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Materia Medica

Cobaltum Metallicum

The Metal Cobalt
34 sectionsBoericke · 13Clarke · 21

Essence

Prologue
Boericke

The Metal Cobalt (COBALTUM)

Adapted to neurasthenic spinal states. Sexual disturbances. Fatigue, agitation, and bone pains, worse in morning.

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Keynotes

Characteristics
Clarke

The most characteristic symptom of Cobalt is a very pronounced backache <

sitting; > rising up, walking, or lying down. Backache with seminal emissions. Other symptoms

are: Frequent nocturnal emissions; with lewd dreams; With partial or no erections; impotence.

Headache < bending head forward (Clematis < bending head backward). Pimples on the head

and elsewhere; itching of the skin when warm in bed at night. Smarting, darting pains in eyes.

Lachrymation in open air. Pain in hollow tooth, which feels too long and is sensitive to touch.

Tongue thickly coated white; cracks across middle. No appetite for supper. Urine has strong

pungent smell. Drowsiness; unrefreshing sleep. Sitting and stooping <; Lying down, rising from

sitting, walking >. Most symptoms are < morning. Cold air = lachrymation, and < pain in teeth.

Warmth of bed = itching all over. Jarring < headache.

Mentals

Mind
Boericke

All mental excitement increases suffering. Constant interchange of mental moods.

Symptoms — Mind
Clarke

Great exhilaration of spirits.—Great vivacity and rapid flow of thoughts

(evening).—More disposed to study.—Feeling of great uneasiness, had to move about and could

not keep still (with pain in the stomach and abdomen).

Head

Head
Boericke

Aches; worse, bending head forward. Itching of hairy scalp and beard.

Symptoms — Head
Clarke

Dizziness during stool.—Dulness in the head, with hard stools.—Fulness in the head;

feels too large, worse from stooping and bending forward.—Pain in the forehead soon after

rising.—Bruised pain in the head.—Headache as if it would burst, had to lie down, with sour

stomach after supper.—As if the top of the head would come off.—When stepping, sensation as if

the brain went up and down.—Headache worse in the room, going off in the open air—Headache,

with severe pain in the small of the back.—Great itching in the hairy scalp, in the beard and under

the chin.

Eyes

Symptoms — Eyes
Clarke

Loss of vision on writing, dimness of sight; while reading the letters look blurred.—The

eyes smart in the light.—On writing, dartings in the eye.—Pain in the back part of the eyes, with

headache.—Darting pains in the eyes on coming to the bright sunshine —The eyes ache at

night.—Profuse lachrymation in the open air with water from the nose, with pain in the eyes in

cold air.—Sensation as if something (sand) were under the upper lid, obliging him to rub it.

Nose

Symptoms — Nose
Clarke

Putrid, sickish smell before the nose.—Thin discharge from the nose, water from the

nose.—The nose feels obstructed.

Face

Symptoms — Face
Clarke

A large, very painful boil on r. side of the chin.—Peeling of the lips with soreness, they

bleed easily.—Disposition to keep the jaws tightly closed.

Mouth

Symptoms — Mouth
Clarke

Flat mucous taste in the mouth.—Tongue coated white with cracks across the middle

(morning).—Stinging pain in the roof of the mouth.—Constant secretion of water in the mouth

with swallowing.

Teeth
Boericke
  • Feel too long.
  • Pain in teeth.
  • Cracks across tongue.
  • Coated white (Ant cr).

Throat

Symptoms — Throat
Clarke

Throat feels dry and raw.—The throat is filled with white mucus.—Soreness of the

throat when hawking.—Sensation of fulness in the throat from the stomach.

Stomach

Symptoms — Stomach
Clarke

Hiccough after eating, with soreness in the pit of the stomach.—Belching of wind

(in the morning), (during stool).—Rising of bitter water, with pain in the stomach, afterwards

dryness in the throat.—Feeling in the stomach as if it contained undigested food.—Fulness of the

stomach as if it were filled with air—Soreness in the pit of the stomach caused by hiccough.

Abdomen

Abdomen
Boericke

Shooting in liver. Pain in spleen.

Symptoms — Abdomen
Clarke

Shooting pain in region of liver.—Sharp pain in region of spleen, < on taking a

  • deep inspiration.
  • —Feeling of emptiness in abdomen and umbilicus.
  • —Colic (5 a.
  • m.
  • ) followed by

watery stool and tenesmus.—Rumbling in the bowels (before stool). —Fulness in the abdomen

after a slight meal.

Stool

Rectum
Boericke

Constant dropping of blood from the anus, no blood from the stools.

Symptoms — Stool and Anus
Clarke

Constant desire for stool while walking, worse when standing still,

followed by diarrhcea.—Soft, thin stool with severe colic in the lower bowels, followed by

tenesmus, pain in the sphincter ani, and headache.—Small, hard, dry stool.—Feces like hazel-nuts,

with dulness in head.—Pressure in the rectum.—Constant dropping of blood from the anus (no

blood with the stool).

Urinary

Symptoms — Urinary Organs
Clarke

Increased secretion of pale urine, frequent micturition, after drinking

coffee early in the morning. —Frequent discharge of small quantities of urine. Scanty urine with a

greasy pellicle and yellow, flocculent sediment and strong pungent smell.—Smarting in the end

of the urethra during micturition —Burning in the urethra.—(Secondary) gonorrhcea, with a

greenish discharge.

Male

Male
Boericke
  • Pain in right testicle; better, urinating.
  • Emissions without erection.
  • Impotence.
  • Backache in lumbar region and weak legs.
  • Lewd dreams.
  • Pain in end of urethra; greenish discharge; brown spots on genitals and abdomen.
Symptoms — Male Sexual Organs
Clarke

Frequent nocturnal seminal emissions with lewd dreams, waking him

up from sleep; with headache —Impotence and nocturnal emissions without erections.—Severe

pain in r. testicle; > after passing urine.—Yellow-brown spots on the genitals (and abdomen).

Respiratory

Symptoms — Respiratory Organs
Clarke

Frequent sighing.—On taking a deep inspiration, stitches in the chest,

soreness in the stomach and pain in the spleen.—Cough with soreness in the throat and rawness

when hawking.—Stitches in anterior part of larynx.—Short hacking cough, with frequent

eructation of a quantity of bright red blood, it feels as if it came from the larynx.—Raising of

much thick, tough mucus mixed with a considerable quantity of bright red blood; with the

sensation of fulness and pressive pain in the larynx, accompanied by a sensation of scratching

and rawness, with occasional burning pains, and a disposition to keep the jaws closed tightly;

these sensations are increased by pressure, empty deglutition and cold water —Copious

expectoration of frothy white mucus.

Neck & Back

Back
Boericke

Pain in back and sacrum; worse while sitting; better, walking or lying. Weakness in legs and backache after emissions.

Symptoms — Neck and Back
Clarke

Pain between the shoulders, in the lumbar region and small of the

back.—Aching pain in the small of the back, worse when sitting, going off when rising, walking

or lying down.—Pain in the back (spine), increasing while sitting, better on walking or lying

down.—Backache with seminal emissions.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Shooting in the thighs from the liver—Excessive weakness of the

knees.—Foot-sweat, mostly between the toes, smelling sour or like sole leather.—Flushes of heat

  • along the legs.
  • —Stitches in the legs.
  • —Bruised pain in all the limbs.
  • —Jerks in the limbs when

falling asleep.—Trembling of the limbs, esp. the legs, aching when sitting —Tingling sensation in

feet as if asleep, sometimes like pricking of needles; circulation imperfect (Cob. muriat.).

Extremities

Extremities
Boericke
  • Aching in wrist-joints.
  • Shooting into thighs from liver.
  • Weak knees.
  • Trembling in limbs.
  • Tingling in feet.
  • Foot-sweat, mostly between toes.

Skin

Skin
Boericke

Dry and pimply. Pimples about nates, chin, hairy scalp.

Symptoms — Skin
Clarke

Itching all over when getting warm in bed.—Itching of the shoulders; outside of the

knee.

Sleep

Sleep
Boericke

Unrefreshing; disturbed by lewd dreams.

Symptoms — Sleep
Clarke

Difficulty of falling asleep—When falling asleep jerks in the limbs.—Wakens from

lewd dreams and pollutions.—Can do with less sleep than usual, wakefulness.—Unrefreshing

sleep.

Fever

Symptoms — Fever
Clarke
  • Chilly from 11 to 12 a.
  • m.
  • ; headache with nausea and languor from noon to 2 p.
  • m.
  • ;
  • followed by fever and perspiration.
  • —Chilliness with yawning from 4 to 5 p.
  • m.
  • ; feels dull and

weak with aversion to mental exertion.—Flushes of heat with perspiration.

Clinical

Clinical
Clarke
  • Constipation.
  • Eye, affections of.
  • Gonorrhoea.
  • Heemorrhages.
  • Headache.
  • Impotence.

Liver disorders. Lumbago. Masturbation, effects of.

Relations

Relations
Clarke

Compare:—Zinc. (in pain in back < sitting); Agn. (impotency); Nux (effects of

  • masturbation); Selen.
  • , Titan.
  • , Thallium.
  • Dr.
  • Jos.
  • Anthal, of Budapesth, has discovered that

Nitrate of Cobalt is a perfect antidote to Cyanide of Potassium, the two forming an insoluble

compound.

Relationship
Boericke

Compare: Cannab. Ind; Sepia; Zinc; Agnus; Selen.

Posology

Dose
Boericke

Sixth to thirtieth potency.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.
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