Manganum Muriaticum

Cooper has studied this remedy, with which he has cured abscesses in hollow

viscera and one case of cancer of stomach, abscesses in glands of neck discharging twenty-five

years. He considers a leading indication for it "concentrated juices," which should be compared

with the action of its relative Crucifer, Th/aspi bursa pastoris, which has cured obstruction of

bile duct from inspissated bile. Cooper relates a case which seems to indicate that Morphia

causes neuralgia and that Matt. antidotes Morphia. A man had neuralgia of right arm from

working in a damp house. Morphia was given. Then neuralgia of the /eff arm came on with

• ▸numbness and paralysis.
• ▸Lobel.
• ▸acet.
• ▸gave some relief.
• ▸One dose of Matt.
• ▸g.
• ▸@ completely cured.

When the man came under Cooper's care he was spending ten shillings a week on Morphia.

Dulness in fore-part of head, caused by pressure on head.—Heaviness and heat in

sinciput.—Jerking burning in skin of forehead, obliging scratching, with heat in skin.—Pressure

on forehead with vertigo.—Tearing in side of head and face.

Violent persistent stitches in 1. hypochondrium < by inspiration and

pressure.—Violent cutting in umbilical-region shooting upward.—Violent colic and thin, light

stool, after which the pain, esp. in umbilical region, continued and was < by pressure; other

stools followed.

Light-coloured, thin stool, followed by cutting in umbilical region; in morning (13th

• ▸d.
• ▸).
• ▸—Stool harder than usual (9th and 10th d.
• ▸); delayed, hard and scanty (1st d.
• ▸).

Peculiar sensation of heaviness and pressure in |. lumbar region < bending to I.

Boring in bones below r. (and 1.) knee—Very violent pinching pain in r.

ankle, standing = pain, < by motion.

24. Generalities—More easily made tired, hot and perspiring.—Pressure and boring in several

bones.

Much heat of whole body.—Much internal heat and much less sensitiveness than

usual to cold air generally.

Manganum Sulphuricum.

Sulphate of Manganese. MnSO4 4H20. Solution.

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 atnfd bleed. Roughness of the skin and psoriasis.

Corhplaints worse in cold, danip weather and before a storm.

And now wc 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, sec 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 fromi

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, belter 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 wc 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 Snlpfi.
• ▸, in its underlying tendency to

tuberculosis. Fretfulness from small things.

Headaches as in anasmia. Dreadful headaches ; head feels heavy ;

• ▸sticking pains; pressmg, boring pains.
• ▸Stitches like needless.
• ▸Aggravation from jarring on stepping.
• ▸Soreness in the brain and skull.

Skull sensitive to touch and pressure. Red, sore spots here and there

on the scalp (like Phos.), as if erysipelas would develop. Drawing,

stinging headache in the open air, ameliorated in the house. Other

headaches are ameliorated in the air. Aggravation from a jar, motion,

and change of temperature and in cold, damp weather.

Agglutination of the eyelids. It is a suppurative and catarrhal rem*

edy. The eyelids are swollen. Aching of the eyes on looking at near

objects, especially a near light. I have used this medicine often with

that symptom and cured when there was pain in the eyes from sewing,

reading fine print and doing anything that would concentrate vision.

Ruta in nervous, gouty constitutions, when there is pain in the eyes

and complaints from sewing and reading fine print for a long time,

Ruta is especially a remedy for artists who work with a magnifying

glass.

Offensive discharges from the ear. Dullness of hearing ameliorated

by blowing the nose. Stopped sensation ameliorated by blowing the

nose. Catarrh of the Eustachian tube. The external ear is painful to

touch.

The ear symptoms are 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 cyci 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 whenver the cold rains come 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

passes down behind the larynx is when it takes place. It is sometinies

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 car symptoms, like the others, are brought

on, or increased, in cold, damp weather. “Catarrh of the Eustachian

• ▸tube.
• ▸” Obstruction.
• ▸Feels as if the cars were obstructed.
• ▸‘‘Feels as

if there were a leaf before the car,” In cold? rainy weather.

MANCANVM

A 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

are sore. He avoids handling the nose.

No medicine will give you a sicklier face. When persons have bled

out and have become waxy and pale the routinist thinks of China, but

when there has been no bleeding and this same state is present from,

breaking down of the blood corpuscles Manganum is to be thought of.

Chlorosis and pernicious anaemia would make one think of Manganum,

and also Picric acid and Ferrum, Small wounds suppurate ; every

bruise remains sore for a long time. There is not much bleeding, for

there is not much blood.

Infiltration is in keeping with this remedy. I have seen it cure inveterate ulcers, indurated and purple, in anaemic patients. Old “fever

sores” can be cured with this remedy. Squamous eruptions.

All sorts of stomach disorders. Indigestion. Want of appetite.

Drawing in the region of the stomach. Colic. All of these are worse

from cold, damp weather. The pains are ameliorated from bending

double. It is a very useful remedy for warding off tabes mesenterica,

anaemic constitution, no appetite, diarrhoea, pain in the bowels, and, as

the patient emaciates, the glands are felt. Useful in women who have

been anaemic for some time from loss of blood, but it is not so great a

remedy for anaemia following haemorrhage as for that condition resulting from destruction of the blood corpuscles. Dreadful flushes of

• ▸heat like Psor.
• ▸Lack.
• ▸, Sulph.
• ▸and Graph.
• ▸, coming on in women who'

have been anaemic for some time.

It is also a great liver remedy. There is congestion and tumefaction

of the liver. It has cured a tendency to fatty degeneration. It has

cured jaundice ; it has cured many cases of gall stone ; which means

that the liver goes into such a sluggish state that the bile is unhealthy,

the flow is impeded, and then little nodules form in it, and from gall

stones. It establishes a better working order of the stomach — a better

working basis of the liver, the bile becomes healthy, and gall stones are

dissolved in healthy bile. Gall stone colics are likely to occur along

with gall stones.

The abdomen may be said to be full of rumblings, and there are

frequ^t griping pams.^'^.^^d 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 f 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 diarrhoea. As we might

suppose, the stomach is the faulty organ.

“Cramps in the anus while sitting. Better lying down.'*

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

climacteric period. The chlorotic state mentioned is closely related to

the menstrual state. Disorders of the uterus, and of the stomach.

Very scanty menstrual flow. It lasts but a day or two, and it comes

too soon. Tliis is unusual in anaemic conditions, unusual in chlorosis.

In women past the turn of life, every little while there will come a

little haemorrhage, 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 haemorrhages of the uterus.

Wc are not surprised with all these weaknesses if we have muscular

relaxation, and it is true in Manganum with these tired, weakly, anaemic women ; and also there is preiapsus of the uterus and prolapsus of

the rectum. A dragging down dff the intestines, and the whole abdomen feels heavy from a state of relaxation.

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

this anaemic girl does not improve and get up a better reaction something serious will happen. Menstruation is merely a pale fluid or a

little leucorrhoea. 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 anaemia. 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 anaemic.

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

M£DORRHtNtJM

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 arc gradually declining.
• ▸Ulceration and bleeding in the lungs.
• ▸The haemorrhage 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 he 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

{>eriosteum is sore and infiltrated.