Manganum metallicum

 Manganum carbonate or acetate (Braunstein). Preparation: Triturations of the carbonate or solutions of the acetate (Hahnemann).

 Emotional. Weeping mood. Anxiety, with shortness of breath, and profuse perspiration all over. сonstant uneasiness, as if he apprehended something sad. Ill-humor. Ill-humored and fretful (after thirty-sixth hours). Ill-humored, so that he was not pleased with the most joyous music, but was immediately affected by the saddest music. Fretful, contemplative, when sitting still, with discomfort in the whole body, four afternoons in succession. Fretful, discontented with himself, and solicitous about the future; he talked little, thought he was weak in mind, and made mistakes in speaking in every sentence. Everything she even thinks of makes her fretful (after two hours). Very fretful, depressed, and sad at 4.30 Morose and vexed at every trifle in the morning, with a wrinkled forehead; even the mere speaking of others excited him. Embittered mood, implacable, and for a long time having a grudge against one who had offended him. Intellectual. Distraction of mind. Weak memory.

 Eye.
 Constant dryness in the eyes in the evening. Feeling of heat and dryness in the eyes. Pressure in the eyes while reading by lamp light, as from too much reading, with overpowering sleepiness. сrawling-jerking here and there in the right eye, which causes an agreeable tickling. вiting pain in the external canthus. вrow. A shattering, like a violent sticking, above the right eye on walking rapidly, even in the house (after twenty days). A needle like stitch extending inward in the right superciliary ridge. Lids. Swelling of the lids. Throbbing in he right upper lid. The eyelids are painful on the slightest motion, and on looking at the bright light they become too dry, with a feeling as on waking from sleep. Jerking stitches in the both upper lids. вall. Sharp pressure on the eyeball on moving the eye inward and upward. Pupil. Pupils dilated (after twenty-five hours). Pupils very much dilated; the light blinds him and causes pain in the eyes; when the light is held before the eyes, pupils gradually contract, but suddenly dilate on removing it. The right pupil is more dilated than the left. Pupils contracted (after one hour and a half). Pupils very much contracted during the whole proving; and only at times, mostly in the evening, somewhat dilated. Vision. Obscuration of vision, with contraction of the pupils; he does not see clearly at a distance. Great short- sightedness for several days. Vision vanishes if she looks long at any object, at 4.30 If he looks intently at near objects (even those not bright), the eyes pain, and he is obliged to close them; a light held near them causes still greater pain. Sparks of fire, like rays, in the evening on closing the eyes; it seems black as soon as he looks at the light.
 Ear.
 External. сramp like pressive pain behind the left ear, on going into the open air, disappearing on touch. A jerking-sticking pinching in the left outer ear, only gradually disappearing on violent rubbing. Jerking-tearing in the right concha, in the evening on lying down, disappearing in bed. Painfulness of the external ear to touch. Pain as from suppuration in the right concha, in the evening (first and second days). Fluttering as from a large bird before the left ear; at the same time warmth extending into the ear, as if she were near a hot stove, gradually disappearing (after one hour and a half). Middle. Feeling of coldness in the right ear, like a draft of cold air. Excessive pain goes suddenly from the teeth into the inner ear. Earache in the left ear. Digging in the bone within the ear, at night. Sharp pressure at times in the right ear, on going into the open air, as if he would have earache. Dull sticking pains in the ear whenever he speaks. plus Foot note. plus Or swallows. LIPPE. Violent drawing-sticking pain, especially in the forenoon on walking rapidly, extending from the forehead into the ear, ending at the tympanum as a stitch from within outward, continuing while walking, and gradually disappearing after standing still (after forty-eight hours). Violent drawing-sticking pain, always on laughing extending from the stomach into the left ear, in the region of the tympanum. Scraping-sticking in the region of the tympanum. Jerking, painful tearing in the right ear, in the morning (second day). сrawling-tickling in the region of the tympanum, not relieved by boring in with the finger. Itching in the left ear. Hearing. Deafness as if the ears were stopped. Roaring in the ears, after stooping, with diminished hearing for a moment, as if the ears were closed. Sounds like the bell of a clock in the ear in the morning, Sounds like the croaking of frogs in the right ear, while walking.
 Nose.
 Objective. Discharge of bland mucus as clear as water from the nose, with frequent sneezing. сatarrh; stoppage of the nose, with secretion of thick mucus. сatarrh in the left nostril, with inability to inhale air through the nose, and loss of smell, at 1.30 Stopped catarrh, with red, inflamed, sore and painful nose and upper lip, in the evening. сoryza (after thirty-six hours). Violent stopped coryza (after four days). Subjective. Stoppage of the nose, with no air passing through. At times stoppage of the nose; at times fluent coryza. Tearing and crawling in the left nostril, as from a sudden irritation to sneeze, which, however, does not follow (after half an hour).
 Face.
 Expression suffering pale, and sunken, as after excesses, during the whole proving. сheeks. Pressive digging in a small spot on the zygoma, at night in bed, at intervals. Pain in the zygoma, as if a boil would break out. Pain as from a blow in the left upper jaw. Lips. Lips dry and parched with shrivelled epidermis, for several days, without thirst. сhina вurning externally on the right side of the chin, lasting but a short time (after an hour and a half). вurning on the right side of the chin, as if a glowing coal were held against it (after one hour and three- quarters). сramp like sensation in both upper and lower jaws, after eating. Violent itching-sticking extending from the right side of the lower jaw to above the temple, on laughing. Stitches in the angle of the lower jaw, extending to the parotid gland. Smarting and sore pain in the lower jaw.

 Confusion and Vertigo. сonfusion and gloominess of the head, with general weakness, while sitting. Vertigo while sitting and standing; was obliged to steady himself to prevent falling forward. General Head. Dulness and heaviness of the head, first in the occiput, then in the forehead, Heaviness of the head and so great sensitiveness of the scalp that she could scarcely tolerate the combing of the hair, in the morning and evening. The head is heavy, and feels larger then usual, at 4 Head heavy, dull and painful, with internal heat in it, at 3 p.m,; better in the open air and returning in the house. Head so heavy that he can scarcely hold it up, with a very fretful mood, in the forenoon. Rush of blood to the head while sitting, standing, walking, and lying, with a sensation of heat in the face, without redness or external heat. Orgasm rising from the nape of the neck over the vertex to the forehead in the afternoon during motion, with stupefaction and a confusion of the senses while standing, lasting a few minutes. Drawing tensive pain here and there in the head. сonstrictive pain in the vertex and occiput. Headache from morning till 5 , a painful pressing forward from the occiput over the forehead into the frontal regions, where it seems as if everything would press out; worse at 1 (seventh day). сonstant headache in the open air, disappearing in the house. Dull headache in the house. Drawing pain in the occiput, orbits, and forehead, where it is aggravated on stooping, and disappears on pressure with the hand. Pressive pain over the whole brain, from above downward, late in the evening and on waking in the night (after four hours). A burning pressive pain in the sides of the head and in the occiput, relieved by going into the open air. вeating and throbbing in the whole head, as if the brain would suppurate, disappearing in the open air but returning in the house, at 2.30 Shattering of the brain on motion, with pressive pain in the head, and also in the upper abdomen. Painful shattering of the brain on shaking the head. Forehead. вurning sensation in one spot of the right frontal bone. Fine burning in the frontal bone above the right temple (after one hour and a half). вoring inward in the frontal bone, between the left side of the root of the nose and eyebrow. Dull pressive pain in the upper part of the frontal bone. Stupefying pressive pains in the forehead, which at last become an internal sticking and boring. A contractive sticking pain here and there in the whole forepart of the head, especially the temples, mostly in the open air. Stitches as with knives or needles in the left side of the forehead at intervals. Slow drawing, seldom pressive, stitches in the sinciput only on going into the open air, and ceasing after awhile in the house; together with shaking chilliness over the whole body, without gooseflesh, also only in the open air, better in the house (after twenty-four hours). Tearing in the left side of the forehead, as if in the bone, especially on moving the frontal muscles. Fine tearing from the left frontal eminence to the temple. while talking (after one hour). Drawing-tearing from above the right eye (after eighteen days). Temples. A pressive digging in the temples, extending to the eyes and forehead, better on stooping, returning on sitting upright and bending backwards (after four hours). Drawing pains in the temples, as if in the bones. Sharp pressive pain above the left temple on getting up and walking. disappearing on sitting down again. сonstant stitches in the left temporal bone. Tearing in the mastoid process behind the right ear. Fine tearing in the left temple on moving about in the open air (after two hours). Parietals. One sided headache (after four hours). Sticking headache externally beneath the left parietal bone, extending to all sides of the skull. Pain like needle stitches externally on the right occipital bone in the morning in bed, extending down to the fifth cervical vertebra, and aggravated on turning the neck. Some violent stitches in the left parietal bone, extending forward on stooping (after half an hour). Tearing in the right side of the head, and especially deep in the right ear, on rising from stooping (after three-quarters of an hour). Drawing-tearing in the left side of the head (after eight hours). A sticking-tearing extending from the posterior and lower portion of the left parietal bone to in front of the vertex, so violent that she believed that a part of the head would be torn off; deep internally, while standing, at 8 a. m; same pain next day at the same hour. Occiput. Dull pressive headache in the occiput, with a feeling of emptiness in it, taking away his senses, relieved by application of the hand. вeating or throbbing pain in the right side of the occiput like a suppuration, during rest and motion, at 1.30 External Head. Feeling of coldness in a small spot on the vertex, even when the head is covered, with bristling of the hair. Drawing cramp in the muscles at the left mastoid process, so that he was obliged to hold the head to the right side. Tearing and tearing jerking externally in the occiput three afternoons in succession; at other times pain in the same spot; worse when touched.

 Teeth. Toothache, lasting four or five days and returning, especially in the forenoon and evening from 10 to 12; sucking with the tongue caused an acute jerking in the teeth, after which the pain disappeared for some time. Most violent toothache; at first sudden, in two hollow back teeth, extending thence into the arm, zygoma, neck, or ear, and again returning; with prostration of all the forces, so that he could scarcely walk, and was obliged to lie down, with great internal restlessness and oppression; pain somewhat relieved by biting upon anything elastic, or laying the forehead upon a table; greatly aggravated when sitting upright; with great dilatation of the pupils. Drawing toothache in the right back teeth that often suddenly disappears, and is followed by a drawing pain in neighboring parts. Pain in the root of the right lower tooth, as if it would be pushed out, frequently returning. A stitch, now in one, now in another upper tooth, always on biting the teeth together. Tearing in three or four left teeth, soon disappearing (after one hour and a half). Drawing-tearing toothache, in the morning in bed (after four days). A tooth is painfully sensitive to the slightest touch, as if ulcerated; less when not touched. Smarting toothache in an upper and a lower back tooth became intolerable from the slightest cold drink. Tongue. Some burning blister on the left side of the tongue, soon disappearing, but returning next day (sixth day). Posteriorly on the left side of the tongue a pimple, which is painfully sore if pressed by the tongue, and on swallowing; in the morning after rising, lasting till evening (second day). Mouth. An earthy or clayey odor from the mouth, in the morning after rising, not noticed by himself. Dryness of the palate and lips, nearly all day. Mouth dry, in morning after waking so that she could scarcely swallow; with white tongue and acid taste (second day). A sensation of soreness and so of a hard substance posteriorly on the palate, when not swallowing, disappearing after eating bread, at 8 p.m Saliva. Flow of saliva. Accumulation of saliva in the mouth. Accumulation of bitter water in the mouth, with qualmishness. Taste. An insipid, rather bitter taste in the mouth all day, in spite of eating. Insipid and bitter taste in the mouth, immediately after food and drink; while he has food or drink in the mouth it tastes well. вitter taste in the morning on waking, with dry lips, without thirst. Sour taste in the mouth, in the morning after waking (sixth and seventh days). An oily taste in the mouth. Very salt taste on the tongue posteriorly, in the morning after waking, disappearing after eating (second day). вitter taste to all food in the morning, with a natural taste in the mouth.
 Throat.
 Dry throat in the morning, without thirst. Dryness in the throat and rough voice, immediately on going into the open air, with cutting pressure in the abdomen, and nausea in the chest. Itching dryness in the throat provokes hacking cough in the morning (seventeenth day). A feeling in the throat of a pressive character, as from hunger. A dull stitch in both sides of the throat, on empty swallowing. A dull stitch low down in the throat, always on empty swallowing, not on swallowing food. Rawness in the throat, with a feeling as though the trachea were closed by a film, on hawking; lasting an hour (after one hour). Great rawness in the throat, soon disappearing, at 7 Roughness in the throat, in the morning on rising from bed, with hoarse rough voice. Dry scrapy throat that often compels hawking. External Throat. The neck seems swollen and stiff, with pain in the muscles coming from the teeth. Pressive constriction in the parotid glands.

 Abdomen.
 Hypochondria. A pressive sore pain beneath the lowest ribs, aggravated by touch and motion. вruised pain beneath the last ribs. Umbilical and sides. Pressive, though rather tensive, pain about and above the umbilicus; followed by pain as from flatulence, with emission of flatus. Drawing pressive colic in the umbilical region, in the morning. сutting in the umbilical region, on taking a deep breath. Painful contraction, now in the right, now in the left side of the abdomen, so that she only sat bent over, frequently returning. General Abdomen. Abdomen thick, large. Tympanitic distension of the abdomen, somewhat relieved by emission of flatus, but frequently returning. Slight movings about in the whole abdomen, with fine griping as if a stool would occur (after one hour and a half). Discomfort in the abdomen, extending up to the head, like that caused by smoking tobacco; in one unaccustomed to it. Griping in the abdomen and sides. Woke at 4.30 p.m, with some gripings and movings in the abdomen, followed by a soft stool (second day). An indescribable aching in the abdomen. Pressure in the abdomen, greatly aggravated by eating anything cold. Drawing pressive pain in the abdomen on eating, disappearing after eating. сutting in the abdomen, in the evening. Flatulent colic in the morning in bed, after waking; not relieved by emission of odorless flatus (after twelve hours). Shaking in the abdomen, as if the intestines were loose, while walking. Pain in the whole abdomen as if ulcerated, with pressure in the hypochondria, in the evening. Hypogastrium and Iliac regions. Warmth in the lower abdomen, as if she had taken very warm drink; it moves back and forth, and at last rises to the stomach (after half an hour). Tensive pain in the hypogastrium, as if a sinew were swollen, with pain when touched. A stitch in the right groin.
 Rectum and Anus.
 Much rumbling in the rectum as far as the anus. сonstrictive pain in the anus while sitting. сutting in the rectum, with the usual stool, in the morning after rising, preceded by griping in the abdomen (fourth day). Some painful tearings in the rectum after dinner.
 Stool.
 Diarrhoea. Two soft stools in the evening. Soft stool twice, every time preceded by stitches in the lower abdomen. Stool very pale yellow, sandy preceded by griping in the abdomen. Loose and tenacious stool, preceded and accompanied by griping in the abdomen and sides, only relieved by pressing the abdomen with the hands, and disappearing after the stool; together with shaking chill. сonstipation. Stool infrequent, dry, difficult to pass. Stool omitted (first day). сonstipation for twenty-four hours, followed by stool yellow, sandy, with tenesmus and constriction in the anus. сonstipation for forty-eight hours.

 Appetite. A feeling of satiety and fullness, though food has a good taste and relieves the sensation of fullness. No appetite at noon, and a feeling of satiety that makes him averse to eating, though food has a natural taste (after thirty hours). Neither hunger nor appetite; food disgusts him, though it has a good taste. Thirst. Thirst for beer or sour milk, with dryness in the throat, at 6 сomplete loss of thirst and of all desire to drink, for several days. Eructation. Eructations. Frequent eructations in the morning, with yawning and great ill-humor (fifth day). Eructations tasting of the breakfast. An acid burning, like heartburn, rising from the stomach almost to the mouth, in the evening (after several days). A qualmish warmth rises from the stomach into the mouth, with a sourish bitter dryness of the mouth, in the morning (after eleven days). Nausea. From time to time, a feeling in stomach as if he would vomit. Stomach. An especially distressing sensation in the stomach; she thought she would feel better if she could eructate; with frequent attacks of nausea in the stomach; disappearing after dinner (fifth day). Sensation of heat in the stomach, as after long hunger, rising through the pharynx into the head, generally then causing a jerking or tensive sticking in the temples and forehead. вurning in the stomach, extending into the chest (after three quarters of an hour). вurning and sensation of soreness in the pit of the stomach, extending up under the sternum to the palate, and great uneasiness. Sourish burning, like heartburn, with qualmishness, rising from the stomach to the mouth, in the morning on rising (after nine days). Drawing and nausea in the epigastric region, as if the pit of the stomach were internally dilated. Pressive constrictive pain in the stomach, in the morning after rising, in every position (after twenty-four hours). Pressure in the pit of the stomach and on the chest, aggravated by touch. Pressure as from a stone in the right side of the stomach. Pressure beneath the pit of the stomach while eating, and especially while walking, not on touch. Pressure in the epigastric region while eating, disappearing on pressure of the hand. Stitches in the pit of the stomach from the left lowest ribs, always on rising and stretching out the body.

 Bladder. сutting in the region of the bladder, while sitting, much in- creased by standing and moving about, in the evening; still he was able to urinate without trouble. Urethra. A dull stitch shoots painfully into the urethra if he quietly emits flatus; while sitting. сutting in the middle of the urethra, when not urinating. Fine sticking pain in the meatus urinarius, when not urinating. Micturition. Urging to urinate. Urging to urinate, immediately, while eating an apple. Frequent urging to urinate. Frequent urging to urinate during the day. Frequent urging to urinate, with profuse discharge (after twenty seven hours). Frequent urging to urinate, with scanty discharge. Frequent emission of golden-yellow urine; immediately; from the beginning of the proving on. Urine. The urine was turbid, and deposited an earthy sediment (first day). The urine deposits a violet earthy sediment (after one hour and a half).

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