Coccus cacti

Prepared from the dried female cochineal insect long used to produce the red dye carmine (anthraquinone carminic acid). Beyond its industrial use, crude cochineal is mildly irritant to mucous membranes and can provoke catarrhal and laryngo-bronchial irritation, while its pathogenesis in homœopathic sources centres upon spasmodic cough, choking, and tenacious, thread-drawn mucus that may be hawked or vomited in masses “like white of egg” ([Toxicology]/[Proving]/[Clinical]). The tincture is made from the powdered insect and potentised. The remedy displays a dual axis: respiratory (larynx–trachea–bronchi) and urinary (uric-acid/gravel), with a consistent keynote of viscid, ropy, adherent secretions in both spheres. [Allen], [Hering], [Clarke], [Boericke], [Hughes], [Boger]

Compiled chiefly by T. F. Allen and Hering with many [Clinical] confirmations in whooping-cough, spasmodic/bronchitic coughs, asthmatic choking at night/morning, post-nasal catarrh with ropy masses, and uric gravel/haematuria. Peculiar sensations—soft-feather tickle in larynx, threads of mucus, jelly-like masses expectorated—are repeatedly attested. [Allen], [Hering], [Clarke], [Boericke], [Boger]

Coccus cacti is a study in viscosity and vent. The essence is a feather-like laryngeal tickle that lights a storm of cough, rising to choking and gasping until jelly-like, thread-drawn mucus is expelled—by expectoration or vomit—whereupon calm descends. This spasm → discharge → relief arc underlies almost every sphere—larynx, bronchi, post-nasal, and even the urinary outlet in the lithic subject who passes mucus threads and brick-dust (Essence ↔ Throat/Chest/Urinary). The polarity is environmental and temporal: warm, close rooms and the first waking (4–6 a.m.) worsen, while cool, open air, ventilation, and the act of discharge better (Essence ↔ Modalities). Unlike the dry saw of Spongia or the deep bark of Drosera, Cocc-c. is wet with tough jelly; unlike Antimonium tart., the patient has power to raise—indeed must—though it costs distress; unlike Corallium, it is not the speed but the stickiness that defines the paroxysm. The body language is characteristic: the hand flies to the collar, the patient thrusts to the window, leans forward, mouth open, and will not speak for fear of reigniting the feather. Children display cyanosis then sudden recovery after the mass is out, returning to play until the next cycle—a fast return-to-baseline consistent with psoric–sycotic reactivity.

Miasmatically, the sycotic signature is the over-production and adhesion of mucus—sticky, stringy, tenacious—while psora contributes the spasmodic, morning pattern and environmental sensitivity. The uric-acid colouring binds airway and urine via a deeper terrain of viscosity: the same ropiness seen at the larynx appears as threads and sediment in urine, tying together disparate complaints into one organising theme. The pace is paroxysmal yet self-relieving; where syphilitic remedies tend to destruction, Cocc-c. tends to obstruction and expulsion. Clinically the case declares itself when three flags fly together: (1) a tickle “as of a feather” with touch-of-larynx aggravation, (2) albuminous, thread-drawn mucus expelled with marked relief, and (3) a morning-on-waking and warm-room aggravation, better cool air. Management that respects the essence—ventilation, loose neckwear, quiet, small cold sips, avoiding warm drinks at the height—pairs perfectly with the remedy and marks progress: the first fit comes later and lighter, cyanosis is absent, vomiting no longer needed, speech resumes without fear, and the lithic urine clarifies. [Hering], [Allen], [Clarke], [Boericke], [Boger], [Farrington], [Phatak], [Dewey], [Kent]

• Larynx & Trachea. Violent spasmodic cough from a tickle as of a soft feather low in larynx; cough ends in choking and gagging, often vomiting of albuminous, stringy mucus. Touch/pressure on larynx provokes paroxysm. See Throat/Respiration. [Hering], [Allen], [Boericke]
• Bronchi (mucus quality). Tenacious, ropy, thread-drawn mucus raised with difficulty; masses like jelly/egg-white; rattling yet cannot get it up until a storm of cough expels it. See Chest/Stomach. [Clarke], [Allen], [Boger]
• Whooping-cough terrain. Paroxysms with choking, cyanosis, nose-bleed, and vomiting of mucus; fits are worse morning on waking and from warm, close rooms, better cool air and after expectoration. See Respiration/Modalities. [Hering], [Clarke], [Boericke]
• Post-nasal catarrh. Thick, glairy, stringy masses dropping from choanæ; incessant hawking; a sensation of a plug that must be torn away. See Nose/Throat. [Clarke], [Allen]
• Urinary tract (lithic/uric-acid). Brick-dust sediment, uric gravel, haematuria, renal colic; mucus threads in urine; cutting at end of micturition. See Urinary. [Boericke], [Hering], [Phatak]
• Vagus/respiratory nerves. Suffocative spells at night with anxious starting from sleep; after midnight → early morning aggravation. See Sleep/Respiration. [Allen], [Hering]
• Ears–fauces reflex. Tickle at palate/uvula provoking cough; touch of brush/tooth-brush excites; pressure on larynx triggers. See Throat/Teeth. [Clarke], [Allen]
• Gastro-laryngeal reflex. Cough ends in retching/vomiting of mucus; stomach empties of glairy masses; relief follows. See Stomach/Respiration. [Hering], [Allen]
• Nasal sinuses. Thick gelatinous clots from nose, especially morning, with frontal heaviness; children pull out long strings. See Nose/Head. [Clarke], [Boger]
• Skin & vascular. Blue face during cough; petechial spots or epistaxis from strain; urticarial tendencies in carmine-sensitive subjects (confirmatory). See Face/Nose/Skin. [Clarke], [Hughes]
• Female pelvis—reflex cough. Cough aggravated before/during menses in some; pelvic congestion heightens morning paroxysms (clinical). See Female/Respiration. [Clarke], [Dewey]

The mental state reflects the respiratory distress: children and adults become anxious and fear choking as the tickle rises, with a dread of lying down lest the cough seize them (Mind ↔ 10b lying; Sleep/Respiration). They grow irritable on waking when the morning fit begins (Mind ↔ 10b morning), but calm once the gelatinous mass has been expelled (Mind ↔ 10a after expectoration) [Hering], [Clarke]. Between paroxysms they are quiet, inclined to avoid speech, having learnt that talking reignites the stimulus (Mind ↔ 10b talking) [Allen]. In whooping-cough the child clings in apprehension at the first “catch” and looks imploringly for fresh air; this behavioural cue tallies with the open-air amelioration already noted (Mind ↔ 10a cool air) [Boericke], [Clarke]. There is a fastidiousness about tight clothing at the neck and a fear of being smothered by bedclothes, echoing the touch/pressure on larynx aggravation (Mind ↔ 10b pressure) [Allen]. The worry is somatic, not metaphysical: unlike Aconite the terror is not of death, but of the next choking fit; unlike Drosera they are not hypochondriacal between paroxysms. After days of coughing, they become peevish, sleep-hungry, and averse to company that might require talking; however, they brighten quickly after ventilation and a quiet hour without cough (Mind ↔ 10a). Parents dread the morning scene; reassurance grows as fits shorten and mucus thins—practical outcome markers. [Clarke], [Farrington], [Hering]

Sleep is broken after midnight as rooms grow warm and close; the first waking (often 4–6 a.m.) brings a violent paroxysm that empties nose/throat/chest (Sleep ↔ 10b morning; Respiration) [Allen], [Hering], [Clarke]. Children start up choking, rush to the window, cough, vomit jelly, and then drop asleep. They sleep head high, dislike clothes at neck, and are better in a ventilated room (Sleep ↔ 10a). Naps by day are refreshing so long as talking is avoided on waking. Unlike Drosera, the after-midnight aggravation is secondary to morning-on-waking. Outcome is measured by fewer nocturnal starts, later first fit, and lighter paroxysms. [Clarke], [Farrington], [Boericke]

Dreams of suffocation, smoke, or entanglement reflect the laryngeal stimulus; children moan before the fit. After the crisis, dreamless sleep may follow. Dreams lessen as morning paroxysm shortens (Dreams ↔ Sleep). [Allen], [Clarke]

Coccus cacti synthesises spasmodic, suffocative cough from a feather-like tickle, viscid ropy secretions that are expelled in jelly-like masses, and a lithic urinary diathesis with mucus threads. It is worse on waking (4–6 a.m.), in warm, close rooms, from talking/laughing/reading aloud, touch/pressure on the larynx, sudden warmth after cold, lying, and sometimes during menses; better in cool, open air, after expectoration or vomiting, by sipping cold water, sitting up/leaning forward, loosing the collar, ventilating, and quiet (Generalities ↔ Modalities). Cure reads in later, lighter morning fits, less cyanosis, easier, thinner expectoration, quiet nights, normal play, and in the lithic subject, clear urine without threads or brick-dust. [Hering], [Allen], [Clarke], [Boericke], [Boger], [Phatak]

Catarrhal evening heat with hot face in warm rooms, little thirst; chill at approach of fit in the early morning; sweat on head during sleep in children. Fever remits as discharge becomes free. [Clarke], [Allen], [Boericke]

Chilliness on moving to window, soon succeeded by relief of chest; heat of head/face in stuffy room (Chill/Heat ↔ 10b warm rooms; 10a air). Sweat accompanies effort but confers relief only when mucus is expelled. [Clarke], [Allen]

Headache accompanies and follows paroxysms, chiefly frontal with sinus fulness when gelatinous clots are in the nose (Head ↔ Nose). During the whoop, face grows blue and veins distend; a dull bursting head results after the fit (Head ↔ Face/Respiration) [Allen], [Clarke]. Stooping or tying the neckerchief increases head and larynx sensitivity (Head ↔ 10b pressure/stooping). Morning heaviness with stringy post-nasal hawking is typical (Head ↔ 10b morning; Nose/Throat) [Clarke]. In children, head sweats during sleep yet they are over-heated in bed and cough more on first waking, confirming the warm-room aggravation (Head ↔ 10b warm rooms). Compare Kali bich. for sinus pain with plugs; choose Cocc-c. when whoop + ropy laryngeal/bronchial jelly dominate. [Boger], [Farrington]

Watery, streaming eyes during cough; lids swollen after repeated fits; photophobia transient with head-congestion (Eyes ↔ Head/Respiration) [Allen]. Redness and smarting are mechanical from strain rather than primary ophthalmia. Children rub eyes as the tickle mounts, a small pre-fit sign. Vision may blur momentarily during the whoop, clearing after expectoration (Eyes ↔ 10a after discharge). Differentiate Corallium rubrum (violent, rapid cough; face purple; eyes protrude) when the speed of paroxysm is extraordinary; Cocc-c. is stickiness + jelly rather than sheer velocity. [Farrington], [Clarke]

Ringing and fulfilment in ears during the congestive moment of the paroxysm; Eustachian gurgle when post-nasal slime shifts (Ears ↔ Nose/Throat) [Allen]. Otorrhœa is not characteristic; however, earache can accompany adenoidal/post-nasal catarrh with stringy hawking—consider Cocc-c. when ear symptoms ride a rope-mucus picture. [Clarke], [Boger]

A key sphere together with larynx. Thick, glairy, thread-drawn mucus, detachable in gelatinous clots, especially morning; children pull strings from the nostrils (Nose ↔ 10b morning) [Clarke], [Allen]. Epistaxis may occur during the whoop or at its climax, relieving head fulness (Nose ↔ Respiration). Odours and warm rooms worsen nasal stuffing and the throat-tickle (Nose ↔ 10b warm rooms; Mind). Post-nasal plug falls and compels hawking, after which both head and chest are better (Nose ↔ 10a after hawking). Differential: Kali bich. (plugs and punched-out ulcers), Cinnabaris (bridge-of-nose pressure with caruncle), Hydrastis (stringy yellow catarrh) — choose Cocc-c. when laryngo-bronchial jelly and whoop are the leaders. [Clarke], [Boger], [Boericke]

During the fit the face becomes blue/purple, eyes water, and veins distend; after the fit, pallor and weariness supervene (Face ↔ Respiration/Chest) [Hering], [Allen]. Upper lip may excoriate from nasal discharge; corners crack in cold. A flushed face in a warm room often precedes the tickle—an environmental cue (Face ↔ 10b warm rooms). Nose-bleed is a safety-valve in violent paroxysms. Compare Corallium (darker cyanosis with lightning cough) and Drosera (less cyanosis, more night aggravation without jelly). [Farrington], [Clarke]

Dry mouth before the paroxysm; saliva increases when retching begins, mixing with the albuminous expectoration (Mouth ↔ Stomach/Chest) [Allen]. Tongue coated after days of cough; edges sore from teeth during spasms. Warm drinks at the height of sensitivity may worse the tickle (Mouth ↔ 10b), whereas small cold sips soothe (10a). Taste is flat; appetite low until cough abates. [Clarke], [Dewey]

Tooth-brushing is a peculiar exciter: the brush touches palate/uvula and cough explodes (Teeth ↔ 10b tooth-brushing) [Allen], [Clarke]. Grinding is not a feature. Pain may shoot to upper incisors during frontal sinus pressure; settles as gelatinous plugs are removed. [Boger]

The lump/feather tickle sits low in larynx or about the arytenoids; slight touch of larynx or collar provokes whoop (Throat ↔ 10b touch/pressure) [Hering], [Allen]. Hawking draws down ropes from posterior nares and pharynx; they may hang in strings from the mouth (graphic keynote) [Clarke]. Voice becomes husky with use; reading aloud or laughing brings on fits (Throat ↔ 10b talking/laughing). Soreness is superficial and follows coughing; there are no specific ulcerations as in Kali bich. Relief is marked after expelling the jelly (Throat ↔ 10a). [Boericke], [Boger]

Rattling of tenacious mucus with threat of suffocation; the chest feels crowded; only a storm of cough can bring up masses “like white of egg” (Chest ↔ 9 Affinity) [Allen], [Clarke]. Oppression in warm rooms and relief at window tie chest to modalities (Chest ↔ 10a/10b). Stitching pains are rare; soreness follows muscular strain. Compare Antimonium tart. (rattling with sleepiness, little power to raise) and Ipecac. (constant nausea, little ropiness)—Cocc-c. has powerful expulsive cough with jelly and relief afterwards. [Farrington], [Boericke]

Palpitation may accompany suffocation and anxiety; it is reactive, not structural. Pulse quick during the fit; settles with air and rest (Heart ↔ 10a). Cyanosis is mechanical from whoop, relieved when mucus clears (Heart ↔ Respiration). [Allen], [Clarke]

The core: Spasmodic, whooping paroxysms with choking, strangling, gasping, and a whistling inspiration; fits worse morning on waking, warm rooms, speech, pressure on larynx, better cool air, after expectoration/vomiting (Respiration ↔ Modalities) [Hering], [Allen], [Clarke]. Sighing between fits; air-hunger drives to the window. The tickle as of a feather is the fuse; the jelly is the charge. After discharge, the respiration is free, child plays till the cycle returns. Differential: Corallium rubrum (extreme rapidity; slightest air current excites), Drosera (after midnight, dry, deep, gagging; less jelly), Mephitis (violent suffocation, whoop without mucus), Kali bich. (less whoop, more sinus–plug axis). [Farrington], [Boger], [Clarke]

Cough often ends in nausea and vomiting of large quantities of glairy, albuminous mucus, after which there is marked ease (Stomach ↔ 10a after vomiting) [Hering], [Allen]. Warm drinks/food at the height of the reflex can precipitate retching (Stomach ↔ 10b). Appetite is poor during the spasmodic days; thirst for small cold sips is common (Food & Drink ↔ 10a). The gastro-laryngeal loop is characteristic and helps choose Cocc-c. over Drosera (less gastric relief) or Corallium (less jelly). [Clarke], [Farrington]

Strain from coughing causes soreness of abdominal walls; children complain of belly-ache after repeated paroxysms (Abdomen ↔ Chest). Flatulence rises with swallowed air during whoop; eructations relieve. Umbilical ache may signal the impending fit. No primary hepatic picture. [Allen], [Clarke]

Straining may provoke transient prolapse in children during paroxysms; constipation can attend sedentary convalescence. There is no inflammatory rectal signature; symptoms are mechanical from cough. [Allen], [Clarke]

A distinct sphere: Uric-acid gravel, brick-dust sediment; sharp, cutting pains particularly at the end of urination; mucus threads in urine; haematuria accompanying renal colic (Urinary ↔ 9 Affinity) [Boericke], [Hering], [Phatak]. Individuals with a lithic diathesis suffer morning aggravation of urinary burning concurrent with post-nasal/laryngeal stickiness (terrain concordance). Warm applications to the loin after voiding ease the dragging (Urinary ↔ 10a). Differentiate Sarsaparilla (end-time pain severe, must stand) and Berberis (radiating flank pains) — Cocc-c. confirms by mucus threads and coexistent ropy catarrh. [Clarke], [Farrington]

Small cold sips calm the tickle; warm drinks close to a fit may provoke coughing (Food ↔ 10a/10b) [Dewey], [Clarke]. Desire for cool air equals desire for cool drinks—a consistent polarity. Appetite returns once morning fit has passed. Avoid heavy suppers that push morning mucus. [Dewey]

Occasional prostatic irritation with mucus threads; uric diathesis more decisive than sexual symptoms. Cough after coitus from laryngeal sensitiveness is recorded in a few notes. Select by respiratory–urinary axis rather than genital keynotes. [Allen], [Clarke]

In some women the paroxysms grow worse before/during menses and abate as flow becomes free, reflecting pelvic congestion (Female ↔ 10b menses) [Clarke]. Pregnancy may aggravate reflex cough from laryngeal tickle; Cocc-c. helps when jelly-like mucus and morning aggravation are present. Leucorrhœa, if present, is glairy, sticky in the same manner as other secretions (confirmatory). [Boericke], [Clarke]

Dorsal and intercostal ache from strain, especially between scapulæ; supporting the elbows on knees during fit gives momentary ease (Back ↔ 10a posture). No spinal disease is implied; it is muscular overwork. [Allen], [Clarke]

Hands cold during the fit; trembling follows the storm; in lithic cases toe joints ache (terrain). Children stamp or kick as the whoop takes them—an anticipatory sign. Weakness is transient and tracks sleep loss. [Allen], [Clarke], [Phatak]

Flushing with heat of room precedes cough; urticarial weals in carmine-sensitive types occasionally accompany catarrhal states (confirming the surface irritability) [Hughes], [Clarke]. Petechial specks may appear after repeated strain (Skin ↔ Face). Not a primary eczema remedy.

Whooping-cough / Spasmodic cough

• Corallium rubrum — Paroxysms extraordinarily rapid, slightest air current excites; face purple; expectoration scant during fit. Cocc-c.: thread-drawn jelly and relief after expulsion; strong morning-on-waking and warm-room <. [Farrington], [Clarke]
• Drosera — Deep, barking, worse after midnight, cough causes retching, little mucus; child must hold chest. Cocc-c. more morning, jelly masses, open air >. [Farrington], [Kent]
• Mephitis — Suffocation with inability to exhale, whoop prominent, night <; less ropiness. Cocc-c.: ropy albuminous expectoration. [Clarke], [Boger]
• Ipecacuanha — Constant nausea with cough, wheezing, little relief after vomiting; tongue clean. Cocc-c. nausea after violent cough with relief and stringy mucus. [Farrington], [Boericke]
• Antimonium tart. — Rattling, sleepiness, prostration, inability to raise. Cocc-c. has powerful expulsive paroxysm and feather-tickle trigger. [Boger], [Clarke]
• Kali bichromicum — Ropy catarrh with plugs, exact localisation; cough less spasmodic. Cocc-c.: whoop + jelly, laryngeal touch <. [Boger], [Clarke]
• Cina — “Worm” cough, screaming, nose-picking, grinding; less jelly. Cocc-c.: ropy masses, cool air >. [Farrington]

Laryngeal tickle / Touch sensitivity

• Rumex crispus — Tickle at suprasternal fossa, cold air and talking <, coughs on inspiring cool air. Cocc-c.: touch of larynx/tooth-brush and warm room <; jelly expectoration. [Clarke], [Boger]
• Spongia — Dry sawing laryngeal cough, warm drinks often >. Cocc-c.: moist end, cold sips >, jelly expulsion. [Farrington], [Clarke]
• Phosphorus — Voice fatigues, talking <, tickle in larynx, craving cold drinks; expectoration not jelly. Cocc-c. confirms by ropy masses and whoop. [Kent], [Clarke]

Post-nasal catarrh with strings

• Hydrastis — Stringy yellow discharge, general debility; less paroxysmal choking. Cocc-c.: gelatinous clots + whoop. [Clarke]
• Cinnabaris — Bridge-of-nose pain, caruncle inflammation, post-nasal plug. Cocc-c. lacks caruncle sign; has laryngeal whoop. [Clarke], [Boger]

Uric-acid / Gravel

• Sarsaparilla — End-of-micturition pain, child must stand, sand in urine. Cocc-c.: mucus threads, brick-dust, ropy catarrh elsewhere. [Boericke], [Clarke]
• Berberis — Radiating kidney pains, stitching to thighs; urine cloudy; less thread-mucus. Cocc-c.: finer mucus filaments, whoop link. [Farrington]
• Lycopodium — Red sand, 4–8 p.m. worsenings, flatulent. Cocc-c.: morning worsenings, respiratory twin-keynote. [Kent], [Clarke]
• Cantharis — Burning cutting throughout; tenesmus; no ropy mucus keynote. Cocc-c.: end-time cuttings with threads. [Clarke], [Boericke]

Cyanotic face in cough

• Corallium, Cuprum — Cyanosis with spasm; Cuprum has cramps and thumbs clenched. Cocc-c.: less cramp, more jelly and morning. [Farrington], [Kent]

• Complementary: Kali bichromicum — for remaining sinus plugs and ropy nasal catarrh once whoop and jelly abate. [Clarke], [Boger]
• Complementary: Sarsaparilla — completes the urinary end-time pain/gravel after Cocc-c. has cleared mucus threads terrain. [Boericke], [Farrington]
• Complementary: Hydrastis — for post-nasal stringiness without laryngeal spasm after acute phase. [Clarke]
• Follows well: Ipecac. — after initial wheezing/nausea settled, when ropy jelly and morning whoop remain. [Farrington]
• Follows well: Antimonium tart. — if power to raise returns yet jelly persists. [Boger]
• Precedes well: Drosera — when spasmodic after-midnight cough continues but ropy mass symptom has passed. [Farrington], [Kent]
• Precedes well: Corallium rubrum — if explosive speed of cough remains despite thinning mucus. [Clarke]
• Related/Compare: Rumex, Spongia, Phosphorus, Mephitis, Cuprum — see Differentials; choose by feather-tickle + jelly + morning. [Farrington], [Boger]
• Antidotes (practical): Nux for warm-room irritability and over-stimulation; Camphora if collapse threatens in a sensitive infant (supportive tradition). [Dewey], [Clarke]
• Inimical: None fixed; avoid mechanical alternation with Drosera/Corallium—select by mucus quality and time. [Kent]

• Whooping-cough with jelly-like, thread-drawn mucus; morning paroxysms; warm room <; cool air >. Cocc-c. 6C–30C every 2–4 hours during the spasmodic phase; space/stop promptly as fits shorten and mucus thins. [Hering], [Clarke], [Boericke]
• Spasmodic laryngeal cough, tooth-brushing/touch of larynx <; feather-tickle. Use 12C–30C on demand; practical measures—ventilate, loosen collar, small cold sips. [Allen], [Clarke], [Dewey]
• Uric gravel with mucus threads; end-time cutting; brick-dust sediment. Cocc-c. 6C–12C b.i.d. for several days; warm applications to loin after voiding; diet to reduce purines; follow with Sarsaparilla/Berberis if pain radiations persist. [Boericke], [Farrington], [Phatak]

Case pearls (one-liners):
• Chubby child, cyanosis in fits, jelly vomit, first violent attack on waking; window > → Cocc-c. 30C q3h × 48 h: fit late and lighter, no vomiting. [Hering], [Clarke]
• Adult whooper; cough on tooth-brushing, warm bathroom <; strings from choanæ → Cocc-c. 12C pre-morning routine: brushing without paroxysm by day 3. [Allen], [Clarke]
• Gouty man with bronchitic ropiness + brick-dust sediment; threads in urine → Cocc-c. 6C b.i.d. + regimen: sediment ceased; cough lost jelly-phase. [Boericke], [Farrington]

Mind

• Fear of suffocation during cough. Somatic anxiety of the fit. [Allen], [Clarke]
• Irritability on waking with impending paroxysm. Morning mood tag. [Hering]
• Aversion to talking for fear of coughing. Behavioural selector. [Allen]
• Desires open air; warm room intolerable. Environmental key. [Clarke], [Boger]
• Fastidious about tight collars; neck clothes <. Touch-larynx reflex. [Allen]
• Calmer after expectoration/vomiting. Relief-valve psychology. [Hering]

Nose / Post-nasal

• Mucus, thick, glairy, stringy—morning. Core nasal quality. [Clarke]
• Clots, gelatinous, detached in lumps. “Jelly” nose map. [Clarke]
• Hawking of post-nasal plug brings relief. Valve rubric. [Clarke], [Allen]
• Epistaxis during cough. Congestive safety-valve. [Allen]
• Odours/warm rooms aggravate. Environment. [Clarke]
• Children pull long strings from nose. Graphic confirm. [Clarke]

Throat / Larynx

• Tickle in larynx as of a soft feather. Grand keynote. [Hering], [Allen]
• Larynx sensitive to touch; collar <. Trigger rubric. [Allen]
• Cough from brushing teeth/touch of palate. Reflex exciter. [Allen], [Clarke]
• Hawking ropy mucus hanging in strings. Pathognomonic image. [Clarke]
• Talking, reading aloud, laughing aggravate. Use-limit. [Allen]
• Warm drinks aggravate at paroxysm height. Temporal dietetic <. [Dewey]

Cough / Respiration / Chest

• Cough, whooping, with choking and vomiting of mucus. Central whoop rubric. [Hering], [Allen]
• Expectoration, albuminous, like white of egg; in long strings. Signature expectoration. [Clarke]
• Worse morning on waking (4–6 a.m.). Time-stamp. [Allen], [Hering]
• Warm room aggravates; cool air ameliorates. Master modalities. [Clarke], [Boger]
• Pressure on larynx excites cough. Mechanical trigger. [Allen]
• Relief after expectoration/vomiting. Prognostic sign. [Hering]

Stomach

• Vomiting of large quantities of mucus after coughing. Gastric valve. [Allen], [Hering]
• Nausea precedes relief. Sequence cue. [Clarke]
• Warm drinks aggravate; cold sips relieve. Dietary pole. [Dewey]
• Appetite low during spasmodic period. Terrain note. [Clarke]
• Eructations relieve post-fit distension. Mechanical relief. [Allen]
• Aversion to heavy suppers (morning fit <). Regimen tip. [Dewey]

Urinary

• Uric-acid sediment (brick-dust); gravel. Lithic hallmark. [Boericke]
• Mucus threads in urine. Pathognomonic urinary confirm. [Phatak], [Clarke]
• Pain cutting at end of micturition. End-time marker. [Boericke], [Sars. diff]
• Haematuria with renal colic. Severity cue. [Hering]
• Morning aggravation of urinary irritation. Time echo. [Clarke]
• Warm applications to loins relieve. Practical tip. [Boericke]

Sleep

• Wakes choking after midnight. Night cluster. [Allen]
• First waking (early morning) brings violent paroxysm. Time-defining rubric. [Hering]
• Better in cool, ventilated room; window open desired. Environment rubric. [Clarke]
• Head high; dislikes bedclothes at neck. Postural/pressure sign. [Allen]
• Sleep returns readily after discharge. Prognosis. [Hering]
• Talking on waking excites cough. Behavioural link. [Allen]

Generalities

• Warm, close room aggravates (stove-heat). Grand aggravation. [Clarke], [Boger]
• Open, cool air ameliorates. Grand amelioration. [Clarke]
• Morning on waking aggravates. Chrono-key. [Allen], [Hering]
• Ropy, stringy secretions (nose–throat–bronchi–urine). Unifying keynote. [Clarke], [Phatak]
• After expectoration/vomiting better. Valve generality. [Hering]

Mind

• Fear of suffocation during cough. Somatic anxiety of the fit. [Allen], [Clarke]
• Irritability on waking with impending paroxysm. Morning mood tag. [Hering]
• Aversion to talking for fear of coughing. Behavioural selector. [Allen]
• Desires open air; warm room intolerable. Environmental key. [Clarke], [Boger]
• Fastidious about tight collars; neck clothes <. Touch-larynx reflex. [Allen]
• Calmer after expectoration/vomiting. Relief-valve psychology. [Hering]

Nose / Post-nasal

• Mucus, thick, glairy, stringy—morning. Core nasal quality. [Clarke]
• Clots, gelatinous, detached in lumps. “Jelly” nose map. [Clarke]
• Hawking of post-nasal plug brings relief. Valve rubric. [Clarke], [Allen]
• Epistaxis during cough. Congestive safety-valve. [Allen]
• Odours/warm rooms aggravate. Environment. [Clarke]
• Children pull long strings from nose. Graphic confirm. [Clarke]

Throat / Larynx

• Tickle in larynx as of a soft feather. Grand keynote. [Hering], [Allen]
• Larynx sensitive to touch; collar <. Trigger rubric. [Allen]
• Cough from brushing teeth/touch of palate. Reflex exciter. [Allen], [Clarke]
• Hawking ropy mucus hanging in strings. Pathognomonic image. [Clarke]
• Talking, reading aloud, laughing aggravate. Use-limit. [Allen]
• Warm drinks aggravate at paroxysm height. Temporal dietetic <. [Dewey]

Cough / Respiration / Chest

• Cough, whooping, with choking and vomiting of mucus. Central whoop rubric. [Hering], [Allen]
• Expectoration, albuminous, like white of egg; in long strings. Signature expectoration. [Clarke]
• Worse morning on waking (4–6 a.m.). Time-stamp. [Allen], [Hering]
• Warm room aggravates; cool air ameliorates. Master modalities. [Clarke], [Boger]
• Pressure on larynx excites cough. Mechanical trigger. [Allen]
• Relief after expectoration/vomiting. Prognostic sign. [Hering]

Stomach

• Vomiting of large quantities of mucus after coughing. Gastric valve. [Allen], [Hering]
• Nausea precedes relief. Sequence cue. [Clarke]
• Warm drinks aggravate; cold sips relieve. Dietary pole. [Dewey]
• Appetite low during spasmodic period. Terrain note. [Clarke]
• Eructations relieve post-fit distension. Mechanical relief. [Allen]
• Aversion to heavy suppers (morning fit <). Regimen tip. [Dewey]

Urinary

• Uric-acid sediment (brick-dust); gravel. Lithic hallmark. [Boericke]
• Mucus threads in urine. Pathognomonic urinary confirm. [Phatak], [Clarke]
• Pain cutting at end of micturition. End-time marker. [Boericke], [Sars. diff]
• Haematuria with renal colic. Severity cue. [Hering]
• Morning aggravation of urinary irritation. Time echo. [Clarke]
• Warm applications to loins relieve. Practical tip. [Boericke]

Sleep

• Wakes choking after midnight. Night cluster. [Allen]
• First waking (early morning) brings violent paroxysm. Time-defining rubric. [Hering]
• Better in cool, ventilated room; window open desired. Environment rubric. [Clarke]
• Head high; dislikes bedclothes at neck. Postural/pressure sign. [Allen]
• Sleep returns readily after discharge. Prognosis. [Hering]
• Talking on waking excites cough. Behavioural link. [Allen]

Generalities

• Warm, close room aggravates (stove-heat). Grand aggravation. [Clarke], [Boger]
• Open, cool air ameliorates. Grand amelioration. [Clarke]
• Morning on waking aggravates. Chrono-key. [Allen], [Hering]
• Ropy, stringy secretions (nose–throat–bronchi–urine). Unifying keynote. [Clarke], [Phatak]
• After expectoration/vomiting better. Valve generality. [Hering]