# Manganum Aceticum (HMT)

## Remedy Classification
- **Type:** Remedy
- **Alternative Names:** Manganese Acetate
- **Miasm:** Tubercular Miasm
- **Temperament:** Neutral
- **Aggravation Time:** Neutral/Anytime

## Keynote Indications
The homoeopathic form is prepared from the Acetate of Manganese.
Dr. Hahnemann has done its pr oving.  It works profoundly on
haemopoeitic system (i.e. blood formation), but for certain reasons has
not been used much.  Its main effect is on the voice box  (larynx).
Manganum is very useful in the treatment of accumulation of
tuberculoses matter, causing gradual reduction of voice  and
constant coughing.  It also dispels ot her effects of tuberculosis.  The
symptoms of Manganum described in literature present a very horrible
picture.  Therefore, most doctors fa il to benefit from its use because
they do not use it until and unless the symptoms manifest in their
vividly dreadful form.

In Manganum, the skin becomes gr easy and pale while the patient
feels extremely weak. But all these signs do not appear right from the
beginning of the disease.  Once the symptoms appear in their severe
form, it is too late and very difficu lt to treat.  Manganum should be
used as soon as a symptom suggestive of Manganum is noted.  If the
patient’s voice box (larynx) seems to be getting afflicted and there
are other symptoms of tuberculosis present (i.e. fever and cough), then
Manganum should be started without de lay.  If the patient is that of
Manganum, other remedies may reduce the cough but will not have a
profound effect.  Manganum is also intimately related to the function
of the outer layer of the bone (perios tium).  Thus, it is also beneficial
in the treatment of chronic si nuses originating from the bone
(osteomyelitis).

Menstrual disorders are also common in Manganum.  It is better to
treat a short scanty flow of thin watery fluid with Manganum rather
than with any other remedy to pr omote the menstruation.  Here, the
problem is the lack of blood (an aemia).  Remedies other than
Manganum will further aggravate the anaemia.  I have noted that if the
treatment chosen is precisely appropriate, then the periods will cease
for a few months in order to conserve blood.  Once the anaemia is
corrected and the body strength rest ored, normal periods will then
commence.  In case the periods have stopped in the absence of
anaemia, then some other suitable treatment should be started to
restore them.

Manganum is very useful in the treatment of leg cramps, stiffness
and insensitivity of the legs, as well as shin pains.

In Manganum, skin conditions are also not uncommon.  The edges of
the sores and ulcers become thickened.  Most of the ulcers fail to heal.
Manganum has been reported to be useful in the treatment of
Psoriasis.  Psoriasis, that has previously been suppressed, will at first
forcefully express itself on taki ng Manganum, and then gradually get
better with its prolonged interrupted use.  Therefore, if psoriasis shows
up with the use of Manganum, it should not cause concern.  Dr. Kent
was strictly opposed to the suppre ssion of psoriasis with powerful
medicines in order to avoid the development of cancer in the intestines
or any other internal organ.  Most of the statements of Dr. Kent are
true; therefore this one may well be true as well.   Psoric symptoms of
Manganum are also found in Phosphorus and Dulcamara.

Manganum adversely affects the bl ood cells.  There is a tendency
towards the inflammation of the voice box  (larynx) and the wind pipe
(trachea), which extends from the voice box to the lungs and is made
of multiple circular elastic rings.  Every successive attack is stronger
than the previous one, so much so that it ultimately brings about the
flare-up of the previously suppre ssed tuberculosis of the lungs.
Timely use of Manganum saves the patient from grave complications
in the future.

In Manganum, ulcers become indol ent. This is a pre-cancerous
condition that may lead to the fo rmation of cancer if suppressed
forcefully.  A mere light touch may cause the patient to suffer.  When
the bones hurt on walking and do not  respond to Arnica or Bryonia,
then Manganum may be used.  It  has more profound effect than
Arnica and Bryonia.  In a similar wa y, the pains like that of Baptisia
may be experienced by the patient of Manganum.  In Baptisia, the
pains are due to the dysfunction of the stomach and toxic putrefaction
of Typhoid.  In case, Baptisia st ops working, Manganum should then
be remembered.

The patient of Manganum is very depressed and is fearful of some
impending mishap.  Generally, women suffer from this condition.
They have superstitions about th eir dear ones.  Once the mental
symptoms are well advanced, the patient may lose the ability to
understand and comprehend.  The eyesight becomes weak.
Manganum will not only cure all the symptoms but also other related
conditions of the patient.

In Manganum, the symptoms aggravate on movement and on walking,
yet do not get better on sitting eith er.  However, if the patient lies
down, the entire suffering disappears as if it was never there.  Obese
women, who suffer permanently from body pains and tend to keep
lying down constantly, may well be cured with Manganum provided
other salient symptoms of Manganum are also present.  Sometimes, a
person becomes sick and tired of just  sitting down and likes to get up
and stroll around, but walking makes the pain worse.  In this
condition, one may think of Arseni c and Rhus Tox.  Their main
symptoms are different, of course.

Regarding tuberculosis, symptoms si milar to those of Manganum are
also found in Argentum Metallicum, Phosphorus and Graphites.  In a
tuberculosis patient, the headache due to the associated anaemia
will benefit from Manganum.  The pain of Manganum is sharp,
prickly and piercing type.   Red painful pimples appear over the scalp.
There is inflammation of the eye and the eyelids, with hypersensitivity
to light.  Looking at near objects causes pain in the eyes.  That is why
the eyes hurt on reading a book and doing needlework.  This symptom
somewhat resembles Ruta.

In Manganum the ears discharge foetid material .  Ammonium Carb
also is very effective in treating this condition.  In Manganum, the ears
may feel temporarily blocked and heavy.  Blowing the nose, which
increases the pressure inside the ea rs, helps restore the hearing.  The
Outer Ear (Pinna) is painful to touch.  The nasal catarrh with cold and
sore throat affect the ears, causing pain. Similarly, toothache may also
be referred to the ear.  Therefore, one should always remember
Manganum for treating the nasal catarrh, which causes heaviness in
the ear  and impedes hearing.  In cold and humid weather, even
without infection, one may temporaril y become hard of hearing.  If
there is irritation in the ear, whic h then affects the throat on the
application of local pre ssure, and the patient begins to sneeze, then
Manganum can be beneficial.  Thes e symptoms, most often, become
aggravated in cold and wet weather.
When the face is pale, listless a nd without natural glow, Manganum
can play an important role in treating the condition.

Boils associated with fever  can also be treated with Manganum.
Manganum is also useful in the treatment of all sorts of stomach
disorders, especially if there is comp lete loss of appetite (as in
anorexia).  This remedy restores the a ppetite.  The abdominal pain of
Manganum gets relieved on bendi ng over as in Colocynth.  In
Manganum, the patient definitely suff ers from a stomach upset of one
sort or the other.  He will either be constipated or have diarrhoea or
dysentery.  The digestive system is never completely normal. Hot
flushes due to the menopause or simply due to anaemia are treatable
with Sulphur, Graphites and L achesis, though Manganum is also a
good remedy.

Manganum also prevents against the fatty degeneration of the
liver.  It is also useful in the treatment of jaundice and stones in the
gall bladder.  The patient feels light dragging pain below the navel. A
severe pain is suggestive of Plumbum.

The constant hawking needed to cl ear the throat can benefit from
Manganum.  This symptom is also not ed in other reme dies such as
Wythia, Argentum Met, Silicea and Phosphorus, etc.  The cough in
Manganum, like its other symptoms, subsides on lying down.
Conversely in Hyoscyamus the patie nt starts coughing on lying down.
This symptom is more common in young girls of a sensitive nature.
In Argentum Metallicum also, the cough subsides on lying down.  A
cough which becomes severe on talk ing and laughing responds better
to Phosphorus than Manganum.  Manganum helps restore the strength
of  patients who are progressively getting weaker.

In Manganum, the symptoms become worse in cold and humid
weather as well as during the calm before a storm.

Antidotes: Coffea, Mercury
Potency: 30 to 200

## Symptoms by System