back Aurum Metalicum

Synonym. - Aurum Metallicum.

Common name. - Metallic Gold.

Preparation - Triturations of the precipitated metal.

Aurum affects especially the osseous and glandular systems, most prominently the nasal and palatine bones, and the oculonasal mucous membrane, giving rise to conditions quite analogous to those which, in these parts, result from a syphilitic mercurial or scrofulous disease, the drug having a general tendency to destruction of tissue in the parts affected (especially on connective tissue in parenchymatous organs. - Allen).  Aside from its local action, the distinguishing feature of Aurum is its desponding melancholy, with suicidal tendency.

 

Mind. - Disgust for life; suicidal tendency (Naja, Nux v.).  Religious mania, imagines herself irretrievably lost.  Melancholy; imagines he is unfit for this world, never can succeed (Arg. nit.). Despondent, dejected, unhappy, weeping (Lyc., Natr. mur., Nux m., Puls., Rhus tox.).  Great anguish, coming from the precordial region, driving him from place to place (Ars.); palpitation. Apprehensive; full of fear (Acon., Bell., Cinch., Ign., Phos.); a mere noise at the door makes him anxious.  Peevish and vehement; the least contradiction excites his wrath (Bry., Cham., Ferr., Nux v.).   oAilments from grief, disappointed love (Hyos., Ign., Phos. ac).

Head.- Vertigo when stooping, as if turning in a circle, better on raising the head (Bry., Coni., Nux v.); as if drunk (Stram.);  as if he would fall to the left when walking in open air (Agar., Calc. c, Glon., Sep., Sulph.);  must lie down, but returning even then on slightest motion.  Rush of blood to the head, with sparks before the eyes and glassy, bloated face; worse from men hil exertion.  Skull bones painful as if broken, when lying down.  Fine tearing from the right side of the occiput through the brain to the forehead; worse during motion.  Heat on vertex.  Bony tumors on cranium; boring pains.

Eyes. - Protruding.  Feeling of sand.  Tension, making vision difficult.  Sees things double or mixed up (Bell., Cic, Nitr. ac, Phyt.).  Objects as if divided horizontally; can see only lower half, upper half as if covered with a dark body. (Left half, Lyc.).  Heat in eye when looking, as if blood pressed upon the optic nerve. Feeling of weakness and pressure in eyes.  Pressive pain in eyeball from above downward; inward; right eye; worse during motion.  Constant lachrymation (Euphr.). Morning agglutination (Ailanth., Calc c, Lyc., Merc, Sulph.); burning in lids; burning in inner canthi, with stitching, drawing and itching.

Ears.- oCaries of the mastoid process (Caps.) ; obstinate foetid otorrhoea (Bovis.).

Nose. - Ulcerated, agglutinated, painful nostrils (Nitr. ac.); cannot breathe through the nose (Arum); crusts in the nose (Ant. crud., Graph., Kali bi., Puls.).  Nose feels obstructed as in dry coryza, yet air passes through freely. Burning, itching, stitching and smarting in the nose;  feeling of soreness in the nose, especially when touched (Merc).  Boring inside of nasal bone, toward maxilliary.  Redness and swelling of right nostril and beneath it.  Sensitive smell; everything smells too strong (Acon., Agar., Coff., Bell., Colch., Hep. s., Lyc.).  Putrid smell when blowing the nose. oCaries of the nasal bone (Calc. c, Merc).

Face. - Drawing tearing on left side of face.  Burning, tearing and boring in zygoma, inflammation of the bones of the face; caries of the cheek bones.  Swelling of one cheek, with drawing and tearing in jaws.  Painful swelling of the submaxillary glands (Arum, Calc. c, Iodi., Rhus tox.).  Fine eruption on lips, face or forehead.

Mouth.- Toothache from drawing air into the mouth. Putrid odor from the mouth (Arn., Hep. s., Iodi., Kreos., Merc, Nitr. ac, Puls.), as from old cheese.  Bitter or putrid taste in the mouth (Arn, Hep. s., Merc, Puls.).  oCaries of the palatine bones.

Throat.- Parotid gland painful, as if pressed or contused on touch (Merc).  Dull pressive pain, with or without swallowing, in a gland below angle of lower jaw (Merc).

Stomach.- Immoderate appetite and thirst with qualmishness in stomach.  Pressure on left side, near pit of stomach, at noon.

Abdomen.- Burning heat and cutting pain in right hypochondria.  Incarcerated flatulence; rumbling (Carb. v., Cinch.. Lyc.).

Urine.- Turbid, like buttermilk; much sediment of mucus.

Stool.- Constipation, stools hard and knotty.

Male Organs. - Right testicle swollen; pressive tensive pains when touching or rubbing, as from contusion. Swelling and induration of the testes (Coni., Rhod., Puls.). Nightly erections and pollutions (Phos. ac).

Female Organs.- oProlapsus and induration of the womb.

Respiratory Organs.- Dyspnoea; constantly taking deep breath; cannot get air enough (Ars., Ant. tart., Phos.), at night.  Dyspnoea, with dull stitches in the chest when inspiring.  Suffocative attacks, with spasmodic constriction of the chest;  oasthma, from congestion to chest;  great oppression at night and when walking in the open air; face bluish red; palpitation;  falls down unconscious.

Heart and Pulse. - Violent palpitation of the heart, with anxiety and tremulous fearfulness (Acon.).  Pulse small but accelerated. Weak pulse, cardiac asthma; mental depression; great debility.

Lower Limbs. - All the blood appears to rush from her head into her lower limbs; they feel paralyzed; she has to sit down; knees pain, as if firmly bandaged, when sitting.

Generalities. - Boring, tearing bruised bone pains in extremities.  Over-sensitive to all pain (Cham., Coff. c, Ign.), and to cold air (Cinch., Coccul., Sep., Sil.).  Hypochondriasis and hysteria. oHysterical spasms; alternate laughing and crying (Ign., Nux m., Phos.).  Great nervous weakness; tremulous agitation.  Boring in the bones;  ocaries, especially after Mercury.  Very sensitive to cold over the whole body.  Violent orgasm, as if the blood were boiling in the veins.  Better in open air. Pains aggravated at night.

Sleep.- Awake all night; no pain; no lassitude or sleepiness in the morning.  Vivid frightful dreams about thieves (Arn., Bell., Puls., Sulph.), sobs aloud during sleep.  oAwakened by bone pains; suffering so great he despairs; does not want to live.

Skin.- oDeep ulcers, affecting the bones; after abuse of Mercury (Kali iod., Nitr. ac.)

Conditions.- Especially indicated in scrofulous subjects, with light hair, sanguine temperament, and ruddy complexion in corpulent old people.  Also in syphilitic and mercurial patients.

Compare.- Asaf., Ars., Bell., Calc. c, Cinch., Ign., Iodi., Merc, Mez., Nitr. ac, Phos., Plat., Puls., Rhod., Sil.

Antidotes.- Bell., Camph., Cinch., CoccuL, Coff . c, Cupr., Merc, Puls., Spig.

Aurum Antidotes.- Merc, Spig.

 

THERAPEUTICS. The chief therapeutic application of Aurum is in the treatment of syphilitico-mercurial affections and scrofulous diseases, especially caries of the nasal, palatine, mastoid and ossicular bones; ozsena; otorrhoea; nasal catarrh; angina; exostoses of skull and other bones.  The nightly aggravation of the pains, and their boring nature is characteristic.  Bones usually very sensitive to the touch, and ulcerated tissues give forth horribly offensive discharges.  Allen says that the drug " is always to be thought of in interstitial changes of heart, liver and kidneys, and in gouty diathesis." Fatty degeneration of these organs (Phos.).  Cardiac hypertrophy without dilatation.  Acute inflammation of the eye in syphilitic subjects, great photophobia; tendency to corneal ulcers; iritis with sore bruised sensation around the eye (Asaf.); glaucoma; scrofulous ophthalmia, great vascularity, scalding lachrymation, eyes sensitive to light and touch. Orchitis, especially on right side.  Chronic enlargement and induration of the testes. Hydrocele. Aurum has also been used in chronic inflammation, induration and prolapsus of the uterus.  Sterility, causing great melancholy. Vaginismus.  Hysteria.  Hypochondriasis.  Melancholia.  In all mental states there is a very low spirited condition, and disgust for life.  Religious melancholia, with weeping and crying.


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