If the case is in a young child, the cough is violent and the child becomes stiff during the paroxysms, it chokes and swallows as if trying to swallow something down; it looks pale with pale streaks around mouth and nose, rubs its nose, urine profuse or milky after standing awhile, we have a case for Cina, which will often do wonders. Pertussis (Whooping Cough).
Cough character – Generally dry; spasmodic, or continual hacking; paroxysmal.
Excited or caused by helminthiasis.
Cough aggravated by – worse at night, or fretting, drinking, walking in open air; pressing on larynx; when awaking from sleep.
Cough ameliorated by – better sometimes at night.
Concomitants. _ Gagging, spasms, twitching, unconsciousness, rattling, vomiting; rubbing the nose, paleness around mouth and nose; alternate canine hunger and loss of appetite, restlessness and screaming in sleep, flashes of intense fever with intensely circumscribed red cheeks.
All this, as is well known, is a picture of helminthiasis, which will complicate and aggravate almost every form of disease in children. It is not necessary; it is not best to give this drug in its alkaloid to expel the worms, but will do much better in the potencies. Yet I have found as I have with other alkaloids, such as Quinine and Strychnia, that when the Cinchona, Nux vomica or Cina seemed indicated and did not work satisfactorily, the alkaloid would. I do not know why. One thing must be guarded against, viz., prescribing the remedy for “worms” regardless of indications. I knew an intractable case of rheumatism which resisted Bryonia, which seemed indicated, which was promptly cured by Cina, which has symptoms similar to the Bryonia.