Aurum Muriaticum Natronatum
Double chloride of Gold and Sodium. Chloro-aurate of Soda.
The essential features
Aurum muriaticum natronatum is another member of the Aurum family that primarily affects the sexual-hormonal balance in women. Its sphere of action is not entirely known, but we do have some indications from which we can draw certain conclusions.
This remedy initially excites the organism causing congestion and/or irritation of the uterus and ovaries, ulceration of the uterus, endometritis, inflammation of the ovaries, profuse and premature menses, habitual abortion, etc. As may easily be understood, it also increases the sexual passions in women, occasionally resulting in nymphomania. You may for instance have a case of a woman who has very much enjoyed an illicit love affair with a married man; she has thoroughly enjoyed the erotic contact, but at a certain point she finds that she has to give up the relationship, for one reason or another, and that she has to repress her sexual desire. The production of the hormones that were flowing exuberantly before is then repressed, to the point where they are almost petrified; similarly, we then see at this stage a petrification of the uterus. This organ becomes hardened, full of fibroids and tumors, while at the same time the desire diminishes and becomes deficient; eventually very little of the previous fire remains.
Fibroids are generally formed in this manner in an Aur-m-n. case. If the uterus, full of small or big fibroids, is so congested that it can no longer expand to become a fit organ for the development of a foetus, and if this is the result of the repression or arrested development of the female hormones, whether through the process described above or through any other, you may be faced with an Aurum muriaticum natronatum case. In a similar case, a gynaecologist had advised the adoption of a child as the patient had been married for 15 years without conception. The uterus was so full of fibroids that it could not expand and it was probable that an abortion took place now and then indicated only by a delay in the menses.
In my experience these people are sensitive, refined and are subject to many fears, so that you will often confuse them with Phosphorus. There is especially an inner fear that something bad will happen at any moment, giving you the feeling that they are fragile, and need protection. They will look unprotected and helpless, they will go into a panicky state, but inwardly they are quite strong and not yielding. You will be very sympathetic towards them, though they will not be attached or sympathetic towards you, as a real Phosphorus can be.
Because Phosphorus also has the tendency to produce fibroids, it is almost certain that these patients will receive Phosphorus as a first prescription. The difference is that these patients do not have the openness of Phosphorus, neither the emotional warmth. They are refined, sensitive, perceptive, even magnetic but they do not exhibit the openness of Phosphorus nor its effortless communication. On the contrary they are reserved, timid and rather closed on first contact. With this oversensitive nature, you will also perceive an element of sadness in their background.
It is unlikely that you will see a case of Aur-m-n. in the excitement stage, with the following exceptions: inflammation of the uterus, endometriosis, inflammation of the ovaries or salpinx, puerperal mania with sexual excitement and suicidal impulses.
You will usually see these cases after the stage of excitement has passed to the depression stage, where the uterus starts being sclerosed, hardened and swollen. In this stage there is amenorrhoea, scanty and delaying menses, deficient sexual desire, sterility from the hardened uterus or from ovarian torpor, ovarian dropsy etc. This remedy apparently has a most pronounced effect on the female organs, and most of its clinical application has been limited to this area. It has more power over uterine tumours than almost any other remedy, not only among the Aurums, but in the whole Materia Medica, especially when the history of the patient is similar to the one I described. This remedy has a pronounced effect on the following: Enormous induration of an ovary. A uterus full of fibroids. Ossified uterus. Induration of one part, softening of another part of the uterus. Scirrhus or carcinoma of breast or uterus. Corrosive leucorrhoea; pustules on genitals. Chancres; ulcers; warts. Bubo.
The mental state of Aurum-m-n. can be one of claustrophobia and anxiety for the future. If these women are hurt they will be inclined to go into deep depression, especially if they are hurt in connection with a love affair. A woman, while having an affair, puts on some extra weight and the man remarks about it. The effect upon her is so great that she loses her appetite, she goes into depression, she wants to disappear from the face of the earth. The depression is such that she does not want to come out of it, she just cannot care whether she recovers or not. She can go into a secluded mood. After such periods are repeated several times you realise that this is a state of anorexia nervosa with suicidal depression, pain in the stomach, nausea, loss of appetite and constipation, or severe constipation, like hydrastis.
Generalities
Boring pains are very marked in the pathogenesis of this salt; over left eye, skull, chest, tibiae, and bones generally. Symptoms worse cold wet weather; from October to spring (headache). In its toxic doses it causes “violent gastro-enteritis,” accompanied by cramps, convulsive trembling, insomnia, priapism and insensibility. The constipation is like that of Hydrastis, being accompanied with catarrh. Hale has used it with success in nervous dyspepsia with a tendency to diarrhoea after eating; in gastric and duodenal catarrh, with or without jaundice. Periosteal swelling on lower jaw. Swelling of testicle. High blood pressure due to disturbed function of nervous mechanism. Arterio-sclerosis. Increase of secretions from stomach, intestines and kidneys. Boring in those parts when at rest. Weakness; in morning on rising. Psoriasis syphilitica. Old cases of rheumatism or gouty pains.
All symptoms are worse by rest. Aggravation from bending head to right, when lying down, when at rest. Aggravation on slight motion. Aggravation when sitting or walking. Cold, wet weather causes inconvenience, better in dry, warm weather.
Head
From October until spring: violent headache. Violent pains on whole left side of head, mostly over eye. Every morning pressure over eyes, pains in forehead, dullness in head, lasting until afternoon; better in evening; nasal discharge bloody, fetid, ichorous. Hair falls out. Continual humming in head, with beating of carotids, almost causing delirium. When sitting the headache is worse.
Eyes
Chronic ophthalmia; malignant, cancerous; at same time, nose scurfy. Scrofulous ophthalmia. Yellow albuginea. Swelling above left eye.
Nose
Destruction of nasal bones. Nasal discharge bloody, ichorous, fetid. Ulcers in nose. Nose swollen, hard, shining (scrofula); if he takes cold, erysipelas sets in. Scurfy, oozing tetter on nose. Deep spreading syphilitic ulcer of skin. A case of rhinoscleroma (a granulomatous disease involving the nose and the nasopharynx. The growth forms hard patches or nodules which tend to increase in size and be painful on pressure.)
Face
Ulcers of upper jaw. Periosteal indurations. Ulcer in right corner of mouth. Complexion pale. Opening mouth difficult.
Mouth
Teeth look dirty, get loose and gums recede; caries of jaw. Tongue furred; bitter taste.
Tongue white. Warts on tongue. Fetid odor from mouth. Pain behind upper incisors, is aggravated on contact with warm food. Dulness of teeth ceases while eating.
Throat
Small blisters on fauces with swelling and inflammation of fauces. Two small ulcers on right tonsil.
Stomach
No appetite. Pressure in right hypochondrium. Aggravation on contact with salted food.
Abdomen
Dropsy without fever but threatening suffocation.
Rectum
Feces like whitish clay. Stools harder.
Urinary organs
Diuresis. Suppression of urine. Urine dark. Urine gets turbid; more profuse than usual. Morbus Brightii.
Genitalia – male
Chancre, on internal surface of prepuce. Bubo in fold of groin. Ulcers on foreskin; warts around them; ulcers on glans eating deeply.
Genitalia – female
Bearing down in uterine region with backache between the scapulae better lying on back and especially lying on stomach, dragging downward at times even from the chest. Spells of bearing down pains every 3 months as if the menses would come on, worse from heat. Usually accompanied by dyspepsia and constipation. Enormous distension of an ovary. Induration of one part and softening of another part of uterus. Ulcers with induration of uterus. Neoplasmata in abdomen. Ovarian enlargement; even dropsy. Leucorrhea corroding parts. Pustules on genitals. Abortion from uterine indurations. Given to syphilitic mothers to prevent disease in offspring. Scirrhus of uterus. Carcinoma mammae et uteri.
The following cases were cured by internal use of the remedy, generally 3d trit., it usually caused increase of appetite:
Indurated cervix. Palpitation of young girls. Coldness in abdomen. Chronic metritis and prolapsus. Uterus fills up whole pelvis. Ulceration of neck of womb and vagina. Leucorrhoea, with spasmodic contraction of vagina. Ovaries indurated. Ovarian dropsy. Sub-involution. Obstinate leucorrhoea, with spasmodic contractions of muscles of vagina. Chronic metritis and prolapsus. Induration of vaginal portion of uterus. Enlargement of uterus for fourteen years, twice its natural size, entirely cured, uterus replaced itself. Induration of ovaries, reaching as far as umbilicus. Cases of ovarian dropsy. Ulceration of neck of womb and vagina, resulting from inflammations and indurations. Cases of subinvolution, anteversion and prolapsus, with greenish-yellow discharge.
Chest
Beating of carotid and temporal arteries visible to eye; violence of this beating became extremely annoying, so violent nothing could calm it; the disquiet caused by it put the sufferer into constant terror, almost to delirium.
Back
Pustular eruption on back.
Extremities
Old cases of rheumatism or gouty pains. Boring in right knee; pressure in right knee; stitching in left knee; boring in left tibia; boring in both sides of the Achilles tendon. A drawing in right foot; in evening, drawing in inner edge of right foot, etc.; pressure on right foot; drawing in right toes; cutting in right toe-tips; stitching in toe-tips. Pressure in left shoulder; pressure in bend of elbow; stretching sensation in right fingers; drawing in roots of right fingers; pain in knee; stitches in left knee; drawing in right toes. Amelioration of pains and pressure feelings on motion. Syphilitic ataxia.
Fever
Unusual heat and malaise. Violent fever, forcing him to keep his bed, urine copious.
Sweats only on right side, left (affected) side of head remains dry. Excessive perspiration. Suppression of perspiration.
Skin
Intolerable itching all over body; soon followed by an eruption of tubercles (little lumps), several of which become covered with dark-looking scabs.
Clinical
Ascites. Carcinoma. Haemorrhoids. Hair falling out. Headache. Hectic fever.
Jaundice. Phthisis. Rhinoscleroma. Sycosis. Syphilis. Affections of the tongue.
Tumors. Indurations or scirrhus of the uterus. Warts.
Hysterical spasms, with unconsciousness for several hours, beginning with coldness starting from abdomen, sometimes with pulsation in occiput, with inflamed uterus filling the whole pelvis, interfering with the action of the bowels and bladder, entirely cured.
Relations
Similar to : Aurum and Aur-mur. (chemically); Arg-nitr., Arsen., Badiag., Bryon. (ascites); Cist. can., Conium (indurations); Graphit., Hepar, Iodium, Kali bichr., Kali hydr.
(mercurio syphilis); Lycop. (ascites); Mercur-vivus et Sulphur (ascites); Merc-jod. (caries, syphilis, glandular enlargements, etc.); Nitr-ac., Phosphor., Phosph-ac., Sulphur, Thuya (warts).
Incompatible: coffee and alcohol.
Suited to : Carbo-nitrogenoid and mercurio-syphilitic constitutions.
Causation
Causation: Vexation (jaundice) (Clarke)
Dosage
From 12c to the highest.
Cases
More than fourteen years ago, a young married woman consulted me for prolapsus uteri. She had been under the care of a Homoeopath of wide experience but claimed that he had not benefited her. She improved somewhat under the action of Sepia, but soon became discouraged and stopped treatment.
On December 3rd, 1915, this same lady, now 42 years of age, appeared at my office and asked me to take up her case. Shortly after leaving me she had fallen into the hands of a surgeon, who operated – performing ventral fixation and appendectomy and removing some ovarian cysts. She made a good recovery but in a few weeks was worse off than ever. The dragging in the pelvic region gradually increased and the uterus finally could be felt at the vaginal exit. All sorts of reflex symptoms made her life thoroughly miserable. I shall give the record in detail as it contains many new symptoms.
-Goitre the size of a hickory nut removed two years ago – relieving an anxious feeling she had for some time – a feeling as though something would happen, and panicky feeling in a crowd or at a theatre.
-Bearing down in uterine region with backache between the scapulae >> lying on back and especially lying on stomach, dragging downward at times even from the chest. -No menses for 5 years; had hot flushes for a while; they have now disappeared.
-Spells of bearing down pains every 3 months as if the menses would come on, >> heat. Usually accompanied by dyspepsia and constipation.
-Pains in the arms, sharp shooting, and heavy throbbing in the wrists, tingling and numbness in fingers; heart feels heavy as a stone, with fluttering; pain in right ovary extending to a point under scapula, same side. All these symptoms are worse if she goes without the tampons that support the uterus, or gets over tired.
-Burning in the pit of stomach; craves sweets, salt, meat, sour things.
-Inveterate constipation with bloating and sore spots in abdomen; has to take cathartics; mucus covered stools.
-Swelling of ankles; soreness of feet if on them much
-Morbid, inclined to be melancholy; indifferent as to her recovery. >> by company; cloudy weather.
-Generally worse from exertion; while on feet, in hot weather; at dusk (great weariness). Better in cool weather; after sleep.
Aurum muriaticum natronatum, 7 doses, to be taken one every evening.
-December 15. Much stronger; less bearing down, pain in arms etc., mentally better.
-Sal. lac. January 5th, 1916. More like herself; bowels some better; heart much better.
-S. L. January 19. Strength still improving; some dragging in pelvis, and pain over the crest of the ileum, extending down into hypogastrium. -S. L. January 29. All symptoms worse.
-Aur. mur. natr. 30
-February 23. Aur. mur. natr. 1m.
– March 16. No backache; bowels move normally three times a day; soreness in region of uterus; a slight rash has appeared here and there. -April 3rd Aur. mur. natr. vm.
-April 17 improving; notices a creamy leucorrhoea.
-S. L. May 6, 19, July 10, reports steady improvement. -July 25 Headaches, old pains in arms, pain left ovary -Aur. mur. natr. 1m.
-September 25 Aur. mur. natr. 10m (C.) -October 20 Aur. mur. natr. 10m.
-December 4 Leucorrhea less profuse; no tampons since July.
-1917, January 31, Aur. mur. natr. 10m
-April 9, improving in a general way, but has to resume use of tampons. -S. L. July 9, Aur. mur. natr. 50m.
-October 4, Aur. mur. natr. 50m
On April 15th, of this year (1919) Mrs. B. reports that she has been wonderfully well. Shortly after her last visit she dispenses with all uterine support. She has been on her feet a great deal, having gone back to her old vocation as school teacher, and has suffered not the slightest inconvenience.
Few, if any of the symptoms in this case can be found in the provings of this remedy, the double chloride of Gold and Sodium. Some of them however, belong to the parent drugs.
Proceedings of the Fortieth Annual Session of the International Hahnemannian Association, pp. 186-188.
In one other case of a large uterine fibroid (extending to the level of the umbilicus), the patient improved very much in general health on silica in various potencies, but the uterus slowly got larger, until the last time I saw her, when after having taken Aur. Mur. Nat. 12 + daily for some weeks, the uterus was distinctly less in size. She received at this last visit aur. mur. nat. 30 + for three months (as she was going to live in the North), after which time I shall hope that the tumour will be still further diminished.
This patient had one or two aurum symptoms, including intense depression and aversion to company, but I must confess that this was largely a pathological prescription.
British Homoeopathic Journal, Vol. 16, No. 1, pp. 10-11
Frau W. K., the wife of a farmer, forty-two years old; large, blonde, more corpulent than lean; has had eight children, the last two years ago, and menstruates regularly yet. She came to me June 18, 1888, and said she had suffered for two years from vomiting, making its appearance every day four to five times. For several years she has suffered from a pain in the region of the spleen, as well as in that of the stomach, which has been so bad that she could do but little about the house, the much more so as the vomiting was awakened and increased by every exertion. Examination revealed, in scrobiculo cordis, (fossa epigastrica), a dulness and tension, passing over into the liver region. The uterus was strongly retroverted; the fundus uteri enlarged and resting heavily upon the examining finger. Two indications, the dulness in the scrobiculo cordis, which may have been due to a swelling of the left lobe of the liver, and the womb trouble, called for Aurum, and I prescribed it as Aur. natr. muriat. 3x trituration, three times daily. On the 3d of July the patient reported the pain in the stomach and the vomiting were better, yet the old pain in the splenic region troubled her very much. Aurum was continued and alternated with Ceanoth. Americ. 3,2 grammes in 150 grammes of water, one teaspoonful three times daily. August 1st, the dulness and tension in the scrobiculo cordis had disappeared, the vomiting had not returned, the pain in the splenic region gone, the fundus uteri less swollen., She did her own house-work now, suffered no longer from vomiting, and was satisfied with her condition. She was supplied with enough Ceanoth. americ. 3, for about fourteen days, and told to report if she had any return of the trouble. I have since heard of her, through other patients, that she is well- certainly a happy result in such a condition as hers was. – Dr. Amberg, in Allg. Hom. Zeitung, June 6, 1880.
The Homoeopathic Recorder, Vol. 4, No. 5, p. 214.
