Symptoms
1. Prostration with nervous trembling particularly as a result of mental strain and loss of sleep.
2. Patient ill-natured, angry, spiteful; mentally and physically oversensitive.
3. Cramps, convulsions, and spasmodic affections generally. Clonic spasms beginning in fingers and toes. Epilepsies without any clear symptoms or where aura begins in knees and ascends.
4. Paralysis esp. of flexor muscles (extensors-Plumb.); also to tongue.
5. Symptoms appear periodically and in groups.
6. Cholera and choleraic conditions; body, cold, skin blue, collapse; violent cramps abdomen and extremities.
7. Repercussion of eruptions; skin dusky, no rash but cerebral symptoms esp. convulsions.
8. Spasmodic respiratory troubles esp. whooping cough; long- continued paroxysms with difficult breathing, cyanosis and violent vomiting.
9. Gurgling sound as of water poured out a bottle when drinking or coughing.
10. Modalities; (<) cold air, contact, before M.P. nausea, vomiting and cough (>) drink of cold water (Causticum).
Note Cuprum Aceticum is to be preferred where a more rapid action is desired. Keynote – Spasms.