Cowhage, or Cowitch. Leguminosæ.

A climbing plant, native to the West Indies and tropical America, synonymous with Mucuma pruriens, bears a fruit pod, about four inches long, covered with bristly hairs, from which the alcoholic tincture is prepared.

Introduced and proved by Jacob Jeanes.

CLINICAL AUTHORITIES.

Sensation as of a splinter below angle of right lower jaw , Jeanes, Rück. Kl. Erf., vol. 5, p. 238 ; Cough , Jeanes, Rück. Kl. Erf., vol. 5, p. 680 ; Chronic neuralgic pains in gums , Jeanes, Rück. Kl. Erf., vol. 5, p. 206 ; Skin disease , Lippe, Rück. Kl. Erf., vol. 4, p. 239 ; Dry, tettery eruption on limbs, resembling zona , Williamson, Raue's Rec., 1873, p. 28 ; Herpes zoster , Baikie, Raue's Rec., 1871, p. 210.

SENSORIUM [2]

Sensation as of a blow on head, feels stunned.

INNER HEAD [3]

Head feels as if it would separate, it pains so.

Aching pain in right temple.

SIGHT AND EYES [5]

Eyes yellow. θ Jaundice.

Pain in right eye.

Eruption on margin of eyelids.

HEARING AND EARS [6]

Pain in neighborhood of right ear.

Sudden dart of pain in right ear, later in left.

UPPER FACE [8]

Face yellow. θ Jaundice.

Circumscribed redness of one cheek.

Swelling of face, most of lips.

Prickling itching of face.

Pain in right maxilla.

TEETH AND GUMS [10]

Soreness and tenderness of gums, even in teething children.

Dull aching in a carious tooth, right side.

Gums exceedingly sensitive, but not sore.

Gums swollen ; neuralgic pains in them, < at night.

Gums swollen, red, painful, can scarcely eat or drink.

Pain in gums, preventing her sleep half the night.

Gums irritated, wants them continually rubbed ; dentition.

TASTE, SPEECH, TONGUE [11]

Strong taste of blood in mouth, with cough.

PALATE AND THROAT [13]

Slight fulness just behind posterior palatine arch.

Sudden sensation of choking lump in pit of throat.

Roughness of throat.

Painful sensation in throat below angle of lower jaw on r. side, as if a splinter three quarters of an inch in length was imbedded vertically in that spot ; pain < by swallowing.

Pain in right throat, a subdued, contracting sensation, went to left side.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Flatulent eructation.

Vomits bile. θ Liver complaint.

SCROBICULUM AND STOMACH [17]

Noisy movement of flatus in stomach.

HYPOCHONDRIA [18]

Swelling of liver ; pain goes through from l. lobe ; pains in spleen with gravel.

ABDOMEN AND LOINS [19]

Bloated, swollen abdomen, with constipation.

At intervals fearful cramps in abdomen, off and on for 4 or 5 years ; attacks come on 2 or 3 times a day ; sudden movement would bring it on. θ Spine disease.

Colic from getting feel wet.

Pain in abdomen in right lumbar region.

Bruised pain below umbilicus.

Bruised pain in left inguinal region.

STOOLS AND RECTUM [20]

Constipation during teething or pregnancy.

White stools. θ Jaundice.

Tenesmus with looseness of bowels.

Pain in anus, with stool.

Costiveness. θ Dentition. θ Worms.

Thread, worms and complaint therefrom.

Constipation with liver complaint and itching.

URINARY ORGANS [21]

Enuresis with gravel.

Small calculi pass away.

Ischuria, with or without gravel.

MALE SEXUAL ORGANS [22]

Impotence.

PREGNANCY. PARTURITION. LACTATION [24]

Intolerance itching all over body, in pregnant women, < at night, preventing sleep ; < from scratching ; no perceptible eruption on the skin.

RESPIRATION [26]

Sudden sensation of a choking lump in throat.

Orthopnea. θ Worms.

COUGH [27]

Cough : on lying down at night ; with wheezing and dyspnœa ; 4 P. M. till morning.

Loud ringing, incessant cough. θ Worms.

Slight cough with easy expectoration, and strong taste of blood in mouth.

Easy, mucous expectoration.

INNER CHEST AND LUNGS [28]

Pains through the apices of both lungs.

OUTER CHEST [30]

Eruption appeared on left axilla, spreading in rings forward to sternum and back to spine, with much burning and smarting. θ Herpes zoster.

NECK AND BACK [31]

Pain over right carotid artery, as if a splinter was sticking there.

Pain in muscles on right side of neck.

Pain under left scapula continuing till zona broke out.

UPPER LIMBS [32]

Pain on the top of right shoulder.

Aching pain in right arm and shoulder.

Aching soreness in last phalanx of right middle finger.

Pain at root of nail of right index finger.

LIMBS IN GENERAL [34]

Dry, tettery eruptions on arms and legs, resembling zona.

REST. POSITION. MOTION [35]

Lying down : at night, cough with wheezing.

Swallowing : < pain as if from a splinter in jaw.

Sudden movement : brings on fearful cramps in abdomen.

NERVES [36]

Twitching of muscles.

Clonic spasms of extremities, with loss of consciousness ; eyes fixed ; lids open.

Convulsions of children.

Nervous affections of children during dentition.

Neuralgia following herpes zoster.

SLEEP [37]

At night in bed burning in skin is intolerable.

Night without sleep. θ Liver complaint.

TIME [38]

Night : neuralgic pain in gums < ; pain in gums prevents sleep ; terrible itching < ; lying down from 4 P. M. till morning ; cough with wheezing ; skin burns ; cannot sleep on account of itching.

TEMPERATURE AND WEATHER [39]

Warmth : < itching at night.

Cold water burns on the itching skin.

Cold water lessens itching but causes great trembling.

Getting feel wet : colic.

FEVER [40]

Skin burns at night, in bed.

ATTACKS, PERIODICITY [41]

At intervals : fearful cramps in abdomen, off and on for 4 or 5 years.

Two or three times a day : attacks of cramps in abdomen.

Three days : pain under left scapula.

Seven to ten days : itching lasts ; after desquamation itching and swelling returns.

For seven years every winter : itching.

LOCALITY AND DIRECTION [42]

Left : pain through liver from lobe ; pain in inguinal region ; eruption on axilla ; pain under scapula.

Right : aching pain in temple, in eye, near ear ; pain in maxilla ; dull aching in tooth right side ; painful sensation in side of jaw as of a splinter imbedded there ; pain in throat ; pain in abdomen, lumbar region ; pain in carotid artery as of a splinter ; pain in muscles in side of neck, on top of shoulder ; aching in last phalanx of middle finger ; pain at root of nail of index finger.

Right to left : pain passing from right side of throat to left ; dart of pain in right ear then left ear.

Upwards : itching first on feet, every winter higher up, until it reaches hip and abdomen.

Spreading in rings forward and back : eruption on axilla.

SENSATIONS [43]

Sensation as of a blow on head ; head feels as if it would separate ; sensation of choking lump in pit of throat ; in throat below angle of lower jaw on right side, as if a splinter three-quarters of an inch in length was imbedded vertically in that spot.

Pain : in head ; in right eye ; in neighborhood of right ear ; in r. maxilla ; in gums ; in right throat ; goes through liver from left lobe ; in spleen, with gravel ; in abdomen ; in right lumbar region ; in anus, with stool ; through the apices of both lungs ; over right carotid artery as if a splinter was sticking there ; in muscles of right side of neck ; under left scapula till zona broke out ; on top of right shoulder ; at root of nail of right index finger.

Fearful cramps : in abdomen at intervals.

Sudden dart : in ears.

Aching : in right temple ; dull, in a carious tooth, right side ; in r. arm and shoulder.

Neuralgia : in gums ; following herpes zoster.

Bruised pain : below umbilicus ; in left inguinal region.

Burning and smarting : with eruption on left axilla, spreading in rings forward to sternum and back to spine ; in skin is intolerable.

Soreness : of gums ; with aching in last phalanx of right middle finger.

Sensitiveness : of gums.

Contracting sensation : from right side of throat to left.

Irritation of skin.

Prickling itching : of face.

Itching : constipation with liver complaints all over body intolerable.

TISSUES [44]

Acts upon cerebro-spinal system, producing muscular twitchings and convulsions.

Irritation of skin in jaundice, liver complaint, and during pregnancy.

TOUCH. PASSIVE MOTION. INJURIES [45]

Rubbing : > irritated gums.

Scratching : < itching.

SKIN [46]

Violent itching all over body, without any visible eruption. θ Constipation during pregnancy. θ Jaundice.

Intolerable itching all over body ; worse at night, preventing sleep ; scratching increases itching ; there is nothing perceptible on skin ; nor is there any swelling.

Jaundice ; skin yellow in spots or all over, and itching excessively at night.

Terrible itching over whole body, with swelling of face and particularly of lips ; she is compelled to scratch incessantly, but without relief ; < at night ; in bed ; from warmth ; cold water applied to skin causes burning ; hands and face wounded by violent scratching ; lasts 7-10 days, when desquamation of small scales from surface of whole body occurs ; as soon as desquamation is completed, itching and swelling again return.

Pain under left scapula, which continued three days, when an eruption made its appearance on axilla of affected side, and assumed the herpetic form ; spreading in rings forward to sternum, and backward to spine, attended with much burning and smarting. θ Herpes zoster.

Dry tettery eruption on arms and limbs, resembling zona.

Itching, without eruption, first on feet, every winter higher up, after 7 years reaches hips and abdomen.

STAGE OF LIFE, CONSTITUTION [47]

Teething children.

A child, 5 or 6 years old ; jaundice.

Woman, unmarried, æt. 36, suffered from chronic rheumatism ; skin disease.

Lady, æt. 45 ; herpes zoster.

Woman, æt. 45, formerly asthmatic ; painful sensation of splinter in right side of neck, below lower jaw.

RELATIONS [48]

Antidoted by : Acon ., which must be given preceding Dol ., in cases of dentition attended by fever, to prevent convulsions.

Cured herpes zoster, after failure of Rhus tox .