Cuprum Metallicum

Copper. Cu.

A substance little known as a remedy before Hahnemann, although used by Medijeval physicians, alter its introduction by Hohenheim (called Paracelsus) in the sixteenth century, and later (1845) in an empiric way by the Eademacherian School, in which it ranked as a polychrest.

A comprehensive monograph, including the provings and observations of Hahnemann and his provers, Bonninghausen, Stapf, Kiickert, etc., with results of poisoning and curative symptoms, was published by C. Hering. In it the effects of the metal and the acetate are conjoined, on account of their similarity, but sep- arated here, for the sake of individuality. See Cuprum acetleum.

Clinical Authokities Cerebral meningitis, A. E. Small, Eaue's Kec, 1872, p. 62 ;

Delirium during scarlatina, Gardiner, C. Hg., M. M. ; Mania, Freytag, C.

Hg., M. M.; Neuralgia in head, W. A.

Barrows, Eaue's Eec, 1870, p. 285; Catarrh of frontal sinus, A. Korndorfer, Hom. Clin., v. 4, p. 128 ;

Hamatemesis during Yellow fever, Kiistner, Euck. Kl. Erf., v. 4, p. 665 ; Cardialgia, Lembke, N.

A. J. H., v. 4, p. 341; Gastric disturbances, Lembke, Eiick.

Kl. Erf., v. 5, p. 309; //ius, Gau- werky, Eiick. KL Erf., v. 1, p. 776; Cholera,^.

T. Temple, Hom. Clin., v. ],p. 100; Henke, Euck.

Kl. Erf., v. 5, p. 474; Asiatic Cholera, Hahnemann, Lembke, Gerstl, and others, Euck. Kl.

Erf. vol. 1, p. 938-42; After-pains (6 cases) Kallen- bach, Eeisig, Eiick. Kl. Erf., v. 2, p. 393;

Laryngeal spasm, Pearson, B. J. H., v. 23, p. G75;

Dyspnoea, Gross, Eiick. Kl. Erf., v. 3, p. 188; Asthma Milluri (2 ca.«es), Eiick.

Kl. Erf, v. 5, p. 779 ; Asthma, afterfright,'\\. Gross, Analyt.

Therap.,v. 1 , p. 200 ; Asthma, Oehme, Ruck. Kl. Erf., v. 5, p. 798;

Kunkel, Allg. Hom. Ztg., v. 103, p. 99; Suffocative cough, Kiisemann, Gross, Eiick.

Kl. Erf., v. 3, p. 11 ; Whooping cough, Neumann, Bosch, Eiick. Kl.

Erf., v. 3, p. 71 ; Meyer, B. J. H., v. 14, p. 43;

Spinal irritation (2 cases), Hirsch, Allg. Hom. Ztg., v. 102, p. 130; Hysteria, E.

M. Hale, Hom. Clin., v. ], p. 197 ; Chorea minor, K.

Eochlitz, B. J. H., v. 30, p. 711 ; Chorea, Gross, Horner, Euck.

Kl. Erf., v. 4, p. 608; W. E.

Childs, Eaue's Eec, 1874, p. 262; -Spasms, Payr, Eaue's Eec, 1870, p. 294; Wurmb, Eiick. Kl. Erf., V. 4, p. 559 ;

Epilepsy, Hirsch, Eaue's Eec, 1873, p. 208 ; (12 cases) Schwarze,

CUPRUM METALLICUM. 24

Gross, Battmann, etc., Riick. Kl. Erf., v. 4, p. 555-61 ; Weigel, Eiick. Kl. Erf., v. 4, p. 555 ; Bojanus, Eaue's Eec, 1874, p. 268 ; Sleeplessness, Lembke, Analytical Therap., v. 1, p. 264; Measles, with pneuvwnic symptoms, J. T. Temple, Horn. Clin., V. 1, p. 100; Ringworm on elbow, C. Hg., MSS.

^ Mind. I Marked lessening of memory. ^Scarlatina.

Weakness of memory, as well as cerebral functions in general; in speaking he frequently has to think for the right word.

Delirium, even paralysis of brain, with symptoms of col- lapse.

Incoherent delirious talk.

iDelirium: afraid of every one who approached him, shrinking away from them; tries to escape; in evening and in the dark.

Craziness; attacks with savage malice, with proud bear- ing, at times interrupted by clonic spasms.

Attacks of rage, wants to bite the bystanders.

Mania characterized b}^ a wild look and fear; tries to escape.

■ Attacked suddenly with convulsions, with biting; after

attack, malicious disposition towards nurse, biting, and striking and doing everything to annoy her, passed her excrements on floor. • Mania with biting, beating, and tearing things to pieces; insane foolish gestures of imitation and mimicry; full of insane spiteful tricks, illusions of imagination, does not recognize his own family; unhappy, apprehensive, anxious, and despairing; prsecordial anguish, pale, mis- erable look, general chilliness, not > by heat; attacks end in sweat.

■ Bellows like a calf during delirium; periodical uttering

of shrill screams.

■ Whining, tremulous voice and manner.

■ Convulsive laughter.

■ Laughing; grimaces; exaltation and ecstacies; melan-

choly and dread of society. ^Periodical chorea. ■Violent weeping, anxiety, ludicrous gesticulations, and

desire to hide one's self. ^Chorea. ■Shuns everyone; cannot be induced to go among people

in evening; very restless at night. ^Asthma.

■ Alternation of gaiety and depression, before attack.

^Whooping cough.

■ Unconquerable sadness, constant restlessness, as if some

misfortune were approaching; fears he will lose his reason. ■Sadness while walking in open air, must stand still or sit down.

•25 CUPRUM METALLICUM.

I The child is afraid of strangers, while teething.

lAfraid of and shrinking away from everyone who ap- proaches him; afraid of falling; clinging tightly to nurse; won't stay in bed, but in lap; conscious, knows people; tongue darting forth and back with great rapid- ity, like a snake's. ^Catarrhal or exanthematic fevers; scarlet fever without eruption ; during dentition.

I I Unusual quickness and briskness in erroneous ideas, one following the other quickly, all of an anxious character ; a staring look fixed on objects; pulse quick, unequal; profuse weakening sweat; timid, bashful woman, eighth day after confinement.

■ Paroxysms of anxiety; full of fears.

I Attacks preceded by great anxiety. ^Whooping cough.

■ Attacks of deathly anxiety without heat.

■ Loss of spirits; anxiety; fits of anguish and fear of death.

■ Restless tossing about and constant restlessness.

■ Irritable and changeable, at times gentle and sensitive,

at others very contrary. ^Chorea.

■ Changeable mood; children cross and irritable, or indif-

ferent and dull, in brain affections.

■ ■Mental and bodily exhaustion, from overexertion of

mind or loss of sleep; pulse feeble, somewhat frequent, unequal; skin moist, feet generally cold; attacks of un- conquerable anxiety; head giddy and internally pain- ful, feels as if he would lose his senses; sleep full of dreams, restless, unrefreshing.

■ Restless tossing about.

'^ Sensorium. Deep sopor, with twitching and jerking of limbs.

■ Total loss of consciousness. ^Spasms.

■ Vertigo: on looking up, with dimness of sight, as though

a veil were before eyes ; violent and long lasting, > by an evacuation of bowels; with stupor; reeling; head giddy, cannot sit up in bed; with weariness. ■Vertigo of old people and slight apoplectic attacks.

■ While sitting, suddenly places head upon pillow of sofa,

gently shakes head from side to side, about sixty times to the minute; eyes closed; expression of face pleasant; twitching of eyelids with spasmodic rolling of eyeballs. ^Epilepsy. ■Vomiting of watery substance from stomach, colic and spasms; heat in forehead; intense thirst; cold w^ater temporarily prevents vomiting, but not a distressing hiccough that seemed certain to end in a convulsion, after which child lay in a comatose state for twenty- four hours; heat of head is great, and while child was in a deep sopor, there were twitching and jerking of

CUPRUM METALLICUM. 26

limbs, coldness of hands, and blueness of fingers. ^Cerebral meningitis. ^ Inner Head. sPain in head, which feels hollow.

I Violent pain in forehead, < over 1. eye; sensation of pressure over 1. eye and root of nose; nose seems stuffed up, yet there is a discharge of coryza ; loss of smell, taste imperfect; heaviness of head as if brain would press out of forehead, with violent, almost unbearable head- ache, < in 1. side and from motion, > when lying down; she thinks an abscess is forming in brain, and pain will set her crazy. ^Catarrh of frontal sinus.

Violent agonizing headache, at distinct intervals, in parox- ysms, lancinating pains, sometimes in forehead, some- times in temple or occiput, < by slightest pressure.

Headache below os frontis, feels as if head would be torn asunder.

^rPainful tearing in foi'epart of head, with a sensation of pressing outwards; great clulness and stupidity; < when touched.

I Stitches in temples, with redness of eyes.

• Bruised pain in brain, and in orbit on turning eye.

■ Crawling sensation in vertex.

iStra'nge tingling pain in vertex; menses omitting.

I I Violent dull headache over glabella.

I Violent continuous headache, increased periodically, with

sensation as if cold water was poured on head; cold hands and feet when headache subsides.

iChronic headache beginning in afternoon and continuing into night; pain in region of 1. parietal bone, extend- ing down neck and arms, and across chest, with spas- modic drawings, amounting almost to convulsions; vertigo; nausea; chilliness, and frequent desire to urinate.

iDulness and heaviness of head, with increasing anxiety.

I I Congestion to brain, with convulsive motions of extrem- ities and of muscles of face; eyes turned up, fixed; half- closed lids; pupils unaltered, insensible; skin flabby and cool; pulse small, and could not be counted; slow, heavy inspiration; quick, moaning expiration.

I Brain affections of children, with catarrhal fever, difficult

dentition, or exanthematic diseases; they cannot hold

head up. I After meningitis, extreme weakness, want of appetite,

fever in evening, sweat in morning, pulse thread-like,

skin flabby, cold and moist. lApoplexia nervosa; loss of consciousness; distortion of

mouth and face, tongue partially paralyzed and curved

to one side; unable to speak; paralysis of one or other

of limbs.

27 CUPRUM METALLICUM.

Exacerbation in brain affections, evenings,

■ Headache after epileptic attacks.

I Paralysis of brain with symptoms of collapse.

■ Metastasis to brain from other organs.

^ Outer Head. Crawling sensation on top of head, as of some- thing moving there.

■ Tossing about of head.

■ Convulsions of head; head moves from side to side, is

drawn to one side, or falls forward; < or renewed by contact, ^Hydrocephalus.

■ Children cannot hold the head up, ^Brain affections.

^Whooping cough. I I Purplish-red swelling of head; face purple red, and lips blue; convulsions and twitches in limbs; < when touched, which causes the swelling to pain. ^ Sight and Eyes. Eyes: dim; fixed and staring; protruding, glistening; turned upward; lustreless; sunken, with blue rings; feel so weak that they close. Immobility of pupils.

■ Pressing pain in ej^es.

■ Bruised pain in orbits when moving eyes. I I Violent itching in eyes toward evening.

I Eyes red, inflamed. ^Epilepsy.

■ Eyeballs red, move like a pendulum from side to side,

■ Quick rotation of balls, with lids closed; severe pain in

eye-balls during attacks,

■ Frequent twitching of lids of 1. eye, blepharospasm and

photophobia. ^Asthma.

■ Inflammation: of periosteum and cellular tissue in or-

bita; of lachrymal glands; spots on cornea. ^ Hearing and Ears. ■Distant drumming in ear, upon which he is lying, in morning, disappears on rising.

■ Difficult hearing.

■ Boring in and behind ears, pressing pain in front. Itching in ear.

■Swelling of meatus externus. ^ Smell and Nose, i Loss of smell.

I I Sensation of great congestion of blood to nose.

■Affection of frontal sinuses, with pain in forehead, < over 1. eye and root of nose, < from motion, > when lying; nose feels stuffed, yet sometimes discharges yellow and again watery matter; smell gone; taste imperfect.

■Nosebleed; sometimes on right side only. (^Pneumonia.

■ Copious fluent coryza.

■ Stoppage of nose.

* Upper Face. Expression: sad, depressed; of suffering; of prostration; full of anguish. ■Spasmodic distortion of face; rolling of eyes. ^Epilepsy.

CUPRUM METALLICUM. 28

■ Face: very red, eyelids closed and balls constantly rotat-

ing; pale; grayish, dirty; sunken, pinched; icy cold.

I Face red, puffed, covered with hot sweat. ^Asthma.

I I Face and lips blue.

I Erysipelas of face disappears suddenly. ^ Lower Face, i Distortion of mouth, and of eyes; at times risus sardonicus. ^Periodical chorea.

I Mouth firmly closed; spasmodic contraction of jaw, BLips blue.

I I Froth from mouth.

^" Teeth and Gums, i Rending pain from teeth to temples. I Difficult dentition, with convulsions. I Gums ulcerated. I Trismus. ^Cholera asiatica. *^ Taste and Tongue, l i Taste: sweet, or sweetish mefallic,

coppery; bitter. I Sudden metallic-sour taste in mouth, with flow of saliva,

before outbreak. ^Spasms. All food tasts like clear water.

Tongue darting forth and back with great rapidity. I Paralysis of tongue, stuttering, imperfect speech. Tongue: red; dry and rough, papillae enlarged; coated

w^hite, yellowish or brown; trembling. ^Chorea. Tip of tongue cold. iChronic glossitis. ^^ Inner Mouth, i Dry mouth. ^Brain affections.

I Induration of salivary gland, with or without fistula.

■ Profuse salivation; mercurial.

iSaliva: sweet, stringy; frothy, with cough. ^^ Throat, i Palate red, fauces and tonsils inflamed.

I Dull, piercing pain in 1. tonsil, < by external touch.

■ Feeling of constriction, and acute pain in throat.

■ Sensation as if constricted on swallowing.

■ Spasms of throat, preventing speech. Burning in throat and dryness, with thirst. Singultus and spasm of oesophagus.

■ Gurgling noise of drink passing down oesophagus.

" Appetite, Thirst, Desires, Aversions. ■Loss of appetite.

■ Great thirst for cooling drink; a swallow of cold water >

cough and vomiting. Desire for warm food and drinks; eats hastily. ^■^ Eating and Drinking. ■Gurgling noise of drink passing down oesophagus.

■ A swallow of cold water > cough, or vomiting.

■ Milk bring? on water-brash.

^^ Hiccough, Belching, Nausea and Vomiting. Hiccough: precedes vomiting and spasms; begins attack of asthma.

■ Constant eructations; rumbling in abdomen.

29 CUPRUM METALLICUM.

Nausea: ascending from stomach into throat; excessive;

repeated but useless efforts at vomiting ; retching and

throwing up of phlegm. I Nausea and vomiting after taking cold. I Nausea, vomiting and cramps during catamenia, or cata-

menia omitting. I Nausea, vomiting and torpid stool, with brain affections. I Severe retching with the stool. ^Dysentery. _ Vomiting of water containing flakes, with violent colic

and cramps. Vomiting: in gushes of whey-like fluid; frothy mucus;

bilious; green; forcible; > by drinking cold water. I Vomiting of blood. ^Yellow fever. I Vomiting with the cough; with convulsions. I Spasms preceded by violent vomiting of mucus. I Periodical attacks of vomiting. ^^ Scrobiculum and Stomach. " Burning in epigastric region. I I Sensitiveness of epigastrium; it is sore to touch; clothes

feel uncomfortable. I Deathly feeling of constriction beneath sternum; with

pain behind ensiform cartilage. ^Cholera.

■ Pressure in pit of stomach, < from touch or pressure.

I Nausea, pressure in stomach, distress in chest, trembling of heart, arms and legs, with feeling of prostration. ^Cardialgia.

I Sensation as of a round ball going to and fro under ribs, with various sounds, < from fluid food; > from tight clothing or bandage around abdomen, and lying quiet.

I Sensation as though something bitter were in stomach. Gnawing and corroding sensation in stomach.

II Violent pressure at stomach, with contractive pains at intervals.

I I Excessive tormenting pains in stomach and epigastric

region. Cramps in stomach and chest, cramps extending upward,

with violent diarrhoea.

■ Spasms of stomach.

1 I Bluish color of pit of stomach and chest during spell. ^Epilepsy. ^^Hypochondria, il Drawing pain from 1. hypochondrium to hip. I Cirrhosis of liver ; hepatitis syphilitica. ^^ Abdomen. ■ Pressure in abdomen as from a stone ; < from contact.

■ Pressure at stomach, nausea, eructations, rumbling in

abdomen, sensation as of a round ball going to and fro under ribs, with various sounds; < from fluid food, > by tight clothing or bandage around abdomen; sleep- lessness; > from lying quiet.

•CUPRUM METALLICUM. 30

1 1 Abdomen tense, or contracted, hot, and tender to touch. I Big belly, of children.

■ Cutting pains in umbilical region, as if a knife were

thrust through to back, with piercing screams. I I Cutting i:)ains below navel, abdomen painful on touch, with diarrhoea.

I Violent colicky, cutting, drawing pains in abdomen;

abdomen drawn in; colic not increased by pressure; great anxiety.

II Violent intermittent colic.

■ Cramps in abdomen. ^Epilepsy.

■ Violent spasms in abdomen and upper and lower limbs,

with piercing, distressing screams.

■ Intussusception of bowels, with singultus, violent colic,

stercoraceous vomiting and great agony. Ulcers in intestines, with corroding, stinging pain.

■ ■Spasmodic movements of abdominal muscles.

■ Inguinal gland swollen.

^° Stool and Rectum. Stools: watery, with flakes; bloody; black; watery; green; gray, with flocculent matter in cholera, also masses of whey-like fluid; frequent; not very copious; in pernicious intermittents ; suppressed with general heat.

■ Painful green stools, with violent cutting and tenesmus.

■ Involuntary thin stool. ^Eclampsia during dentition.

■ Diarrhoea: violent; profuse squirting out; with much

wind passing; with cramps. ■Summer complaint of children, with brain affections.

■ Cholera morbus; cold perspiration, pulse 120, frequent

retching, occasional vomiting of a substance resembling coffee grounds, and frequent stools.

■ Chronic diarrhoea, especially in cachectic persons.

■ ■Cholera asiatica, spasmodic stage; violent spasms, pecu-

liar contractions of fingers and toes; painful pressure in scrobiculum, < by touch; audible gurgling noise of drink passing down; contraction of chest before vom- iting.

■ Much cramping of muscles, or cramps appearing after

vomiting has ceased, in place of it; icy coldness, pulse- lessness. ^Cholera asiatica.

■ From the beginning drawing and tension in muscles,

slight convulsive starts, or later more continued cramps, particularly in calves. ^Cholera asiatica. ■Spasmodic cramp with coldness, anxiety, thirst, gagging and diarrhoea. ^Cholera asiatica.

■ Frequent vomiting and stools of copious masses of whey-

like fluids, with continuous pains in stomach and ab- domen; constant cramps with convulsive motions ol

31 CUPRUM METALLICUM.

lower limbs; eyes sunken, face small, nose pointed, dark blue color of face, blue all over body, tongue cold, aphonia; heart-beat weak, pulse scarcely perceptible. ^Cholera asiatica.

iPainful twitching and slight playing motions of muscles; trismus; painful contraction of chest; painful cramps of calves ; painful convulsions of fingers and toes ; difficult, painful vomiting; pressure in pit of stomach, < from touch; constant restlessness; fear of death; light de- lirium. ^Cholera asiatica.

iDeathly anxiety without heat, restless tossing; staring, sunken eyes; pale bluish face, features changed and anxious; hands cold, cold sweat; violent thirst, hic- cough, nausea in whole abdomen, but most in pit of stomach rising up into throat; continuous, violent vom- iting > by drinking cold water; aphonia, difficult breathing ; drawing, spasmodic or digging pain in calves. ^Cholera asiatica.

■In second stage: cramps, cold sweats, hoarseness, blue lips and nails, thirst, no urine, cold limbs, weak pulse, face and tongue cold, skin dough-hke, in folds. ^Cholera.

Iln^third stage: discharges of whitish fluid, thirst violent- sudden cries with violent clonic spasms of lower limbs on lying down; fingers stiff and drawn crooked, eyes sunken, with dark or livid circles; skin blue, slate- colored, and inelastic; pulse imperceptible. ^Cholera.

■ Constipation, alternating with diarrhoea.

B Thread-worms; round worms; tape-worms. ^^ Urinary Organs. Ineffectual desire to urinate, with diar- rhoea. ^Pregnancy.

I Frequent desire to urinate. ^Neuralgia in head.

I Must urinate during night.

I Profuse discharge of a clear, watery urine during or after spell. ^Epilepsy.

I Urine: acid; straw-colored, turbid after standing; a red- dish, thin sediment adheres to vessel; dark red, turbid, with yellowish sediment; viscous, offensive; bloody; scanty or suppressed.

I Great and slowly progressing emaciation; suppurating tuberculosis of lungs, and evident signs of depression of brain; very great thirst; increased hunger; sweetish taste of mouth; increased urination, especially at night; dry, very infrequent stool; decrease of sexual desire. ^Diabetes.

B Scanty urine in brain affections.

B Ursemic convulsions. ^ Male Sexual Organs, b Great nervousness in young men, who are prematurely old and have cramps in calves of legs and feet on attemi:)ting coition.

CUPRUM METALLICUM. 32^

iSecondary gonorrhoea; discharge variable as to quan- tity ; orifice of urethra sticking together. ^ Female Sexual Organs. ■ Before menses: spasmodic dysp- noea; convulsions; violent palpitation.

Menstruation too late; protracted.

■ Before or during menses, or after suppression, violent

unbearable cramps in abdomen, extending up into chest, causing nausea, vomiting; sometimes convulsions of limbs and piercing shrieks.

■ Frequent epileptic spasms during menstruation.

■ Menses not appearing after suppression of foot-sweat.

■ Torpid chlorosis.

^* Pregnancy, Parturition, Lactation. ■ Violent and dis- tressing cramps in uterine region, in pit of stomach,, fingers and toes, or violent general spasms during pregnancy. ■Spasms during parturition, with violent vomiting; opis- thotonos, or spreading of limbs and opening mouth.

■ Clonic spasms during pregnancy or parturition, when

attack commences in one part, as in fingers or toes, or in a limb, and gradually spreads all over body; great restlessness between the attacks.

During lying-in-time: sour-smelling sweat; miliary erup- tion; anxiety; easily frightened; heaviness of head; soreness of abdomen to pressure; burning in small of back; numbness of arms. Spasms commence with cramps in fingers and toes; hands and feet turned out- ward.

Violent spasmodic labor pains appearing at irregular intervals, often with violent cramps in lower extremi- ties, or cramps may be confined to fingers and toes; great restlessness between the pains.

■ ■Most distressing after-pains, particularly in women who

have borne many children.

■ Cramping after-pains often produce cramp in extremities.

■ Swelling and induration of mammae.

^ Voice, Larynx, Trachea, Bronchia. Speechlessness con- tinues after consciousness is restored, aiter hysterical,, epileptic, or other convulsions; reflex aphonia from cerebral or other sympathetic causes; spasmodic cough, or dyspnoea, due to spasm of larynx, diaphragm, or in- tercostal muscles, with cyanotic state of lips, nails, etc.

Spasm of glottis, preventing speech.

I I Intermittent aphonia in a professional singer.

I I Continued hoarseness, so that he cannot speak a word,, with desire to lie down.

■ Hoarseness as soon as he breathes dry cold air. Hoarse crying, like a child.

33 CUPRUM METALLICUM.

I Contraction of larynx with cough.

■ Head thrown far back on pillow; mouth wide open;,

cheeks dark red, almost purple; eyes partly closed; trachea hard as a bone and nearly even with chin; breathing crowing and very difficult; hands and feet cramped and rigid but not cold ; every effort to swallow increases the spasms of glottis. ^Laryngeal spasm, i Croup, numerous cases. ^^Respiration. Sighing; rolling from one side to another;: at intervals trying to take a deep inspiration.

■ Respirations deep and snoring, twelve to a minute. I Respiration hurried and noisy. ^Spasms.

iVery rapid respiration, with rattling in bronchi, as if

they were full of mucus. lAVhistling breathing, with whooping cough. I Quick rattling breathing, with cough.

■ Between attacks of whooping cough, rattling on chest.

■ Constant spasmodic jerking motion of diaphragm, mak-

ing breathing short; muscles of chest and abdomen in constant motion, as after running fast; talks like one out of breath, < from motion; > on lying down.

■ Difficult, labored respiration; much rattling of mucus.

■ Dyspnoea; short, superficial, quick respirations, < by

coughing, laughing, bending upper part of body back- ward, walking quickly, or inhaling acrid vapors. _ ■When trying to take a deep breath, cough with whistling breathing; dyspnoea in spasmodic fits, almost suffo- cating. t'Asthma.

■ Dyspnoea so intense, that he cannot bear a handkerchief

before face.

■ Spasmodic dyspnoea after fright or vexation.

■ Asthma Millari; violent attacks, without any cough, in

children.

■ Violent asthmatic attacks come on suddenly, and cease

suddenly; during attacks, great dyspnoea, patient sit- ting in a bent position; loud wheezing respiration; cannot speak above a whisper; dark red face; eyes red and protruding; trembling of limbs; profuse sweat; attacks particularly < by long continued walking against the wind.

■ Quick, anxious respiration; contraction of muscles in

hypochondriac region during inspiration; rattling of mucus deep in chest; great restlessness, throwing her- self about in bed; face blue; eyes wide open; larynx drawn upward; presses hands violently against bed; visible cramps of respiratory muscles; predominant ab- dominal respiration; difficult, hollow, hoarse cough, sometimes with a whistling or metalhc ringing sound;

VOL. v.— 3.

CUPRUM METALLICUM. 34

hands cold; cold sweat on forehead; spasmodic, small, and very frequent pulse ; attacks followed by great pros- tration. ^Asthma Millari. ■Beginning paralysis of lungs; indicated by sudden diffi- culty of breathing, followed by great prostration. ^ Cough. 1 1 Cough with interrupted, almost suppressed res- piration. I Cough increases dyspnoea.

I Dry, suffocating cough, with gagging, < at night, not

permitting sleep.

I I Cough in children; threatening to suffocate.

I With every paroxysm of cough, child coughs itself into

a fit; appears as if it w^ere dead. iCough, with regular inhalation, but sighing exhalation. I Cough, < at night, with sensation of great dryness in

pit of stomach. I Sound when coughing as if cough re-echoed in stomach. • Fatiguing cough with blowing of blood from nose.

■ Trembling after coughing.

i Metastatic cough, with the characteristic sound of croup. Nervous and spasmodic cough.

■ Dry cough with measles.

i Difficult expectoration, with cough.

■ Blood in coughing is dark, mixed with phlegm.

■ Cough dry in evening, slight expectoration morning;

phlegm mixed with dark blood, of putrid taste and smell.

■ Cough after sea wind.

■ Cough: < by inhaling cold air; taking deep breath;

laughing; after eating solid food; when bending back- ward; on coming from cold air into warm room.

■ ■Cough > by drinking cold water.

■ Before the attacks, great anxiety; attacks promoted by

eating solid food; they vomit particularly solid food. ^Whooping cough.

■ Three attacks in quick succession, most at night, with

loss of breath. ^Whooping cough.

■ Paroxysm excited by phlegm in larynx, or a feeling of

cramp in pharynx. ^Whooping cough.

■ Whooping cough, in long attacks, uninterrupted until

breath is gone.

■ Attacks severe, with entire loss of breath, slight twitch-

ings, rigidity; do not recover for some time; between attacks, perceptible rattling of mucus in chest. ^Whoop- ing cough.

■ Whooping cough in most malignant form, > by swal-

lowing cold water. .■Children get stiff, breathing ceases, spasmodic twitch- ings, after awhile consciousness returns, they vomit, and recover but slowly. ^Whooping cough.

"35 CUPRUM METALLIC UM.

I Child has a complete cataleptic spasm with each parox- ysm of whooping cough.

I Stadium nervosum of pertussis, each attack ending in convulsions.

I Putrid phlegm. ^Whooping cough.

I Pertussis, when vomiting follows each paroxysm of coughing.

■ Convulsive throwing up of tough, gelatinous mucus,

during paroxysms; afterwards constant rattling on chest; convulsions of flexor muscles. ^Pertussis. ^^ Inner Chest and Lungs, a Spasmodic constriction of chest, obstructing breathing and preventing speech; after fright or anger.

■ Spasmodic contraction of chest: after drinking; before

vomiting, in cholera Asiatica; with inclination to uri- nate; with cough. I Nausea, pressure on stomach, and anxious contraction of

chest; trembling at heart; trembling of arms and feet;

can't walk; great weakness; changed expression and

paleness of face. I Pain behind ensiform cartilage, with a deathly feeling;

attacks of dyspnoea unto suffocation, cold face, blue lips,

coldness all over.

■ Shooting pains in sides of chest, must cry out.

■ Feeling of a rush of blood to the chest.

Violent palpitation of heart, and slow, small, weak pulse. ^Paralysis after cholera, apoplexy, etc.

Rattling of mucus, deep in chest. Msthma Millari. ■Lobular pneumonia, when formation of abscess threatens; beginning paralysis of lungs, indicated by a sudden difficulty of breathing, followed by great prostration; complication with whooping cough; face earthy, dirty, bluish; roof of mouth red; sweat sour-smelling; diar- rhoea.

■ Epidemic pneumonia; after a few days' dry coughing or

a diarrhoea, either stitches, mostly in left side of chest, or a pressure behind sternum, or neither, but bronchitic symptoms by auscultation, with headache, fever or great prostration; cannot take a deep breath, the shooting pain prevents it; in some cases dyspnoea, sudden feeling of suff'ocation, has to sit up, with a pale, collapsed face. ^ Heart. ■ Anxious feeling about heart.

■ Boring pain in region of heart; stitches below it.

■ Palpitation and spasms of heart.

■ Disturbed innervation of heart; nervous palpitation with

blueness of face, dyspnoea; sudden death impending. ■Attacks when excited or when exciting herself; deathly feeling with pain behind ensiform cartilage; cold face,

CUPRUM METALLICUM. 36

blue lips, coldness all over; sudden attack of dyspnoea

unto suffocation. ^Angina pectoris. I Nausea, pressure in stomach, anxious oppression of chest,

trembling of heart; also trembling in hands and feet,

so that she cannot walk; great lassitude; paleness of

face with altered expression; constipation; disturbed

mind and sleep; great nervousness. ^Affection of « heart.

I Angina pectoris, attacks coming on from excitement and

exertion ; slow pulse. Pulse generally small, almost imperceptible, weak and

very slow; less frequently full, hard, and accelerated. I Pulse very changeable; thready, tense; small, hard and

moderately frecjuent; irritable in brain affections. iPulse thready, tense, 100 per minute. ^Measles, with

pneumonic symptoms. I Pulse quick, small. ^Scarlatina. I I A strong pulse and a wild look. ^*^ Outer Chest, i Chest and epigastric region become blue.

^Epilepsy. ^^ Neck and Back, i Throbbing carotids. ^Spasms. iGlands of neck indurated.

■ Paralysis of muscles of back up to neck; also of the

limbs; lower limbs oedematous, but retain sensibility.

iHypersesthesia and great sensitiveness of spinal column from sixth cervical vertebra to small of back, slightest touch intolerable; tearing, jerking pains in limbs.

Broad stitches as with a knife, under 1. scapula, near spi- nal column, independent of breathing.

Lancination in small of back in a transverse direction.

Burning and tearing in small of back.

Stiff, lame feeling in back and lumbar region.

Backache, top of sacrum; griping and spasm about region of heart; head troubles him a great deal. ^^ Upper Limbs, i Anchylosis of shoulder-joint.

I After overwork and mental anxiety, twitching in fingers, extending into hands, arms and body, to diaphragm ; upper portion of body and arms affected by a remittent convulsive shaking; flushed face, hot head; alternate laughing and crying, ending in profuse sweat; parox- ysms excited by laughing, talking, or any exciting emo- tion; at no time did the convulsive shaking or trem- bling extend below waist.

I. Jerking of arms and hands.

■ Left arm convulsively jerked as by an electric shock.

■ Drawing pains in both arms. ^Headache.

■ Drawing sensation in 1. arm, arm drawn involuntarily

close to body; formication and tearing in r. hand. ^Epilepsy.

37 CUPRUM METALLICUM.

iSensation in r. arm and forearm, as of constriction of different parts, and of great increase in size, it seeming to him at times to be larger than his whole body, and its motions not fully under control of will.

I Numbness and lameness of arms and hands.

Inflammation of lymphatic vessels from hand to shoulder, with swelling of hand.

■ Tetter in bend of elbow, with yellow scabs; itching vio-

lently, particularly in evening. ■Frequent falling asleep of the hands, oppression of chest, and palpitation. ^Spinal irritation.

■ Can hold nothing in hand, the objects fall to the ground.

■ Clutches air with hands, unable to speak or swallow.

^Asthma. Long-lasting trembling and shaking of r. hand.

■ Coldness of hands, and bluish appearance of fingers.

■ Twitching in hands and fingers.

■ Stitching, rending or drawing pains in upper timbs.

■ Stiffened and inflamed hands and fingers.

■ Pain in middle finger as if pricked with a needle, fol-

lowed the next day by jerking of finger, which soon extended to all the fingers, to first one arm then the other, and finally, ere eight weeks elapsed, there was not a muscle in body which did not occasionally jerk involuntarily. /^Chorea minor.

■ Fingers as if dead. ^Cholera.

■ Little vesicles on tips of fingers, oozing watery fluid.

■ Ringworm on point of r. elbow, and crusts in bend of left. ^^ Lower Limbs. ■ Paralysis of lower limbs. ^Psoas abscess.

■ Violent cramps in legs and feet

■ Twitching in lower limbs, drawing them backward.

■ Lameness of lower limbs, with contraction of muscles.

■ Great weakness of legs, knees give way.

■ Weakness of knees, with painful drawing when walking

and standing, which is very difficult, knees give way.

■ Frequent involuntary doubling up of knees in walking,

bringing him to the ground; with whining, tremulous

voice and manner. Weakness in knee-joint, pain as if broken. I ■Spasms and cramps in calves.

■ Drawing and digging pain in calf.

■ Muscles of calf contracted in knots; convulsive twitch-

ing of fingers and toes; cramping, colicky pains; no vomiting or diarrhoea. ^Cholera.

■ Cramp in leg, from ankle up into calf

■ Painful heaviness in ankle.

■ Child draws feet spasmodically upwards and backwards

upon nates. 6'Convulsions.