– Kent J. T.
The general features of the remedy are such as related to the mind and such as relate to the tissues of the body in general. If you run through the mental symptoms, taking them all in as one great whole, you will see that all the affections, natural to healthy man, are perverted. So great in extent is this that one of the fundamental loves, which is the love of living, of self- protection, is perverted and he loathes life, is weary of life, longs to die and seeks methods to commit suicide. No love of life. The affections pre-eminently are deranged, the intellectual sphere is only secondarily changed. Of course insanity runs through the remedy, but it is an insanity that begins in the will and proceeds to the intellect; it is first observed as a perversion of the affections. It is astonishing that one could get into such a state of mind, such horrible depression of spirits that there is an absolute loss of enjoyment in everything. You take away a man’s hope, and he has nothing to live for, he then wants to die. Such, it seems, is the state in this medicine. Self-condemnation, continual self-reproach, self- criticism, a constant looking into self; she does nothing right, everything is wrong, nothing will succeed, hopelessness. “Imagines he cannot succeed in anything, and he does everything wrong; he is in disunion with himself.” Imagines he sees obstacles in his way everywhere. He is all the time imagining that he has (). He imagines that he deserves reproach in consequence of () he has neglected something, he is wrong, is wholly evil, has sinned away his day of grace, is not worthy of salvation; this is the train of thought that constantly runs through his mind. The thought really becomes uncontrollable; he is absorbed in himself and sits and broods over it, and by brooding over it he only intensifies his present state and hatches new grievances, continues to worry over himself, thinks he is wholly unfit for this world, and then he longs to die. He looks on the dark side of everything, constantly expecting bad news, looking for everything to go wrong. The future looks dark to him, and he wants to die; he never will succeed, for everything goes wrong that he turns his hand to. His business is dark, his family troubles him, his friends annoy him; he becomes () irritable, easily angered, is worried over trifles, and easily excited. Every little thing rouses him into anger and turmoil, he is always in a vexation. The Aurum state of mind is an insanity dreadful to look upon because of its turbulence and melancholy. It is suitable in the most profound states of melancholy and depression where the patient sits silent and says nothing. When disturbed he is aroused to great vehemence, anger and violence. “Melancholy, feels hateful .and quarrelsome.” “Terrible melancholy after abuse of ().” The causes of this state of insanity are prolonged anxiety, unusual responsibility, syphilis and loss of property. Persons who have been repeatedly drugged with (), have established upon themselves a mercurial disease,with enlargement of the liver, and this is almost always attended more or less by melancholy and sadness and such hopelessness as we find in Aurum. Aurum produces such () of the liver as are associated with cardiac affections, endocarditis, dropsy of the heart and rheumatic affections that have gone to the heart. You will notice that wherever the affections are pre- eminently disturbed in mental disease that there is either cardiac weakness, endocarditis, enlargement of the heart, or some organic functional disease of the heart. You will very often find a history of taking () that has superinduced a rheumatic state that has been rubbed away with liniments until the heart is affected, and with this comes hopelessness, insanity of the will, disturbance of the affections. Then it appears to spread in this remedy from the will to the understanding, and the intellectual portion of man becomes involved. Think what a state it is for a man who has been in good condition of health, respected in his business circles, to have a desire to commit suicide. You will see other kinds of insanity and a breaking down or a state of feebleness of the intellect, he cannot think nor reason; his affections are practically intact, but he finally goes into a state of imbecility, or he becomes wild and commits suicide from impulse. That is an instance where the intellect has been affected first and spread to the will. Sometimes this state comes on, and no disturbance in the man’s intellectual nature has been observed; it is intact, it is sound. He has been sound in his business affairs, he has been a good father, he has been observed by those around him to be intelligent, but he has silently brooded over his state and his hatred of the world; he has told nobody of it, and then he has been found hung in his room. The man’s intellectual nature keeps the man in contact with the world; but his affections are largely kept to himself. A man can have affection for all sorts of things and perversion of the affections, but his intellect will guide him not to show his likes and dislikes to the world. The affections cannot be seen, but man’s intellect is subject to inspection. He cannot conceal his intellect. We shall see that the affections are interior, they are covered with a cloak, they are his innermost and are hidden from inspection; but the understanding is the outermost garment, it surrounds and hides his affections, just as does the garment he wears over the body. The affections that Aurum resembles are those like unto the very innermost nature of man. “Ailments from grief, disappointed love, fright, anger, contradiction, mortification.” “Pain makes her desperate so that she would like to jump out of the window.” He meditates upon death, upon suicide; he wants to get out of the world, wants to destroy himself, has no love for his life which he thinks is worthless.
The remedy is full of rheumatic affections, not unlike such as are found in old mercurial cases; rheumatic affections with swelling of the joints; affections of the cartilages and bones, inflammation of the periosteum;thickening and induration of the periosteum. Indurations of glands; induration of the cartilages about the joints. These are all of syphilitic and mercurial character. It is useful in old syphilitics when the bones are breaking down in any part of the body; the shin bones, nose bones, ear bones,any of the small bones. Like syphilis and mercury, the complaints are aggravated at night, coming on in the evening and keep up all night. The pains are violent, they tear, the bones ache as if they would break, not in acute fevers but in old syphilitic bone troubles. Knife-like pains in the periosteum. Pains in the joints rendering them immovable. Inflammation of the bone itself with caries. It is not strange that the vascular coating of the bones, the periosteum, should be greatly affected because there is a strange vascularity, all over the economy, in this medicine. The veins are enlarged,in a state of congestion and inflammation, and friable. The veins become thickened and tumefied. The blood vessels pulsate all over the body. “Erethism or vascular fullness characterizes nearly all complaints.” Fullness of the veins of the extremities, this goes on until swelling appears with weakness so that dropsy is prevalent throughout the remedy. oedema of the extremities, with pitting upon pressure, which occurs in heart and liver affections. A false state of plethora seems to exist in the body and finally turmoil and excitement occur. violent orgasm in the body, sometimes demonstrated as violent heat, coming in flushes with excitement. Fidgetiness, feeling as if something dreadful were going to happen throughout the economy. Then it settles into a state of quiescence for awhile and then this repeats itself. These violent orgasms come preparatory to the locations or establishment of some breakdown in the economy. At times it is a cardiac affection, with marked oppression behind the sternum with dyspnoea on walking fast or going upstairs. Endocarditis will have this turmoil in the body; by and by look for albumin in the urine, look for enlargement of the liver, look for signs of cancer of the uterus, and deep-seated affections.
“Boring in bones.” “Pains drive to despair.” The pains drive the patient out of bed at night and make him walk. This seen in old syphilitic bone pains, and old mercurialized patients. The patients has been taking () all his life and his liver is enlarged, and his joints are enlarged. He goes to every doctor, with an endeavor to get relief from his distressing sufferings. () and disease are so mixed up that a great turmoil which result from your first prescription. He will go through these stages of violence and periodical attacks. You will have to know such medicines as Aurum, () and () to get this patient over these awful attacks which obliged to go through
This medicine wonderfully affects the glands, the parotid glands, the glands about the groin, the lymphatics in the abdomen; in fact, the glands everywhere. The mammary glands, the testes and ovaries, are involved, and undergo states of hardness, infiltration, etc. Aurum cures chronic enlargement of the testes, and lumps in the mammary glands. Tumors in these glands, of cystic character, have been cured by Aurum. Hahnemann potentized Aurum and gave some of it to a patient, and it did not work, but he thoroughly triturated it until he got it to the fifteenth potency and then it worked and restored that patient to the bosom of his family. Hahnemann says that in the earlier triturations the dose was yet too large to cure; so he went higher until it was sufficiently small to cure, sufficiently attenuated to go into the interior of the economy through the various envelopes of man.
There is one grand feature running through the Aurum state; it is the manner in which he is affected by temperature, and by the weather. Here are some symptoms that relate to the whole man, which must be examined in this connection. “Desire for open air.” This patient ranks along with () as to temperature; but Aurum is not mild, gentle and yielding, he is Generally (>) growing warm.” This is in connection with the headaches. “Cold water ameliorates pain in eyes.” “Averse to uncover,” but he desires open air like (). “Warm air, asthma (