Kali Permanganicum
Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 6,676 chars · source ↗
General
Kali Permanganicum.
Kali manganicum. Kali hypermanganicum. Permanganate of Potash. KMnO4. Solution in distilled water. Trituration.
Clinical
Cough. Diphtheria. Gastritis. Ozaena. Salivation. Throat, sore. Uvula, swollen. Warts.
Characteristics
K. pm. is the well-known disinfectant, and has been chiefly used in medicine as a local application in diphtheria and other conditions where there are fetid discharges. A proving by H. C. Allen has brought out the fact that the medicine is homoeopathic to both.
There was intense irritation of nose, throat, and larynx, with sanious and bloody discharges, and constant inclination to swallow, although swallowing gave great pain. Profuse salivation and constant flow of ropy mucus from the stomach were among the noted effects. The uvula was swollen and red. Extreme fetor of the breath and sanious discharges from the nose and intense prostration appear to be the leading indications for it in diphtheria.
(Kraft, who has used it largely in diphtheria, gives it in this way: A few grains are dissolved in a tumbler of water, sufficient to make it very red. A teaspoonful of this is put into another tumbler of water, and a teaspoonful out of the second tumbler is given every hour or two). The swollen uvula is also noteworthy. The exterior of the throat is very sensitive.
A patient of mine made a curious use of K. pm. externally. He had a wart on the tip of his nose, for which I had given him Thuja internally, and externally in vain, and after this Causticum internally, with no better success. He on his own account applied a strong solution of K. pm. in the form of Condy's fluid, and it disappeared in a week.
Relations
Compare: Other oxydising salts, especially K. bi.; also Mang., Caust., K. ca.; in oedematous uvula, Mur. ac., Apis.; in diphtheria, Diphth., Merc. cy., Ar. t., K. bi., K. m.; in thick, ropy mucus, K. bi. K. pm. antidotes Opium. A case of Opium poisoning is reported (H. W., xxxiii. 380), in which recovery took place after half an ounce of laudanum had been swallowed by mistake.
Kali permang. in dilute solution (gr. ii. to the pint) was given repeatedly and acted promptly. Next day only dryness of mouth and throat was felt.
Head
Head feels full.
Eyes
Profuse lachrymation.
Ears
Sharp pricking pains extending from throat to l. mastoid process, apparently along Eustachian tube.
Nose
Nasal discharge smarts and irritates
Sanious discharge; nares feel stuffed and full as in catarrh; discharge blood-streaked, although he had no catarrhal symptoms two hours before
Discharge from nares and larynx streaked with blood
Profuse bleeding from nose; on every attempt to free the obstructed nose.
Mouth
Mouth and lips very dry, lips smart when exposed to cold air
Profuse flow of saliva, with a burning, raw, smarting, nauseating pain in fauces, pharynx, and larynx, and extending down oesophagus to stomach
Constant inclination to swallow
Increased flow of saliva, runs constantly out of the mouth, with more pain and difficulty of swallowing
Speech painful, difficult; hoarse as from tonsilitis.
Throat
The throat was primarily affected
Throat swollen and very painful
Small ulcerated spots here and there on walls of throat, with stinging, burning pains
Everything hawked up is streaked with blood
Constant, ineffectual, inclination to hawk something up
Throat dry, painful, with almost incessant attempts to swallow, from which it is almost impossible to refrain
Continual dryness in throat, with a slight, irritating, hacking cough on attempting to swallow
The whole throat and larynx feel as though the cavity was constricted, apparently from thickening of mucous membrane
Peculiar constrictive, smarting sensation in throat and fauces, with the hot, burning sensation in cardiac end of stomach
Acute pain in throat, extending to ears and pharynx, and producing a titillating cough
Throat feels raw, and bleeds on attempting to hawk up the secretions, which appear to fill the cavity
Posterior nares painful
Uvula, soft palate, and fauces mottled of a dark red colour, with livid spots here and there
Soft palate and uvula swollen, oedematous, dark red
Fauces and pharynx red and painful, efforts to swallow almost incessant, profuse flow of saliva which escapes by the mouth on, account of the difficulty of swallowing
Mucous membrane feels thickened
Burning, nauseating pain in fauces, extending down oesophagus to stomach, with dryness and constant inclination to swallow
Constant, intense, painful inclination to swallow
Muscles of neck feel sore, esp. digastric and stylo-hyoid, glands opposite hyoid bone swollen and very painful
Considerable difficulty in opening mouth from soreness of parotid gland and muscles of neck.
Stomach
Appetite lost
Thirst, but inability to drink
Almost constant flow of ropy mucus from stomach, which is ejected without pain, but in no way relieves the nausea
Nausea and constant inclination to swallow
Could take no more of the drug from a loathing which would almost produce vomiting to look at it; began to search, in vain, for an antidote
Nausea and vomiting, first of contents of stomach, then thick, ropy fluid, ejected without difficulty in large quantities, with < of throat pain
The vomiting, which had ceased last evening, returned in aggravated form, attended with a burning, nauseating pain in stomach and duodenum, which became almost insupportable
Deep-seated, sickening pain in stomach, with a raw dryness in throat, and constant inclination to swallow
Hot, burning pain in stomach, seeming to radiate over whole epigastrium
Hot, burning sensation in cardiac extremity of stomach, with peculiar constricting and smarting sensation in throat, and inclination to swallow, &c., hot, uneasy, constricting sensation through whole length of oesophagus, lasted two hours, > by eating.
Stool
Obstinate constipation.
Urinary Organs
Compelled to urinate frequently; urine copious, clear, watery.—Urine profuse and watery.
Respiratory Organs
Aching in region of cricoid cartilage, < every attempt to swallow
Raw sensation in larynx
Short, hacking cough, with a constant painful urging to swallow, which = nausea and inclination to vomit with profuse lachrymation
Constant short, painful hacking cough, with blood-streaked sputa
Coughing or even hacking brings up a sanious fluid.
Lower Limbs
Legs feel as though he could not move them, tremble on attempting to stand.
Generalities
Terrible weakness and languor; esp. of lower limbs, compelled him to lie down.
Sleep
Restless at night.—Sleepless.
Fever
Face hot.—Profuse sweat.