From vol. Vi, 2nd edition, 1827

Manganese, or the black oxyde of manganese, is carefully triturated in a stone mortar with equal parts by weight of pure crystallized green vitriol (sulphate of iron), and then, mixed with some saccharine syrup, formed into balls the size of a hen's egg, which are heated in glowing charcoal and kept for some minutes at a white heat. The solution of this in pure (distilled or rain) water contains pure sulphate of manganese, the sediment remaining contains the excess of oxyde of manganese, mixed with oxyde of iron.

The carbonate of manganese-a white powder-obtained by precipitation from the clear solution by means of carbonate of soda, and frequently washed with water, is dissolved by boiling in distilled vinegar to saturation, that is, so that some of the powder still remains at the bottom. The clear supernatant fluid (acetate of manganese) is evaporated to the consistence of syrup. A drop of this, representing unity, is diluted with a hundred drops of alcohol by two succussions (made by two strokes of the arm), and this dilution is carried on further until the decillion-fold dilution is obtained, which I have latterly employed for homeopathic medicinal use.

Even this would still be too powerful for most cases, so that only a small portion of a drop of it is given for a dose.

It will be perceived from the following symptoms how extremely powerful this medicine is, and if, as I wish, it shall be further proved by other accurate observers, we shall know how indispensable it is for many of the worst chronic ailments, for which other medicines are not so perfectly homeopathically suitable.

It will be found to be very efficacious, especially in some intolerable pains in the periosteum and joints, diminution of the senses, and diseases of the larynx and trachea.

In small doses it acts for several weeks. Many alternating actions will be found amongst its symptoms.

HAHNEMANN was aided in this proving by AHNER, FRANZ, GROSS, HAYNEL, HORBURG, LANGHAMER, L. RUCKERT, STAPF, TEUTHORN, URBAN, WAHLE, WENZEL.

The only old-school authority cited is: Kapp, system, Darstell. D. verbess. D aranei d. chemie.

The number of symptoms is the same in both editions, viz 331. The Ch. Kr. Has 138 additional symptoms, 109 of these furnished by NENNING.

Manganum aceticum

(Vertigo when sitting and standing; he must lay hold on something; he tends to fall forwards.)
Head gloomy and confused, with general exhaustion, when sitting. [Hnl.]
Confusion and heaviness, first in the occiput, then in the forehead. [Hnl.]
Semilateral headache (aft. 4 1/2 h.). [Hbg.]
Every time he walks out in the open air, slow drawing stitches -more rarely shooting aching-in the sinciput (after being some time in the room this pain in the head ceased); at the same time rigor without goose-skin, all over the body, also only in the open air, which was allayed in the room (aft. 24 h.).
Contractive shooting pain in the whole sinciput, now here, now there, especially in the temple-chiefly in the open air.
In the room a dull sensation in the head.
On rising from a seat and walking out, a sudden sharp aching pain over the left temple, which went off entirely on sitting down again, and did not return on rising up, in the evening. [Stf. ]
In the right frontal bone a burning sensation in one spot (aft. 4 h.). [Hbg.]
Pressive stupefying pain on the forehead, which at length changed into needle pricks in its right side (aft. 1/2 h.). [Lr.]
Pressive stupefying pains externally on the forehead, which at length changed into boring internal stitches in its left side (aft. 5 1/4 h.). [Lr.]
Obtuse pressive pain on the frontal bone superiorly (aft. 1 h.). [Fz.]
Drawing tearing pain over the right eye (aft. 18 d.).
A burning aching pain in the sides of the head and occiput which was diminished by walking in the open air.
Dull aching pain in the occiput, with feeling of emptiness in it, which takes away his senses and is diminished by laying the hand on it. [Fz.]
When walking, even in the room, a shooting shock over the right eye.
Drawing pain in the occiput, the orbits and the forehead, which latter is aggravated by stooping, and goes off by pressure with the hand. [Fz.]
Drawing tensive pain here and there in the head. [Stf. ]
Drawing pain first on the left then on the right temple, almost as if in the bone. [Hnl.]

Alternating action with symptoms 14 and 23.

Tearing in the left side of the forehead as if in the bone, especially on moving the frontal muscles. [Hnl.]
Drawing tearing pains in the left side of the head for half an hour (aft. 8 h.). [Ar.]
Aching digging pain in the temples, which extends towards the eyes and forehead, is not removed by external pressure with the hand, goes off on stooping forwards, but returns on sitting upright and bending backwards (aft. 4 h.). [Trn.]
The headache that was persistent in the room goes off in the open air, and he feels himself free from his other sufferings and well. [Fz.]
A shooting external headache under the left parietal bone, which spreads to all sides of the skull. [We.]
Tearings and tearing jerks on the occiput externally, for three successive afternoons; at other times this part was the seat of simple pain, per se, but was more painful when touched.
In the morning, in bed, an external headache consisting of fine needle-pricks on the right occipital bone, which extended to the fifth cervical vertebra, and was aggravated by turning the neck, for an hour and a half. [We.]
Transient stitches above the right temporal region externally, alternating with a kind of buzzing. [Ur.]
Persistent stitches in the left temporal bone. [Hnl.]
Single knife-stabs on the left side of the forehead, when at rest and when moving (aft. 33 h). [Lr.]
Intermittent needle-pricks on the left side of the forehead (aft. 15 h.). [Lr.]
On shaking the head a painful shock in the brain.
On walking quickly a shock, like violent shooting in the head above the right eye (aft. 20 d).
On moving a shock of the brain and an aching pain in the head; at the same time aching pain in the epigastrium. [Fz.]
The blood mounts to his head, when sitting, standing, walking and lying, with feeling of heat in the face, without external redness or heat (aft. 3 h.). [Trn.]
Cold feeling in a small part of the crown, with standing on end of the hair, even when the head is covered. [Fz.]
During the whole duration of action, a miserable, pale, sunken appearance of the face, as from excessive indulgence in coitus. [Stf. ]
In the right superciliary arch a needle-prick inwards (aft. 32 d.). [We.]
Twitching running to and fro in the right eye, which causes an almost agreeable tickling. [L. Rkt.]
On moving the eye inwards and upwards a sharp pressure on the eyeball. [Hnl.]
While reading by candlelight an aching in the eyes, as from reading too much, with irresistible drowsiness (aft. 12 h.). [Wz.]
Persistent dryness of the eyes, in the evening. [Hnl.]
Feeling of heat and dryness of the eyes. [L. Rkt.]
Swollen eyelids. [Lr.]
Contracted pupils (aft. 1 1/2 h.). [Trn.]
Very dilated pupils; the light dazzles him, there is pain in the eyes; on approaching the light the pupils certainly contract gradually, but rapidly dilate again on removing the light (aft. 18 ).

Alternating action with symptom 17. Compare with symptoms 16, 31, 32.

The right pupil is more dilated than the left.
Dilated pupils (aft. 4 h.). [Hbg.] (aft. 25 h.). [Lr.]
During the whole action of the medicine, very contracted pupils, and only for short periods, chiefly in the evening, they are sometimes slightly dilated. [Stf. ]
During the contraction of the pupils dimness of vision; he cannot perfectly make out objects at a distance. [Fz.]
Great shortsightedness; he could make out nothing distinctly at a short distance, for many days.
(In the evening, on shutting the eyes, he saw sparks of fire, like fire wheels; but when he looked into the light these appearances were black.)
If he looks closely at objects held near him, even if they are not bright the eyes are painful and he must shut them; they are more painful on approaching the light.
The eyelids are painful on moving them ever so slightly, and when he looks at a bright light they are very dry and feel as when first waking from sleep in the morning. [Fz.]
Twitching stitches in both upper eyelids. [Ar.]
Throbbing in the right upper eyelid. [Fz.]
On a small spot in the left zygoma, a pressive, digging pain in fits, at night in bed. [Gss.]
Pain on the zygoma, below the eye, as if a sore would break out there. [Stf. ]
After stooping roaring in the ears and, for a moment, hardness of hearing, as if the ears were stopped up. [Fz.]
Deafness: his ears feel as if stopped up with cotton (aft. 12 h.). [Lr.]
Twitching, shooting, pinching pain in the outer part of the left ear, which only went off gradually by strong rubbing. [Ar.]
A kind of earache in the left ear (aft. 1 h.). [Hbg.]
A horrible pain in the teeth leaves her suddenly and settles in the internal ear. [Stf. ]
In the ear, a crawling tickling sensation in the region of the membrana tympani, as if caused by the beard of a feather; it is not allayed by boring in the finger (aft. 1 1/2, 12, 15 h.). [Hbg.]
In the internal bone of the ear a digging, at night. [Gss.]
In the forenoon especially, when walking quickly, a violent shooting drawing pain from the forehead into the ear, which ended in the membrana tympani as a persistent out-darting stitch as long as he continued to walk; after standing still this pain gradually subsided (aft. 48 h.).
Every time he laughs a violent drawing shooting pain from the stomach up into the ear in the region of the membrana tympani.
Every time he speaks an obtuse shooting pain in the ear.
From time to time sharp aching in the right ear, when walking in the open air, as if earache would come on, in the evening. [Hnl.]
A scraping shooting sensation in the region of the membrana tympani. [Hbg.]

Compare with symptom 49. Compare with symptoms 41 and 42. Compare with symptom 40. Compare with symptoms 68 and 69.

Cramplike, aching pain behind the left ear, which went off on touching, when walking in the open air (aft. 34 h.). [Lr.]
In the morning noise in the ear, like the ringing of bells.
When walking a sensation in the right ear, like a frog croaking. [Hbg.]
Cold feeling in the right ear, like a cold wind blowing into it. [Stf. ]
Tearing in the mastoid process under the right ear. [Hnl.]
An aching contractive sensation in the parotid glands (aft. 3/4 h.). [Hnl.]
A suppurating pimple at the angle of the right ala nasi (aft. 3 h.). [Lr.]
In both angles of the lips ulcerative pain, as if a bad eruption were there, though no sore is visible in the angles of the lips.
A red pimple on the lower lip, near the right oral commissure, which of itself has a tensive pain (aft. 3 1/2 h.). [Lr.]
After eating, a peculiar sensation on the right and left upper and lower jaws, like cramp, lasting for some time (aft. 7 1/2 h.). [Lr.]
In the lower jaw, a sensation as if the newly-formed scab of an ulcer were torn off, consisting of soreness and excoriation (aft. 13 h.). [Hbg.]
Stitches in the right angle of the lower jaw towards the parotid gland. [Hnl.]
A suppurating pimple on the chin, which of itself has a tensive pain and leaves a red mark (aft. 4 h.). [Lr.]
On the chin a pain as if he had scraped himself there with a jagged razor, or as if some sore or ulcer would break out there. [Stf. ]
In the angle of the right lip a pimple, which on moving the mouth and on touching it has a tensive and eroding pricking pain.
A suppurating pimple on the lower lip, near the right commissure of the mouth, with a red areola, which of itself, but more when touched, has a burning tensive pain (aft. 25 h.). [Lr.]
For many days dry, quite parched lips, with corrugated epidermis, without thirst.
On clapping the teeth together, each time a shoot in one of the upper teeth, now in one and now in another.
Tearing drawing toothache, in the morning in bed (aft. 4 d.).
In an under and an upper molar, on the right side (sore) toothache, increased to an intolerable degree by the slightest cool drink. [Stf. ]
In a molar on the right side a (drawing) pain, which often goes off suddenly, and gives place to (drawing) pains in other parts, on the face, neck, and right arm. [Stf. ]

From chloride of manganese. Compare with symptoms 58 and 72. Compare with symptoms 77 and 78. Compare with symptoms 90-93.

Toothache of a horrible kind: it darts suddenly into two somewhat decayed molars opposite to one another-more in the upper where the pain is then indescribable, thence it goes occasionally into the arm, the zygoma, the throat or the ear, and again returns to the teeth, with complete prostration of the strength-he can scarcely walk, he must lie down, with extraordinary internal uneasiness and oppression, by a few mouthfuls of coffee the pain, when at its height, was momentarily removed, but after a minute recurred with all its former violence-with rather dilated pupils; it was somewhat alleviated by biting on something elastic, or by laying the forehead on the table, but it was much aggravated by sitting upright. [Stf. ]
The pains in the teeth last four or five days, and come on especially in the forenoon from 10 to 12 o'clock and in the evening; by a kind of drawing (sucking) with the tongue on the painful tooth there occurs a very painful jerk in it, whereupon the pains cease for some time. [Stf. ]
The tooth is very painfully sensitive (as if ulcerated) to the slightest touch, less so when not touched. [Stf. ]
In the left upper jaw a pain as after a blow or knock (aft. 2 h.). [Hbg.]
When laughing a violent twitching, shooting pain from the right side of the lower jaw to the right temple (aft. 6 d.).
In the morning drawing cramp in the muscle in the left mastoid process, so that he must hold his head to the right side. [Fz.]
A horrible pain in the teeth leaves them suddenly and goes into the cervical muscles; the neck feels swollen and stiff. [Stf. ]
In the evening a cramplike pain in the muscles of the nape, on moving them. [Fz.]
Drawing tensive stiffness of the nape, which alternates with toothache. [Stf. ]
A stiffness of the nape. [L. Rkt.]
At night a digging in the most internal part of the cervical vertebrae. [Gss.]
Dry lips and palate almost all day. [Fz.]
Dry scraping and scratching in the throat making him hawk often. [Stf. ]
In the morning, dry throat without thirst. [Fz.]
During empty deglutition, each time obtuse stitches deep down in the throat, he felt nothing when swallowing food.
On both sides of the throat an obtuse stitch, only during empty deglutition.
When swallowing, each time an obtuse stitch from both sides of the larynx-each time two stitches, one from either side-also when swallowing food or drink, which shooting went each time into the left ear.
Collection of bitter tasting water in the mouth, with inclination to vomit. [Kr.]
Collection of saliva in the mouth, as from smoking too strong tobacco (aft. 4 1/4 h.). [Hbg.]
Flow of saliva. [Kapp, System. Darstell. d. Verbess. d. Arznei d. Chemie.]
An oily taste in the mouth.
In the morning, on waking, bitter taste in the mouth, with dry lips, without thirst (aft. 6 h.).
More insipidity than bitterness remains in the mouth all day, in spite of eating.
When eating, only as long as the food was in the mouth did he have a good taste of it, and when drinking, a good taste of the liquid as long as it was in his mouth; but immediately after eating or drinking the insipidity with a little bitterness was again there.
In the morning everything tasted bitter, but the taste in the mouth was all right (aft. 48 h.).
Sourish bitter, dry sensation in the mouth, and qualmish warmth from the stomach up into the mouth, in the morning (aft. 11 d.).
In the morning after rising an earthy smell, like clay, from the mouth, observable by those about him, but not by himself. [Stf. ]
Eructation. [Ar.]
Occasionally sensation in the stomach as if he would vomit. [Hnl.]
Feeling of satiety and fulness; but when he ate the food had a good taste, and the feeling of fulness was diminished by eating. [Hnl.]
An aching hungry feeling in the throat.
At noon he had no appetite, and was as if satiated; eating was repugnant to him, as from satiety; but the food tasted all right (aft. 30 h.).
Complete absence of thirst, too little desire to drink, for many days.
Neither hunger nor appetite; when he saw the food he loathed it, and yet it tasted very good. [We.]
Sour, burning sensation, like heartburn, from the stomach nearly into the mouth, in the evening (aft. several d.).
In the morning, on rising, sourish burning, sick feeling from the stomach up to the mouth, like heartburn (aft. 9 d.).
Pressure on the right side of the stomach, as if a stone lay on the outside of it (aft. 1 h.). [Hbg.]
On raising up and stretching the body each time stitches in the scrobiculus cordis at the left lowest rib. [Fz.]
Rough sensation from the upper part of the abdomen to the sternum (aft. 1 1/2 h.). [Hbg.]
Burning and sore feeling from the scrobiculus cordis up under the sternum to the palate, with great restlessness.
Whilst eating, and especially when walking, an aching under the scrobiculus cordis, and yet the part is painless when touched. [Fz.]
In the stomach feeling of heat, as after prolonged hunger, which rises up in the esophagus to the head, where then a shooting twitching, sometimes tensive shooting pain, occurs in the temples and forehead.
Drawing in the region of the stomach, with nausea there, as if the scrobiculus cordis suddenly dilated from within. [Fz.]
Aching in the scrobiculus cordis and on the chest, aggravated by touch. [Fz.]
(Under the last ribs an aching sore pain, increased by movement and touching.)
Under the last ribs bruised pain.
In the morning after rising, aching contractive pain in the stomach, in every position of the body (aft. 24 h.).
Aching in the region of the stomach while eating, which goes off on laying on the hands. [Fz.]
Whilst eating drawing aching pain in the abdomen, which goes off immediately after eating. [Fz.]
Discomfort from the stomach up to the head, as when a person unused to tobacco has smoked.
From the middle of the abdomen to the half of the chest (the esophagus) a rising- up feeling, consisting of nausea, warmth, and contraction.
An aching rather tensive pain about and above the navel, followed by severe pain as from flatulence, with discharge of flatus. [Ur.]
In the umbilical region, drawing aching pain in the abdomen, in the morning. [Fz.]
On breathing deeply cutting pains internally in the umbilical region, for an hour. [Hnl.]
Cutting in the umbilical region, before dinner. [Hnl.]
Extremely aggravated aching in the abdomen, from eating cold things. [Fz.]
An indescribable pain in the abdomen. [Stf. ]
In the evening cutting in the abdomen. [Fz.]
Splashing in the abdomen when walking, as if the bowels splashed. [Fz.]
The whole abdomen is painful, in the evening, per se, as if ulcerated; at the same time aching in the hypochondria. [Fz.]
A stitch in the left side, the renal region, followed immediately by contractive, twitching- like pain. [Ur.]
Frequent grumbling along the rectum to the anus (aft. 1 h.). [Wz.]
No stool occurred the first day. [Fz.]
Constipation for 48 hours. [Trn.]
Rare, dry stool, evacuated with difficulty. [Hnl.]
Two soft stools, each time preceded by some stitches in the hypogastrium.
Yellow, gritty stool, with tenesmus and constriction of the anus, after passing one day without an evacuation of the bowels. [Fz.]
Some minutes before the stool, and then during the stool, a pinching in the abdomen and in the side, which only goes off by compressing the abdomen with the hands, and after the evacuation of a rather loose and viscid stool completely disappears; at the same time rigor. [Fz.]
Very pale yellow and, compared with what had been eaten, scanty stool, preceded by slight pinching pain in the abdomen. [Stf. ]
Frequent urging to urinate.
Urging to urinate. [Hbg.]
Whilst eating a (single) apple, immediately urging to urinate. [Fz.]
Frequent urging to urinate, with scanty discharge of urine (aft. 2 h.). [Lr.]
Frequent discharge of golden yellow urine-from the very first. [Stf. ]
Frequent urging to urinate, with great flow of urine (aft. 27 h.). [Lr.]
Horrible cutting in the region of the bladder, without urging to urinate, for some hours, when sitting, very much increased by rising and moving, so that he was compelled to sit still, in the evening; but he could pass his urine without suffering, though the cutting in the vesical region had not ceased. [Hnl.]

Compare with symptoms 135 and 136. From chloride of manganese. Compare with symptom 150.

Fine shooting pain at the orifice of the urethra, when not urinating.
When sitting, if he has a silent discharge of flatus, an obtuse stitch darts very painfully in the back part of the urethra. [Stf. ]
Cutting in the middle of the urethra, when not urinating. [Hnl.]
Sometimes a burning twitching sensation from the region of the seminal vesicles forwards into the glans penis (aft. 12 d.).
On the corona glandis, voluptuous itching (aft. 3, 5 h.). [Hbg.]
Stitches in the prepuce. [Hnl.]
Aching drawing pains and feeling of weakness in the testicles and spermatic cord, as if the latter were drawn up; at the same time feeling of weakness of the whole of the genital organs, for two hours. [Hnl.]
Catamenia at an unusual time (aft. 48 h.).
Coryza (aft. 36 h.).
Stoppage of the nose; he could get no air through the nose.
Violent stuffed coryza (aft. 4 d.).
In the morning on rising from bed, rough throat, with hoarse, wooden voice. [L. Rkt.]
In the morning rough voice, without sensation, in the throat; the roughness goes off when smoking tobacco. [Fz.]

Compare with symptoms 161-165. Compare with symptoms 168 and 169. Symptoms 175 and 176; compare with symptoms 186 and 187.

In the open air he immediately gets dry throat and rough voice, with cutting aching in the abdomen and nausea in the chest. [Fz.]
Stuffed coryza, with inflamed, red and sore nose and upper lip, in the evening. [Fz.]
Frequent sneezing and discharge from the nose of bland mucus as clear as water. [Stf. ]
In the right clavicle a gnawing and digging (aft. 36 h.). [Gss.]
First slight warmth, afterwards burning sensation in the cheeks, which at first occurred without externally perceptible, but afterwards with perceptible heat, with coryza and sick warmth in the chest. [Fz.]
On the chest disagreeable warmth; the breath is hot and burns in the trachea. [Fz.]
Sensation of febrile weakness on the chest and disagreeable warmth in it, with coryza and stuffed nose. [Fz.]
In the evening, first internal chilliness, without external coldness, then slight warmth in the chest and stuffed coryza, with hot breath, which he feels in the fauces when inspiring and expiring. [Fz.]
A drawing stitch constantly darting down and up in the left side of the chest.
On expiration, shooting in the upper part of the chest (aft. 10 d.).
Sometimes on expiration an upward drawing shooting pain in the chest.
Contractive shooting pain on the sternum when breathing deeply, all the forenoon (aft. 9 d ).
A grumbling downwards-drawing sensation in the lower part of the chest.
Burning shooting pain under the second left rib, that is increased by expiration and movement, but is somewhat relieved by rest and inspiration. [Ar.]
Internal warmth, especially in the chest; the limbs felt warm to him, and were actually rather warm to the touch (aft. 7 1/2 h.). [Hbg.]
On both sides of the sternum, somewhat above the scrobiculus cordis, an aching cutting pain, like a digging, in the evening (aft. 8 h.). [Gss.]
A dull pain in the sternum, as after a blow, in the morning. [We.]
In the evening in bed, beating in the right side of the chest, just as if the heart were beating there. [Fz.]
Palpitation of the heart. [Fz.]
When sitting a sudden blow on the left side of the chest, from above downwards, to the last true rib. [Fz.]
Bruised pain on the chest.
Flying stitches in the upper part of the sternum. [Ur.]
In the morning several fine needle-pricks, now in the left now in the right side of the sternum. [We.]
Violent stitches closely following one another in the right side of the chest, near the sternum, from the second to the fourth and fifth ribs, as if coming from the outside, not removable either by movement or rest, for half an hour. [Wz.]
Irritation to cough : he seeks to detach by coughing something adherent in the larynx, but only a little mucus is brought up with difficulty and rather by a certain sharp expiratory movement of the chest than by actual cough. [Stf. ]
Reading aloud and speaking cause a dry cough; then occurs a painful dryness and roughness in the larynx, which, in conjunction with a constriction of the larynx, causes a very painful cough, during which some mucus is expectorated only after long hawking. [Stf. ]
In the morning inclination to cough.
Morning cough with expectoration (aft. 21 h.). [Hbg.]
In the morning he expectorates, almost without coughing, a quantity of dull greenish yellow mucus in lumps. [Stf. ]
When coughing an obtuse pain on the chest. [Stf. ]
Deep cough, without expectoration, all day, which ceased when lying down, returned the following day with tenacious mucous expectoration, and pain as of a concussion in the scrobiculus cordis and chest, but went off quickly at noon. [L. Rkt.]
A dry cough, and every cough is felt in the sides of the head. [Stf. ]
Bloody expectoration (aft. 48 h.).
Above the left pelvic region towards the first lumbar vertebra a small spot of burning pain (aft. 4 h.). [Hbg.]
Itching shooting pain in the middle of the back, towards the left side, which went off by rubbing with the hand. [Ar.]
Tearing pain down the whole spine for six hours, when at rest and when moving. [Ar.]
Tearing in the muscles of the left scapula, when sitting (aft. 3/4 h.). [Lr.]
First in the shoulder-joint, then in the elbow-joint, sensation like an internal clucking, but on both joints externally, when touched, an intolerable pain like a boil; he dared not grasp it.
Drawing and tearing from the shoulder down through the whole arm.
On stretching out the arm, a tensive pain below the elbow as if it were too short there; he did not feel it on keeping the arm flexed.
Drawing tensive pain from both shoulders over the nape, as if a band were tightly tied there. [Stf. ]
An out-boring shooting pain on the inner side of the right upper arm, for a quarter of an hour. [Ar.]
Single stitches in the upper part of the right upper arm towards the shoulder. [Ar.]
Drawing tearing pain on the inner side of the left upper arm. [Ar.]
Sudden twitching pain in the outer side of the right upper arm. [Ar.]

From chloride of manganese. Compare with symptoms 216 and 222.

Compare with symptoms 220, 242, 266.

In the lower end of the shaft of the humerus a gnawing pain, at night (aft. 12 h.). [Gss.]
In the shaft of the humerus a digging about pain in fits, at night when lying in bed on that side. [Ar.]
Weakness of the arm.
Sudden feeling of weakness in the upper arm, so that he must let it sink down; at the same time drawing in the biceps muscle. [Fz.]
Pain by fits in the joints of the arms.
A morbid sad feeling in the arm.
A horrible toothache suddenly goes off, and the pain goes into the arm, which then pains as if paralyzed. [Stf. ]
A tensive pain here and there in the joints of the hand and arm, which is not excited or allayed by rest or by movement. [Stf. ]
Hard pressure in the muscles, now of the right, now of the left forearm, close to the wrist-joint, in every position (aft. 1 h.). [Lr.]
Tearing pain on the lower end of the radius of the left forearm, as if in the bone, which is not altered by anything, for three minutes. [Ar.]
Drawing shooting pain on the back of the right forearm. [Ar.]
Tearing stitches above the right wrist towards the forearm. [Hnl.]
Stitches in the right carpal bones, then feeling of pain, as if the capsule of the joint were dilated and the bones seized hold of and drawn out. [We.]
Tearing shooting pinching pain in the left palm, on the ball of the thumb, not altered by anything, for four minutes. [Ar.]
A firm drawing tensive pain in the bones of the right hand and wrist-joint, almost as if tightly bound; after this went off a heat spread over the hand. [Stf. ]
Cramplike tearing in the muscles of the right hand, especially those of the thumb and index, when at rest and when moving (aft. 2 1/4 h.). [Lr.]
Tickling itching-more tickling than itching-in the left palm, only allayed for an instant by scratching, but then recurring all the more severely; the pain was only permanently relieved by licking with the tongue, in the evening. [Fz.]
On spreading out the fingers, tension in the skin of the ring finger. [Fz.]
Drawing tearing in the whole of the left middle finger. [Hnl.]
A drawing or twitching pain in the index (in the evening).

* The drawing shooting pain seems to be allied to the twitching shooting in symptom 262, as also with the tearing stitches, 272.
† The cramp-like tearing seems to be very much the same as the drawing tension, symptoms 120 and 239, also 266, and the cramp-like drawing, 252.

In the proximal joint of the left index, pain as if he had had a blow on it-a paralytic pain, most felt when at rest (aft. 1 h.). [Gss.]
Cutting pain in the lowest phalanx of the right index, with warm feeling in it. [Fz.]
From a small scratch (on the proximal joint of the little finger) there occurs a malignant ulcer, full of pus, with a blue areola and shooting pain in it, especially at night.
Burning itching on the outer border of the right thumb that excites scratching, whereupon a red spot occurs that continues for a long time (aft. 11 h.). [Lr.]
Burning itching on the outer border of the right thumb, which compels scratching, whereupon a blister appeared which contained a fluid, and when touched there occurred smarting pain (aft. 30 h.). [Lr.]
In the left thumb, opposite the nail, a quickly occurring cold feeling. [Stf. ]
In the muscles of the left buttock a burning point, as if a pustule would come on there, chiefly when sitting (aft. 4 h.). [Hbg.]
On the left buttock, towards the anus, a cramplike drawing, which on extending the left thigh, on standing alone on that leg, and in the act of sitting down, is increased, but which goes off almost completely when flexing the leg and sitting; it is most troublesome when rising from his seat, so that he cannot walk unless he presses his hand upon it. [Fz.]
In the ischium pain when sitting, a persistent stitch.
Weakness in both thighs and legs, with drowsiness. [Ar.]
In the lower extremities twitching of all the muscles on the slightest movement. [Fz.]
In the morning paralytic weakness in the right hip-joint and stitches therein when treading; he must limp. [Hnl.]
Bruised pain transversely across the thighs.
Shooting pinching pains in a small spot of the outer side of the thigh, which went off on sitting, but increased so much on walking that he must stand still. [Trn.]
After walking a twitching internally of the muscles in the thighs, which causes anxiety and a faint feeling as if he would sink together. [Fz.]
The border of the glutei muscles at the head of the thigh is painful, as if bruised, especially when sitting. [Fz.]
Eruption on the thighs, pimples, on the tops of which a scab forms, with burning itching, in the morning and evening; after rubbing it pains as if excoriated and ulcerated.
In the evening, twitching shooting pain from above the knee to the upper part of the thigh (aft. 12, 36 h.).
On the inner side of the left leg, from the knee to the ankle-joint, a curious tepid sensation (aft. 7 h.). [Hbg.]
Itching in the hough, which deprived him of his night's rest.
Shooting in the bend of the knee, when walking and sitting (aft. 17 d.).
When walking in the open air, a peculiar tensive feeling of the left lower extremity as if it were stiff (aft. 13 h.). [Lr.]
Drawing and sore pain in the left tibia, when standing, as if it were broken; this pain goes off when sitting. [Fz.]
Drawing tearing pain on the right tibia, when sitting, which went off on rising up, but returned when at rest. [Ar.]
(Sore) sensation on the right tibia, as if it were bruised. [Fz.]
In the evening, when walking, trembling and unsteadiness of the knees. [Fz.]
Rigidity as from coldness and actual coldness of the right leg, especially of the calf, and sensation in it, when sitting, as of soreness, which goes off on rising from his seat, in the evening. [Fz.]
Tearing stitch in the left calf, when sitting. [Hnl.]
Hard pressure in the muscles of the left leg near the ankle-joint (aft. 3/4 h.). [Lr.]
Swelling and inflammation of the left outer and inner ankle; shooting from the outer ankle up into the leg, when walking; per se there was only occasional shooting in it.
Drawing on the dorsum of the left foot, at the joint; it goes off on moving. [Fz.]
Long-continued tickling in the hollow of the right sole. [Hnl.]
A shooting resembling nipping on several parts of the body, especially in the interior of the thighs. [Hnl.]
(Smarting itching on the body, only after getting heated and perspiring.)
On rising up from bed, in the evening, a severe burning over the skin of the whole body, which went off on lying down again in bed (aft. 8 h.).
Weakness in all the joints-they seemed to him as if expanded; at the same time trembling in the limbs, and trembling feeling in the knee and arm-joints, with anxiety, as if it was all over with him. [Fz.]
All parts of the body are painful on the slightest touch, as if festering, but only during a febrile warmth in the chest and on the cheeks. [Fz.]
In the morning a sudden shock through the whole body, like a start in the limbs (aft. 14 h.).
Discomfort in the whole body, especially in the stomach, with crossness. [Ar.]
A clucking and welling in various muscular parts of the body. [Hnl.]
Most of the sufferings occur at night. [Gss.]
Most of the sufferings are aggravated by stooping. [Fz.]
Nocturnal digging pains in several bones. [Gss.]
Drawing tensive pains, as from a tightly tied band in several parts of the body. [Stf. ]
Most of the stitches from manganese are obtuse. [We.]
In the evening, after 8 o'clock, he is overcome by such great weariness that it is with difficulty he can keep awake, for two successive evenings. [Hnl.]
After midnight (about 3 a.m.), in bed, he dreamt that he was awake and with his doctor, as in perfect consciousness, and he could afterwards recall every word of the conversation, just as though all had occurred to him when awake (aft. a few h.).
Very vivid, anxious dreams, as if everything occurred when he was awake, remembered in every detail; on waking he felt strong.
He dreams immediately on going to sleep. [Trn.]
Vivid dreams with rapid changes of the subjects, with frequent waking in full consciousness of what he had dreamt, but in the morning he has but a dim recollection of his dreams. [Fz.]
About midnight he was half awake and (without being troubled with any particular thoughts) could only get to sleep soundly towards morning on account of anxious distressing restlessness; at the same time tossing about in bed. [Hnl.]
All night confused and sometimes even anxious, very vivid dreams. [Fz.]
He sleeps soundly, but with anxious dreams about soldiers, who are shooting him through and through, whereby he imagines his life is in danger. [Trn.]
Vivid, anxious, frightful dream. [Lr.]
All night, without cessation, very vivid but confused dreams, jumping from one place and from one subject to another. [L. Rkt.]
Dream of alternately anxious and agreeable character. [Lr.]
He dreamt very vividly of two persons who were to come the next day, and who did actually come. [Hbg.]
Vivid dream of a reconciliation. [Lr.]
Irregular and scarcely perceptible pulse, sometimes 50, sometimes 42, sometimes 62 in the minute. [Ar.]
Irregular pulse, sometimes 70, sometimes 60, sometimes 55, sometimes 49 in the minute [Ar.]
Rigor and coldness when walking in the open air-in moderately warm air; when walking quickly the chilliness was allayed, but the coldness of hands and feet remained until he came into the room where they became warm.

Symptoms 291 and 292; compare with symptoms 293-302.

Late in the evening, rigor and coldness of feet-the right leg was cold up to the knee- without thirst or subsequent heat.
In the evening a rigor in the open air and in the room; he could not get the feet warm (but the hands were not so cold), with aching shooting pain in the sinciput; in the room the chilliness went off but not the headache (aft. 60 h.).
In the morning rigor, with cold hands and feet. [Fz.]
Cold hands and feet continuing even in the room, but without chilliness (aft. 36 h.).
Shivering all over the body. [We.]
Shivering over the back, and at the same time stitches in the head. [Fz.]
Anxiety with short breath, and profuse sweat all over. [Ar.]
(When sitting) he became all at once very hot all over the back, followed soon by perspiration, with very contracted pupils. [Stf. ]
Agreeable warmth all through the body. [Kapp, l.c.]
Great heat in the head, with some chilliness on the rest of the body.
Sudden flying heat and redness of the face, especially when standing, without thirst-soon passing off (aft. 3/4 h.). [Lr.]
On waking from sleep, sweat only on the neck. [Lr.]
On waking at night, sweat all over (aft. 66 h.). [Lr.]
At night on waking, sweat all over the body, which compelled him to scratch (aft. 24 h.). [Lr.]
On awaking from sleep, sweat on the legs, but especially on the feet. [Lr.]
Sadness (aft. 6 d.).
Sad and cross (aft. 36 h.).
Lachrymose humour. [Fz.]
Cross, reflective, silently reserved, wrapped up in himself, with discomfort in the whole body, for four successive afternoons from 1 to 6 o'clock. [Ar.]
Cross and discontented with himself, and concerned about the future; he does not speak much, considers himself very weak in mind, and makes mistakes whenever he speaks. [Fz.]
Persistent restlessness of disposition, just as if he were going to hear some sad news. [Lr.]
Ill-humoured, so that the most joyful music does not cheer him, but he feels as if refreshed by the most melancholy music. [Ar.]
In the morning wrinkled forehead, and surly and cross at every trifle; even the talking of others made him angry. [Hnl.]
Embittered humour: he could not forget injustice done to him; he fostered resentment for a long time. [Lr.]
Great restlessness of body and disposition, as if something bothered him.
Tranquillity of disposition; (*Curative action); he could easily get over everything of a disagreeable nature. [Lr.]

From chloride of manganese. Curative action.

Manganum aceticum

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