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You are viewing: Homeopathics - Cocculus indicus - Contemporasry - Level 3

to Homeopathics - Cocculus indicus - Level 2

Cocculus indicus
(Anamirta paniculata)

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Dr Peter Darashah
Cocculus indicus

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Dr. B.P.Sharma
Cocculus indica
Materia Medica

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Joy Lucas
Cocculus indica
Case History

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Sunil Anand
Cocculus indicus

Case History 2 & 3


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Dr Peter Darashah
Cocculus indicus
(Anamirta paniculata)

1. 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 m
otor 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 swollen.


2. Head Weakness

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 thoughts, etc.


3. Organ Weakness

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 occur.

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. 


4. Etiology

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.



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Dr. B.P.Sharma

Materia Medica
Cocculus indicus
(Anamirta paniculata)

Indian Cockle.


A very important medicine used in our routine practice and is considered to be prescribed in the following ailments:-

  •  Travel Sickness
  •  Migraine  
  •  Occiptal headaches    
  •  Meniere's disease    


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. 


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.


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 Cannabis.

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. 


Paralytic conditons of the throat after diphtheria.  Paralysis of oesphagus. Cannot swallow.  


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.


Distended, 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


Dysmenorrhoea with profuse dark menses. Too early menses, clotted, with spasmodic colic. The pains  are griping, 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.


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.


Cracking of certical vertebrae when movng head. The chracteristic symptom is  "Weakness of 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 shoulders.There is 


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 etc. 


Spasmodic 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 convulsions supervene. 


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.


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 disturbance.


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Joy Lucas

Case History 1
Cocculus indicus
(Anamirta paniculata)

Female, 49y, lab researcher, married, 3 children


Presenting Complaint
Constant fear, anxiety, total introversion, feelings of stiffness.


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.

"How can I help you?"

"Ever 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."

The following is a more condensed re-telling of the case.

By "it" she is referring to September 11th events in the USA.

Watched CNN continuously for over a week

Was totally absorbed into it

Couldn't believe that a whole week had passed by and she had done nothing else.

Couldn't sleep.

Was at home on her own - husband and children away from home.

Had no contact with anyone else.

Described herself as quiet but confident normally.

Likes her job - it is interesting but not too taxing.

Enjoys a good discussion with friends.

Likes politics, reading, cinema, music - very cultured.

Relationship with family very good - children away at University, husband travels a lot - misses them, can get lonely but has lots of friends.

Not religious.

Worn out now with loss of sleep.

Mind feels confused, can't concentrate.


The 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.

Main fear is of danger - "everything hides something dangerous"

Before all this she was only frightened of spiders.

Whole body feels stiff and tired - no pain though.

<<< a.m. mainly because of loss of sleep (usually quite a good sleeper).

Feels now as though she has a cold coming on - slightly sore throat right side.

No appetite, hadn't eaten properly for days, quite thirsty for cold water

<<< fish, apples, doesn't like meat but eats it for convenience of family cooking.
>>> pasta, cheese.

Feels bloated and full of wind.

Stools and urine o.k.

Menses rather erratic for last few months - thinks it's the menopause - nothing untoward.

Very poor sleep, no dreams, mind feels too numb.

Likes air but feels uncomfortable if she gets chilly.

Generally << morning

Usually very good health, can't remember the last time she was ill 
Says she can't carry on like this.

Children's health good. Parents still alive and well.

So here was a person of usually good health, a strong constitution who had nonetheless been knocked sideways by a traumatic event.

She felt she had no idea why this trauma had affected her so much.

Repertorisation (Synthesis.)

Fear impending danger

Absorbed in thought

Averse to food

Stiffness - extremities


These aspects of the case were so strong that I was prepared to use only these.

I felt I was treating this case as an acute as the client showed no other tendency towards this state.

It was hard to see a constitutional state (i.e. Rx ) as she was normally so healthy.


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.


M. Tyler 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".

Great talkativeness, witty joking, irresistible desire to sing, a kind of mania. Melancholy and sad, sensitive to insults.

Cannot accomplish anything at work. Frightened and very anxious for others.
Fear of death and unknown dangers.

Cocculus indicus (Indian Cockle) 
Active principle is Picrotoxin (alkaloid) 
used for stupefying fish so that they might be caught by hand.


Remedy = Cocculus 200 - single dose


She 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.

She ate 3 breakfasts the next day and laughed about this.

She has been crying a lot but feels >>> for this.

Feels the remedy is still working and asked what else it will do.

Wait and 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.


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Sunil Anand

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 exhausted.


She needed a long time to answer questions
(Answers, reflects long- Kent, 3)

and would reply very slowly
(Answers slowly- Kent,3),

even though she had just thought about it
(Memory weakness for what has just thought- Kent, 65).

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 -Kent, 79).

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 homeopathic treatment.


In fact 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 -Kent, 79).

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 hastily -Kent, 3)

and in the process used wrong words or misplaced words
(Mistakes words, misplacing- Kent, 66; wrong words, using Kent, 67).

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.
(Anticipatory anxiety).

She had a dread of flying as she felt claustrophobic in closed spaces
(Fear of narrow places),

and if she had to travel she would always choose the aisle seat.


Cocculus cured all her problems and she is well to this day.


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Cocculus indica
Cocculus indicus
(Anamirta paniculata)
(Whole creeper on tree trunk)

Cocculus indica seeds
Coccullus indicus
(Anamirta paniculata)


Cocculus indica leaves
Cocculus indicus (Anamirta paniculata)

Kingdom: Plant
Latin Name: Cocculus indicua
(Anamirta paniculata)
Common Name: Indian cockle
Homeopahtic: Cocculus indicus  


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