Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

Convulsions: Cuprum is pre-eminently a convulsive medicine. The convulsive tendency associates itself with almost every complaint that, Cuprum creates and cures.

It has convulsions in every degree of violence, from the mere twitching of little muscles and of single muscles to convulsions of all the muscles of the body. When these are coming on the earliest threatenings are drawings in the fingers, clenching of the thumbs or twitching of the muscles. It has twitching, quivering, trembling, and it has also tonic contractions, so that the hands are closed violently.

In this condition the thumbs are first affected; they are drawn into the palms and then the fingers close down over them with great violence. In the fingers and toes and in the extremities the spasmodic condition increases and extends until the limbs are in a state of great exhaustion. Tonic contractions, the limbs being drawn up with great violence and it seems as if the frame would be torn to pieces by the violent contractions of the muscles everywhere.

Mind: Often the contractions assume a clonic form, with jerking and twitching Cuprum has many mental symptoms. It has a great variety in its delirium, incoherent prattling, talking of all sorts of subjects incoherently. It has produced a variety of mental symptoms; delirium, incoherency of speech, loss of memory.

During its different complaints, such as cholera, some forms of fever, the puerperal state, dysmenorrhoea, congestion of the brain, etc., there is delirium, unconsciousness and jerking and twitching of the muscles.

The eyes roll in various directions, but commonly upwards and outwards or upwards and inwards. There is bleeding from the nose and the vision is disturbed. Between the convulsive attacks there is incoherent talk, delirium, during which the patient is spiteful, violent, weeping or shrieking. They go into convulsions with a shriek. In one place it is spoken of as bellowing like a calf.

This drug has the ability to produce a group of spasms followed by the appearance as if the patient were dead, or in a state of ecstacy. Convulsive conditions sometimes terminate in a state of stasis during which the mind ceases to act and the muscles remain quiet or only quiver.

This is often one of the leading features in whooping-cough when Cuprum is indicated. To bring it down to the language of the mother, the description which she gives of the little one, which will probably make you remember it better than if I use the text, she says that when the child is seized with a spell of this violent whooping cough, the face, becomes livid or blue, the finger nails become discolored, the eyes are turned up, the child coughs until it loses its breath, and then lies in a state of insensibility for a long time until she fears the child will never breathe again, but with violent spasmodic action in its breathing, the child from shortest breaths comes to itself again just as if brought back to life.

Whooping cough: You have here all the violent features of a convulsive whooping-cough. In addition to what the mother says you may also observe a few things, but the whole make up of such a case, its whole nature, shows that it is a Cuprum whooping cough.

If the mother can get there quickly enough with a little cold water she will stop the cough. Cold water especially will relieve the spasm, and so the mother soon gets into the habit of hurry ing for a glass of cold water, and the child also knows, if it has tried once that glass of cold water will relieve it.

Whenever the respiratory organs are affected there is spasmodic breathing, dyspnoea. There is also rattling in the chest. The more dyspnoea there is the more likely his thumbs will be clenched and the fingers cramped.

In the lower part of the chest, in the region of the xiphoid appendix, there is a spasmodic condition that is very troublesome. It seems to be at times a constriction so severe that he thinks he will die, and at others a feeling as if he were transfixed with a knife from the xiphoid appendix to the back.

Some say it feels as if a lump were in that region and others as if much wind were collected in the stomach. It destroys the fullness of the voice, and it seems as if his life would be squeezed out. Sometimes then it takes the form of colic and sometimes of neuralgia.

If you examine the sensation of tightness in the region of the stomach you will see at once how the voice is affected. You will find the patient sitting up in bed; he tells you in a cracked and squeaking voice that he will soon die if he is not relieved; his face is a picture of fear and anguish he really looks as if he were going to die; the sensation is dreadful.

Cuprum speedily cures this complaint. This constriction and dyspnoea occur sometimes in cholera morbus and in painful menstruation. Spasms of the chest are also accompanied by this constriction and a nervous spasmodic breathing. He is not able to take a full breath.

Cramps: The Cuprum patient is full of cramps. There are cramps in the limbs and in the muscles of the chest, with trembling and weakness. In old age, and in premature old age, it is useful for those cramps that come in the calves, the soles of the feet, and the toes and fingers at night in bed.

In debilitated nervous, tremulous old people, Cuprum serves a peculiar purpose. When an old man, who has been single a long time marries, his cramps will sometimes prevent him performing the act of coition. He has cramps in the calves and soles as soon as he begins the act.

It is especially suitable to young men who have become prematurely old from vices, from strong drink, from late nights and various abuses, and these cramps are not unlikely to occur in such subjects.

Cuprum and Graphites are the two remedies for cramps coming under these circumstances, but whereas Cuprum is said to produce cramps that prevent the act, Graphites is said to bring on the cramps during the act. The two remedies however compete closely with each other, and hence if Graphites corresponds to the constitution of the patient, it should be given, and the same in regard to Cuprum. Sulphur also has cured this state.

Menstruation: In spasmodic conditions that come on during menstruation Cuprum is also useful. Painful menstruation with spasms commencing in the fingers and extending over the body. Tonic contractions that look like hysterical manifestations.

They may be hysterical, but that does not interfere with Cuprum curing, if they are only spasmodic or convulsive. Violent dysmenorrhoea with delirium, turning up of the eyes, contortions of the face and epileptiform manifestations.

In epilepsy calling for Cuprum we have the contractions and jerkings of the fingers and toes. He falls with a shriek and during the attack passes urine and faeces. It is indicated in epilepsy that begins with a violent constriction in the lower part of the chest as I have described, or with the contractions in the fingers that spread all over the body, to all the muscles.

Again, it is a remedy sometimes needed in the puerperal state before or after delivery. The case may be of uraemic character, but no matter; the urine is scanty and albuminous. During the progress of the labor the patient suddenly becomes blind.

All light seems to her to disappear from the room, the labor pains cease, and convulsions come on, commencing in the fingers and toes. When you meet these cases do not forget Cuprum. You will look a long time before you can cure a case of this kind without Cuprum.

Cholera: In cholera morbus with gushing, watery stools and copious vomiting, the stomach and bowels are emptied of their contents. The patient is fairly emptied out, becomes blue all over, the extremities are cold, there is jerking of the muscles, cramping of the extremities and of the fingers and toes, spasms of the chest; he is cold, mottled, blue in blotches, going into collapse; the finger nails and toe nails and the hands and feet are blue.

There are several remedies that look like Cuprum in such a condition. In cholera we would naturally hunt for such remedies as produce cholera-like discharges, more or less spasmodic conditions, the great blueness, coldness, sinking and collapse.

We would here refer to Hahnemann's observation. Hahnemann had not seen a case of cholera, but he perceived that the disease produced appearances resembling the symptoms of Cuprum, Camphor and Veratrum. He saw from the description of the disease that the general aspect of cholera was like the general aspect of Cuprum, Camphor and Veratrum, and these three remedies are the typical cholera remedies.

They all have the general feature of cholera, its nature and general aspect. They all have the exhaustive vomiting and diarrhoea, the coldness, the tendency to collapse, the sinking from the emptying out of the fluids of the body.

From what I have said you will see that the Cuprum case is, above all others, the spasmodic case. It has the most intense spasms, and the spasms being the leading feature, they overshadow all the other symptoms of the case.

He is full of cramps and is compelled to cry out with the pain from the contractions of the muscles. Camphor is the coldest of all the three remedies; the Camphor patient is cold as death. Camphor has the blueness, the exhaustive discharge, though less than Cuprum and Veratrum; but whereas in the two latter remedies the patient is willing to be covered up, in Camphor he wants the windows open and wants to be cool.

Though he is cold he wants to be uncovered and to have the windows open. But just here let me mention another feature in Camphor. It has also some convulsions which are painful, and when the pain is on he wants to be covered up and wants the windows shut. If there are cramps in the bowels with the pain, be wants to be covered up.

So that in Camphor, during all of its complaints in febrile conditions (and fever is very rare in Camphor), and during the pains he wants to be covered up and warm, but during the coldness he wants to be uncovered and have the air.

In cholera, then, the extreme coldness and blueness point to Camphor.

Again, with Camphor there are often scanty as well as copious discharges, so that the cholera patient is often taken so suddenly that he has the coldness, blueness and exhaustion and almost no vomiting or diarrhoea, a condition called dry cholera. It simply means an uncommonly small amount of vomiting and diarrhoea.

This is Camphor. Another prominent feature is the great coldness of the body without the usual sweat that belongs to the disease. Cuprum and Veratrum have the cold clammy sweat, and Camphor also has sweat, but more commonly the patient needing Camphor is very cold, blue and dry and wants to be uncovered. That is striking.

Now we go to Veratrum and see that we can have three remedies very much alike, and so perfectly adapted to cholera and yet so different. Veratrum is peculiar because of its copious exhaustive discharges, copious sweat, copious discharges from the bowels, copious vomiting, and great coldness of the sweat. There is some cramping and he wants to be warm; he is ameliorated by hot drinks, and by the application of hot bottles which relieve pain and suffering.

These three remedies tend downward into collapse and death. Now to repeat: Cuprum for the cases of a convulsive character, Camphor in cases characterized by extreme coldness and more or less dryness, and Veratrum when the copious sweat, vomiting and purging are the features. That is little to remember, but with that you can enter an epidemic of cholera with confidence.

In cholera-like states there are other remedies which relate to Cuprum and which ought to be considered. Podophyllum has cramps, mainly in the bowels. It has a painless, gushing diarrhea with vomiting as well, and hence is useful in cholera morbus.

The cramps in Podophyllum, are violent, they feel to him as if the intestines were being tied in knots. The watery stool is yellow, and, if examined a little while after, it looks as if corn meal had been stirred into it. The odor is dreadful, smelling like a Podophyllum, stool. If you say it smells like stinking meat that only partly describes it; it is not quite cadaveric but it is horribly offensive and penetrating.

The stool is gushing, copious, and is accompanied by dreadful exhaustion.

"It is a wonder where it can all come from," says the mother, speaking of the exhausting diarrhea in an infant or in a child. The stool runs away gushingly, in prolonged squirts, with a sensation of emptiness, sinking, deathly goneness in the whole abdomen. Phosphorus also ought to be thought of in relation to Cuprum. It also has cramps in the bowels, exhaustive diarrhea, a, sinking as if dying, but commonly with heat of the skin, with burning internally, with gurgling of all the fluids taken into the stomach; as soon as they come to the stomach they commence to gurgle, and gurgle all the way through the bowel.

A drink of water seems to, flow through the bowel with a gurgle. Now this gurgling in Cuprum commences at the throat; he swallows with a gurgle; gurgling in the oesophagus when swallowing.

Convulsive cramps all over the body with twitching, jerking, trembling and blueness of the skin. Everything he does, all his actions are spasmodic, are convulsive. All the sphincters are convulsive, All the activities are irregular, disorderly and convulsive when poisoned with copper.

Bear these things in mind as we study every region in Cuprum. Repression or driving in of eruptions, attended with diarrhoea and convulsions, sometimes only convulsions. We note a case of measles or scarlet fever with a rash that has been suppressed by a chill or exposure to wind and convulsions have come on.

That belongs to Zincum and Cuprum, sometimes to Bryonia, but to Zincum and Cuprum particularly. Twitching of the limbs from a sudden suppression of a scarlet fever, with suppression of urine, chorea, etc.

Cramping of the muscles of the chest; cramping of the calves; cramp ing all over. Suppressed eruptions. Discharges that have been in existence quite a long time. The individual has become debilitated and worn out with excitement, but this discharge barely kept him alive. He has gradually grown weaker, but he has kept about because he had a discharge.

It has furnished him a safety-valve, If stopped suddenly convulsions will come on. That is like Cuprum. A woman has suffered a long time with a copious leucorrhoea and some unwise doctor tells her she must take injections and she checks it up for a few days, hysterical convulsions, crampings and tearings of the muscles come on; contractions of the fingers and toes. Discharges from old ulcers, fistulae suppressed.

Cuprum will re-establish a discharge that has been suddenly suppressed and convulsions followed. It stops the convulsions and reestablishes the discharge. It has caries, it has senile gangrene, or the gangrene that belongs to old age; old shriveled up octogenarians, whose toes and fingers get dark in spots; feeble circulation.

Mind: In the Cuprum patient the nerves are all the time wrought up to the highest tension; wants to fly, wants to do something dreadful.

Impulsiveness. Compelled to do something; restless and tossing about a constant uneasiness; nervous trembling; always tired. Great weakness of the muscles, and relaxation of the body when the convulsions are not on.

Twitching and jerking and starting during sleep. Grinding of the teeth with brain affections. Inflammations ceases suddenly and you wonder what has happened. All at once comes on insanity, delirium, convulsions, blindness; evidence of cerebral congestions and inflammation appearing with wonderful suddenness. Metastasis. A perfect change from one part of the body to another.

The same thing may occur from a suppressed eruption, or suppressed discharge, or a suppressed diarrhoea, and it goes to the brain affects the mind and brings on insanity; a wild, active, maniacal delirium.

Cuprum is not passive in its business. Violence is manifested everywhere. Violence in i ts diarrhoea, violence in its vomiting, violence in its spasmodic action; strange and violent things in its mania and delirium.

Hysterical cramps and hysterical attitudes may change in a night or in a day to St. Vitus' dance, and go on with it as if nothing had happened. Such is the suddenness with which it changes its character. This is not generally known of Cuprum - this constant changing about. Spasmodic affections in general. Spasmodic coughs, spasms all over the body.

Chest: The face becomes purple. He loses his breath; suffocated. The mother thinks the child will never come to life again. Spasms of the chest; spasms of the larynx; spasms of the whole respiratory system of such a character that the child seems to be choking to death.

Whooping cough. With every spell of whooping cough comes this awful spasmodic state, this spasmodic coughing. Jerking of the muscles. Cuprum has spasms of the limbs with all sorts of contractions such as are found in hysterical constitutions.

Puerperal convulsions. Convulsions where a limb will first flex and then extend an alternation of flexion and extension. In a child you will see the leg all at once shoot out with great violence, then up against the abdomen again with great violence, and then again shoot out. It is hard work to find another remedy that has that. Tabacum has it, but not many others. Convulsions with flexion and extension are common to Cuprum. Convulsions of the limbs, twitching and jerking of the muscles. We get a part of the symptom-picture in one and part in another.

Head: Violent congestion in the head, violent pains in the head. Tingling pain in the vertex, severe pain in the vertex, bruised pain. Crawling sensation in vertex, stitches in the temples. Congestion of the brain, Meningitis. Headache after epileptic attacks. Paralysis of the brain with symptoms of collapse. Metastasis to the brain from other organs.

About the face; convulsions, jerking of the eyes; twitching of the lids. Bruised pain in the eyes. Spasms of the muscles of the eye so, that the eyes jerk and twitch, first from one side and then the other. Rolling of the eyes.

"Quick rotation of the balls with the lids closed.

Lids spasmodically closed"

Closed so that they seem to snap.

"Inflammation of the periosteum about the eyes and cellular tissue of the lachrymal glands."

Spots of ulceration on the cornea, Face and lips blue. The face is purple in convulsions and whooping cough; lips blue.

Inflammation of the tongue. Paralysis of the tongue, It is not an uncommon thing to find paralysis in Cuprum after convulsions, The violence of the convulsions seems to have brought about a re action and paralytic weakness, a numbness and tingling, a loss of motility.

"Spasms of the throat, preventing speech.

Sensation as if constricted on swallowing.

Great thirst for cold drinks."

Many complaints are ameliorated by drinking cold water. The spasms are sometimes mitigated by drinking cold water. The cough is brought on sometimes by inhaling cold air, but stopped by drinking cold water, like Coccus cacti.

"Desire for warm food and drinks.

Eats hastily."

Indigestion from milk. Then there is nausea, vomiting and diarrhea connected more or less with spasms. Spasms of the stomach. Spasms of the chest with diarrhea and vomiting. Cramps of the calves and the fingers and toes.

"Pressure in the stomach."

In the stomach and bowels periodical cramps. Cramps coming periodically. It has cured colic in the form of violent cramps coming every two weeks with perfect regularity. It has pain in the stomach, and a pain under the xiphoid appendix that seems as if it would take his life. If it is not removed he will certainly die in a little while.

Constriction across the chest, suffocation, cramps of the legs. Cuprum goes deep into the life, and it has many a time taken such a grand hold of an old hysterical subject that it has completely eradicated in a short time the hysterical tendency to cramps.

In Cuprum particularly, early in the cramps the thumbs commence to draw down. It is with difficulty that they can be lifted up. They will draw back again, and then the fingers will clinch over them and draw so tightly it is painful. In children with such convulsions, and in hysterics with such convulsions, Cuprum goes deep into the life and eradicates this tendency to convulsions and cramps. Uraemic convulsions. Convulsions with suppressed or scanty urine.

No urine in the bladder. in young girls beginning to menstruate, violent cramps in the limbs, cramps in the abdomen, diarrhoea, cramps in the uterus. Epileptic spasms coming at every menstrual period. Before or during menses, or after suppression, violent, unbearable cramps in the abdomen. A case something Iike this is not so very uncommon.

Women: Girls, at about the time of puberty, go in bathing, when their mothers have been a little too prudish, a little too sensitive, and have not told their daughters what they might expect, and to look out for bathing in cold water at certain times. The menstrual flow starts. From a cold bath she suppresses that flow and on come convulsions.

That is in keeping with Cuprum. Hysterical convulsions they may be called. They will take the form, quite likely, of hysterical convulsions; they may take the form of chorea. Instead of convulsions it may take the form of congestion of the brain with violent delirium.

Again, the menses not appearing after suppression, after sweat, and convulsions come on; frequent spasms during menses. Cuprum is not generally known to be such a wonderful medicine where there is anaemia; but it has chlorosis. It is a deep acting medicine. It affects with great power the whole voluntary system, the desires and aversions.

It is suitable in those girls who have always had their own way, have never been crossed, and when they grow older, and reach puberty, and have got to submit to some sort of discipline or never become women, they have mad fits, have cramps. Cuprum will sometimes make them sensible, so in that way it fits into the loves and hates. It belongs to the voluntary system most prominently.

Spasmodic respiration; great dyspnea, asthmatic breathing. Attacks of spasmodic asthma and most violent spasmodic coughs.

"Dry, hard, difficult cough, rattling in the chest, spasms.

Dry spasmodic cough until he suffocates.

Face is red or purple."

A Dictionary of Practical Materia Medica, John Henry Clarke

Copper. Cu. (A. W. 63). Trituration.

Clinical.─After-pains. Angina pectoris. Asthma. Asthma millari. Cardialgia. Catarrh. Chlorosis. Cholera. Chorea. Convulsions. Cough. Cramps. Croup. Cyanosis. Dentition. Dyspnoea. Emissions. Epilepsy. Eruptions. Erysipelas. Fainting. Gastric disturbance. Gout. Haematemesis. Herpes. Hysteria. Inflammations. Larynx, spasm of. Mania. Measles. Meningitis. Neuralgia. Palpitation. Paralysis. Pneumonia. Psoriasis. Ringworm. Sleeplessness. Spasms. Spinal irritation. Ulcers. Whooping-cough. Yellow fever.

Characteristics.─Metallic copper is an antipsoric remedy, working from within outwards. It ranks with the most important of those which relieve states arising from the "striking inward" of diseases or the failure of eruptions or discharges to appear. It is this power to relieve internal spasm which renders it appropriate to the collapse stage of cholera, of which it is also, like Sulphur, a prophylactic either when worn next the skin, or when taken internally. Cuprum produces many skin eruptions, and also foot-sweat, and it corresponds to these, and also to the effects of suppression of eruptions, exanthems, and foot-sweat; whether these effects be internal pains or spasms or oppression of the brain and mental disturbance. Mackechnie made a brilliant cure of psoriasis in a young girl with Cuprum. The leading features of its symptomatology are: Cramps, convulsions, spasms of the most violent form, coming on from disappearance of pains, discharges, eruptions, mental derangement. With suppression of menses, patient screams. Tonic spasms of thumbs. Eyeballs turn up. Opisthotonos. Tonic and clonic spasms. "Convulsions during pregnancy and puerperal convulsions which begin in the fingers or toes, and spread all over the body; or where there is great restlessness between the attacks, either filling up the entire interval, or only a part of the time." Thus Guernsey. He also says that "a slimy metallic taste in the mouth" is one of the strongest indications for Cupr. Rhus is the only other remedy which has this symptom so marked. "Cramps or spasms beginning in hands and feet, extending to belly," is confirmed by J. C. McLaren. Mossa regards Cupr. as one of the remedies for the effects of fright, and relates the case of a girl who, after a fright, was affected by involuntary motions of left arm and leg developing into pronounced general chorea. Cupr. brought about slow but decided recovery. Another girl, 12, who had recovered from whooping-cough got a kind of chorea from repeated frights on seeing an epileptic. To the muscular movements was added silly behaviour: tongue heavy, speech slow, gait unwieldy. Frightened at night. Greediness in eating and drinking. Ign., Stram., Sul., did little good. She became ill-natured. Cupr. every four days cured completely in three months. Mackechnie reports the case of a boy who became epileptic after being locked up in school. Very great improvement followed the administration of Cupr. Schwencke cured a case of epilepsy of forty years' standing with Cupr. 6 after Bell. and Hyo. had done some little good. The patient was a man aged 45. The fits began suddenly towards morning with chewing motion of lower jaw; gnashing of teeth; becomes upright and rigid in bed; shrieks; limbs convulsed. After giving way to violent anger, attacks become more severe; arms and legs were thrown outwards and trunk arched upwards. Cupr. was now given. For a time the attacks continued severe, but gradually improvement set in, and in less than three months they ceased altogether. The "anger" in this case and the "ill-humour" in Mossa's are noteworthy. Maliciousness is an indication for Cupr. In a second case cured by Schwencke, that of a man, 38, epileptic seven years, a pressive headache preceded the attacks, ascending from nape to forehead; then there was profuse salivation, head turned to left, eyes closed, tongue in active motion in open mouth, trunk arched upward, slight spasms of right arm outward. After attack, dulness of head, and feeling in body as if beaten. Cupr. first removed the fits and then the dulness of the head. Cupr. has pains like knife-thrusts, < on least motion; take away the breath, thinks he must die if they last. Speaks in a whisper. The thrusts go through to back from ensiform cartilage, from umbilicus. Restless tossing all night. Perfect stupor, with jerking of muscles. Paralysis of isolated muscles. Many unusual symptoms are produced, including maliciousness and desire to injure. Screaming, with cerebral or mental symptoms. Loquacious. Violent head pains < over left eye. Brain seems paralysed. Chlorosis from abuse of iron. Vomiting, hiccoughs, and spasms > by drink of cold water. Over-sensitiveness of skin, especially in region of stomach and fourth and fifth dorsal vertebrae. Touch and pressure <. < Before menses; from vomiting. Symptoms are < evening and night. Cold air and cold wind <; cold drinks > (colic, cough etc.). Wrapping head > headache. < At new moon. Periodicity every 15, 30, or 60 minutes; every fortnight. Getting wet = epileptic attacks. > From being mesmerised; during perspiration. Suited to fair-haired people; and the carbo-nitrogenoid constitution. Women who have borne many children (after-pains).

Relations.─Is antidoted by: Sugar, or white of egg mixed with milk and given freely. Hepar, or potash soap may be used after poisoning from food prepared in copper vessels. Aggravations are > by smelling Camphor. Dynamic antidotes: Bell., Cham., Chi., Con., Cic., Dulc., Hep., Ip., Merc., Nux v. Antidote to: Aur., Merc., Op. Complementary: Calc. Compare: Other Copper preparations, Calc. c., Gels. (overworked brain); Cicut. and Solaneaceae (mental symptoms); Silic. (head pains > wrapping up head). Nux, Phos., Coloc., Camph., Secal., Verat., Arn., Apis., Zinc., Puls., Arsen. As if in a dream (Amb., Anac., Calc., Can. i., etc.) Loquacity (Hyo., Lach., Op., Stram., Ver.) Lack of reaction (Sul., Carb. v., Lauro., Val., Ambra, Caps., Pso., Op., Bell., Stram., Bry., Apis).

Causation.─Suppressions. Fright.

SYMPTOMS.

1. Mind.─Melancholy, with attacks of extreme anguish, like fear of death; restlessness, groaning, and desire to escape.─Want of moral courage.─Anxiety and tears, alternating with buffoonery.─Convulsive laughter.─Incoherent, delirious talk.─Mildness, alternating with obstinacy.─Unfitness for exertion, with fear to be idle.─Fits of abstraction, with fixed ideas of imaginary occupations at which the patient labours, or with lively songs; or else with malice and moroseness (with proud bearing, and at times interrupted by clonic spasms; craziness), and often with quick pulse, red and inflamed eyes, wandering looks, followed by sweat.─Attacks of rage (wants to bite the bystanders).─Furor.─Dementia.─Loss of sense and thought.─Delirium.

2. Head.─Vertigo on reading, and on looking into the air.─Whirling vertigo, as if the head were going to fall forward (< during motion, > when lying down).─Sensation (painful) as if the head were empty.─Pain in the parietal bone, so as to cause, crying out on putting the hand upon it.─Pain as from a bruise in the brain, and in the orbits, on moving the eyes.─Stupefying depression in the head, with tingling in the vertex.─Aching in the temples, < by the touch.─Pulling in the head, with vertigo, > by lying down.─Headache, in consequence of an epileptic attack.─External, burning shootings, in the side of the forehead, in the temples, and in the vertex.─Pains in the occiput and in the nape of the neck, on moving the head.─Swelling of the head, with redness of the face.─Distortion of the head on one side and backwards; the head is drawn to one side or falls forward; aggravated or renewed by each contact (hydrocephalus).─Purplish-red swelling of the head; face purple-red and blue lips; convulsion and twitches in the limbs; < when touched, which causes the swelling to pain.

3. Eyes.─Itching (violent) in the eyes towards evening.─Aching in the eyes and in the eyelids, < by the touch.─Eyes, red, inflamed, wandering, or fixed (staring), sunken.─Convulsions and restless movements of the eyes.─Eyes are turned upward.─Greater immobility of the pupils.─Eyes prominent and sparkling.─Eyes closed (weak and dim).─Pupils insensible.─Obscuration of the sight.─Pains resembling a bruise in the orbits on turning the eyes.

4. Ears.─Itching in the ears.─Tearing in the ears.─Pressure on the ears, as from a hard body.─Boring pain in and behind the ear.

5. Nose.─Strong congestion in the nose.─Stoppage of the nose.─Violent fluent coryza.

6. Face.─Face pale (changed features, full of anguish), with eyes downcast and surrounded by a livid circle.─Face bluish; bluish-red.─Spasmodic distortion of the muscles of the face.─Sad and anxious air.─Redness of the face.─Lips bluish.─Excoriation of the upper lip.─Aching of the lower jaw, increased by the touch.─Spasm in the jaw.

7. Teeth.─Odontalgia, with acute pullings, extending into the temples.─Difficult dentition in children, with convulsions.

8. Mouth.─Mouth clammy in the morning.─Accumulation of water in the mouth.─Foam at the mouth.─Sweet taste in the mouth.─Burning sensation in the mouth.─Coldness of the tip of the tongue.─Tongue clammy, loaded with a white coating.─Hoarse crying like a child.─Cries, like the croaking of frogs.─Loss of speech.

9. Throat.─Inability to talk, on account of spasms in the throat.─Dryness of the throat, with thirst.─Inflammation of the pharynx, with impeded deglutition.─Singultus and spasm of the oesophagus.─Desire for warm food; eats hastily.─Audible sound of drink (gurgling) while swallowing it.─Swelling of the glands of the neck.

10. Appetite.─Taste, sweetish, or metallic, acid, or salt.─Watery taste of food.─Desire for cold things in preference to hot.

11. Stomach.─Constant risings.─Hiccough.─Singultus preceding the spasms.─Flow of water like saliva, after taking milk.─Nausea, with inclination to vomit, extending from the abdomen to the gullet; but chiefly in the epigastrium, with a feeling like intoxication, loathing, and putrid taste in the mouth.─Violent periodical vomitings, mitigated by drinking.─Vomiting is prevented by drinking cold water.─Vomiting in general, which is very severe.─Vomiting of bile, of water (containing flakes, offensive-smelling), of slimy matter, or even of blood.─Violent vomitings, with pressure in the stomach, cramps in the abdomen, diarrhoea, and convulsions.─Cramps in the stomach.─Excessively troublesome pressure on the stomach, and on the epigastrium, < by touch and by movement.─Anguish in the epigastrium.─Gnawing and corroding sensation in the stomach.

12. Abdomen.─Pain, as from a bruise, in the hypochondria, on the part being touched.─Drawing pains from l. hypochondrium to the hip.─Violent pains in the abdomen, with great anxiety.─Abdomen hard, with violent pains on its being touched.─Pressure in the abdomen, as from a hard body, aggravated by the touch.─Retraction of the abdomen.─Spasmodic colic, with convulsions and shrill cries.─Tearing and gnawing (corroding, stinging ulcers) in the intestines.

13. Stool and Anus.─Constipation, with great heat of body.─Violent diarrhoea (with flakes), sometimes sanguineous.─Bleeding of haemorrhoidal tumours.

14. Urinary Organs.─Urgent want to make water, with scant emission.─Frequent emission of fetid (dark-red, turbid, with yellowish sediment), viscid urine.─Burning shootings in the urethra, during and subsequent to the emission of urine.─Wetting the bed at night.

15. Male Sexual Organs.─Swelling of the penis, with inflammation of the glans.

16. Female Sexual Organs.─Before the catamenia, ebullition of blood, palpitation of the heart, and headache.─Menstruation too late; protracted; complaints before.─Menses absent for months; violent delirium.─Before, and during menses, cramps, convulsions, piercing shrieks; spasmodic dyspnoea; violent palpitation.─Menses not appearing after suppression of foot-sweat.─Torpid chlorosis.

17. Respiratory Organs.─Obstinate hoarseness, with great inclination to lie down.─Bronchial rale, as if from mucus.─Tickling in the larynx.─Dry cough, with fits of suffocation, like whooping-cough.─Spasmodic affections generally; whooping-cough where the attacks run into catalepsy; movements of the head; epilepsy.─Cough, with expectoration of whitish mucus, during fits of spasmodic asthma.─Asthma increases (at 3 a.m.) when bending the body backwards, when coughing, when laughing.─Cough, in the morning, with expectoration of putrid matter.

18. Chest.─Respiration accelerated, rattling, moaning, with convulsive efforts of the abdominal muscles. Short, difficult respiration, with spasmodic cough, and crepitation in the chest.─Cough, with wheezing respiration at each effort to breathe.─Difficulty of respiration, increased by coughing, laughing, throwing back the body, etc., as well as in the night.─Asthma when ascending or walking quickly, with necessity to breathe deeply.─Spasmodic asthma.─Fits of suffocation.─Pressure on the chest.─Painful contraction of the chest, esp. after drinking.─Cramps in the chest, which cut short the respiration and the voice (after fright and anger).

19. Heart.─Spasm of heart.─Angina pectoris.─Palpitation of the heart (before the menses).─Pulse very changeable; imperceptible; small; soft.

20. Neck and Back.─Sensation of heaviness in the axillary glands.─Swelling of the glands of the neck.─Paralysis of muscles of back up to neck. Hyperaesthesia of spinal column.─Backache top of sacrum.

21. Limbs.─Cramps of limbs; contraction of joints.

22. Upper Limbs.─Herpes in the bends of the elbows (forming yellow scales, itching, esp. in evening).─Swelling of the hand, with inflammation of a lymphatic vessel extending to the shoulder.─The arms and hands are bluish marbled.─Aching and acute pullings in the metacarpal bones.─Weakness and paralysis of the hand.─Starting of the hands, in the morning, after rising.─Torpor and shivering of the fingers.─Convulsions in the fingers, particularly which begin in the fingers and toes, then spreading all over the body; spasms clonic.

23. Lower Limbs.─Pains in the legs, esp. in the calves of the legs during repose.─Tensive pain and cramps in the calves of the legs.─In the knee-joint weakness, pain as if broken.─Twitching of the muscles of the lower extremities.─Pressive and drawing pains in the metatarsus.─Burning sensation in the soles of the feet.─Sweat in the feet.─Suppression of sweat in the feet.─Painful weariness and stiffness in the limbs.─Convulsions in the toes.

24. Generalities.─Pressive tearings or startings in the limbs.─Pain, as from a bruise in several places, esp. in the joints and in the limbs.─Aching in the bones.─Rheumatic pains.─Many pains, esp. those which are aching, are < on being touched.─Shaking pains, which traverse the whole body.─Shocks or painful blows in different parts.─On weeping, convulsions, with want of breath, and retraction of the thighs.─Clonic spasms.─Tonic spasms with loss of consciousness, turning of the head backwards, redness of the eyes, salivation, and frequent emission of urine.─Convulsions, with piercing cries.─Epileptic convulsions.─Epileptic attacks (at night), followed by headache.─Involuntary movements of the limbs, as in St. Vitus' dance, with redness of the face, distortion of the eyes, of the face, and of the body, tears and anxiety, buffoonery and desire to hide oneself.─The convulsions begin mostly in the fingers and in the toes.─Spasmodic laughter.─Convulsive startings, at night, when sleeping.─Violent convulsions, with great display of strength.─Paralytic affections.─Symptoms which appear periodically, and in groups.─Great lassitude, and sinking of the whole body.─Obstinate weakness.─Consumption.─Excessive sensibility of all the organs.─Fainting fits.─Outward appearance of the face bluish; bluish-red.─Affections of the soles of the feet; attacks of sick feeling; blackness of outer parts; cyanosis or morbus caeruleus; bloated skin.

25. Skin.─Eruptions which resemble (dry) itch.─Tetters, with yellow scales.─Miliary eruptions, esp. on the chest and on the hands.─Old ulcers; caries.

26. Sleep.─Profound sleep, with shocks in the body, and starting in the limbs.─Lethargic sleep.─During sleep constant grumbling in the abdomen.

27. Fever.─Pulse small, weak, and slow.─Chilliness over the whole body, mostly in the extremities.─Shiverings after attacks of epilepsy.─Debilitating, hectic, internal heat.─Flushes of heat.─Slow fevers.─Cold sweat (at night).─Many attacks (epileptic attacks, attacks of mania) end with (cold) perspiration.─Violent nocturnal perspiration.

Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica (Allen's Keynotes), Henry Clay Allen

Copper (CN)

Spasms and cramps: symptoms disposed to appear periodically and in groups. Mental and physical exhaustion from over-exertion of mind and loss of sleep (Coc., Nux); attacks of unconquerable anxiety. A strong, sweetish, metallic, copper taste in the mouth with flow of saliva (Rhus). Constant prostration and retraction of the tongue, like a snake (Lach.). When drinking, the fluid descends with a gurgling sound (Ars., Thuja). Cholera morbus or Asiatic cholera, with cramps in abdomen and calves of legs. Bad effects of re-percussed eruptions (of non-developed, Zinc.), resulting in brain affections, spasms, convulsions, vomiting; of suppressed foot-sweat (Sil., Zinc.). Convulsions, with blue face and clenched thumbs. Cramps in the extremeties; pains, soles, calves with great weariness of limbs. Clonic spasms, beginning in fingers and toes, and spreading over entire body; during pregnancy; puerperal convulsions; after fright or vexation; from metastasis from other organs to brain (Zinc.). Paralysis of tongue; imperfect stammering speech. Epilepsy: aura begins in knees and ascends; < at night during sleep (Bufo); about new moon, at regular intervals (menses); from a fall or blow upon the head; from getting wet. Cough has a gurgling sound, as if water was being poured from a bottle. Cough, > by drinking cold water (Caust. - < by drinking cold water, Spong.). Whooping cough: long-lasting, suffocating, spasmodic cough; unable to speak; breathless, blue face, rigid, stiff; three attacks successively (Stan.); vomiting of solid food after regaining consciousness (Can.); cataleptic spasm with each paroxysm. After pains; sever, distressing, in calves and soles.

Relations. - Complementary: Calcarea. Compare: Ars. and Ver. in cholera and cholera morbus; Ipecac, the vegetable analogue. Ver. follows well in whooping cough and cholera. Apis and Zinc. in convulsions from suppressed exanthems.

Aggravation. - Cold air; cold wind; at night; suppressed foot sweat or exanthema.

Amelioration. - Nausea, vomiting and cough, by a swallow of cold water.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

SPASM is the one word characterizing this remedy. Cramps or convulsions, in meningitis, cholera, cholera morbus, whooping cough, scarlatina, etc.

Spasms begin in fingers and toes and spreading from there become general.

Mental or bodily exhaustion from over-exertion of mind or loss of sleep.

Affections arising from suppressed skin troubles, especially from acute exanthemata.

* * * * *

The grand central characteristic symptom is expressed in one word -spasms. If in brain affections, congestions, meningitis or apoplexy Cuprum is to do any good, spasm will be present in some degree, at least, from a simple twitching of the fingers and toes to general convulsions. If in cardialgia, there is violent spasmodic griping and pressure, followed by vomiting. In cholera, cholera morbus, or cholera infantum the cramping pains are sometimes terrible. Dunham said: "In Camphor collapse is most prominent; in Veratrum album, the evacuation and vomiting; in Cuprum, the cramps." In whooping cough "children get stiff, breathing ceases, spasmodic twitchings; after a while consciousness returns, they vomit and recover but slowly;" or the child coughs itself into a complete "cataleptic spasm with each paroxysm of cough". In all kinds of repercussed exanthematic spasms, Cuprum is the first remedy to be thought of (see comparison with Zincum).

These spasms may also be found in dysmenorrhoea, in child bed, or in after pains. Then, aside from any and all kinds of local affections, Cuprum may be found indicated in epilepsia, chorea, and other purely nervous spasmodic affections of a general nature. There is one thing peculiar in the spasms of Cuprum that I have often observed, and it is a strong indication for the remedy, viz.: The spasm begins by twitching in the fingers and toes, and, spreading from there, becomes general.

There is another symptom which Farrington thought very valuable, viz.: "Mental and bodily exhaustion from overexertion of mind, or loss of sleep." This is similar to Cocculus and. Nux vomica. The other symptoms must decide between them. I have always used the metal instead of the acetate, because I used the potencies, and it acted promptly.