Manganum

Acetate or Carbonate of Manganese.

Discovered in 1774, in the year Priestley discovered Oxygen.

Introduced by Hahnemann and provedby himself and his provers (seeChroni- sche Krankheiten) ; also proved by Nenning (Hartlaub and Trinks' Annalen, vol. 2, p. 201).

Clinical Atjthoeities Dysecoia, Times Ketros., vol. 2, p. 63 ; Otalgia, Bowie, Trans. Horn.

Med. Soc. Pa., 1874, p. 186 ; Affection of ears, Euck.

Kl. Erf., vol, 1, p. 367 ; Affection of tongue, Hansen, AUg. Horn.

Ztg., vol. 113, p. 13 ; Pain in bowels, Berridge, Hom. Clin., vol. 3, p. 119; CoZt'c, Berridge, Eaue's Bee, 1871, p. 122;

Hoarseness, affections of larynx, Hahnemann, Hartmann, Eiick. Kl. Erf., vol. 3, p. 169 ; Laryngitis, Lobethal, Eiick.

Kl. Erf., vol. 5, p. 788 ; Affection of larynx and trachea, Miiller, Eiick. Kl.

Erf., vol. 5, p. 418; Cough, Ockford, Eaue's Eec, 1875, p. 114; Martin, Trans. Hom.

Med. Soc. Pa., 1886, p. 95; Hcemoptysis, Farrington, Org., vol. 3, p. 91 ;

Pneumapostema, Ockford, Times Eetros., vol. 1, p. 68 ; Affection of ankle, Guernsey, Trans. Hom. Med.

Soc. Pa., 1881, p. 162; Poda^rra, Hauptmann, Eaue's Eec, 1872, p. 205 ; Arthritis vaga, Gross, Eiick.

Kl. Erf, vol. 3, p. 523 ; Pe- riostitis of joints, Hartmann, Eiick. Kl.

Erf., vol. 4, p. 435 ; Intermittent fever, Elb, Eiick. Kl. Erf, vol.4, p. 943;

Ancemia, Madden, B. J. H., vol. 8, p. 195; Pityriasis, Cramoisy, N.

A. J. H., vol. 7, p. 235 ; Psoriasis, Cramoisy, N.

A. J. H., vol. 7, p. 234 ; Lichen, Cramoisy, N.

A. J. H., vol. 7, p. 234.

^ Mind. Constant whining, moaning and groaning.

Silent, reserved, peevish.

Ill humored, vexed over trifles ; bitterness, rancor.

I 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. ^ Sensorium. All the senses less acute.

I Head feels heavy, it seems larger.

273 MANGANUM.

Vertigo when sitting or standing; he is near falling for- ward; 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 stupefac- tion and confusion of senses while standing. ^ Inner Head. iHead so heavy he can scarcely hold it up; fretful.

■ Contractive sticking pain here and there in whole fore-

part of head, especially in temples, mostly in open air.

Pressing, boring headache in temples, extending towards eyes and forehead, going off on bending forward, return- ing on sitting up, or on bending head backwards.

Stitches (like needles) and darts in 1. side of forehead.

Jarring of brain, from motion of head.

Drawing, stinging or tensive headache in open air, > in- doors.

Headaches arising in room, > in open air, or vice versa.

Burning, pressing headache, > in open air. * Outer Head. Cold feeling at a small spot on vertex.

Drawing cramp in muscles, in region of 1. mastoid process, must incline head to r. side. ^ Sight and Eyes. Short sighted.

■ Asthenopia, with aching pains in eyes on looking at near

objects, so must close them; < when looking at a near light. 1 1 Pupils very much contracted ; dilated.

■ Burning in eyes and dimsightedness 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. ^ Hearing: and Ears. Whizzing and rushing in ears. Croaking sound in r. 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. VOL. vn.— 18.

MANGANUM. 274

Frequent otalgia, with tearing and stitching, extending to tympanum.

■ External ear painful to touch; pain in r. 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. ^Otalgia. I Catarrh of Eustachian tube, with stitching pains and

whizzing noises in ears. Drawing cramp in muscles in region of 1. mastoid process,

he had to incline his head to r. side. ^ Smell and Nose. iCoryza dry, complete obstruction of

nostrils; crampy pain at root of nose; < in wet, cold

weather. I At times stoppage of nose ; at times fluent coryza.

■ Dryness and stoppage of nose; raising easily yellowish

or greenish lumps in morning from posterior nares. iChrunic nasal catarrh; nostrils much stuffed up; sore

to touch, and < in evening; bloody discharges. Painful, crampy tearing, between root of nose and ej^ebrow. ^ Upper Face. liFace pale, sunken; expression of suffering. Twitching stitches from lower jaw to temples when laughing. ^ Lower Face. Cramp pain in upper and lower jaw after eating.

Eruptions and ulcers at corners of mouth. Dry, parched lips, with shriveled skin, without thirst. Clear vesicles on upper lip. ^^ Teeth and Gums. Smarting toothache, made insupport- able when anything cold touches tooth.

Violent toothache suddenly going from one place to another, and up into ears. ^' Taste and Tongue. Oily taste in mouth. Burning vesicles on 1. side of tongue. Nodosities on tongue; warts.

■ After cicatrization of small superficial ulcer on 1. side of

tongue, to which lunar caustic had been applied, severe stitching, burning pains along side of 1. tongue and in inner side of corresponding cheek ; chewing impossible ; burning pains, < in tongue, at night in room, > in open air.

'^ Inner Mouth. Smell from mouth as of clay or earth (early in morning after rising). Dryness of palate and lips.

'^ Throat. Sore, as if excoriated, with cutting pains, inde- pendent of swallowing ; palate and lips dry, < in open air; when swallowing, stitches in both ears; < when coughing, with husky voice; feet and ankles swollen. Throat dry, scratching, feeling as if trachea was closed with a leaf.

275 MANGANUM.

Cutting soreness in throat between acts of deglutition. Chronic sore throat. " Appetite, Thirst. Desires, Aversions.

Aversion to food from a feeling of satiety. Thirstlessness. ^^ Eating and Drinking. While eating : pressing in stom- ach and abdomen, more from cold food, especially in weakly females. After eating: cramp pain in jaws; paia in rectum (after dinner). ^^ Hiccough, Belching, Nausea and Vomiting.

Rising from stomach, like heartburn. Nausea and vomiting. ^"^ Scrobiculum and Stomach. Burning in stomach, extend- ing to chest ; sometimes with great restlessness. Pressing soreness in epigastrium, I I Much pain in stomach after eating; weakly people.

Drawing in region of stomach, with sensation as if pit of

stomach was enlarged, with nausea. Gastrodynia and pyrosis. '^ Hypochondria. Pressure in hypochondria. I I Jaundice from inflammation of liver. I I Biliary calculi. ^® Abdomen. Warm contraction, extending from middle of abdomen to chest, with nausea. I I Cutting in region of navel when taking a long inspira- tion. Pressing soreness in upper abdomen and pit of stomach.

■ Intense pain as if bowels were drawn together, beginning

in stomach, going downwards to abdomen, chiefly on 1. side; begins one and a quarter hours after food, attains its height in two hours ; > by bending double, espe- cially sitting bent over a fire, also by food and eructa- tions; < in a cold room or cold weather; pain concen- trates itself around and above navel ; lasted for more than three weeks.

When walking, sensation as if bowels were loose and shak- ing about.

Abdomen distended, bloated ; profuse flatus. ^^ Stool and Rectum, i Passes much flatus.

Stools: loose and tenacious; pappy; yellow, granular, with tenesmus and constriction of anus; costive; seldom, dry, knotty, difficult.

■ Constrictive pain in anus while sitting.

^' Urinary Organs. • i Frequent urging to urinate. Cutting in middle of urethra between micturition. Urine profuse ; sediment violet, earthy. Darting in urethra when emitting flatus.

MANGANUM. 276

: Ptyriasis nigra, or Addison's disease of suprarenal capsules. ^^ Male Sexual Organs. Sexual weakness, with pain in sper- matic cord, and urging to urinate.

Sensation of weakness in genitals, with burning and draw- ing in spermatic cords, extending to glans.

I I At times burning dragging from vesiculse seminales to

glans penis.

Itching: on corona glandis ; interior of scrotum, not > by pinching and rubbing. ^^ Female Sexual Organs, i Menses: too early and scanty in anaemic subjects; much bearing down pain; six days too early, scanty, lasting only two days.

Discharge of blood between periods, pressing in genitals.

USudden flushes of heat at climacteric. ^' Voice and Larynx. Trachea and Bronchia, i "Hoarse- ness: with coryza ; with tickling cough ; rough speech in early morning or in open evening air; accompanying or lasting a long while after an attack of coryza; of chronic laryngeal affections.

■ Voice not clear, as from phlegm, rough in morning. iRawness in larynx; voice hoarse; breath hot, burning.

I I Dull stitches on both sides of larynx, extending to ear when swallowing.

llRoughness and constriction of larynx.

■ Laryngitis, pains moderate, much accumulation of mu-

cus, and long continued hoarseness; in singers.

■ Laryngeal catarrh in weak, anaemic persons, or in such

as exhibit tubercular deposit in lungs; hoarse voice in morning, which becomes gradually clear, after expulsion of lumps of consistent mucus.

■ Tuberculosis of larynx.

■ Chronic disease of larynx, with Eustachian deafness.

■ Rawness in throat, with a feeling as though trachea was

closed by a film, on hawking.

■ Chronic affection of larynx and trachea; rawness and

hoarseness; dry cough, < after speaking; expectoration of greenish masses, or reddish mucus; great anaemia; patient tuberculous.

■Venous dilatation in throat and pharynx; partial injec- tion of ventricular bands; hoarse voice in morning, > after clearing up lumpy mpcus. ^Chronic catarrhal laryngitis. ^^ Respiration. Breath hot and burning, with disagreeable heat in chest.

Pain in second 1. rib, from talking.

Pains in head, ears, arms, stomach, < breathing, talking or laughing.

277 MANGANUM.

^ Cough. Cough : causes darting in parietal bones; dry, inces- sant, from irritation at midsternum ; > lying down, dry cough from loud reading, with painful dryness, roughness and constriction of larynx ; < from talking, laughing, walking and deep inspiration.

■ Expectoration scanty, lumpy, yellow, adhesive, causing

long efforts of coughing for expulsion. ^Bronchitis.

I Deep cough with expectoration, ceasing on lying down.

Cough about 5 p.m., continues almost incessant until lying down, which relieves; irritation about middle of ster- num ; difficult expectoration of lumps of tough mucus; in morning easy expectoration of yellowish greenish lumps, even without coughing.

iSputum: greenish or yellow lumps; difficult, of tough mucus; reddish phlegm ; bloody. ^ Inner Chest and Lungs. Disagreeable heat in chest, breath hot and burning.

Stitches in chest and sternum, running up and down.

Beating in chest.

Warm contraction extending from middle of abdomen to chest, with nausea.

Bruised pain in upper chest when stooping, > by raising head.

■ Pneumapostema, and cough.

I Haemoptysis; with stitching pains through r. lung and

dry cough, always ceasing on lying down ; with much

anaemia and palpitation of heart. '^^ Heart, Pulse and Circulation. « Palpitation of heart,

strong, irregular, trembling, without abnormal sounds. Sudden shocks at heart and in 1. side of chest from above

downward. Pulse: very uneven and irregular, scarcely perceptible,

sometimes rapid, sometimes slow, but constantly soft

and weak. ^^ Neck and Back. Red, swollen streak on 1. side of neck. Stiffness of nape of neck.

Tearing in whole spinal column, from above downward. Pain in small of back on bending backward. ■^^ Upper Limbs. Pain as from a sprain in shoulder joint. Rheumatic pains extending from shoulders to fingers. Gnawing and boring in humerus, as if in marrow of bone.

■ Itching on outer surface of r. upper arm, just above elbow,

> scratching. Tension in elbow joint as if too short. Herpes on forearm.

I I Tensive pain in joints of arms and wrists. Rhagades in bends of fingers. Hands when closed and stretched feel swollen.

MANGANUM. 278

I Chronic swelling and suppuration of little finger.

Malignant ulcer with blue border, following a slight scratch of linger nail.

I I Malignant ulcer on finger, from a slight scratch. ^ Lower Limbs. Pimples on thigh with scurf on tips.

Tensive, drawing stitches in thigh.

Twitching of muscles in legs from least exertion.

I I Jerking sticking pain above knee.

Trembling and unsteadiness of knees.

Tearing in knees.

Bitching on knees and tibia.

Tension and stiffness in legs.

• Voluptuous itching on lower portion of r, calf; after scratching, a number of deep seated pimples appear, which soon cease to itch after being scratched until they bleed; then the place continues to itch and burn for a long time.

■ Inflammation and swelling of both 1. malleoli, with

stitches in leg, extending up from external malleolus always on walking, and at times when not walking. ^Affection of ankle.

■ Excruciating pains in greatly swollen big toe, 1. side, ra-

diating upwards; pains unbearable at night; < by

slightest touch; must constantly change position; loss

of appetite and sleep. 6' Podagra. Rheumatism in feet; cannot bear weight on heel, i Burning of soles of feet. Rawness between toes. ^* Limbs in General. Drawing and tension in limbs as from

shortening of tendons, especially on stretching. Weakness and trembling, especially of joints. lPx,heumatism shifts from joint to joint, generally crosswise;

red, shining swellings; < from touch, or motion, or at

night. ■Arthritis vaga; burning spots about joints; causing one

to moan and groan constantly.

■ Painful periostitis, and inflammation of articulating

extremities of bones; boring or gnawing sensation in humerus, as if in marrow of bones; at night pains are insupportable; < on touching parts; > in open air.

■ Intolerable pains in skin of lower limbs and joints.

■ Limbs very tender and sensitive to touch; part affected,

and to which lameness is ascribed, is sensitive to

pressure. ^Lame pelvis. ^^ Rest. Position. Motion. Lying down: cough >; deep

cough ceases ; cannot lie on side of sore ear. Bending head backwards: headache in temples returns. Must incline head to r. side ; cramp in region of mastoid

process.

279 MANGANUM.

Raising head: bruised pain in chest >.

Sitting: vertigo; headache in temples <; constrictive

pain in anus. Standing: vertigo; stupefaction and confusion of senses. Stooping: bruised pain in upper ciiest. Bending forward: headache in temples >. Bending double: pain in abdomen >. Bending backward : pain in small of back. When fingers are closed and stretched, they feel swollen. Must constantly change position: pain in big toe. From least exertion : twitching in muscles of legs. Motion: rush of blood to head ; of head causing jarring of

brain; slightest, eyelids painful; swellings on joints <. Laughing: stitches in ear; twitching stitches from lower

jaw to temples; pains in head, ears, arms, stomach <;

cough <. Talking: stitches in ear; pain in second 1. rib; pains in

ears, head, arras, stomach <; cough <. Swallowing: stitches in ears; cutting soreness in throat

between. Chewing : impossible, pain in tongue. Stretching: drawing and tension in limbs. Walking: concussion of brain ; croaking in r. ear; stitches

in ear; sensation as if bowels were loose and shaking

about; cough <; stitches in leg; children unable. 36 Nerves. Weakness and trembling, especially of joints.

Paralysis from decay of anterior portion of spinal cord. ^^ Sleep. I Much yawning.

Feels sleepy early in evening.

I I Many vivid dreams, which are well remembered. ^ Time. Morning : agglutination of eyes ; pain in ear < ;

raising yellowish greenish lumps from posterior nares;

early after rising, smell from mouth as of clay or earth ;

rough speech ; hoarse voice ; easy expectoration. During day : burning in eyes and dim sight. After dinner : pain in rectum. 5 P.M. : cough.

Evening: chronic nasal catarrh < ; early, feels sleepy; chill. Night : burning pain in tongue < ; pains in big toe un- bearable ; red, shining swellings on joints < ; pains in

bones insupportable ; sweats ; digging pains in joints ;

periosteal inflammation extremely painful ; itching in

papules on neck <. ^^ Temperature and Weather. Over fire : sitting bent, >

pain in abdomen. In doors : headache > ; burning in tongue <. Open air : contractive pain in head < ; congestion of

blood to head > ; drawing, stinging, tensive headache ;

MANGANUM. 280

burning, pressing headache > ; pain in ear; burning pains in tongue > ; dryness ol lips and palate < ; evening, rough speech; pains in bones >.

Cold and rainy weather : dull hearing < ; crampy pain at root of nose <.

Cold : touching teeth, pain insupportable ; food, pressing in stomach and abdomen < ; room, or weather, pain in abdomen <. ** Fever. Chill generally in evening, shooting headache, icy cold hands and feet.

Shaking chill, with heat of head, stinging in forehead, con- tinuing after chill.

Sudden flashes of heat in face, on chest and over back.

■ Frequent rising of heat into head, with thirst.

Sweat profuse, with short, anxious breathing.

Night sweats ; itching often only on neck and lower legs.

Incomplete intermittent, consisting of only heat and sweat, with moderate thirst.

1 Typhus fever where parotid gland is swollen, and bones are very sensitive to touch. *^ Attacks, Periodicity. One hour and a quarter after eating : pain in abdomen begins and attains its height two hours after.

Six days too early : menses, lasted only two days.

More than three weeks : pain in abdomen.

Between menses : discharge of blood.

At climacteric: sudden flushes of heat.

Six weeks duration : lichen circumscriptus ; four weeks later two circular groups of rose colored, slightly pointed papules. *^ Locality and Direction. Right : must incline head to that side, cramp in 1. mastoid process ; croaking sound in ear ; pain in ear ; stitching pain through lung ; itching on outer surface of upper arm ; voluptuous itching on lower portion of calf.

Left: stitches and darts in side of forehead; drawing cramp in muscles in region of mastoid process ; burn- ing vesicles on side of tongue ; small superjficial ulcer on side of tongue ; burning pain on side of tongue and on inner side of cheek ; intense pain, side of abdomen ; pain in second rib; sudden shocks in side of chest; red swollen streak on side of neck ; inflammation and swell- ing of both malleoli; excruciating pains in big toe; small tubercles on buttock; dark red, well defined spots cov- ered with small, loosely adherent scales on shoulder.

From above downward : sudden shocks in heart and chest ; tearing in whole spinal column.

Up and down : stitches in chest and sternum.

281 MANGANUM.

Upwards : pains radiate in 1. big toe.

Downwards : intense pain from stomach to abdomen, *^ Sensations. Head as if larger ; feels as on waking from sleep ; as if ears were stopped ; throat as if excoriated ; as if trachea was closed with a leaf or film ; as if pit of stomach was enlarged ; as if bowels were drawn together ; as if bowels were loose and shaken about ; voice not clear, as from phlegm ; pain as from sprain in shoulder joint ; boring as if in marrow of bone ; elbow joint as if too short ; as if tendons were shortened.

Pains : extend to and concentrate in ear from other parts ; in r. ear from teeth; in rectum; in stomach; around and above navel ; in spermatic cord ; in larynx ; in sec- ond 1. rib ; in head, ears, arms, stomach ; in small of back ; in shoulder joint.

Excruciating pains : in greatly swollen big toe, 1. side.

Unbearable pain : in big toe.

Intolerable pains : in skin of lower limbs and joints.

Insupportable pain : in teeth ; digging, in bones.

Intense pain : from stomach to abdomen, < 1. side.

Violent pain : in teeth, going from one place to another and up into ears.

Extremely painful : periosteal inflammation.

Tearing: in whole spinal column ; in knees.

Tearing and stitching : extending to tympanum.

Severe stitching, burning : along side of 1. tongue and on inner side of cheek.

Stitching pain : in ears ; through r. lung.

Sudden stitch pain : in ears.

Tension, drawing stitches : in thigh.

Cutting pains : in throat ; in region of navel ; in middle of urethra.

Cutting soreness : in throat.

Throbbing : in head.

Beating : in chest.

Ulcerative pain : in deaf ear.

Darts : in 1. side of forehead ; in urethra ; in parietal bones.

Twitching stitches : from lower jaw to temples.

Needlelike stitches : in 1. side of forehead.

Stitches : in ear ; in chest and sternum ; in leg.

Jerking sticking pain : above knee.

Dull stitches : on both sides of larynx to ear.

Painful, crampy, tearing: between root of nose and eyebrow.

Crampy pains : at root of nose ; in upper and lower jaw.

Drawing cramp : in muscles in region of 1. mastoid process

Gnawing and boring : in humerus.

Pressing, boring headache: in temples, to eyes and fore- head.

MANGANUM. 282

Contractive sticking pain : in forepart of head, < in temples.

Constrictive pain: in anus.

Aching : in head ; in epigastrium ; in eyes.

Rheumatic pains : from shoulders to fingers ; in feet ; shift from joint to joint.

Bearing down pain : with menses.

Drawing, stinging, or tensive pain : in head.

Painful concussion : of brain, when walking.

Smarting pain : in teeth.

Burning dragging : from vesiculse seminales to glans penis.

Burning heat : in eyes.

Burning, pressing: headache.

Tensive pain : in joints of arms and wrists.

Pressing soreness: in epigastrium ; in upper part of ab- domen and in pit of stomach.

Bruised pain : in upper chest.

Sudden shocks : at heart and in 1. side of chest.

Jarring : of brain.

Soreness: of throat.

Rawness: in larynx; in throat; between toes.

Burning: in eyes; of ears; in vesicles on tongue; pain in tongue; in. stomach to chest ; in spermatic cord; in lower portion of r. calf; of soles of feet; in spots about joints, chest, arms, hands and feet.

Heat: of head.

Pressing : in genitals ; in stomach and abdomen.

Drawing : in region of stomach ; in spermatic cord ; in limbs.

Swollen feeling : in hands.

Irritation : in middle of sternum.

Pressure; in eyes; in hypochondria.

Heavy feeling : in head.

Fulness : of ears.

Constriction : of anus ; of larynx.

Tension : in elbow joint ; in legs ; in limbs.

Twitching : of muscles of legs.

Disagreeable heat : in chest.

Warm contraction : from middle of abdomen to chest.

Stiffness : of nape of neck ; in legs.

Trembling and uneasiness : of knees; of joints.

Weakness : in genitals ; of joints.

Dryness: of eyes; of nose; painful in throat.

Voluptuous itching : on lower portion of r. calf.

Itching : on corona glandis ; interior of scrotum ; on outer surface of r. upper arm ; on knees and tibia ; on lower portion of r. calf; on neck and lower legs; in hollow of knee and on shin ; on palms.

Cold feeling : at a small spot on vertex.

283 MANGANUM.

** Tissues. lAnsemia ; laryngeal phthisis ; tuberculosis.

I Chlorosis, if gastric symptoms and loss of appetite pre- dominate.

Every part of body feels extremely sore when touched.

Inflammation of bones or joints, with nightly insupport- able digging pains.

Inflammatory swellings and suppuration.

Bones are very sensitive ; red spots on skin from inflam- mation of bones ; ankles particularly affected ; children are unable to walk.

Periostial inflammation extremely painful at night.

Malignant ulcers with blue border, following slight injury. *^ Touch. Passive Motion. Injuries. Touch : eyelids pain- ful ; external ear painful ; nostrils sore ; pain in toe < ; red, shining swellings on joints < ; pains in bones < ; limbs very tender and sensitive ; bones sensitive ; every part of body extremely sore.

Cannot bear weight on heel ; rheumatism.

Pressure : limbs sensitive.

Scratching : itching on r. upper arm > ; makes deep seated pimples appear on r. calf

Pinching and rubbing : does not > itching on interior of scrotum.

Slight scratch : followed by malignant ulcer.

Slight injury : malignant ulcers with blue border follow. ^ Skin. I Itching here and there, > from scratching.

Itching on hollow of knee and on shin, < sweating.

Itching on palms, with red spots ; lips sore.

Burning in small red spots, on chest, arms, hands and feet, accompanying rheumatism.

Rhagades in bends of joints, with soreness.

Itching herpes.

Skin will not heal.

Small vesicles, or deep seated little blotches, after scratching.

Small tubercles on mammae and on 1. buttock.

Chronic suppurations of skin, especially about joints.

1 I Pityriasis rubra in a man, set. 22, of healthy appearance, temperate and never had syphilis; three weeks ago an eruption commenced of dark red, well defined spots, covered with small, loosely adherent scales, extending over thorax and 1. shoulder; the scales of epidermis exfoliate in immense quantities, exposing a red, dry surface.

I I Lichen circumscriptus, of six weeks' duration, on neck of a strong woman, set. 44; commenced with itching; four weeks later two circular groups of rose colored, slightly pointed papules, confluent at base and without any secretion ; itching < by night than by day, and ceasing after scratching.

MANGANUM. 284

■ Psoriasis inveterata in a man set. 45, addicted to im- moderate use of brandy ; eight years ago was cured of amaurosis by electricity, and six months later cutaneous disease commenced; sickly appearance ; muscular, but thin, complexion dark ; had gonorrhoea, chancres and buboes, and was drunk at first consultation ; eruption first appeared on elbows, then on knees and calves ; at the diseased points skin first became thickened, then fissures appeared, and finally white, shiny, hard, ad- herent scales, which were continually reproduced; scarcely any itching and occasionally rheumatic pains.

I I Lepra vulgaris, psoriasis and pityriasis. ^^ Stages of Life, Constitution. Boy, set. 8 ; dysecoia.

Girl, set. 13, ansemic, tuberculous deposits in apex of both lungs ; affection of larynx and trachea.

Man, set. 22 ; pityriasis.

Woman, suffering for more than three weeks; pain in bowels.

Woman, suffering three weeks; colic.

Woman, set. 44, healthy ; lichen.

Man, set. 45, drinker, had gonorrhoea, chancre and buboes ; psoriasis.

Man, set. 60, no history of syphilis, after application of lunar caustic to small ulcer on tongue from which he was suffering for three months previously ; pains in tongue and cheek.

Old man ; podagra. *^ Relations. Antidoted by : Coffea, Merc. sol.

Compatible : Pulsat, Rhus tox., Sulphur.

285 MARUM VERUM.

Introduced by Stapf, proved by himself, von Gersdorf, Caspari, Bethmann and Hartmann (Beitrage zur Keinen Arzneimittellehre, p. 346).

:MARUM VERUM. 286

I Violent crawling in r. nostril, with lachrymation of r. eye. I iSensation in r. nostril as if it was partly stopped ; is

obliged to blow nose and sneeze, but could not thereby

remove obstruction. I Both sides of nose very much obstructed on reading aloud,

■ Repeated attacks of pain in forehead, with stuffing up of

nose, > by a thick, dirty yellow, offensive smelling dis- charge.

I Large, irregular pieces, green scabs, clinkers, etc., dis- charged from nose, leaving it sore ; foul breath. ^Ozsena.

I Nasal catarrh of both nostrils, discharge in green masses.

I Continued stoppage of nose after removal of polypi.

■After erysipelas of face, which extended to inner surface of nose, mucous membrane remained swollen, completely occluding nostrils; after fever, headache, etc., had been removed by various remedies, there remained a painless, protruding swelling of mucous membrane of 1. nostril.

I Nasal polypus.

■ When blowing nose, squeaking as if air was forced

through mucus. ^Nasal polypus.

■ Polypus, with stoppage of nose on side he lies; large red

pimples under r. nostril, near septum, sore and smart- ing to touch.

■ Nasal polypus of one year's duration.

■ After repeated attacks of coryza, mucous polypus of nose,

greenish white in color, not sensitive, attached to upper turbinated bone, and completely filling nasal cavity and causing occlusion.

■ Large polypus of nose after a severe, badly treated cold.

■ Mucous polypus of pale red color, on 1. side and of large

size ; mostly in anterior nares and in plain sight.

■ Polypus occupying entire r. nostril, projecting slightly.

■ Painful formication and shooting at root of nose, in 1.

frontal sinus. ^Polypus.

■ Mucus flowed copiously from 1. nostril. ^Polypus. ■Could not blow her nose without acute pain and some

bleeding. ^Polypus.

■ Polypus enlarges in wet weather.

■ Loss of smell of twenty years' standing.

■Both nares filled with polypi, apparently attached to

287 MARUM VERUM.

spongy bones, of three years' standing ; breathing diffi- cuh, cannot close his mouth during exercise ; snores and chokes in sleep ; attacks of nose bleed during past few years from slight causes ; constant secretion of watery mucus from nose. I Fleshy polypi hanging from both nares, < during damp weather ; entire obstruction of nose at times ; much dis- charge of water and mucus from nose. I For thirty years, nasal polypi removed every two or three years by operative means : nasal bones on 1. side pressed asunder; judging from sensations complained of by patient, polypus extended up to ethmoid bone, into choanse and into antrum of Highmore ; after two months' treatment could breathe freely through nose, and the sense of smell which had been impaired for last twenty years was restored, a small portion of polypus, however, remained high up in nasal cavity. ^ Upper Face. Pale face.

elevated edges. ^" Teeth and Gums, l Violent tearing in roots and gums of

After hawking up mucus, mouldy taste in mouth. 13 Throat. I I Tearing and scraping in fauces, < 1. side.

Stinging or pressure, hindering swallowing. ^* Appetite, Thirst. Desires, Aversions. ' A feeling of

Vomits dark green masses ; hiccough, with a stitch through stomach to back. *^ Scrobiculum and Stomach. Anxious oppression or empty

MARUM VERUM. 288

Diarrhoea, with crying and emaciation in children.

■ Crawling in rectum after stool.

■ Crawling and at times violent fine sticking in anus in

evening in bed. I I Swelling, itching and creeping at anus as from ascarides.

■ Ascarides, with creeping and itching and nightly rest-

Pressing, drawing sensation from abdomen into cords and

trachea. ^^ Heart, Pulse and Circulation. Pulse accelerated towards

■ Eruption on index finger of r. hand, covering a surface

about two inches long and one inch wide, hard, hyper-

289 MARUM VERUM.

trophied and covered with thick, whitish scales. ^Psori- asis dorsahs. ^ Lower Limbs. iPain as if nail had grown into flesh of r. great toe.

■ Ingrowing toenails (r. great toe), with ulceration; >

moving. ^* Limbs in General. Rheumatic pains mostly in bones and joints, < evenings, > moving.

Sitting : limbs go to sleep, with tingling.

Stooping: pressing pain over eyes <.

Moving: rheumatic pain >.

Passing hand over ear : hissing sound.

Lifting arm : it sinks down.

Disinclined to physical exertion. ^"^ Nerves. Nervous, irritable, trembling.

Great sensitiveness and excitability ; pale face ; frequent feeling of flushes of heat, without redness; nervous ex- citability; trembling sensation in whole body. ^Ner- vous affections.

I I Very indolent ; inclined to neither physical nor mental exertion.

I I Slight nervous asthenia of skin and prima vise. ^^ Sleep. Restless sleep ; also from ascarides.

■ Restless at night on account of great excitement, with

very vivid and in part anxious dreams, with starting up till after midnight.

I Sleepless on account of intense itching at anus, causing one to toss and roll about all night.

I I Very vivid, mostly agreeable dreams. ^^ Time. Morning : not refreshed.

At midday : sensation of general debility.

Evening : nose obstructed ; rash on forehead < ; sticking in anus, in bed ; towards, pulse accelerated ; rheumatic pains < ; increased heat and exaltation.

Night: restless, with starting up; till after midnight, tossing and rolling from intense itching at anus. ^^ Temperature and Weather. Desire to exercise in open air, which does not fatigue.

Warmth : burning rash on forehead < ; ascarides <.

Open air : profuse smarting tears.

Wet weather: polypus enlarged ; fleshy polypus <. ^" Fever. Chill, after eating, which spreads as if from ab- domen.

Chilliness from want of animal heat, after eating or talk- ing about unpleasant things.

Increased heat and exaltation in evening with, great loquacity.

VOL. VII — 19.

MARUM VERUM. 290

Nightly restlessness.

At and after dinner: irritable mood.

One year's duration : nasal polypus.

During past few years : attacks of nosebleed. '

Three years' standing : nares filled with polypi.

Twenty years' standing : loss of smell.

For thirty years : nasal polypi removed every two or three years by operative means. ^ Locality and Direction. Right: very painful pressure in temple and frontal eminence ; fine ringing in ear ; vio- lent crawling in nostril ; lachrymation of eye ; as if nostril was partly stopped ; large red pimples under nostril ; polypus occupying entire nostril ; tearing in roots and gums of lower incisors ; biting as from pepper on side of tongue ; stitches in chest ; rheumatic lame- ness ; cutting pain through forearm ; eruption on index finger ; pain as if nail had grown into flesh of big toe.

Left : painful pressure in temple ; painless, protruding swelling of mucous membrane of nostril ; mucous polypus on side of nose ; painful formication and shoot- ing in frontal sinus; mucus flowed copiously from nostril; nasal bones pressed asunder; biting as from pepper on side of tongue ; tearing and scraping on side of fauces <. ^ Sensations. As if air was forced through mucus in ear ; as if r. nostril was partly stopped ; as if nail had grown into flesh of r. great toe ; chill as if from abdomen ; sensation as from fleabites.

Pain : in forehead.

Acute pain : in nose.

Violent tearing : in roots and gums of r. lower incisors.

Stinging, lancinating : in upper part of nasal cavity.

Lancinating: in ears.

Tearing and scraping : in fauces.

Drawing and tearing : in whole arm ; in bones.

Stitches : in r. chest ; through stomach to back.

Cutting colic : after meals.

Violent fine sticking : in anus.

Stinging : in throat.

Biting : on tongue.

Smarting : in canthi.

Burning itching : rash on forehead and upper part of face.

Painful formication and shooting: at root of nose, in 1. frontal sinus.

Tingling: in nose; in limbs.

291 MARUM VERUM.

Sudden dull, cutting pain : transversely through muscle of r. forearm.

Very painful pressure : in r. temple ; in r. frontal emi- nence and in 1. temple.

Pressing pain : over eyes.

Rheumatic pain : in arms, especially in bones and joints.

Rheumatic lameness : of r. upper arm.

Sensation of heat and pain : after coitus.

Burning: in finger tips.

Flushes of heat : in face.

Tickling : in upper part of trachea.

Dryness : in larynx ; in trachea.

Anxious oppression or empty feeling in stomach.

Oppression : in chest.

Pressing, drawing sensation: from abdomen into cords and testicles.

Dull pressing : in abdomen.

Pressure : in forehead ; in throat.

Trembling sensation: in whole body.

Crawling : in nose ; in r. nostril ; in rectum ; in anus.

Intense itching : at anus.

Itching and creeping : at anus. ^ Tissues. 1 1 Polypi of all kinds, particularly nasal fibroids.

■ Polypi in ear and nose, especially among old and middle

■ Injuries to head, concussion of brain.

I I After lesions where tetanus might be expected. *^ Skin. Sensation as from fleabites.

Rash, burning, itching. *'' Stages of Life, Constitution. ■ ■Old persons and children.

■ s Suitable when too much medicine has produced an

slender, pale face, light hair, blue eyes ; tumor on 1.

Man, barber, thin, sandy complexion ; rheumatism. Man, set. 30, strong constitution, gonorrhoea eight years

dorsalis.

MARUM VERUM— MEDORRHINUM. 292

Man, set. 59, for thirty-one years ; polypus.

Man, set. 60, strong, suffering thirty years ; nasal polypus. *^ Relations. Compatible : Oinclion., Pulsat., Silica.