-Jan Scholten
I will be very brief about Ferrum metallicum, because the remedy is well known. It contains all the basic characteristics of Ferrum.

Concepts

Ferrum Single

Firm All or nothing

Standing one’s ground Disconnected

Perseverance No integration

Beatings

Irritability

Case

One of my patients had a beautiful description of the Ferrum state: she always had the feeling that she had to do everything correctly from the very beginning. She was afraid that other people would be stronger than her, that they would push her aside, that she wouldn’t count. That is why she always wanted to keep an eye on everything, as that way she knew where she was and what she had to do. Her sensitivity to sound was connected to her feeling of having to be alert, having to be ready for action.

This attitude had started in her childhood, when she had to help look after 8 brothers and sisters. Being the eldest child she was a sort of second mother. But it was chaos at home and she found it very difficult to keep everything in order. If she did something wrong she would get a beating, but she never knew when. Sometimes she would get praise and at another time a smack. Hence the feeling ‘I have got to get it right first time, otherwise…’.

A brief picture of Ferrum metallicum

Essence: The idea that they have to stand firm for the things they have chosen for themselves.

Mind: Firm, brave, persevering.

Irritability () slow movement.

Complaints:

Anaemia, low and high blood pressure.

Red cheeks (

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– Boericke W.

– Iron.

General
Best adapted to young weakly persons, anaemic and chlorotic, with pseudo- plethora, who flush easily; cold extremities; OVER- SENSITIVENESS; worse after any active effort. WEAKNESS from mere speaking or walking though LOOKING strong. PALLOR of skin, mucous membranes, face, alternating with flushes. Orgasms of blood to face, chest, head, lungs, etc. Irregular distribution of blood. Pseudo-plethora. Muscles flabby and relaxed.

Mind
Irritability. SLIGHT NOISES UNBEARABLE. Excited from slightest opposition. Sanguine temperament.
Head
Vertigo on seeing flowing water. Stinging headache. Ringing in ears before menses. HAMMERING, pulsating, congestive headache; pain extends to teeth, with cold extremities. Pain in BACK OF HEAD, with roaring in neck. Scalp painful. Must take down the hair.
Eyes
Watery, dull red; photophobia; letters run together.
Face
Fiery-red and FLUSHED FROM LEAST PAIN, EMOTION, OR EXERTION. RED PARTS BECOME WHITE, bloodless and puffy.
Nose
Mucous membranes relaxed, boggy, anaemic, pale.
Mouth
PAIN IN TEETH; RELIEVED BY ICY-COLD WATER. Earthy, paste taste, like rotten eggs.
Stomach
VORACIOUS appetite, or absolute loss of appetite. Loathing of sour things. Attempts to eat bring on diarrhoea. SPITS UP FOOD BY THE MOUTHFUL. [PHOS.] Eructations of food after eating, without nausea. Nausea and vomiting after eating. VOMITING IMMEDIATELY AFTER EATING. VOMITING AFTER MIDNIGHT. INTOLERANCE OF EGGS. Distention and pressure in the stomach after eating. Heat and burning in stomach. Soreness of abdominal walls. Flatulent dyspepsia.
Stool
Undigested, at night, while eating or drinking, painless. Ineffectual urging; stool hard, followed by backache or cramping pain in rectum; prolapsus recti; itching of anus, especially young children.
Urine
Involuntary; worse daytime. Tickling in urethra extending to bladder.
Female
Menses remit a day or two, and then return. Discharge of long pieces from uterus. Women who are weak, delicate, chlorotic, yet have a fiery-red face. Menses too early, too profuse, last too long; pale, watery. Sensitive vagina. Tendency to abortion. Prolapse of vagina.
Respiratory
Chest OPPRESSED; breathing difficult. Surging of blood to chest. Hoarseness. Cough dry, spasmodic. Haemoptysis. [MILLEFOL.] With the cough pain in occiput.
Heart
Palpitation; worse, movement. Sense of oppression. Anaemic murmur. PULSE FULL, BUT SOFT AND YIELDING; ALSO, SMALL AND WEAK. HEART SUDDENLY BLEEDS INTO THE BLOOD VESSELS, and as suddenly draws a reflux, leaving pallor of surface.
Extremities
Rheumatism of the shoulder. Dropsy after loss of vital fluids. Lumbago; better, slow walking. Pain in hip-joint, tibia, soles, and heel.
Skin
Pale; flushes rapidly; pits on pressure.
Fever
General coldness of extremities; head and face hot. CHILL AT 4 a.m. Heat in palms and soles. Profuse, debilitating sweat.
Modalities
BETTER, walking slowly about. Better after rising. WORSE, while sweating; while sitting still. After cold washing and overheating. MIDNIGHT AGGRAVATION.
Relationship
Antidotes: ARS.; HEP. Complementary: CHIN.; ALUM.; HAMAMEL. Compare: RUMEX (similar in respiratory and digestive sphere and contains organic iron.) FERRUM ACETICUM (alkaline urine in acute diseases. Pain in right deltoid. Epistaxis; especially adapted to thin, pale, weak children who grow rapidly and are easily exhausted; VARICES OF THE FEET; copious expectoration of greenish pus; asthma; worse, sitting still and lying; phthisis, constant cough, vomiting of food after eating, haemoptysis). FERRUM ARSENICUM (enlarged liver and spleen, with fever; undigested stool; albuminuria.) Simple and pernicious anaemia and chlorosis. Skin dry. Eczema, psoriasis, impetigo. Use 3x trituration.) FERRUM BROMATUM (sticky, excoriating leucorrhoea; uterus heavy and prolapsed, scalp feels numb). FERRUM CYANATUM (neuroses with irritable weakness and hypersensitiveness, especially of a periodical character; EPILEPSY; cardialgia, with nausea, flatulence, constipation, alternating with diarrhoea; chorea). FERRUM MAGNETICUM. (small warts on hands). FERRUM MURIATICUM. (Arrested menstruation; tendency to seminal emissions or copious urination at puberty; very dark, watery stools; diphtheria; phlegmonous erysipelas; pyelitis; haemoptysis of dark, clotty blood; dyspareunia; pain in RIGHT SHOULDER, right elbow, and marked tendency to cramps and round red spots on cheeks; bright crystals in urine. Anaemia, 3x after meals. Tincture 1-5 drops 3 times daily for chronic interstitial nephritis.) FERRUM SULPHURICUM. (Watery and painless stools; menorrhagia, pressing, throbbing between periods with rush of blood to head. Basedow’s disease. Erethism. (Pain in gall-bladder; toothache; acidity; eructation of food in mouthfuls); FERRUM PERNITRICUM (cough, with florid complexion); FERRUM TARTARICUM (cardialgia; heat at cardiac orifice of stomach). FERRUM PROTOXALATUM (Anaemia). Use 1x trit. Compare also: GRAPH.; MANGAN.; CUPR.
Dose
States of debility where the blood is poor in hematin require material doses; plethoric, haemorrhagic conditions call for small doses, from the second to the sixth potency.

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H.C.Allen

+ Iron The Element.

#General
Persons of sanguine temperament; pettish, quarrelsome, disputative, easily excited, least contradiction angers [Anac. , Coc. , Ign. ]; (>). from mental exertion. Irritability: slight noises like crackling of paper drive him to despair [Asar. , Tar. ]. Women who are weak, delicate, chlorotic, yet have a fiery red face. Extreme paleness of the face, lips and mucous membranes which become red an flushed on the least pain, emotion or exertion. Blushing [Amyl. , Coca]. Erethitic chlorosis, worse in winter. Red parts become white; face, lips, tongue and mucous membrane of mouth. Vertigo: with balancing sensation, as if on water; on seeing flowing water; when walking over water, as when crossing a bridge [Lys. ]; on descending [Bor. , Sanic. ]. Headache: hammering, beating, pulsating pains, must lie down; with aversion to eating or drinking. For two, three or four days every two or three weeks. Menses: too early, too profuse, too long lasting, with fiery red face; ringing in the ears; intermit two or three days and then return; flow pale, watery, debilitating. Haemorrhagic diathesis; blood bright red, coagulates easily [Fer. p. , Ipec. , Phos. ]. Regurgitation and eructation of food in mouthfuls [Alum. ], without nausea. Canine hunger, or loss of appetite, with extreme dislike for all food. Vomiting: immediately after midnight; of ingesta, as soon as food is eaten; leaves table suddenly and with one efforts vomits everything eaten, can sit down and eat again; sour, acid [Lyc. , Sul. ac. ]. Diarrhoea: undigested stools at night, or while eating or drinking [Crot. t. ]; painless with a good appetite; of consumptives. Constipation: from intestinal atony; ineffectual urging; stools hard, difficultfollowed by backache or cramping pain in rectum; prolapsus recti of children; itching of anus at night. Always feels better by walking slowly about, although weakness obliges the patient to lie down. Cough only in the day time [Euphr. ]; relieved by lying down;; (>). by eating [Spong. ]. Dropsy: after loss of vital fluids; abuse of quinine; suppressed intermittent [Carbo v. , Cinch. ].

#Relations
Complementary: to, Alum. , Cinch. Cinch. : the vegetable analogue follows well in nearly all diseases, acute or chronic. Should never be given in syphilis; always aggravates the condition.

#Aggravation
At night; at rest, especially while sitting still.

#Amelioration
Walking slowly about; in summer.

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