Codeinum

Hering, The Guiding Symptoms of our Materia Medica, 1879, Vol. IV, p. 298

An alkaloid of Opium. Ci^H^iNO^.

Provings by E. E. Marcy and others (see Encyclopedia, v. 3). "Discovered in 1832 by Kobiquet in the muriate of morphia, prepared according to the process of Gregory. It exists in opium, combined with meconic acid, and is extracted along with morphia in the preparation of muriate of morphia." The provings evolve many symptoms similar to those we find in the provings of morphia. Clinical Authorities. — Twitching of eyelids, Marcy, Hale's Therap., p. 185 ; Soreness of skin of face and scalp after neuralgia, E. E. Marcy, N. A. J. H., v. 5, p. 414 ; Spasmodic pain in stomach, Marcy, N. A. J. H., v. 5, p. 419 ; Diabetes, Pavy, B. J. H., V. 29, p. 818 ; Night cough of consumptives, Hale's Therap., p. 185 ; Sudden twitchings during sleep, E. E. Marcy, N. A. J. H., v. 5, p. 416 ; Disturbed sleep from frightful dreams, E. E. Marcy, N. A. J. H., v. 5, p. 416.

Mind

Great mental exhilaration.

Depression of spirits with dull headache.

Inability to apply the mind.

Lascivious thoughts.

Sensorium

Confusion and heat of head.

Inner Head

Heat in head.

▌ Dull headache in morning, which gradually diminishes until noon, when it disappears.

▌ Dull headache soon after getting up in morning, < on 1. side, and lasting about two hours.

Headache from fatigue and excessive mental excitement.

Sight and Eyes

Weakness of vision.

▌ Involuntary twitching of 1. eyelid, sometimes > by rubbing.

▌ Involuntary twitching of both eyelids, whenever he attempted to read or write.

Smell and Nose

Entire loss of smell.

Upper Face p. 299

Painful soreness of skin of face and scalp, which remained after a severe attack of neuralgia.

Lower Face p. 299

Lips dry and parched, constant inclination to moisten skin.

Inner Mouth p. 299

Dryness of mouth.

Throat p. 299

Tickling sensation in throat, in afternoon and evening.

Thirst. Desires p. 299

Great thirst, with a particular desire for bitter substances.

Hiccough, Belching, Nausea and Vomiting p. 299

Empty eructations, with acute pains in stomach.

▌ Nausea and vomiting.

Scrobiculum and Stomach p. 299

Tenderness in stomach, with violent pulsations of heart and carotids.

▌ Violent spasmodic pain at pit of stomach.

▌ Gastralgia.

: Neuralgia of stomach and solar plexus.

▌ Affections of stomach or abdomen, dependent on disorder of solar plexus of great sympathetic.

Abdomen p. 299

Extreme tenderness of lower part of abdomen.

Dull pain throughout entire abdomen.

Gastric and abdominal neuralgia.

Stool and Rectum p. 299

Constit)ation with tenderness of bowels, especially in transverse and descending colon.

Urinary Organs p. 299

Increased secretion of urine, it being lighter in color.

Semi-paralysis of bladder.

▌ She passed five pints of urine daily, specific gravity 10.40 and sugar to the extent of 32.72 grains; < from anxiety and overwork.

▌ The urine previously saccharine contained no trace of sugar.

Male Sexual Organs p. 299

Sexual excitement during night leading to nocturnal pollutions.

Pregnancy p. 299

Nausea and vomiting during pregnancy.

Cough p. 299

Short, irritating cough < during night.

▌ Troublesome cough, with copious mucous and sometimes purulent expectoration.

││ Obstinate cough with expectoration and nervous excitability.

▌ Night cough of phthisical patients.

Inner Chest and Lungs p. 299

Fulness and oppression of chest.

Sharp pain in r. lung on inspiration.

Stitching pains in 1. lung on breathing.

Severe pain in shoulder and chest on motion.

Heart, Pulse and Circulation p. 299

Sympathetic palpitation of heart and irregular action from derangement of ganglionic system.

Violent palpitation of heart and carotids.

Painful pulsations of heart on attempting to study or write.

Drawing pain around heart, which beats loud and full.

Neck and Back p. 300

Convulsions in muscles of neck.

Convulsive movements of muscles of back and neck.

Neuralgic pains from occiput to back of neck.

Painful pulsations in 1. side of neck.

Sharp pains extending from stomach and chest through to back, between shoulders, < on r. side.

Acute pains in region of kidneys.

Upper Limbs p. 300

Spasmodic twitches in arms.

On moving arm, severe pain in deltoid muscles.

Pulsating pain in 1. upper arm.

Numbness of hands and arms.

Lower Limbs p. 300

Sensation and power of motion impaired.

▌ Involuntary twitchings of lower limbs.

▌ Painful, spasmodic jerking of legs.

▌ Neuralgic pains in thighs and legs, and subacute rheumatic pains in knee and ankle-joints.

Sudden pain in knee-joints, making walking impossible for a few minutes.

Paralytic affections of lower extremities, with extreme restlessness, constant desire to change position, and inability to sleep.

Limbs in General p. 300

Spasmodic twitchings of upper and lower extremities.

Mind p. 300

Motion : severe pain in shoulder and chest.

On moving arm : severe pain in deltoid muscles.

Nerves p. 300

Extreme restlessness.

▌ Trembling of whole body.

▌ Morbid sensitiveness of surface in nervous and hysterical females. /

Frequent paroxysms of involuntary twitchings of muscles of all parts of body, indigestion and various manifestations of morbid excitability of nervous system, in consequence of chronic ovaritis and suppressed menstruation.

Chorea ; sleep constantly disturbed ; unusual tendency to involuntary twitchings of muscles of different parts of body.

Sleep p. 300

Sleepiness, drowsy feeling.

▌ Sudden twitchings during sleep, so violent as to wake up the sleeper in affright. θ Chorea.

▌ Disturbed sleep from frightful dreams, causing patients to wake in morning exhausted and unrefreshed.

▌ Sleep constantly disturbed by severe night cough. θ Phthisis.

Time p. 300

In morning : dull headache, which gradually diminishes until noon, when it disappears ; dull headache soon after getting up, < on 1. side, and lasting about two hours; awakes exhausted and unrefreshed on account of disturbed sleep.

In afternoon: tickling in throat.

In evening : tickling in throat.

During night: sexual excitement, leading to nocturnal pollutions; short, irritating cough <.

Night cough of phthisical patients.

Attacks, Periodicity p. 301

Sudden: pain in knee-joints; twitchings during sleep.

Spasmodic: twitching of 1. eyelid; twitches in arms ; jerking of legs; twitching of upper and lower extremities.

Frequent: paroxysms of involuntary twitchings of muscles of all parts of body.

For a few minutes : walking impossible on account of sudden pain in knee-joints.

Constant : inclination to moisten skin ; desire to change position ; disturbance of sleep from chorea ; disturbance of sleep by night cough.

Lasting about two hours : dull headache < on 1. side, soon after getting up in morning.

Dull headache in morning, which gradually diminishes until noon, when it disappears.

Locality and Direction p. 301

Right : sharp pain in lung on inspiration; sharp pains from stomach and chest through to back, between shoulders, < on side.

Left: dull headache < on side; involuntary twitching of eyelid; stitching pains in lung on breathing; painful pulsations in side of neck; pulsating pain in upper arm.

Sensations p. 301

Pains: in stomach; in shoulder and chest on motion; in deltoid muscles on moving arm; in kneejoints.

Stitching pains: in 1. lung on breathing.

Painful spasmodic jerking of legs.

Drawing pains: around heart.

Painful soreness: of skin of face and scalp, after neuralgia.

Sharp pain: in r. lung on inspiration; from stomach and chest through to back, between shoulders, < on r. side.

Acute pains in region of kidneys.

Neuralgic pains : from occiput to back of neck ; in thighs and legs.

Subacute rheumatic pains in knee and ankle-joints.

Spasmodic pain : at pit of stomach.

Pulsating pain : in 1. upper arm.

Painful pulsations: of heart on attempting to study or write; in 1. side of neck.

Prickling of skin.

Dull pain : throughout entire abdomen.

Dull: headache.

Oppression: of chest. ^

Fulness: of chest.

Itching: of skin over whole body; of eczema and porrigo.

Tenderness: in stomach; of bowels, especially in transverse and descending colon.

Tickling: in throat.

Numbness: of hands and arms.

Dryness: of lips; of mouth.

Heat: of head.

Tissues p. 302

Sensation of general warmth with itching of skin, over whole body.

Cough p. 302

Rubbing: involuntary twitching of 1. eyelid, sometimes > by.

Skin p. 302

Itching of skin over whole body.

▌ Troublesome itching of eczema and porrigo.

Prickling of skin.

Stages of Life, Constitution p. 302

Woman, set. 68 ; diabetes.

Relations p. 302

Codeinum cured gastralgia, which had withstood all other remedies, Bellad. included.

Codeinum relieved cough and sleeplessness in phthisical patients after failure of Hyos., Ipecac, and Conium.

Compare: Agar, (twitching of eyelids); Arsen. (pains in legs and nightly restlessness); Hyos. (twitching of eyelids after reading); Laches, (superficial sensitiveness) ; Rhus tox. (chorea, nightly restlessness, pains in legs) ; Sulphur (spasmodic twitching of legs) ; Sulph. ac. (trembling of whole body).

Codeinum in the other books