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.