Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

General features: 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.

Mind: 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.

Eyes: 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.

Ears: 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."

In cold, rainy weather: 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.

Stomach: 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.

Liver: 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.

The abdomen: 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."

Females: 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.

Larynx: 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.

A Dictionary of Practical Materia Medica, John Henry Clarke

MANGANUM ACETICUM. Acetate of Manganese. Manganous Acetate. Mn(C2H3O2)2 4H2O. Solution.

MANGANUM CARBONICUM. Carbonate of Manganese. Manganous Carbonate. MnCO3. Trituration.

Clinical.─Anaemia. Ankles, weak. Asthenopia. Asthma. Bones, pains in. Brain, concussion of. Climacteric flushings. Cough. Deafness, catarrhal. Dysmenorrhoea. 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.

Characteristics.─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 anaemia. 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. Anaemia (menses too frequent and too scanty in anaemic 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 = anaemia. (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 otorrhoea, left ear. (3) Otorrhoea 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, anaemic, 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.

Relations.─Antidoted by: Coff., Merc. sol. Compatible: Puls., Rhus, Sul. Compare: Am. m. (rheumatism in heels); Merc. (paralysis─Merc. in upper limbs first); Cina, Nux, Meph., and Plat. (cough < reading or writing); Alo. (cracking in ear); Cupr. (psoriasis); Lyc. (< from cold food); K. iod. (nodes on skin─K. iod. pinkish, unbearable pain; Mang. bluish, more deeply acting); Asaf. (tumour roof of mouth;─Mang. bone somewhat involved; Asaf. many tumours, discoloured, bone deeply involved); Con. (paralysis extending upward); Arg. n. (laryngeal cough; tuberculosis); Dulc., Merc., etc. (< in damp weather). Compare also: Fer., K. permang., Mang. m., Mang. ox., Mang. sul.

SYMPTOMS.

1. Mind.─Peevishness and taciturnity, with concentration in self.─Low-spirited and reflective.─Fretful.─Bitterness and long rancour.─Not pleased with joyous music but immediately affected by the saddest.─Abstraction of mind.─Dulness of the senses.

2. Head.─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 over vertex to forehead during motion, with stupefaction and confusion of senses while standing.─Head heavy, with sensation as if it were increased in size.─Burning and aching pains in head, which disappear in open air.─Tensive, shooting, and drawing pain in head in open air, > in a room.─Congestion in head, with pulsation, as if brain were going to suppurate, > in open air.─Painful jarring of brain, when moving.─Pressing, boring headache in temples, extending towards eyes and forehead, going off on bending forward, but returning on sitting up, or on bending head backward.─Stitches (like needles) and darts in the l. side of forehead.─Frequent rising of heat in head, with thirst.─The headache which comes on in a room is > in the open air, and vice versa.─Cold feeling at small spot on vertex.

3. Eyes.─Aching (pressing) in eyes when they are fatigued, or by candle-light in evening.─Burning heat and dryness of eyes.─Dim-sightedness with burning in eyes.─Eyelids swollen and painful when moved (and to touch).─Agglutination of eyelids in morning.─Pupils dilated or contracted.─Confused sight.─Myopia.

4. Ears.─Otalgia.─Drawing pains in ears, commencing from other organs.─Pains extend to and concentrate in ears from other organs.─Shootings in ears when speaking, swallowing, laughing, and walking heavily.─Hardness of hearing, as from stoppage of ears, removed by blowing nose, < or > according to change of weather.─Buzzing and rumbling in ears.─Detonation in ears, when blowing nose, and swallowing, and crashing sound when yawning.─Whistling tinnitus.─Whizzing and rushing in ear.─Swelling of l. parotid, with a reddish hue, in typhus.

5. Nose.─Dry coryza and obstruction of nose.─Coryza, with loss of smell, and secretion of thick mucus.─Painful crampy tearing between root of nose and eyebrow.─Sometimes dry and sometimes fluent coryza.─Redness, excoriation, and inflammation of nose during coryza.

6. Face.─Pale, sunk, wan face.─Violent tearing and squeezing between root of nose and eyebrows.─Jerking shooting pains from lower jaw to temples, when laughing.─Lips parched, dry, with shrivelled skin, without thirst.─Clear vesicles on upper lip.─Eruptions and ulcers at commissures of lips.─Cramps in jaws after a meal.─Drawing cramp in muscles in region of l. mastoid process, so that he had to incline his head to r. side.

7. Teeth.─Painful sensitiveness of teeth.─Violent pains in teeth, which pass rapidly to other parts.─Tearing in molars and adjacent parts, with great dejection and inquietude, esp. in morning and evening.─Pains as from ulceration in teeth, < until they become insupportable, by contact with anything cold.─Toothache, lasting four or five days and returning esp. in forenoon, and 10 to 12 p.m.; sucking = acute jerking in teeth.─Most violent toothache; at first sudden in two hollow back teeth, extending thence into zygoma, neck, or ear, and again returning; with prostration so he could scarcely walk; obliged to lie down, with internal restlessness and oppression; somewhat > by biting anything elastic, or laying forehead on table, much < on sitting upright; with great dilatation of pupils.

8. Mouth.─Sensation of soreness and of a hard substance posteriorly on palate: when not swallowing; disappearing after eating bread at 8 a.m.─Flat tumour in centre of hard palate.─Accumulation of (bitter) saliva in mouth.─Smell of clay in mouth, in morning.─Burning vesicles on the (l. side of) tongue.─Burning pains < in tongue at night in room, > in open air.─Nodosities on tongue; warts.─Very salt taste on tongue, posteriorly, morning after waking, > by eating.─Tubercles and burning blisters on tongue.─Furred tongue and general biliousness.

9. Throat.─Sore throat, with incisive pain, and pain as from excoriation, when not swallowing.─Dull shootings on both sides of pharynx, and as far as ears, when swallowing.─Dryness and scraping in throat, with a sensation as if a leaf or film obstructed the larynx.─Dryness of palate and lips.

10. Appetite.─Insipid and oily taste.─Absence of thirst.─Repugnance to food from a feeling of satiety.

11. Stomach.─Sensation of burning sourness, rising from stomach, like pyrosis.─Heat and burning in stomach, ascending to chest, sometimes with great agitation.─Dragging pains in region of stomach, as if epigastrium were dilating, accompanied by nausea.─Pain after eating food in weakly females.

12. Abdomen.─Aching in hypochondria.─Pressure in hypochondria.─Abdomen large, distended.─Pressive pain, as from excoriation, in abdomen and epigastrium.─Contraction, with sensation of heat from middle of abdomen to chest, with nausea.─Cuttings in umbilical region, when taking a deep inspiration.─Movements (when walking) in abdomen, as if intestines were striking against each other.─Excessive emission of wind.

13. Stool and Anus.─Constipation.─Difficult, dry, knotty evacuations.─Evacuations of consistence of pap, several times a day.─Loose and tenacious stools.─Frequent rumbling in rectum.─Colic and incisive pains in rectum, during evacuation.─Successive pullings and tearing pains in rectum.─Stool very pale yellow, sandy, preceded by griping.─Contractive pain in rectum when sitting.─Contractive pains in anus, yellow, granular stool with tenesmus; preceded and accompanied by griping in abdomen and sides, only > by pressing abdomen with the hands, disappearing after the stool; together with shaking chill.

14. Urinary Organs.─Frequent want to urinate.─Violet-coloured and earthy sediment in urine.─Darting in urethra when emitting flatus.─Cutting in middle of urethra between acts of micturition.─Lancinations in urethra, when not urinating.─Incisive pains in region of bladder.─Enuresis in daytime came on in a boy of five when taking Mang. ac. 200 (R. T. C.).

15. Male Sexual Organs.─Sensation of weakness in genital organs, with burning and jerking drawing pains in spermatic cord, extending to glans penis.─Itching on top of glans.─Stitches in prepuce.─Itching in interior of scrotum, which cannot be removed by scratching and rubbing.

16. Female Sexual Organs.─Catamenia too early; too frequent and too scanty.─Discharge of blood between periods.─Pressure in genital organs.─Leucorrhoea.─Climacteric flushings.

17. Respiratory Organs.─Obstinate hoarseness, esp. in morning, and in open air, as from chronic inflammation of the larynx; > from smoking.─Sensation as if larynx were closed.─Catarrh, with coryza and hoarseness.─Dry cough, excited by reading aloud, or speaking long, with troublesome dryness, roughness (and constriction) in larynx.─Deep cough without expectoration, ceasing on lying down, and recurring next day.─Cough > lying down.─In morning, copious expectoration of small globules of yellowish green mucus, almost without cough.─Spitting of blood.

18. Chest.─Breath hot and burning, with disagreeable heat in chest.─Lancinations in chest and sternum, which take a downward direction (also running up).─Bloody expectoration from chest.─Bruised pain in chest.─Bruised pain in upper chest when stooping, > when raising head.─Throbbing in chest.─Debility and despondency cease in a case of scirrhus of breast after a single dose of Mang. ac. 200 (R. T. C.).

19. Heart.─Sudden shocks in heart and in sides of chest from above downwards.─Pulse irregular, sometimes rapid, sometimes slow, but constantly weak and soft.

20. Neck and Back.─Red swollen streak on l. side of neck.─Rigidity of nape of neck.─Tearing pains along entire spine, during rest and movement.─Pain in small of back on bending backwards.

22. Upper Limbs.─Drawing and tearing, beginning at shoulder and extending to arms, hands, and fingers.─Pain as from a sprain in shoulder-joint.─Tensive pain in joints of arms and hands.─Boring and digging in bones of arm, as if in marrow.─Tension in elbow-joint (and carpal-joints), as if tendons were too short.─Itching tetter in forearm.─Cramp-like pains in hands.─Sensation of tension in hands.─Inflammatory swelling and ulceration of little finger.─Fissures in bends of finger-joints.

23. Lower Limbs.─Jerkings of muscles of legs on slightest movement.─Cramp-like drawings, or jerking shootings in thigh.─Pain, as from tensive rigidity in legs.─Tearing pain round knee.─Want of firmness and trembling of knees.─Swelling and inflammation of malleoli, with lancinations extending into legs.─Burning in sole of foot.─Excoriation between toes.

24. Generalities.─The bones are very sensitive; red spots on 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 touch.─Affections of internal ear; upper part of chest.─Hoarse voice: drawing sensation of muscles.─Stools with sand or gravel.─Dull shooting and jerking in different parts of the body.─Pulling and tearing pains, esp. in limbs.─Drawing and tension in limbs and joints, as from contraction of tendons, esp. when extending limbs.─Arthritic pains in joints (and periosteum), with shooting, jerking, and digging, < in evening, and often semi-lateral or crossways.─Red and shining (rheumatic) swelling of joints, sometimes in consequence of a chill.─Inflammatory swellings and suppurations.─Inflammations of bones, with searching and insupportable pains at night.─All bones, particularly in lower limbs, sensitive to touch; in typhus.─Excitement, low spirits, flushing, whistling through ears, fulness of head with tightness around it, dim vision, swelling of hands and feet and a stinging as if frost-bitten (from Mang. ac. 200).─Weakness and tremor, esp. in joints.─Paraplegia.─Paralysis first of lower limbs.─Staggers and tends to run forward if he tries to walk.─Sensation of uneasiness in the whole body, but esp. in the stomach, with peevishness.─On slightest touch sensation over whole body as if it were ulcerated.─Most symptoms appear during night.─The symptoms which have manifested themselves in a room are > in open air, and vice versa.─Many symptoms are > or < by a change of weather.

25. Skin.─Burning all over skin, in evening, and when rising from bed.─Itching tetters.─The skin does not heal easily; every injury tends to ulceration.─Excoriation and fissures in bend of the joints.─Voluptuous itching; > by scratching.─Itching in hollow of knee and on shin.─(Psoriasis.).─Suppuration of skin round joints.

26. Sleep.─Great weariness, with inclination to sleep, towards eight o'clock in evening.─Many very vivid and anxious dreams, of which a distinct remembrance is retained.─Frequent yawning.─Sleeplessness with flatus and sallow complexion.

27. Fever.─Chilliness generally in evening, with icy cold hands and feet.─Shivering in evening, with shooting headache, without thirst.─Shiverings, with transient heat in head.─Chill with heat of head and stinging pain in forehead, which continues after the chill.─Feverish heat in chest and cheeks, with painful sensitiveness of whole body to touch.─Sudden flushes of heat in face, on chest, and over back.─Profuse perspiration with short, anxious breathing.─Nocturnal sweat, sometimes only in neck and legs, which compels scratching.─Pulse very uneven and irregular, sometimes rapid, sometimes slow, but constantly soft and weak.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Cough better lying down.