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Manganese is pre-eminently a medicine that causes a kind of chlorosis, and is suitable for chlorotic girls, in "decomposed, waxy, anemic, pale, sickly, phthisis threatening constitutions, with necrosis and caries of the bones and organic affections. There is a history of a long period of scanty menstruation, or menses having been delayed until the patient was eighteen or twenty years of age. A strong feature is great pain of the periosteum , and especially of the shin bone. Tendency to ulceration and eruptions , and around them there is thickening and infiltration. Chronic eruptions; inveterate as psoriasis. Small ulcers suppurate and infiltrate with purple hardness. It has a deep action, decomposes the blood cells of the blood body and lays the foundation for tuberculosis, especially in the larynx. Repeated attacks of laryngitis, each leaving the patient in worse condition than before. Tuberculosis beginning in the larynx. Aversion to food, no appetite, nothing will tempt you. This, with great pain in the body, sets the stage for a deep complaint. It is not acute periostitis, but passive pain all over.
Joint inflammation and swelling are suppressed and necrosis. Ulcers and suppurative processes assume a semimalignant quality and do not heal, presenting an erysipelatous appearance. Everywhere there is pain to touch and vibration. The bones hurt from walking. Arnica only provides relief for a day or two; but in this remedy it is deep and prolonged, and we would not think of Arnica or Baptism, which would only give relief for a day or so. Vesicular, infiltrated, deeply rooted eruptions, with a tendency to crack and bleed. Rough skin and psoriasis complaints worsen in cold, wet weather and before a storm.
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And now we will deal with some of the mental symptoms. There are only a few of them, but they are striking, and they delve into the human nature itself. Anxiety and fear. Great apprehension. Something horrible is going to happen. Restless and anxious. He walks, and the more he walks, the more anxious he becomes. Try to occupy yourself mentally; He tries to occupy his mind, and the more he does this, the more anxious he becomes. He is tired and worn out. He can't think; can't meditate. He is having difficulty in his business because he cannot think straight. Anxious restlessness.
The weirdest part of all is how you get relief. He goes to bed and everything happens. You can't find that in all medicines; That is strange, strange and peculiar. And yet look how general it is; defines the whole nature of the sick man. Your own life is exciting, tiring and anxious. Great sadness and anguish. He lies down and says, "Why didn't I think of that before?" Perfectly comfortable now. He gets up, and anxiety and restlessness take hold of him again, and he is quite driven to distraction. Look how, unlike Rhus, he gets relief from movement. Look how, unlike Ars. That is, the patient goes from one bed to another from one bed to another and back again; You can't sit still, or stay still, because your anxiety is worse staying still. See how striking these symptoms are and see the contrast we have. The most intimate life of the patient is to talk to us and ask for remedies. Now we must read the signs and internal expressions of the disordered economy. So, you have these tormenting fears. Anxiety during the day while moving, improves while living downstairs, sad, crying and silent. I can't think of anything to console him, but when he goes to bed he finds peace. Is it any wonder, then, that some of these patients are brought to a lying state? And Manganum is a wonderful remedy for bedridden women who love to stay still, and it is said of them that they love to lie in bed.
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In what we have seen, we see that everything brings out that same idea and the nature of things that Hahnemann talks about in his first paragraph, that the only duty of the doctor is to pay attention to the sick, to the patient himself; and who is this patient? This is what we've been talking about, this is what we've been trying to get out here; and all the details that I am going to discuss corroborate these same things. These details are so linked with these generals that are spoken of that they make a great unity of thought, and we cannot separate them. Irritability and low spirit, like Sulph. and Graph. It is similar to Arg. met., Phos., Graph. and Sulph., in its underlying tendency to tuberculosis. Worrying about the small things. Headaches as in anemia. Terrible headaches; head feels heavy; adhesion pains; urgent and boring pains. Points like needles. Aggravation of jerking when stepping, pain in the brain and skull. Skull sensitive to touch and pressure. Red, numb spots here and there on the scalp (like Phos.), as if erysipelas were developing. Drawing, throbbing headache outdoors, improvement at home. Other headaches get better in the air. Aggravation of a jar, movement and change in temperature and in cold, wet weather. Clumping of the eyelids. It is a suppurative and catarrhal remedy. The eyelids are swollen. Eye pain when looking at close objects, especially a nearby light. I have used this medicine often with that symptom and have been cured when there was pain in the eyes when sewing, reading fine print, and doing anything that concentrated the vision. Route in nervous and 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 ear discharges. Hearing loss is improved by blowing the nose. The improved sensation from blowing your nose stopped. Catarrh of the Eustachian tube. The outer ear is painful to touch. Ear symptoms are numerous. Many patients find that all their problems rest in their ears. All aches and pains in the upper body settle in the ears. Pains in the throat shoot to the ears. There are pains in the throat and pains in the teeth that go to the ears. Pain in the eyes that focuses on the ears. That's weird. The ear is a center of much tribulation. "Cataract conditions, with increasing deafness." Cold and humid climate. He is deaf every time it rains coldly in the fall. Then there is pain, rawness and burning in the ear canal, with a lot of itching.
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Silica and Kali carbohydrate are the two main remedies for paroxysmal cough caused by scratching the ear canal. I have seen them choke, gag and vomit when they needed Kali carbs. After scratching the ear canal. Spadic cough from scratching the ear canal mainly belongs to silica and Kali carbohydrate, but Manganese has cured it. Itchy ears from talking, swallowing, laughing, or doing anything that gets your throat working. To speak, which is to use the larynx. When the bolus passes behind the larynx is when it takes place. Sometimes it is present in laryngeal physis, in chronic ulceration of the larynx, with burning and stabbing pains in the larynx that shoot to the ears. In the Manganese test it is amazing how many ear symptoms are recorded. And all of these ear symptoms, like the others, occur, or increase, in cold, humid climates. "Catarrh of the Eustachian tube." Obstruction. It feels like the ears are clogged. "It feels like there's a leaf in front of your ear." In cold and rainy weather.
A strong feature running through the remedy is similar to Dulc., in that it is worse from cold, cold air, and cold, damp weather. Your cold wakes up when it's cold. Every cold and damp spell causes hoarseness and the formation of mucus in the throat. All your complaints respond to the weather. Wherever there is irritation, there is great pain. The eyes are red and adorable. The throat is red and raw. The sessions in the ears are followed by great sensitivity. Pain and tenderness run through everyone. Chronic cold. The nose stopped. Yellow, lumpy, green discharge in the morning. Bloody discharge. The nose and cartilage are adorable. Avoid manipulating the nose. No medicine will give you a sicker face. When people have bled and have become gray and pale, the average person thinks of China, but when there has been no bleeding and this same state is present due to the decomposition of blood corpuscles, one must think of Manganum. Chlorosis and pernicious anemia would make one think of Manganum, and also of picric acid and Ferrum. Small wounds fester; Every bruise remains, I adore for a long time. There is not much bleeding, since there is not much blood. Infiltration is in accordance with this remedy. I have seen it cure inveterate ulcers, hardness and bruises, in anemic patients. Old "fever sores" can be cured with this remedy. Scaly rashes.
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All types of stomach disorders. Indigestion. Lack of appetite. Drawing in the stomach region. Colic. Ally of these are worse for cold and wet weather. The pain improves when bending twice. It is a very useful remedy to avoid tabes mesantericas, anemic constitution, lack of appetite, diarrhea, pain in the intestines and, as the patient becomes demaciated, the glands are felt. Useful in women who have been anemic for some time from loss of blood, but not so great a remedy for anemia after hemorrhages as for that condition resulting from the destruction of blood corpuscles. Terrible hot flushes like Psor., Lach., Sulph. and Graph., which occur in women who have been anemic for some time.
It is also a great remedy for the liver. There is congestion and swelling of the liver. It has cured a tendency to fatty degeneration. He has cured jaundice; has cured many cases of gallstones; meaning 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 they form gallstones. It establishes a better working order of the stomach, a better working basis of the liver, the bile becomes healthy and the gallstones dissolve into healthy bile. Gallstones are likely to occur along with gallstones.
It can be said that the abdomen is full of rumors, and there are frequent gripping pains and these occur in cold and humid weather. They come from eating cold food, such as frozen foods. Cold things create a lot of distress in the liver region. Distress in the stomach and distress through the intestines. "Crying and contraction in the navel;" something like Plumbum, although it is not said to draw like a rope in the navel, like Plumbum and Platinum. "He passes a lot of flatus on the stool. Irregular action of the intestines." There may be periods of constipation, interrupted with each indigestion, causing diarrhea so that the intestines are always irregular. It is never very safe, you have constipation or diarrhea. As we might assume, the stomach is the defective organ. "Anus cracks while sitting. Better lying down." It is a useful remedy for those flashes of heat that occur in the climacteric period. The mentioned chlorotic state is closely related to the menstrual state. Disorders of the uterus and stomach.
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Very little menstrual flow. It lasts only a day or two, and it comes too soon. This is unusual in anemic conditions, unusual in chlorosis. In women beyond the change of life, every so often there will be a small hemorrhage, a little watery discharge. Anemic elderly women, with a little watery discharge from the uterus. In the past we have had to rely mainly on Calcarea for elderly women with uterine bleeding. We are not surprised by all these weaknesses if we have muscular relaxation, and it is true in Manganum with these tired, weak and anemic women; and there is also prolapse of the uterus and prolapse of the rectum. A downward drag of the intestines, and the entire abdomen feels heavy from a state of relaxation.
The most threatened region is the larynx, trachea and lungs. If this anemic girl doesn't get better and have a better reaction, something serious will happen. Menstruation is simply a pale liquid or a little leucorrhoea. Raw of the larynx. Hoarseness and loss of voice in a chronic state. It is suitable in recurrent cases that come with each period of wet weather until tuberculosis finally begins. Each cold causes additional problems in the larynx, causing laryngitis. It is a wonderful remedy for orators and singers, as useful as wet Argentum. Constant buildup of mucus, more forms as soon as you clear it. Hemming all the time and bothering everyone. Arg. met., Sil., Sulph., Phos. and Manganum do that. Each dola brings a whiff of mucus. Tuberculous laryngitis. Crude in the larynx. Expectoration of green mucus, great anemia. Every cold wave awakens bronchitis, like Dulc. Cold, dry weather sometimes provides relief, but the patient is sensitive to cold; He is cold and anemic.
The cough improves when lying down. Most coughs are worse from lying down, and few remedies are better from lying down. In Euphrasia there is a cough that comes from coryza, especially acute coryza in vigorous people, and the cough is better while lying. Again, there is spinal nervous cough in spinal subjects, nervous girls, who have cough as soon as they go to bed, which is cured by Hyos. This remedy has a daytime cough without cough at night because it is lying. Arg. met. He has a cough for a day; Like Manganum, it refers to the larynx and is improved by lying down. Cough worse from talking, laughing, walking, deep inspiration, and cold, damp weather.
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This remedy is most useful in recurrent complaints, and is almost never seen in the first attacks. It is very useful in patients who are gradually decreasing. Ulceration and bleeding in the lungs. The bleeding is watery, like bloody saliva or bloody mucus. The patient becomes nervous, shaky and has palpitations.
The extremities are full of anguish, even gout. Bone pain, burning soles, arthritic enlargements, painful periosteum, joint pain. It does not have rapid inflammatory rheumatism, like Puls. and Bell., but tenderness of the joints, without much swelling and aggravation by damp weather, like Rhod., Rhus, and Dulc.
This remedy generally does not occur in fever, but in cases of low typhoid fever, after the fever has subsided a little, the bones are tender, they are adored everywhere, the patient does not gather, there is prolonged convalescence, especially in poorly treated cases, who have been drugged until the blood corpuscles are ruined. You would think that if he could just start a large abscess, he would be better off, but he doesn't have enough stamina for that. Some of these patients have "fever sores," and this acts like a seton and relieves them; but this patient cannot develop one, only the periosteum is adoring and has infiltrated. [2]
References
[1] Insignares Carrione, E. (2012). Practical Manual of Homeopathic Therapy . (Tenth edition). Bogota, Colombia: Magnofarma
[2] Kent, J. T. (1992). Repertory of the homoeopathic materia medica . B. Jain Publishers.