Author Dr Peter Darashah Cocculus
indicus Summary (Anamirta paniculata)
Prostrating Weakness The first and outstanding
characteristic of this remedy is a prostrating weakness of the
voluntary muscular system emanating from the spine and that of its
motor nerves. There is weakness of the cervical muscles;
the neck seems unable to support its weight; there is weakness in
the small of the back which gives out when walking; thee may also be
a paralytic pain which draws across the hips further impeding walk;
there is weakness in the thighs which ache as if they were pounded;
there is weakness of the legs and knees which sink down when bearing
weight; there may be tottering and a falling to one side; there is
weakness in the feet which feel as if they are asleep; the arms also
feel asleep as do the hands; first one hand goes to sleep and then
the other; there may also be trembling of the hands which worsens
the higher the arm is raised; sometimes the whole arm goes to sleep
and the hand feels as if
There is a great feeling
of emptiness in the head accompanied by a sick headache, there is
nausea and aversion to food similar but less extreme to that of
Colch; there is a constant desire to vomit; there is
vertigo on rising up in bed because of which
the patient must lie down again. All these symptoms are made
particularly worse by movement, riding in a carriage (travel
sickness) or on board ship (sea-sickness). These head symptom may be
found in several other remedies but the distinguishing
characteristic is their order of occurrence. With Cocc the head
symptoms occur after those of prostrating weakness but before
stomach or other organ complaints. With most other remedies stomach
complaints precede those of the head. The mental state of the
patient at such times is one of sadness, absorbed within themselves,
brooding, moody, silent, sitting in a corner brooding over sad
There is great distention of the abdomen
resulting in a flatulent colic, often at midnight, in which the
patient complains of a sensation as if the abdomen were full of
sharp sticks or stones. There may also be an accompanying pressure
in the inguinal region as if hernia would
Additionally in the case pf women there are
gripping, cramping pains of dysmenorrhoea which are so severe that
she can hardly stand, walk or talk for the degree of weakness and
prostration she feels. Such weakness is apparent with Carb-v but in
the case of Cocc the menstrual flow is not at all excessive but
rather on the contrary it may gradually diminish. In the case of
Carb-v the increase in flow brings relief.
A final distinguishing
feature of Cocc is its etiology which is the results of the ill
effects from loss of sleep, night-watching or over-work. If the
above symptomology is as a result of such etoiology then Cocc is
conclusively the remedy.
Uses A very important
medicine used in our routine practice and is considered to be
prescribed in the following ailments:-
Action Cocculus acts
on the cerebra-spinal system, producing great debility of these
organs It causes a paralytic weakness of the spine, and especially
of its motor nerves. Thus, we find it a certain and frequent remedy
in paralysis originating in disease of the spinal cord.
Typical Subjects It
shows a special attraction for light-haired females especially
during pregnancy causing much nausea and backache. Unmarried and
childless women, sensitive and romantic girls, etc.All its symptoms are worse
by riding in a carriage or on shipboard hence in use in patients
having affinity to seasickness.
Weakness of cervical muscles with heaviness of head, can
hardly hold the head up
Affections include nausea or vomiting, vertigo etc. caused or
< by riding in cars, carriage or boat.
Weakness, or hollowness in various organs.
Ill effects from loss of sleep,
night-watching or overwork.
Mind: Impulsive, and stupid. Time passes too
quickly; absorbed in reveries. Inclination to sing irresistible.
Slow of comprehension.Mind benumbed.Profound sadness. Cannot bear contradiction. Speaks hastily.
Head Vertigo, nausea,
especially when riding in a carriage or sitting up. Sense of
emptiness in head.Sick
headaches from carriage riding, cannot lie on back part of head.
Pupils contracted .
A peculiar symptom of Cocculus is the
sensation as if the head were opening and shutting especially in
occiput. This is also one of the characteristic symptoms of
Another is a tendency for constant headaches which
are worse from mental effort, and are better indoors and during
rest. There is a constant tendency to stretch the head backwards
with pain in left orbit and frontal protuberance. Pain in eyes as if
torn out of head.
Trembling of head.
Paralysis of facial nerve. Cramp-like pain in
masseter muscle, worse, opening mouth.Facial neuralgia in
afternoon, with wide raditions of pain.
Throat Paralytic conditons of the
throat after diphtheria.Paralysis of oesphagus. Cannot swallow.
Stomach Nausea from
riding in cars, boat etc. or looking at boats in motion; worse on
becoming cold or taking cold. Nausea, with faintness and vomiting.
Aversion to food, drink, tobacco. Loathing of food. Metallic/bitter
or sour & nauseas taste in the mouth. No food tempts. He lies
there sick with a little fever or a "cold".In intermittent or perhaps a
low typhoid state, we have this loathing of food with nausea. You go
to the bedside and you ask the nurse, "What have you been feeding
the patient? and the patient gags. The thought of food makes the
patient gag. The nurse will say that every time she mentions food
the patient gags. That thought of food or the smell of food in the
other room, or in the kitchen, will nauseate the patient. Two
medicines have this-Cocculus and Colchicum.
with wind and feeling if full of sharp stones when moving, better,
lying on one side or the other. The flatus seems here and there, and
passage of of id does not seem to relieve much, for new forms again
takes its place. Pain in inguinal region, as if something were
forced through. Abdominal muscles week; it seems as if a hernia
would take place
Female Dysmenorrhoea with profuse
dark menses. Too early menses, clotted, with spasmodic colic. The
cramping pains which are very severe, and also a remarkable degree
of weakness. She is so weak tht she can hardly stand, walk or talk.
This is very chracteristic and so far as weakness goes, resembles
Carbo animalis, but in Cocculus it is in line with the geneal
prostration of the remedy, while in Carbo Ani. the flow weakens her.
In Cocculus the flow may not be all excessive, but on the contrary
may grow less and less and a leucorrhoea appears in its stead, or
even between the menses also.
Respiratory Sensation of emptiness and
cramp in chest. Dyspnoea as from constriction of trachea, as if
irritated by smoke.Choking constriction in upper part of oesophgus, oppressing
breathing and inducing cough.
Back Cracking of
certical vertebrae when movng head. The chracteristic symptom
cervical muscles with heaviness of the head, muscles seem unable to
support the head"- also in Calc.Phos.,Verat.alb). Paralytic pain in
small of the back.The
small of the back gives out when walking. Pain in shoulder and arms
as if bruised. Pressure in scapula and nape. Stiffness on moving
Extremities Knees sink down from
weakness, he totters while walking and threatens to fall to one
side.At one time the
feet are asleep, at another the hands,.The hand trembles while
eating, and the more the higher it is raised. Now one hand, now th
other seems insensible and asleep. The soles of the feet go to
sleep, while sitting. Geneall attacks of paralytic weakness with
pain in the back. Knees crack on motion. Limbs straightened out,
painful when flexed. This weakness is because Cocculus acts on the
voluntary muscular system first, and then the sensorium-the
intellectual powers causing nausea, vomiting, vertigo
yawing. Coma vigil. Constant drowsiness. After loss of sleep,
night-watching, nursing. Dr. Kent gives an examaple
,"A wife nursing her husband, a daughter nursing her father, becomes
worn out by the anxiety, worry and loss of sleep. She is exhausted;
unable to sustain any mental or physical effort; weak in the knees,
weak in the back and when the time comes for her to sleep she cannot
sleep. Sickness brought about in this manner is analogous to that
caused by the Cocculus poison and hence Cocculus from the time of
Hahnemann to the present time has been a remedy for complaints from
nursing,(not exactly complaints that come on in the professional
nurse, for cocculus needs the combinatin of vexaion, anxiety and
prologned loss of sleep, such as you have in the mother or daughter
who is nursing, or the nurse when she takes on the anxiety felt by a
member of the family; a wife nursing her husband through typhoid, or
other long spell of sickness.At the end of it she is prostrated in body and mind, she
cannot sleep, she has congestive headaches, nausea, vomiting and
vertigo. That shows how a Cocculus case begins. One who is thus
exhausted in body and mind goes out for a ride. She gets sick
headache, pain in back, dizziness, nausea and vomiting. She gets
into the car to take a journey. Sick headache comes on. If she goes
on another mile or two she will have nausea, vomiting and sick
headache. She feels weak ill all over, feels as if she would sink
away. She gets spasms through the body like electric shocks,
convulsions after loss of sleep. The patient goes on with
nervousness and excitement anxiety and loss of sleep until
Fever Chill with
flatulent colic, nausea, vertigo, coldness of lower extremities, and
heat of head. Sweat general. Nervous form of low fever. Chillines
withg perspiration, and heat of skin.
Modalities Aggravation Eating, drinking, loss
of sleep, smoking, talking, carriage riding, motion
or tossing of ship or vehicle, rising up during the pregnant
state, wimming, menstrual period, after emotional
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Brought to you
History 1 Cocculus indicus (Anamirta paniculata)
Patient Female, 49y, lab
researcher, married, 3 children
Complaint Constant fear, anxiety, total
introversion, feelings of stiffness.
Observations Average height,
slightly plump, dark hair, slightly perspiring but clear skin, seems
an intelligent and caring person. She did not weep during the case
taking, but was reasonably open.
I help you?"
since it happened I can't do anything - I can't work, concentrate,
get going on anything, I feel so stiff emotionally as well as
physically. I am so scared, everything seems dangerous to me. I am
sure everyone feels strongly about it all but I can't understand why
it is affecting me so deeply. I feel completely consumed with anger,
sadness, anxiousness and fear."
following is a more condensed re-telling of the
she is referring to September 11th events in the USA.
CNN continuously for over a week
totally absorbed into it
believe that a whole week had passed by and she had done nothing
home on her own - husband and children away from
contact with anyone else.
Described herself as quiet but confident
her job - it is interesting but not too
good discussion with friends.
politics, reading, cinema, music - very
Relationship with family very good - children away at
University, husband travels a lot - misses them, can get lonely
but has lots of friends.
now with loss of sleep.
feels confused, can't concentrate.
attacks of fear and anxiety come on suddenly. She doesn't want
to go out of the house, jumps when the phone rings and nearly
didn''t turn up for her appointment.
fear is of danger - "everything hides something
all this she was only frightened of spiders.
body feels stiff and tired - no pain
<<< a.m. mainly because of loss of sleep (usually
quite a good sleeper).
now as though she has a cold coming on - slightly sore throat
appetite, hadn't eaten properly for days, quite thirsty for cold
<<< fish, apples, doesn't like meat but eats it for
convenience of family cooking. >>> pasta,
bloated and full of wind.
and urine o.k.
rather erratic for last few months - thinks it's the
menopause - nothing untoward.
poor sleep, no dreams, mind feels too numb.
air but feels uncomfortable if she gets
Generally << morning
very good health, can't remember the last time she was
ill Says she can't carry on like
Children's health good. Parents still alive and
was a person of usually good health, a strong constitution who had
nonetheless been knocked sideways by a traumatic
she had no idea why this trauma had affected her so
Stiffness - extremities
aspects of the case were so strong that I was prepared to use only
I felt I
was treating this case as an acute as the client showed no other
tendency towards this state.
hard to see a constitutional state (i.e. Rx ) as she was normally so
Coincidentally I chose to read up on Cocculus Indicus first,
not only because it appeared bold type in all the above rubrics but
because the only thing I could remember about this remedy was that
it was used to paralyse fish!!!! And I was taken by her aversion to
fish - it was a very strong aversion. It is always strange but very
useful when something just happens to steer you in the right
direction. And it saved a lot of time.
quotes "Glamis hath murdered sleep and therefore Cawdor shall sleep
no more; Macbeth shall sleep no more". She also writes "Thoughts are
fixed on a single disagreeable subject; absorbed in thought and
notices nothing; time passes quickly; easily startled; ill effects
of anger and grief; extreme aversion to food; paralytic weakness.
Speech difficult, can't read or think, takes a long time in
reflecting. Slowness of comprehension, cannot find the right word,
speaks hastily, forgets himself, irritable and cannot bear the least
noise or contradiction".
talkativeness, witty joking, irresistible desire to sing, a kind of
mania. Melancholy and sad, sensitive to
accomplish anything at work. Frightened and very anxious for others.
Fear of death and unknown dangers.
indicus (Indian Cockle) Active principle is Picrotoxin
(alkaloid) used for stupefying fish so that they might be
caught by hand.
Cocculus 200 - single dose
phoned 2 days later to say that she went to bed straight away and
fell asleep but had the most awful dreams of being crushed. She was
surprised that she awoke without any fear even though the dream was
still with her.
3 breakfasts the next day and laughed about
been crying a lot but feels >>> for
the remedy is still working and asked what else it will
see I said.
So why did
this relatively healthy, strong and seemingly harmonious person
"fall" so deeply? She is a sensitive person and perhaps that is
where her susceptibility lies. I think that many of us tend to group
together a small number of remedies and label them as useful for
trauma and shock etc. But we must stress the individuality of every
case and with this in mind one could almost say that ANY remedy
could be the similimum in a trauma/shock case.
Case History 2 & 3 Cocculus
indicus (Anamirta paniculata)
Case A: A woman of 53 years came
to me for hypertension with severe headaches and cervical
spondylitis. While describing her complaints I noticed that she was
finding it an effort to get her thoughts together. She agreed that
she could not sustain any mental effort as it left her extremely
needed a long time to answer questions (Answers, reflects
long- Kent, 3)
and would reply very slowly (Answers slowly-
even though she had just thought about it
(Memory weakness for what has just thought-
She gave a history of severe ill-treatment by her
in-laws which upset her a great deal and continues to this day. They
would humiliate her in front of others (Indignation, affects
of- Kent, 65;
Rudeness, ailments from- Kent, 75; Sensitive to rudeness
She also had a history travel sickness,
(Nausea, riding in a carriage- Kent, 509).
Cocculus cured the case.
Case B: A woman of 44 years with
a severe sun allergy causing rashes and itching on exposed parts.
She repeatedly wanted me to reassure her that there would be no
aggravation of her skin after starting the treatment. I tried to
pacify her by saying that there should be no untoward reaction and
if there was, she could call me anytime. She also suffered from
acute vertigo and was afraid this would also be aggravated under
she had waited four months before consulting me because of these
fears. (Easily frightened- Kent, 49).
She was greatly relieved to know that she could call me
without upsetting me. Her previous physicians would be very abrupt
with her when she called at odd times (Sensitive rudeness
She vividly described her sympto ms with exaggerated
movements of her hands (Gestures -Kent, 50)
and seemed to be full of excitement. She was a lively
person (Exhilaration -Kent, 41).
She would answer with great haste (Answers
and in the process used wrong words or misplaced
words (Mistakes words, misplacing- Kent, 66; wrong words, using
This would greatly amuse her children who were also
present during the interview and she would get very upset when they
laughed at her. (Anger from interruption -Kent, 2).
She was also anxious about having a dental extraction
under general anesthesia that was due in two weeks.
She had a dread of
flying as she felt claustrophobic in closed spaces (Fear of
and if she had to travel she would always
choose the aisle seat.
cured all her problems and she is well to this
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Cocculus indicus (Anamirta
paniculata) (Whole creeper on tree
Coccullus indicus (Anamirta
Cocculus indicus (Anamirta
Kingdom: Plant Latin
Name: Cocculus indicua (Anamirta
paniculata) Common Name: Indian
cockle Homeopahtic: Cocculus