Manganum mang.

INNER EAR. Larynx and trachea. LOWER LIMBS. Periosteum: Joints. Ankles. Shins. Heels. Skin.

Varies with the weather. Touch. Cold. Damp. Night. Speaking. Feather bed.

Lying down. Open air.

Very sensitive bones. Painful, deep soreness; ears; bones; joints; skin. Diagonal pains. Pains extend to ears from other parts. Yellow-green, lumpy or bloody discharges. Catarrh. Infiltrated, glistening joints. Festination. Motor paralysis.

Weak and nervous. Headache, < straining at stool, etc. Every - thing affects his ears (Cann-s. Gel. Plan.). Blowing nose is painful. Pale, sickly, mask-like face. Anemia. Flow of saliva, with colic, paralysis, etc. Late or pale first menses. Raw, dry, larynx. Rough, hoarse voice; chronic, < A.M.; < expectorating a lump of mucus. Cough, < reading or laughing; > lying; with aphonia; laryngeal; of phthisis. Weak, uncertain legs. Inflamed ankles. Digging in shin bones. Rough, cracked (flexures) or bluish skin. Dry, hard ulcers. Sudden hot flushes. Pruritus of diabetes. Skin festers about joints.

Related: Chin. Psor.

The bones are very sensitive; red spots on the skin, which are elevated, owing to the affections of the bones. Ankles are particularly affected; children may have this trouble, and be unable to walk. Typhus fever, where the parotid gland is swollen, and the bones are very sensitive to the touch. Affections of the internal ear; upper part of the chest. Hoarse voice; drawing sensation of the muscles. Stools with sand or gravel.

In the night; on stooping; lying on a feather bed (asthmatics can't lie on a feather bed); from talking.

Pulsat., Rhus tox., Sulphur.

Camphor.

Manganese Acetate

Manganum causes anæmia with destruction of the red corpuscles. Jaundice, nephritis with albuminuria. Fatty degeneration of liver. Paralysis agitans. Cellulitis, subacute stage, promotes suppuration and hastens regeneration.

Symptoms of chronic poisoning, according to Professor yon Jaksch, were involuntary laughter and involuntary weeping and walking backwards. Strongly exaggerated reflexes and physical disturbances, evidenced by men making fun of each other's gait. Paraplegia progressive; wasting, feeble and staggering gait.

Inflammation of bones or joints, with nightly digging pains Asthmatic persons who cannot lie on a feather pillow. Syphilitic and chlorotic patients with general anæmia and paralytic symptoms often are benefited by this drug. Gout. Chronic arthritis. For speakers and singers. Great accumulation of mucus. Growing pains and weak ankles. General soreness and aching; every part of the body feels sore when touched; early tuberculosis.

Anxiety and fear; better lying down. Feels large and heavy, with rush of blood; pain from above downward. Field of vision contracted. Stolidy mask-like face.

Nodes on palate. Toothache; worse, anything cold (Coff opposite). Hemming all the time. Low, monotonous voice.

Dry, obstructed. Chronic catarrh, with bleeding, dryness; worse in cold damp weather.

Feel stopped; cracking on blowing nose. Pain from other parts extends to ears. Deafness in damp weather. Whistling tinnitus.

Tongue sore and irritable with ulcers or warts. Flatulence; chronic enlargement of liver.

Chronic hoarseness. Larynx dry, rough, constricted. Tuberculosis of larynx. Cough; worse evening, and better lying down and worse in damp weather. Mucus difficult to loosen. Stitches in larynx extending to ear. Heat in chest. Hæmoptysis. Every cold rouses up a bronchitis (Dulc).

Derangements of menstruation, amenorrhœa; menses too early and scanty, in anæmic subjects. Flushes of heat at climacteric.

Muscular twitching. Cramps in calves. Stiffness in muscles of legs. Inflammation of bones and joints with insupportable nightly digging pains. Every part of body feels sore when touched. Cannot walk backwards without falling. Tending to fall forward. Walks stooping forward. Legs feel numb. Wilson's disease. Paralysis agitans. Peculiar slapping gait, walks on metacarpo-phalangeal joint; walks backwards. Ankles painful. Bones very sensitive. Shiny red swelling of joints. Knees pain and itch. Rheumatism of feet. Intolerable pain in skin of lower limbs. Burning spots about joints. Periosteal inflammation. Suppuration of skin around joints.

Languor and sleepiness. Vivid dreams. Sleepy very early in evening.

Suppuration of skin around joints. Red, elevated spots. Itching; better, scratching. Deep cracks in bends of elbows, etc. Psoriasis and pityriasis. Burning around ulcers. Chronic eczema associated with amenorrhœa, worse at menstrual period or at menopause.

Worse, cold wet weather, change of weather. Better, lying down (cough)

Compare: Colloidal Manganese (Boils and other staphylococcal infections); Mangan mur (painful ankles, bone-pains); Mangan oxydat (pain in tibia, dysmenorrhœa, colic, and diarrhœa. Easily fatigued and heated; sleepy. Stolid, mask-like facies; low monotonous voice "Economical Speech". Muscular twitching, cramps in calves; stiff leg muscles; occasional uncontrollable laughter. Peculiar slapping gait. Similar symptoms to paralysis agitans, progressive lenticular degenerations and pseudo sclerosis. Workers in Mangan binoxide are frequently affected with bulbar paralysis. Use 3x homeopathically). Mangan sulph (liver affections, excess of bile; a powerful intestinal stimulant); Argent; Rhus; Sulph.

Antidotes: Coff; Merc.

Third to thirtieth potency.

MANGANUM ACETICUM. Acetate of Manganese. Manganous Acetate. Mn(C 2 H 3 O 2 ) 2 4 H 2 O. Solution.

MANGANUM CARBONICUM. Carbonate of Manganese. Manganous Carbonate. MnCO 3 . Trituration.

Anæmia. Ankles, weak. Asthenopia. Asthma. Bones, pains in. Brain, concussion of. Climacteric flushings. Cough. Deafness, catarrhal. Dysmenorrhœa. Ears, affection of . Gall-stones. Gout. Headache. Heel, rheumatism of . Hoarseness. Itch. Jaundice. Laryngeal phthisis. Laryngitis . Lichen. Myopia. Palate, affections of. Paraplegia. Parotitis. Periostitis. Pityriasis. Psoriasis. Rhagades. Rheumatism. Tongue, affections of. Yawning.

The metal Manganese was isolated in 1774, in the year Priestley discovered Oxygen. It was introduced into the materia medica by Hahnemann, who made provings of the acetate and carbonate. The symptoms of the two have not been kept separate. Manganese is a metal "having a remarkable affinity for, and in some respects a close resemblance to, iron, of which it is an extremely frequent associate." Its medicinal as well as its physical relationship with iron is very close. It has an action on the blood-forming process like iron, and has been successfully used in cases of anæmia. There is one curious symptom they have in common: Cough > by lying down. If there is any difference, the Mang . cough is more apt to be deep, and it is also < in damp weather. Guernsey summarises the Mang . effects thus: "The bones are very sensitive; red spots on the skin, which are elevated, owing to the affections of the bones. Ankles are particularly affected; children may have this trouble and be unable to walk. Typhus fever when the parotid gland is swollen and the bones are very sensitive to touch ; affections of the internal ear; upper part of chest. Hoarse voice; drawing sensation of the muscles." I have frequently verified the "cough > lying down," and also this sensitiveness of the bones. Where this occurs in connection with any other condition indicating Mang . it is sure to do good. There are single nodes on the palate (I recently cured in an elderly lady a flat growth on centre of palate with Mang . 30); bluish nodes on the skin; malignant ulcers with blue borders following slight injury. The skin will not heal, slight scratches ulcerate. Inflammation of bones and joints with insupportable nightly digging pains. Anæmia (menses too frequent and too scanty in anæmic girls); laryngeal phthisis; tuberculosis. Chlorosis, if gastric symptoms and loss of appetite predominate. Every part of the body feels extremely sore when touched. This last is quite a keynote of Mang . Rheumatic patients cannot bear any weight on their heels. Rheumatic symptoms with dark, almost blue spots on skin. Mang . has some remarkable paralytic symptoms. Paralysis with inclination to run forward if he tried to walk. Paralysis begins below, extending upward. Paraplegia. Paralysis from degeneration of anterior portion of cord. The tongue symptoms of Mang . are very pronounced. Hansen ( H. W ., xxiv. 64) cured with Mang. ac . 6 a case of neuralgia of the tongue following the healing of a little ulcer on surface near left border, after pencilling with lunar caustic. Shortly after the healing the patient (man, 60) had severe stinging burning at l. edge of tongue and inner side of l. cheek touching the tongue. In this state he came to Hansen after allopathic treatment. Several medicines having been given without result, Mang. ac . was chosen, and made a rapid and permanent cure. In an article on Mang . by F. H. Pritchard ( Minn. Hom. Mag ., v. 151), who cites this case, the action of the metal is thus summarised: ( 1 ) On mucous membranes: congestion and increased as well as decreased secretions. ( 2 ) Liver: a powerful cholagogue inducing inflammation and fatty degeneration. ( 3 ) Blood: destroys red corpuscles and = anæmia. ( 4 ) Bones and periosteum: sensitiveness of bones with periostitis. ( 5 ) Skin: fissures; excoriation; suppuration. ( 6 ) Cerebro-spinal system: paralysis and progressive muscular atrophy. Pritchard quotes observations of Grille that workmen in manganese mines do not get itch; and those who come to the work with itch get cured of it. "Suppuration of skin round joints" is a characteristic of Lippe's. The manganese waters of Cransac cause: "Ill-humour, weeping, despondency, sudden palpitation." The headaches of Mang . are boring, pressing, and proceed from above downwards. There is also a headache like concussion on every step or movement. A. W. Palmer (quoted H. W ., xxxii. 366) reports this case of catarrhal deafness cured with Mang . 6: Miss H., 38. Dull hearing; dry throat with hoarseness; itching in ears; loud rumbling, < night, r. ear, crackling on blowing nose; deafness in damp weather . The last was the guiding symptom. Cooper gives me the following ear-cases in which Mang. ac . has proved curative: ( 1 ) A nodous appearance of malleus handle; thickened irregularly, with history of bilious headaches and of previous discharges from the ears. The tympanal membrane has a granular appearance. Purple glazed appearance of malleus handles, which are thickened and prominent, upper segment of membrane also purple and glazed. ( 2 ) Chronic periostitis of the meatus and middle ear, with otorrhœa, left ear. ( 3 ) Otorrhœa with earache, pain shoots up from teeth to ear; the earache is worse after early dinner, up till 8 or 9 p.m. ("Pains extend to and concentrate in ears from other parts.") ( 4 ) Sensitive ears, takes cold and gets headache; history of gall-stones and jaundice; sleepy and headache in afternoon, bitter taste in morning, lips glued together; whistling tinnitus worse in a cold. (Whistling tinnitus, Mang. ac .; explosions, Mag. carb .; rasping, shrill tinnitus as well as cardiac tinnitus, pumping, K. iod .). ( 5 ) Deafness, woman, 36, dating from 14, from over-strain in singing, when she lost voice and hearing for six months; left hearing returned, right remained deaf, worse after a cold or if over-excited or worried; subject all life to bilious attacks which last twenty-four hours and leave suddenly; head throbs, can't put it down on a pillow; headache comes on in morning on awaking and reaches a height at 3 or 4 p.m. and keeps on till next morning. (Bilious headaches went away and the hearing of right ear improved under Mang. ac . 200.) ( 6 ) Subject to sore throats and unpleasant breath, tinnitus as of blood rushing fast through the ears (whistling?), membranes translucent, anæmic, malleus handles thickened and "skeletonized"; hearing, right 1 in., left 5 in. After taking Mang. ac . 3x, two pilules thrice daily, steady improvement went on, till hearing was right 10 in., left 20 in.; the deafness was worst in a noise. ( 7 ) Deaf from childhood, granular membranes. Mang. ac . 200 caused in a patient of Cooper's a woman, 53, excitement with feeling of whistling through the ears and general fulness of the head with swellings of hands and feet and a stinging as if frost-bitten; sight became dim with tightness round head, felt low-spirited and continual flushings. Among the Sensations of Mang . are: Head as if larger. As if pit of stomach enlarged. Ears as if stopped. Throat as if excoriated. Trachea as if closed with a film. As if bowels drawn together. As if tendons shortened. Nearly all symptoms are < at night, or else in morning. Lying down > . Raising head, bending forward, bending double > ; bending backward < . Lying on feather bed < (asthma). Motion, laughing, talking, walking < . Cold < . Cold, rainy weather < . Touching with cold things < . Open air > . Sitting bent over a fire > pain in abdomen. Contractive pain in head and dryness of lips and palate are > indoors. > or < by change of weather. > By eating; > by swallowing. Eating = pressure in stomach and abdomen < from cold food. After eating: cramp pain in jaws; pain in rectum. Smoking > hoarseness.

Continue in Clarke 27 more passages →

Constant whining, moaning and groaning.
Silent, reserved, peevish.
Ill humored, vexed over trifles ; bitterness, rancor.
Low spirited, weeping, despondent ; sudden palpitation.
Not pleased with joyous music, but immediately affected by the saddest.
Everything she even thinks of makes her fretful.

All the senses less acute.
Head feels heavy, it seems larger.
Vertigo when sitting or standing ; he is near falling forward ; painful concussion of brain from shaking head, from walking, with aching in head, and at same time in epigastrium ; rush of blood from nape of neck over vertex towards forehead during motion, with
stupefaction and confusion of senses while standing.

Head so heavy he can scarcely hold it up ; fretful.
Contractive sticking pain here and there in whole forepart of head, especially in temples, mostly in open air.
Pressing, boring headache in temples, extending towards eyes and forehead, going off on bending forward, returning on sitting up, or on bending head backwards.
Stitches (like needles) and darts in left side of forehead.
Jarring of brain, from motion of head.
Drawing, stinging or tensive headache in open air, > indoors.
Headaches arising in room, > in open air, or vice versa.
Burning, pressing headache, > in open air.

Cold feeling at a small spot on vertex.
Drawing cramp in muscles, in region of left mastoid process, must incline head to right side.

Short sighted.
Asthenopia, with aching pains in eyes on looking at near objects, so must close them ; < when looking at a near light.
Pupils very much contracted ; dilated.
Burning in eyes and dim-sightedness during day.
Pressure in eyes when reading by candlelight.
Burning heat and dryness of eyes.
Eyelids swollen and painful to touch.
Agglutination of eyes in morning.
Eyelids painful on slightest motion, and on looking at a bright light they become too dry, with a feeling as on waking from sleep.

Whizzing and rushing in ears.
Croaking sound in right ear when walking.
Deafness as if ears were stopped.
Dull hearing : > by blowing nose ; < during cold and rainy weather.
Fulness of ears, with difficult hearing and cracking when blowing nose or swallowing.
Sudden stitch pain in deaf ear.
Ulcerative pain in ears.
Pains extend to and concentrate in ear from other parts.
Stitches in ear when talking, swallowing, laughing and walking.
Frequent otalgia, with tearing and stitching, extending to tympanum.
External ear painful to touch ; pain in right ear from teeth ; burning of ears as if standing near stove ; pain < in morning and in open air ; ear so sore she cannot lie on that side. θ Otalgia.
Catarrh of Eustachian tube, with stitching pains and whizzing noises in ears.
Drawing cramp in muscles in region of left mastoid process, he had to incline his head to right side.

Coryza dry, complete obstruction of nostrils ; crampy pain at root of nose ; < in wet, cold weather.
At times stoppage of nose ; at times fluent coryza.
Dryness and stoppage of nose ; raising easily yellowish pr greenish lumps in morning from posterior nares.
Chronic nasal catarrh ; nostrils much stuffed up ; sore to touch, and < in evening ; bloody discharges.
Painful, crampy tearing, between root of nose and eyebrow.

Continue in Hering 39 more passages →

Manganum is pre-eminently a drug that causes a species of chlorosis, and it is suitable for chlorotic girls, in broken down constitutions, waxy, anaemic, pallid, sickly, threatening phthisis, with necrosis and caries of bone and organic affections.

There is the history of a long period of scanty menstruation, or the menses have been delayed until the patient was eighteen or twenty years of age.

A strong feature is the great soreness of the periosteum, and especially of the shin bone. Tendency to ulceration and eruptions, and around these there is thickening and infiltration. Chronic eruptions; inveterate like psoriasis.

Small ulcers suppurate and infiltrate with purple hardness. It has a deep action, breaks down the blood corpuscles and lays the foundation for tuberculosis, especially in the larynx. Repeated attacks of laryngitis, each leaving the patient in a worse state than before. Tuberculosis that begins in the larynx. Aversion to food, no appetite, nothing will tempt him.

This, with great soreness over the body, lays the foundation for some deep complaint. It is not an acute periostitis, but a passive soreness all over. Inflammation of the joints and swellings go on to suppuration and necrosis.

Ulcerations and suppurative processes take on a quality of semi-malignancy and do not heal, presenting an erysipelatous appearance. Everywhere there is soreness to touch and soreness from jarring.

The bones are sore from walking. Arnica relieves only a day or two; but in this remedy it is deep-seated and prolonged, and we would not think of Arnica or Baptisia, which would only give relief for a day or so.

Vesicular eruptions, infiltrating, deep-seated, with tendency to crack and bleed. Roughness of the skin and psoriasis. Complaints worse in cold, damp weather and before a storm.

And now we will take up some, of the mental symptoms.

There are only a few of them, but they are striking, and these go deeper into the nature of the man himself, even than those we have been speaking about.

Anxiety and fear. Great apprehensiveness. Something awful is going to happen. Restless and anxious. He walks the floor, and the more he walks the floor the more anxious he becomes. He attempts mental occupation; tries to occupy his mind, and the more he does this, the more anxious he becomes.

He is tired and careworn. He cannot think; he cannot meditate. He has difficulties in his business because he cannot do good thinking. Anxious restlessness.

The queerest part of all is just how he gets relief. He lies down and it all passes away. You cannot- find that in every medicine; that is rare, strange and peculiar. And yet, see how general it is; it defines the whole nature of the sick man. His very life is excited, tired and anxious. Great sadness and distress.

He lies down and says,

"Why did I not think of that before?"

Perfectly comfortable now. He gets up, and the anxiety and restlessness come over him again, and he is fairly driven to distraction.

See how unlike Rhus that gets relief from motion. See how unlike Ars. that is, the patient goes from one bed to another, from bed to chair and back again; he cannot sit still, or lie still, for his anxiety is worse keeping still.

See how striking these symptoms are, and see what a contrast we have. The very innermost life, of the patient is talking to us and asking for remedies. We must now read the signs and inner expressions of the disordered economy.

Then, he has these tormenting fears. Anxiety in the day time while moving about, better while lying. down. Sad, weeping and silent. Can think of nothing to console him but to lie down and get peace. Is it any wonder, then, that some of these patients are driven to a bedridden state? And Manganum is a wonderful remedy for bedridden women who love to keep still, and it is said of them that they love to lie in bed.

As far as we have gone we see that everything brings out that very idea and the nature of things that Hahnemann talks about in his first paragraph, that the sole duty of the physician is to pay his attention to the sick, to the patient himself; and who is this patient himself?

This is what we have been talking about, this is what we have been trying to bring out here; and all the particulars that I shall take up corroborate these very things. These particulars are so linked with, these generals talked about that they make a grand unity of thought, and we cannot separate them.

Irritability and low-spirited, like Sulph., and Graph. It is similar to Arg. met., Phos., Graph., and Sulph., in its underlying tendency to tuberculosis. Fretfulness from small things.

Head: Headaches as in anaemia.

Dreadful headaches; head feels heavy sticking pains; pressing, boring pains. Stitches, like needless. Aggravation from jarring on stepping. Soreness in the brain and skull.

Skull sensitive to touch and pressure. Red, sore spots here and there on the scalp (like Phos.), as if erysipelas would develop. Drawing, stinging headache in the open air, ameliorated in the house.

Other headaches are ameliorated in the air. Aggravation from a jar, motion, and change of temperature and in cold, damp weather.

Agglutination of the eyelids.

It is a suppurative and catarrhal remedy. The eyelids are swollen. Aching of the eyes on looking at near objects, especially a near light. I have used this medicine often with that symptom and cured when there was pain in the eyes from sewing, reading fine print and doing anything that would concentrate vision.

Ruta in nervous, gouty constitutions, when there is pain in the eyes and complaints from sewing and reading fine print for a long time. Ruta is especially a remedy for artists who work with a magnifying glass.

Offensive discharges from the ear.

Dullness of hearing ameliorated by blowing the nose. Stopped sensation ameliorated by blowing the nose. Catarrh of the Eustachian tube. The external ear is painful to touch.

The ear symptoms arc numerous. It seems to many patients that all their troubles settle in the ears. All the pains and aches in the upper part of the body settle in the ears. The pains in the throat shoot to the ears.

There are pains in the throat, and pains in the teeth that go to the ears. Pains in the eyes that centre in the ears. That is strange. The ear is a centre of much tribulation.

"Catarrhal conditions, with increasing deafness." From cold, damp weather.

He is deaf whenever the cold rains conic in the fall. Then there is a soreness, rawness and burning in the auditory canal, with much itching.

Silica and Kali carb. are the two principal remedies for the paroxysmal cough that comes on from scratching the auditory canal. I have seen them choke and gag and vomit when they needed Kali carb. after scratching the auditory canal.

Spasmodic cough from scratching the auditory canal belongs principally to Silica and Kali carb. but Manganum has cured it. Itching in the ears from talking, from swallowing, from laughing, or doing anything that brings the throat into operation.

From talking, which is using the larynx. When the bolus p asses down behind the larynx is when it takes place. It is sometimes present in laryngeal phthisis, in chronic ulceration of the larynx, with burning, stinging pains in the larynx that shoot to the ears.

In the proving of Manganum it is astonishing how many ear symptoms are recorded. And all these ear symptoms, like the others, are brought on, or increased, in cold, damp weather.

"Catarrh of the Eustachian tube."

Obstruction. Feels as if the ears were obstructed.

"Feels as if there were a leaf before the ear."

it strong feature running through the remedy is similar to Dulc., in that it is worse from cold, cold air, and cold damp weather.

His catarrh rouses up in cold weather. Every cold, damp spell causes hoarseness and the formation of mucus in the throat All of its complaints respond to the weather.

Wherever there is irritation there is great soreness. The eyes are red and sore. The throat is red and raw. Ear discharges are followed by great tenderness. Soreness and tenderness run all through.

Chronic catarrh. Nose stopped up. Discharge yellow, lumpy and green in the morning. Bloody discharge. The nose and cartilages sore. He avoids handling the nose.

No medicine will give you a sicklier face. When persons have bled out and have become waxy and pale the routinist thinks of China, but when there has been no bleeding and this same state is present from, breaking down of the blood corpuscles Manganum is to be thought of.

Chlorosis and pernicious anaemia would make one think of Manganum, and also Picric acid and Ferrum. Small wounds suppurate; every bruise remains sore for a long time. There is not much bleeding, for there is not much blood.

Infiltration is in keeping with this remedy. I have seen it cure inveterate ulcers, indurated and purple, in anaemic patients. Old "fever sores" can be cured with this remedy. Squamous eruptions.

All sorts of stomach disorders.

Indigestion. Want of appetite. Drawing in the region of the stomach. Colic. All of these are worse from cold, damp weather. The pains are ameliorated from bending double. It is a very useful remedy for warding off tabes mesenterica, anaemic constitution, no appetite, diarrhoea, pain in the bowels, and, as the patient emaciates, the glands are felt.

Useful in women who have been anaemic for some time from loss of blood, but it is not so great a remedy for anaemia following haemorrhage as for that condition result ing from destruction of the blood corpuscles.

Dreadful flushes of heat like Psor. Lach., Sulph. and Graph., coming on in women who have been anaemic for some time.

it is also a great liver remedy.

There is congestion and tumefaction of the liver. It has cured a tendency to fatty degeneration. It has cured jaundice; it has cured many cases of gall stone; which means that the liver goes into such a sluggish state that the bile is unhealthy, the flow is impeded, and then little nodules form in it, and from gall stones.

It establishes a better working order of the stomach, a better working basis of the liver, the bile becomes healthy, and gall stones are dissolved in healthy bile. Gall stone colics are likely to occur along with gall stones.

may be said to be full of rumblings, and there are frequent griping pains and these come on in cold, damp weather.

They come on from eating cold food, like iced foods. Cold things create much distress in the region of the liver. Distress in the stomach, and distress through the bowels.

"Pain and contraction at the navel" something like Plumbum, although it is not said to draw like a string at the navel, like Plumbum and Platinum.

"Passes much flatus with the stool.

Irregular action of the bowels."

There may be periods of constipation, interrupted with every indigestion, causing diarrhoea so that the bowels are always irregular. He is never quite safe, he has constipation or diarrhea. As we might suppose, the stomach is the faulty organ.

"Cramps in the anus while sitting.

Better lying down."

It is a useful remedy for those flashes of heat that occur at the climacteric period.

The chlorotic state mentioned is closely related to the menstrual state. Disorders of the uterus, and of the stomach.

Very scanty menstrual flow. It lasts but a day or two, and it comes too soon. This is unusual in anaemic conditions, unusual in chlorosis. In women past the turn of life, every little while there will come a little hemorrhage, a little watery flow.

Anaemic old ladies, with a little watery flow from the uterus. We have had in the past to rely mostly on Calcarea for the old ladies with hemorrhages of the uterus.

We are not surprised with all these weaknesses if we have muscular relaxation, and it is true in Manganum with these tired, weakly, anemic women; and also there is prolapsus of the uterus and prolapsus of the rectum. A dragging down of the intestines, and the whole abdomen feels heavy from a state of relaxation.

The region most threatened is the larynx, trachea and lungs.

If this anemic girl does not improve and get up a better reaction something serious will happen.

Menstruation is merely a pale fluid or a little leucorrhea. Rawness of the larynx. Hoarseness and loss of voice in a chronic state. It is suitable in recurrent cases coming with every spell of damp weather until finally tuberculosis starts.

Every cold starts up additional trouble in the larynx, causing a laryngitis. It is a wonderful remedy in speakers and singers, as useful as Argentum met.

Constant accumulation of mucus, more forms as soon as he clears it. Hemming all the time and annoying everybody. Arg. met., Sil., Sulph., Phos. and Manganum, all do that. Each hem brings up a mouthful of mucus.

Tubercular laryngitis. Rawness in the larynx. Expectoration of green mucus, great anemia. Every spell of cold, rouses up a bronchitis, like Dulc. Cold, dry weather sometimes relieves, but the patient is sensitive to cold; he is chilly and anemic,

The cough is ameliorated by lying down. Most coughs are worse from lying down, and few remedies have amelioration from lying. In Euphrasia there is a cough coming from coryza, especially acute coryza in vigorous persons, and the cough is better while lying.

Again there is a nervous spinal cough in spinal subjects, nervous girls, who have a cough as soon as they lie down, which is cured by Hyos.

This remedy has a day cough, no cough at night because he is lying. Arg. met . has a day cough; like Manganum it refers to the larynx, and is ameliorated by lying down. Cough worse from talking, laughing, walking, deep inspiration and cold, damp weather.

This remedy is most useful in recurrent complaints, and is hardly ever seen in first attacks. It is of great use in patients who are gradually declining. Ulceration and bleeding in the lungs. The hemorrhage is watery, like bloody saliva or bloody mucus. The patient grows nervous, tremulous and has palpitation.

The limbs are full of distress, even to gout. Sore bones, burning in soles, arthritic enlargements, painful periosteum, some joints. It has not rapid inflammatory rheumatism, like Puls. and Bell ., but tenderness of the joints, with not much swelling and aggravation from damp weather, like Rhod., Rhus and Dulc.

This remedy does not usually come up in fevers, but in cases of low typhoid, after the fever has somewhat abated, the bones are sensitive, sore all over, the patient does not rally, there is prolonged convalescence, especially in badly treated cases, who have been drugged until the blood corpuscles are ruined.

You would think if he could only start up a big abscess he would be better, but be has not vigor enough for that.

Some of these patients have "fever sores," and this acts as a seton and relieves them; but this patient cannot develop one, only the periosteum is sore and infiltrated.

Triturations of the acetate or carbonate are used. (The symptoms of both are here combined.).

As "blood" remedy to be compared with Ferrum in part. ▶ Its power to produce paralysis of the lower half of the body seeks undoubted; its action on the skin is also very pronounced and interesting.

Arsen., Ferr.

Stitches are mostly dull; pinching S. in several parts, agg. inside of thighs; drawing, jerking tearing, in various parts. ▶ Burrowing in bones nightly. ▶ Pain on touch; as if suppurating in all parts on touch, with heat of chest and cheeks. ▶ Drawing tensive pains in several parts, as from a tight band. ▶ Tension in various parts or cramplike drawing and tearing. ▶ Swollen feeling in head, hands and feet at 4 P.M., after walking in open air. ▶ Discomfort in whole body, agg. stomach, with fretfulness. ▶ Inclination to stretch all day. ▶ Uneasiness of mind and body as if something troubled him. ▶ Bubbling in various muscles, with waving sensation.

▶ Weakness; in forenoon; at 4 P.M.; at 8 P.M., he could hardly keep awake. ▶ Paraplegia. ▶ Paralysis, first on lower limbs (Ars.); agg. lower limbs, so that he staggers and inclines to run forward if he tries to walk, slight weakness of arms, weakness of voice, vacancy of countenance from paralysis of facial muscles, and from the same cause saliva is apt to escape from mouth, agg. speaking.

Preparations of this drug have been found very useful in general anæmia, almost taking the place of Iron, especially when there is tendency to early but scanty menstruations or when there is tendency to menstrual discharge between the periods. ▶ Chronic rheumatism wandering from place to place. ▶ Periostitis.

▶ Weeping mood. ▶ Ill humor; at every trifle in morning, with wrinkled forehead, even the speaking of others excited him; at 4.30 P.M., and sad; afternoon, contemplative, dull, with general discomfort; about everything she thinks of; so that he was not pleased with the most joyous music, but was almost cheered by the saddest music; and discontented with himself, solicitous about the future, he talked little, thought he was weak in mind and made mistakes in speaking in every sentence. ▶ Embittered, implacable mood. ▶ Anxiety, with short breath and profuse sweat. ▶ Uneasiness as if he apprehended something sad. ▶ Distraction. ▶ Memory weak.

Shattering in brain on shaking head; in brain on motion, with pain in head and upper abdomen. ▶ Aching in house; amel. open air; from above downward over whole brain late in evening and on waking in night; drawing tensive, here and there. ▶ Throbbing as if brain would suppurate at 2.30 P.M., amel. open air, returning in the house. ▶ Confusion when sitting, with gloominess of it and general weakness. ▶ Heaviness morning and evening, with sensitiveness of scalp; in forenoon, so that he could hardly hold it up, with fretfulness; at 4 P.M., and feeling larger than usual; at 3 P.M., amel. open air, returning in the house, with dullness, pain and internal heat in it. ▶ Rush, of blood when sitting, standing, walking and lying, with internal heat in face without redness. ▶ Vertigo when sitting and standing, obliged to steady himself to prevent falling forward.

Continue in Allen 42 more passages →

Weakness.
Paralysis, especially of the lower limbs so that he staggers or leans forward when walking.
Paralytic symptoms of the muscles of the face and of the larynx.
General anæmia.
Tearing and drawing pains in the extremities, or burrowing pains at night in the joints.
Symptoms usually vary with the weather, always < at night.

Ill humor, with weeping mood; prefers to sit by herself.

Rush of blood to the head, which feels larger than usual and heavy, so that he can scarcely hold it up.
Painful shattering of the brain on motion.
The headache which comes on in the house is better out of doors and vice versa.

Burning heat and dryness of the eyes.
Lids painful on the slightest motion, with a feeling of dryness, especially on looking at a bright light.

Earache, with deafness as if the ears were stopped; cracking on blowing the nose, or shooting pain when talking, laughing, swallowing, or walking rapidly.
Pains from various parts of the body seem to extend into the ears.
Cracking in the ears on blowing the nose and on swallowing.
The ear symptoms vary with the weather.

Dry coryza; nostrils obstructed, alternatively with fluent coryza.
Nose obstructed in the evening.
Nose and upper lip are sore, red and painful, general aggravation in cold, wet weather.

Pale, sunken, with a suffering expression.
Dry lips, ulcerated at the corners of the mouth.

Painful sensitiveness of the teeth.
A smarting toothache; insupportable when anything cold touches teeth.
Violent drawing toothache, which suddenly jumps to another part, especially to the ears.

Rawness on hawking.

Burning, rising up to the mouth, with great restlessness.

Constriction in the anus while sitting.
Stool dry, difficult.

Menstruation early, scanty, brief.

Rough voice in the morning.
Deep cough, dry, from larynx; tries to loosen mucus, but cannot except by forcible expiration; cough < talking.
Larynx internally dry, rough, constricted; mucus loosened after long hawking and forcible expiration.
Cough < in evening, but > lying down.

Pulse feeble, irregular, variable.

Tearing, drawing pains.
Shiny-red swelling of the joints after taking cold.
Pains in the joints > at night, at times with shiny red swelling.

Itching > scratching.
Soreness and deep cracks in the skin, in the bends of the elbow, etc.
Skin unhealthy.

Overpowered by sleep as early as 8 P. M.
Numerous vivid, remembered dreams.

Shaking chill in the evening, with shooting headache, without thirst.
Heat rises into the head, with thirst.
Sweat at night, at times only about the throat or on the cheeks.

MANGANUM. MANGANESIUM. MANGANESE. [*].

[] That part of the pathogenesis which belongs to Hahnemann and his ten associates is entirely in his earlier manner, for it is transported unchanged from Vol. VI. of the first edition of the Materia Medica Pura. The symptoms (124 in the original) obtained by Nenning are almost the sole additions here. -Hughes*.

Manganese as it is mined ; i. e., the black oxide of Maganese, is triturated in a porcelain mortar with an equal quantity in weight of crystallized pure copperas (sulphate of iron), and then mixed with some syrup of sugar, and the mixture is formed into balls the size of a hen's egg. These are heated between charcoal, and are kept for ten minutes at a white heat. A subsequent solution in pure (distilled or rain) water contains pure sulphate of manganese, while the sediment contains the excess of oxide of manganese, mixed with oxide of iron.

From this solution we precipitate carbonate of manganese, by adding carbonate of soda. This precipitate, when sufficiently washed out with water, is a white powder. When this has been dried, powdered, and for some time exposed to the air, by being spread out on paper, it is apt to take a yellowish color, if sufficient care has not been used in its preparation ; this is owing to some oxide of iron still present in it. To remove this the powder is dissolved in diluted nitric acid, filtered through paper, precipitated by carbonate of soda, and then properly washed in distilled water and dried.

From this white carbonate of maganese one grain is dymanized for homœopathic use, as is done with other dry medicinal substances ; or it is dissolved, by boiling it in distilled vinegar, until a saturated solution is obtained, which is then boiled down to the consistence of syrup (Manganum aceticum). Of the latter substance one drop, being taken as a unit, is homeopathically dynamized like other fluid medicinal substances, by means of one hundred drops of alcohol successively in each of thirty attenuating vials.

Both of these preparations have been used in the following provings of the pure effects of Manganese.

This metal has proved especially helpful where the following symptoms were present among others, or predominated :

Diminution of the senses ; burning of the eyes and dimness of vision by day ; eyes closed by suppuration in the morning ; too frequent discharge of flatus ; clotted and difficult stool ; repeated, pappy stool during the day ; diseases of the larynx and of the windpipe ; chronic hoarseness ; phthisis laryngea ; intolerable pains of the periosteum and the joints ; long-continued inflammatory swelling and suppuration of the little finger ; shocks of the heart ; yawning ; heartburn.

The abbreviations of the names of my fellow-observers are as follows : Ahr., Ahner, Frz. ; Dr. Franz ; Hl., Haynel ; Hbg., Hornburg, Gr., Dr. Gross ; Lgh., Dr. Langhammer ; Rkt., Dr. L. Rueckert ; Stf., Dr. Stapf, Tth., Teuthorn ; Whl., Wahle, and Ng., the well-known anonymous observer in the Reine Arzneimittellehre of the Drs. Hartlaub and Tricks. [*].

Continue in Hahnemann 465 more passages →

Quiet, introverted, peevishness.

Congestion to. Sticking or tensive ache. Painful concussion in brain during motion. Headaches which come on when in the room, are in open air and vice versa. Headache from anything that increases congestion to head, straining of stool, physical exertion, etc.

Burning heat and dryness. Myopia.

Violent earache. Sticking pain in, when talking. laughing, swallowing and walking briskly. Pains migrate from other parts into ears. Difficult hearing, as from stoppage of, varying with the change of weather. Cracking in, when blowing nose and swallowing.

Stuffed coryza, with obstruction of both nostrils.

Pale, sunken. Dry lips. Corners of mouth ulcerated.

Painfully sensitive. Smarting ache, insupportably intensified by cold things. Violent (tearing) pains, suddenly migrating to other parts, especially to ears.

A dull stitch on both sides of larynx extending into ears, when swallowing. Sore throat, a cutting soreness when not swallowing. Chronic inflammation of throat. Nodules and burning vesicles on tongue. Nodules and burning vesicles on tongue. Slurring speech. Tremor of tongue.

Taste: Foul, flat, in mouth.

Burning in, extending up into chest, with great restlessness.

Appetite: Aversion to food, with a sense of satiety. Thirstless.

Dry, knotty, difficult. Constipation.

Frequent urging to urinate. Earthy, violet - colored sediment.

Twitching drawing in spermatic cord, with a sense of weakness in g.

Menses: Too early.

Hot breath, with disagreeable warmth in chest.

Dry, when reading aloud and talking, with painful dryness and roughness in larynx. Easy expectoration of much, grayish, yellow mucus in lumps early in morning.

Rough, hoarse voice early in morning and in open air, from old established laryngeo - tracheal affections. Phthisis of, and of teaches.

Stitches shooting upwards and downwards in sternum and chest. Unpleasant warmth in. Thrusts from above downward in heart.

Acts on lower extremities first. Violent drawing and tearing in extremities. Insupportable, nightly digging pains in joints. Red, glistening swelling of joints after taking cold. Arthritic gout with sticking, twitching and digging mostly at night, often onesided or diagonal, with red, glistening swelling of joints. Painful soreness of entire body in touch. Many symptoms change for better or worse with the weather, but are always worse at night.

Insupportable nightly digging in, and in periosteum. Inflammation of, and of periosteum.

Excoriation and deep cracks in flexors of joints. Itching herpes. Skin does not heal easily.

Great drowsiness and fatigue at 8 o'clock in evening. Numerous, very vivid or distinctly remembered dreams.

Pulse: Very uneven and irregular, now quick, now slow, but always weak and soft. Chill: Mostly in evening, with icy - cold hands and feet. With heat in head and ache in forehead, lasting long after the chill. Shaking chill, with sticking headache, without thirst in evening. Heat: Sudden flying heat in face, on chest and over back. Sweat: Profuse all over, with short, anxious breathing. Itching night sweat, often on neck and legs only.

Allied Remedies: Bry., (CHIN), Lyc., Puls.

Violent tearing and drawing in the extremities.

Violent, nightly, digging pains in the joints.

After catching cold a red, shining swelling of the joints.

Rheumatism in the joints, with stinging and digging, worse at night, often one-sided, or oblique, in association with which there is a glistening red swelling of the joints.

The whole body feels sore to contact.

Insupportable nightly digging in the bones and periosteum.

Inflammation of the bones and periosteum.

Rhagades in the joints.

Toothaches, with suddenly shifting painfulness to other parts of the body.

Many ailments change with the weather.