stomach.
- Incarcerated flatus, r ises with noise and violence, as if it 
would split the esophagus.
- Dyspepsia, especially in hypochondriacs.
- Hiccough after supper.
- Active digestion.
- Frequent eructations.
- Weak and difficult digestion.
- Temperature - Sense of flushing, especially up the back with palpitations.
- Chilliness and headache in 
afternoon.
- At night, heat and sleeplessness, with throbbing in arter ies.
- Night sweats.
- Flushes of heat on the 
back and burning in abdomen.
- Extreme weariness accompanies the fever.
- Tympanitic distention of abdo men.
- Pressure and tension in hypochondria after meals.
- Violent 
pains with bloated distention.
- Colic.
- Passage of much flatulence.
- Violent bellyache, better frequent discharges 
of inodorous flatus.
- Causations - Ascending, high altitudes.
- Retards hunger and thirst.
- Very little need of nourishment, even during heavy work and remarkable 
vigor.
- Great satiety for a long time.
- No appetite except for sweets.
- Aversi on to solid food.
- Desires stimulants.
- Craving for alcohol and tobacco.
- Ailments from salt food.
- Can't eat salty food.
- Great thirst.
- Bad effects of 
stimulants, alcohol and tobacco.

### Urinary & Genital
- Diabetes with impotency (Ph -ac.).
- Sensation as if penis were absent.
- Emis sions.
- Spermatorrhea and 
 
 
partial impo tence.
- Nervous prostration from sexual excess.
- Satyriasis.
- Weakness, seminal emissi ons with 
voluptuous dreams.
- Menses flow in gushes, awake ning her from sound sleep.
- Nymphomania during menses and after 
childbirth.

### Extremities
- Weakness of limbs.
- Feeling of internal cold with numbness of hands and feet.
- Crawling, numbness of 
arms.
- When walking, takes involuntary quick steps, head inclined forward with vertigo.
- Rheumatism, coming 
from slightest cold.

### Skin
- Itching and prickling under the skin.
- Like a worm or insects crawling under the skin,  moving away 
when touched.
- Scarlatina-like rash over body.
- Increased heat of skin.

### Sleep
- Nervousness with nightly restless ness during teething.
- Chronic sleeplessness.
- Inclination to sleep, 
but can find no rest.
- Great drowsiness.
- Awakens with a shock in brain.
- Can find no rest anywhere, but sleepy.
- Awakes with a shock in brain when lying on back.