Coffea
Sensitiveness: This
drug is characterized by a general sensitivity. Sensitiveness of vision, of hearing, of
smell, of touch; sensitiveness to pain. it is most astonishing sometimes about this great
sensitiveness. Pains are increased by
noise. Sensitiveness of hearing is so great that sounds are painful. Pains in
the face, toothache, headache; pains in the lower limbs; everywhere aggravated by noise.
All the nervous disturbances possible are found in this medicine, and
they are all aggravated by noise. Even the opening of the door and the ringing of the
door-bell produces great suffering. Such patients are so sensitive that they hear sounds
which those in a state of health cannot hear.
Perhaps no medicine in the Materia Medica approximates this sensitiveness
of hearing where it is accompanied with pain, unless it be Nux vom. Those
practitioners who do not know this generally resort to Nux vom. for pains
aggravated from voices in another room, or from noise or the sound of children.
Many remedies have increase of nervousness from noise; noise aggravates
headache, and aggravates suffering about the head, and makes some persons nervous, But pain
in the extremities aggravated by noise is peculiar. It seems that the noise disturbs him so
that he cannot bear pain.
The Coffea state is brought on by emotions or violent excitement
of the mind, but especially by joy or
"pleasant surprise."
The result is sleeplessness, nervous excitement, neuralgia, twitching of
muscles, toothache, face ache, red face and hot head.
You may be called to the bedside of a woman who has been laboring for
some great cause. She works persistently, is successful, but goes to bed with weeping,
delirium, neuralgia, sleeplessness.
Her heart palpitates, her pulse flickers, she has fainting spells, and
without Coffea she may die. Coffee drinkers who keep up through some ordeal and then
break down are similarly affected.
The Coffea patient is sensitive to wine. A small amount of wine
intensifies the nervousness, produces sleeplessness, flushed face, feverishness, great
excitement. Not necessarily intoxication, but nervous excitement.
Coffea has a painful
sensitiveness of the skin beyond comprehension. I remember one particular case. A woman bad
her lower limb out of bed and it was as red as fire down one side. I walked toward it to put
my hand on it.
But she said,
"Oh, don't touch it, I can't bear to have it touched; I can't touch
it myself."
I asked how long this had been coming on.
She said,
"Ob, it all came on within an hour."
Such a symptom is common in coffee drinkers. There was no fever. Intense
stinging, burning pains in the skin with the redness and heat with coarse rash coming on
suddenly, leaving just as suddenly. The sensitive part is aggravated by cold air, aggravated
by any wind or from fanning, from motion, yet aggravated by warmth. Aggravated from anyone
walking across the floor. The woman I referred to scowled when I was walking toward the bed.
A number of times I have seen such things relieved within a few minutes by Coffea.
Mind: Fainting from
sudden emotions. Hysteria, nervousness, weeping. Pitiful weeping from pain trembling and
weeping from hurt feelings; the slightest neglect. The greatest mental and physical
exhaustion; great restlessness lying awake most of the night.
The wakefulness produced by Coffea is well known,
even to the laity. It is taken by nurses to keep them awake nights with their patients. The
Coffea patient is quick to act and to think. So full of ideas that she lies awake nights
making plans, thinking of a thousand things; utterly unable to banish the thoughts that
flood the mind; hears the clocks on the distant steeples, as do Opium, China and
Nux vom.
Hears the dogs barking. So great is the brain activity, the mental
excitement, that she hears noises that are purely imaginary. Memory active, easy
comprehension full of ideas; increased power to think and to debate. Coffea increases the mental capacity. But after a while reaction follows; she
becomes stupid and sleepy.
There is no end to the fancies, to the visions. Fanciful visions come
before the mind. Recalls things not thought of for years; recalls poetry that was recited in
childhood. Eyes brilliant; pupils dilated; face flushed head hot.
Teeth: With all these
nervous states the patient dreads the fresh air. He is extremely sensitive to cold,
sensitive to the wind and cold weather. Complaints come on in the cold weather, from the
cold air. Pain in the mouth and jaws, better
from holding ice-cold water in the mouth. This applies to toothache and faceache where it is deep in the jaws. Hot
head; inflamed condition of the gums. Pain in the teeth; rending, tearing pain in the teeth,
brought on from exposure to cold, from emotions, from excitement, from joy; aggravated from
motion; ameliorated by ice or ice-cold things; aggravated by warm food.
Cannot drink warm tea, it so intensifies the pain. That is a particular.
The particulars contrast with the generals. In one place you may see "better from cold" in black-faced type, but it relates to the face and jaws. Worse
from cold is a general. Aversion to cold air, aversion to the open air unless it is very
warm and still. Aversion to wind.
"Neuralgic toothache entirely relieved by holding cold water in the
mouth, returning as it becomes warm.
Toothache during the menstrual period.
Complaints of anemic children during dentition."
Children: Those
nervous, excitable children that talk to the nurse and the mother very rapidly with
brilliant eyes, red face, cannot go to sleep. It will quiet the patient and actually favor
the growth of the tooth in a painless manner.
That is the description of a nervous child with many nervous brain and
mental troubles. This child is extremely sensitive; it takes cold. The routine prescriber
gives Belladonna to a child who has hot head, hot face and throbbing carotids, and when it
does not help he gives more Belladonna, and increases the size of his dose until the child has a proving.
He makes a Belladonna child, out of it when Coffea would have cured it. In most instances where Belladonna is indicated the
child is sluggish and stupid, and would like to sleep. With Coffea there is
excitement. The child hears things its mother cannot hear; sees things; imagines things.
Wakes up in fright. Sees this, that and the other thing in the room.
Wakes up excited as if it had visions. Looks for things, and finally sees they are not
there. Such things are strong features of Coffea.
Ears: At times the
head is hot, the face is flushed and, the eyes so brilliant that one fears apoplexy.
Patients will often tell you that they hear a "noise" in the head,
a ringing and roaring in the occiput.
The ear is the one organ capable of registering sounds. But strange to
say, the ears are sometimes very deceiving. Roaring in the ears sometimes seems as if it
were in the occiput. Sometimes it is accompanied with a sensation of tingling or bubbling in
the head.
When patients say,
"I have a roaring in the head,"
you know that means in the car; many times accompanying roaring, ringing
in the ears, buzzing in the ears, is a peculiar sensation of vibration in the head that is
mistaken by the patient for a sound.
I mention that because the Coffea patient feels a
crackling or a bubbling in the occiput. The head feels badly; it feels too small. Headache,
as of something pressing hard upon the surface of the brain.
You would naturally suppose there was a pressing because of the
congestive state heretofore described.
"Headache as if the whole brain were torn and bruised, or dashed to
pieces.
Worse from motion, noise or light."
The eye and the head symptoms are worse from noise and light.
"Headache intolerable.
Head feels small, and as if filled with fluid.
Nervous hysterical headache.
One-sided headache."
There is another head symptom which is quite common. A feeling as if a
nail were driven into the head. Coffea headaches are worse from walking, from motion; from
the mere moving across the floor, he says he feels a draft of air on his head. And that is
true of the pain in any part of the body.
If a Coffea patient should have a pain in the hand, swinging of
the hand through the air will aggravate. It is worse both from the motion and from the air.
I want to illustrate that in this way in order to show how sensitive he is to air, and
especially the painful part to cold air; when he moves against the air, against even still
air he feels it. But the amelioration of the toothache from cold is an exception, is a
particular.
The neuralgia of the face is a common feature of old coffee drinkers.
Sensitive persons take coffee and finally become habituated to it. They
say they cannot get along without it. They must have coffee. Such individuals should stop
coffee. When coffee furnishes a crutch it is a sure indication that drinking it must be
stopped.
So it is with tea or any beverage. Such persons sometimes become
sensitive to coffee, and they drink it in great quantities; the face becomes red; headaches
come on, and other symptoms of Coffea. Stopping coffee brings out quite a proving, and you
have to study Cham. and Nux for an antidote.
In all these remedies you get opposite effects. Now Opium will illustrate that. The first effect of Opium is to
constipate. Let several doses be given, and as the effects of the Opium wear off
he may have diarrhea. Opium eaters can seldom stop because a diarrhea comes on.
If you should ever have an Opium case and diarrhea comes on Puls. will
nearly always control it. But there are individuals who reverse that. Often small doses of Opium will bring on dysentery, and if it is increased, bloody dysentery and
inflammation of the bowels come on. Of course, one is action and the other the reaction.
Women: A woman who is
a confirmed coffee drinker will have menses too soon and lasting too long.
Uterine hemorrhage is not uncommon. Another feature of Coffea is that the woman can scarcely wear the napkin during menstruation (Platinum).
The parts are in a state of hyperesthesia. The vagina is hot and
sensitive, often preventing coition. In the text it reads
"Great sensitiveness of female genital organs, with general
excitability.
She is in a state of ecstacy.
Uterine hemorrhage with excessive sensitiveness of organs and voluptuous
itching.
Metrorrhagia; large black lumps."
Sometimes large bright red lumps.
"Worse from every motion, with violent pain in the groins, and fear
of death."
Excessive sensitiveness about the vulva with voluptuous itching, is a
strong feature of Coffea, and you will often find such symptoms in coffee
drinkers.
During and after labor we also see this great excitement, all these
nervous manifestations. The nervous system is in a fret, and such a mental state as
described comes on with after-pains; extremely sensitive to pain, cries out; sees visions;
hears all sorts of noises.
Pains aggravated from motion; aggravated from noise. Wants everybody to
keep still in the house.
Convulsions of children.
"Puerperal convulsions.
Extreme excitability."
"Palpitation of the heart, pulse fluttering."
"Strong, quick palpitation of the heart with extreme nervousness,
sleeplessness and cerebral erethism caused by unexpected news of great good fortune."
Let a woman about to go into confinement hear suddenly some unusually
good news and the becomes almost ecstatic; carries the symptom all through confinement. The
child is affected, the milk is affected. The milk flows away.
Hemorrhage is likely to come on. Great nervousness, excitability, fear.
Lectures on Materia Medica- James
Tyler Kent
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