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Materia Medica

Ferrum Metallicum

Iron
26 sectionsBoericke · 19Kent · 7

At a glance

Cardinal features · auto-extracted from Boericke · Kent
  • oversensitiveness
  • Weakness
  • Slight noises unbearable

Essence

Prologue
Boericke

Iron

  • Best adapted to young weakly persons, anaemic and chlorotic, with pseudo-plethora, who flush easily; cold extremities; oversensitiveness; worse after any active effort.
  • Weakness from mere speaking or walking though looking strong.
  • Pallor of skin, mucous membranes, face, alternating with flushes.
  • Orgasms of blood to face, chest, head, lungs, etc.
  • Irregular distribution of blood.
  • Pseudo-plethora.
  • Muscles flabby and relaxed.
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Mentals

Mind
Boericke
  • Irritability.
  • Slight noises unbearable.
  • Excited from slightest opposition.
  • Sanguine temperament.

Modalities

Modalities
Boericke
Worse
while sweating; while sitting still. After cold washing and overheating. Midnight aggravation
Better
walking slowly about. Better after rising

Head

Head
Boericke
  • Vertigo on seeing flowing water.
  • Stinging headache.
  • Ringing in ears before menses.
  • Hammering, pulsating, congestive headache; pain extends to teeth, with cold extremities.
  • Pain in back of head, with roaring in neck.
  • Scalp painful.
  • Must take down the hair.

Eyes

Eyes
Boericke

Watery, dull red; photophobia; letters run together.

Nose

Nose
Boericke

Mucous membrane relaxed, boggy, anaemic, pale.

Face

Face
Boericke

Fiery-red and flushed from least pain, emotion, or exertion. Red parts become white, bloodless and puffy.

Mouth

Mouth
Boericke

Pain in teeth; relieved by icy-cold water. Earthy, pasty taste, like rotten eggs.

Stomach

Stomach
Boericke
  • Voracious appetite, or absolute loss of appetite.
  • Loathing of sour things.
  • Attempts to eat bring on diarrhoea.
  • Spits up food by the mouthful (Phos).
  • Eructations of food after eating, without nausea.
  • Nausea and vomiting after eating.
  • Vomiting immediately after eating. Vomiting after midnight. Intolerance of eggs.
  • Distention and pressure in the stomach after eating.
  • Heat and burning in stomach.
  • Soreness of abdominal walls.
  • Flatulent dyspepsia.

Stool

Stool
Boericke

Undigested, at night, while eating or drinking, painless. Ineffectual urging; stool hard, followed by backache or cramping pain in rectum; prolapsus recti; itching of anus, especially young children.

Urinary

Urine
Boericke

Involuntary; worse daytime. Tickling in urethra extending to bladder.

Female

Female
Boericke
  • Menses remit a day or two, and then return.
  • Discharge of long pieces from uterus.
  • Women who are weak, delicate, chlorotic, yet have a fiery-red face.
  • Menses too early, too profuse, last too long; pale, watery.
  • Sensitive vagina.
  • Tendency to abortion.
  • Prolapse of vagina.

Respiratory

Respiratory
Boericke
  • Chest oppressed; breathing difficult.
  • Surging of blood to chest.
  • Hoarseness.
  • Cough dry, spasmodic.
  • Haemoptysis (Millefol).
  • With the cough pain in occiput.

Chest

Heart
Boericke
  • Palpitation; worse, movement.
  • Sense of oppression.
  • Anaemic murmur.
  • Pulse full, but soft and yielding; also, small and weak. Heart suddenly bleeds into the blood vessels, and as suddenly draws a reflux, leaving pallor of surface.

Extremities

Extremities
Boericke
  • Rheumatism of the shoulder.
  • Dropsy after loss of vital fluids.
  • Lumbago; better, slow walking.
  • Pain in hip-joint, tibia, soles, and heel.

Skin

Skin
Boericke

Pale; flushes readily; pits on pressure.

Fever

Fever
Boericke
  • General coldness of extremities; head and face hot.
  • Chill at 4 am.
  • Heat in palms and soles.
  • Profuse, debilitating sweat.

Relations

Relationship
Boericke

Antidotes: Ars; Hep.

Complementary.: Chin; Alum; Hamamel.

Compare: Rumex (similar in respiratory and digestive sphere and contains organic iron).

Ferrum aceticum (alkaline urine in acute diseases. Pain in right deltoid. Epistaxis; especially adapted to thin, pale, weak children who grow rapidly and are easily exhausted; varices of the feet; copious expectoration of greenish pus; asthma; worse, sitting still and lying; phthisis, constant cough, vomiting of food after eating, haemoptysis).

  • Ferrum arsenicum (enlarged liver and spleen, with fever; undigested stool; albuminuria).
  • Simple and pernicious anaemia and chlorosis.
  • Skin dry.
  • Eczema, psoriasis, impetigo (Use 3x trituration).

Ferrum bromatum (sticky, excoriating leucorrhoea; uterus heavy and prolapsed, scalp feels numb).

Ferrum cyanatum (neuroses with irritable weakness and hypersensitiveness, especially of a periodical character; epilepsy; cardialgia, with nausea, flatulence, constipation, alternating with diarrhoea; chorea).

Ferrum magneticum (small warts on hands)

Ferrum muriaticum (Arrested menstruation; tendency to seminal emissions or copious urination at puberty; very dark, watery stools; diphtheria; phlegmonous erysipelas; pyelitis; haemoptysis of dark, clotty blood; dyspareunia; pain in right shoulder, right elbow, and marked tendency to cramps and round red spots on cheeks; bright crystals in urine. Anaemia, 3x, after meals. Tincture 1-5 drops 3 times daily for chronic interstitial nephritis).

  • Ferrum sulphuricum (Watery and painless stools; menorrhagia pressing, throbbing between periods with rush of blood to head.
  • Basedow's disease.
  • Erethism.
  • Pain in gall-bladder; toothache; acidity; eructation of food in mouthfuls); Ferrum pernitricum (cough, with florid complexion); Ferrum tartaricum (cardialgia; heat at cardiac orifice of stomach).

Ferrum protoxalatum (Anaemia). Use 1x trit. Compare also; Graph; Mangan; Cupr.

Posology

Dose
Boericke

States of debility where the blood is poor in hematin require material doses; plethoric, haemorrhagic conditions call for small doses, from the second to the sixth potency.

Kent's Lecture

Lecture (part 1)
Kent

We will take up the study of Ferrum metallicum. The Old School

has been giving Iron for anaemia throughout all tradition. They have

given it in great quantities, in the form of the tincture of chloride,

and the carbonate. Whenever the patient became anaemic, pallid,

waxy and weak, Iron was the tonic. It is true that Iron produces

anaemia, and it would be aistonishing to any one who ever read the

provings of Fcrrum of the allopaths did not create additional bloodlessness with the doses of Iron they administer. It is true that under

the provings, and under those circumstances where Iron has been

given in excess, the patient becomes greenish, waxy, yellow and pallid,

with a sickly and ana:inic countenance. The lips become pale ; the

cars lose their pink color ; the skin of the body L'ccoines waxy, and

there comes a tendency to haemorrhage, at limes with clots, but commonly with copious, thin, liquid blood, very dark. The clots will

separate and the iluid parts look brown, dirty and watery. The

patient gradually emaciates. He is pallid and waxy ; liis muscles

become flabby and relaxed ; he is incapable of endurance. All the

muscular fibers become tired from any exertion. Rapid exercise, oC

any unusual exertion, is impossible. Any rapid exertion or motion

brings on weakness, dyspnoea, sinking and fainting.

Lecture (part 2)
Kent

A strange thing running through all the constitutional conditions

of Ferrum is that the pains and sufferings come on during rest. The

palpitation sometimes comes on during rest, the dyspnoea comes on

during rest, and even the weakness. The patient is ameliorated by

moving gently about, but any exertion tires and causes faintness. Any

rapid motion aggravates the complaints. The pains are ameliorated

by moving about the house slowly, so that tlie exertion does not excite

or fatigue. In many cases ihc paiieni is dropsical. The skin pits

upon pressure and is pale, yet tlie face shows an appearance of

plethora. From every little excitement the face becomes flushed.

During the chill the face becomes red. From faking wine or stimulant the face becomes flushed, and the patient, though flabby, relaxed

and tired, does not get credit for being sick. She fails to get the’

sympathy of her friends. She is feeble, she suffers from palpitation

and dyspnoea, she has great weakncvss with inability to do anything

like work, she feels tliai she must lie down— yet the face is flushed.

This is called a pseudo-plethora. The blood-vessels arc distended,

the veins variccjse, and their coatings relaxed. On this account bleeding takes place easily ; capillary oozing : hamorrhage from all parts

of the body ; hemorrhage from the nose, the lungs, tlie uterus. Women

suffer much from hemorrhage from the uterus, especially during and

after the climacteric period. Ferrum will be found of great value—

when the symptoms agree — in that wonderful anemic state called

''green sickness,’’ that comes on with girls at the time of puberty and

!in the years that follow it. There vdll be almost no menstrual flow,

but a cough will develop, with great pallor. So common is this sickness among girls that all mothers are acquainted with and dread it.

In a large practice you will have a number of cases of chlorosis.

Sometimes the early menstrual period is attended with a, copious

flow, then a great weakness occurs, and this goes on for a number;

FERRUM METAIXICITM

of years before anything like menstrual regularity is established. In

these cases the Old School always used to feed their patients Iron in

great quantities, but the more Iron the patient took the worse she grew.

Congestion, tending upwards, with red face, hot head and coldness

of the extremities. But the heat of the head and face is not at all

in proportion to the red appearance. It will be found that this congestion upward in Ferrum will take place during a chill, in septic

fevers or in other forms of fe\cr, and the head is not always hot, but

sometimes cool. The face may be red and cool.

Lecture (part 3)
Kent

Another grand feature of Ferrum is that, like China ^ it has complaints from loss of animal fluids ; from prolonged haemorrhage, with

weakness remaining a long time. ThcTc is no repair, no assimilation.

The bones are soft and easily bent ; they take on crooks. Emaciated

and feeble children. Dryness of the joints, causing cracking on

motion. Sudden emaciation, with false plethora.

Redness of face— a healthy looking bloom — in one who is unable

to walk fast on the street, or to stand any exertion. Yet some of the

complaints of Ferrum are better from occupation, from doing vSomeihing, from taking a little exercise, because the complaints come on

during rest. Over-cxcitability and sensivity of the nerves ; oversensitiveness to pain. The sensitive woman who needs Ferrum has

a flushed face and is often complaining because she gets no sympathy.

She does not look sick, yet she puffs on going up stairs ; she feels

weak and wants to lie down.

Restless when keeping still ; mutit keep the limbs moving. Rending pains in the limbs ; dull aching in the limbs. These pass off when

moving about (juictly and gently, like Pulsatilla. But Ferrum is a

very cold remedy, and is ameliorated by w^armth, except the pains

about the neck, face and teeth, which arc ameliorated by cold. But

most of the pains are ameliorated by heat ; the patient wants to keep

warm and dreads anything like fresh air or a draught.

Weakness and prostration ; weakness even from talking. Prostration with irregular pulse and rapid pulse, or with too slow pulse ;

palpitation. And then comes paralytic weakness ; the limbs give out.

Paralytic conditions from anannia or liamorrhage. Fainting speels

from haemorrhage. Jerking and twitching of the muscles-; chorea;

catalepsy.

You may easily imagine something of the character of the mental

symptoms, for they are like the physical. The mind is confused and

the patient tearful. Depression of spirits ; mental weariness and depression. The highest degree of depression and despondency.

Anxiety from the slightest cause; irritability. The least noise, like

the crackling of paper, sets the patient wild. It brings on nervousexcitement and restlessness ; she must get up and move. Excitement

from the slightest opposition. Any sudden or rapid motion, or the

least hurry, causes blackness before the eyes ; dizziness ; things turn

in a circle ; she must sit down. And with all this the face is red.

When alone and at rest, the face becomes pale and cold, but the least

excitement brings a flush to the cheeks.

Lecture (part 4)
Kent

The headaches are congestive in character, with mounting of blood

upwards. There is a sense of fullness and distension, with red face.

Fullness and distension of the eyes ; fullness of the neck. Palpitation

of the heart. Exophthalmic goitre. The headaches are ameliorated

  • by pressure.
  • Ferrum wants to be pressed 10 support the veins.
  • Throbbing like hammers in the head.
  • Every quick motion aggravates the

headache. Coughing aggravates the headache ; pain in the head and

occiput from coughing. These pains are sometimes ameliorated by

walking gently. Going up stairs, sitting down, rising from a seat —

unless iit is done very deliberately — will arouse all the pains of

Ferrum. Any sudden motion will bring on hammering and a feeling

of great expansion in the head. And then will come more or less

shooting, tearing pains. Beating in the back of the head from rising

or from coughing, because coughing is a sudden motion. Confusion

of mind with hammering headache. Rush of blood to the head. Congestive headaches from excitement ; from taking cold ; from exposure ;

lasting three or four days or a week. The face is flushed and perhaps

cold, the head somewhat hot, but not as hot as would be expected.

Redness of the eye ; engorged vessels. Great weakness, dyspnoea

and palpitation. Writing — a mental operation — causes the headache

to reappear. Great sensitiveness of the scalp. The patient must let

the hair hang down. Mental disorders and headaches accompanying

  • or following haemorrhages, and in lying-in women.
  • Bloated appearance about the eyes.
  • All sorts of disturbance of vision from congestion.
  • Venous stasis ,* swelling of the eyelids ; pus-like discharge.

Over-sensitiveness to sound ; ringing in the ears.

The symptoms of the nose are numerous. Colds and catarrhal

troubles, ending in nosebleed. Nosebleed on slight provocation, with

headaches at the menstrual nisus. Scabs form in the nose. Extreme

paleness of the face ; face becomes red and flushed on the least

emotion. Flushed face with dropsy of the lower limbs ; flushed face

with chill. Thirst during the chill is a striking feature of Ferrum,

During the menstrual period there are violent pains, and as soon as

the pain starts the face becomes flushed.

Nothing taken into the stomach digests, and yet there is no special

nausea. It is the exception to find nausea in Ferrum. Food goes

into the stomach and is vomited without nausea — simply emptied out.

Sometimes there are eructations of food by the mouthful, like Phosphorus, Phosphorus was the remedy with all the old masters for

Lecture (part 5)
Kent

Spitting up of food by the mouthful until the stomach was empty.

Canine hunger. It says in the next: “Double the amount of an ordinary meal in the evening was hardly sufficient/’ All food tastes

  • bitter; solid food is dry and insipid.
  • After eating there are eructations.
  • Heat in the stomach ; regurgitation of food.
  • Spasmodic pressure in the stomach after the least food or drink, especially after

meat. Aversion to meat, to eggs, to sour fruit. Aversion to milk,

and to his accustomed tobacco and beer. Sweet wdnes agree, but sour

wines and all sour things disagree. The tongue feels as if burnt.

As soon as the stomach is empty vomiting ceases until he eats again.

Vomiting of food, immediately after midnight. Vomitus tastes sour.

Ferrum is occasionally indicated during pregnancy. A few weeks

after becoming pregnant the woman commences to throw up her food

by the mouthful. There is no nausea, but the face is flushed and the

woman is flabby and weak. She vomits without becoming sick. Fullness and pressure in the stomach ; pressure in the stomach after eating.

Ferrum is an unusually interesting remedy because of this peculiar

stomach. It is like a leather bag; it will not digest anything. Fill

it up and it empties itself just as easily as it was filled.

Ferrum has a troublesome diarrhoea, with acrid watery excoriating

stool. Morning diarrhoea. Many of these patients are old sinners

with broken-down constitutions, who have suffered long from constipation. Chronic constipation with iiieffectual urging and hard, difficult

stools, ;

Relaxation runs through the j^medy. From this relaxation there

is prolapsus of the rectum, vagina and uterus. Dragging down in the

lower part of the body, as if the organs would come out — and sometimes they do come out.

The bladder is also relaxed. Its sphincter is weak, and there is no

regularity of its muscular action. Hence, we have involuntary urination from suddeen motion, from walking, or from coughing. In little

children the urine dribbles all day. Just as long as the child plays the

urine dribbles and keeps the clothing wet, but this better while kceping perfectly quiet. The bladder is so relaxed and tired that it cannot

hold the urine, and as soon as it is partially filled it allows its contents

to escape. This relaxation runs through the remedy and gives it

character, just like a human being. You know what each one of your

friends is likely to do on every occasion. So it is with a remedy.

You ought to know what it is most likely to do, in order to know

what it will accomplish in curing the sick.

Lecture (part 6)
Kent

Weakness and relaxation of the genital organs is common to Ferrum.

The menstrual flow comes in for its share. Copious, watery flow ;

haemorrhage or suppression — ^amenorrhoea — ^no flow at all, only a

  • Icucorrhoea.
  • Suppression of the menses with great nervous excitemen!
  • ; with flushed face ; with weakness and palpitation.
  • Prolapsus
  • of the vagina.
  • Insensibility of the vagina during coition.
  • Metrorrhagia.
  • Menses too soon too profuse and lasting too long.

Difficult respiration ; pains and disturbances in the chest. Difficult

breathing, with a sense of a great load on the chest. Suffocating fits

at night ; catarrhal conditions of the respiratory tract ; congestion of

the chest ; dyspnoea. Spasmodic cough, such as we find in whoopingcough, coming on in violent paroxysms. Cough after every meal,

with gagging, emptying the stomach of its contents. Cough felt in

the head. Cough worse from the abuse of brandy, tobacco or tea.

Cough coming on after the loss of fluids, as after haemorrhages. Chest

troubles following uterine haemorrhage, and after other haemorrhages.

Coughing up blood : bleeding from the lungs. Persons debilitated by

secret vices, with a tendency to go into tuberculosis.

Palpitation of the heart from fear, excitement, or exertion. Rapid

action of the heart, or sometimes slow action. Fatty degeneration of

the heart. Pulse accelerated toward evening. Pulsations throughout

the body, feeling like little hammers.

Rheumatic pains in the extremities, ameliorated by heat and by

gentle motion ; aggravated by cold, by exertion, or by rapid motion.

Pains through the deltoid muscles are spoken of more prominently

than pains in other parts, but these pains are no more striking than the

pains anywhere in Ferrum. Tearing pains through the limbs.

Inability to raise the arm ; paralytic pains — that is, pains that are

benumbing. Pains that make him feci as if he were going to lose the

power to move the part. Violent pains in the hip-joint arc just as

common as the pains in the shoulder. Lippe says, “Rheumatism in

the left shoulder,’’ but it is just as common in the right. Rheumatic

pains in the deltoid muscle of either side. Violent pain in the muscles

and along the nerves. Pinching in the right deltoid ; boring in the

right shoulder : aggravated by motion and by the weight of the bedclothes ; ameliorated by heat. Tearing and stinging pains. The Ferrum pains come on in the night, because the patient attempts to keep

still in bed. Rest brings on the Ferrum pains. When moving gently

about in the daytime he will not have so much pain. Coldness of the

limbs ; and again, heat of the soles and palms — they change about.

With all this weakness and prostration dropsical conditions come on,

so that the feet and hands become bloated.

Lecture (part 7)
Kent

Evening chill or chilliness with fever, cold hands and feet and red

face. Icy cold feet vdth the chill. Chill ameliorated after eating.

  • Thirst with the chill.
  • Copious sweat which stains yellow.
  • All symptoms worse while sweating.
  • Strong-smelling night sweats.
  • All the

febrile symptoms are better by slowly moving about. In intermittent

fever after the abuse of quinine.

Classical Posology

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