The Patient : Mercurius Cyanatus 
By F. E. GLADWIN, MD., H.M., PHILADELPHIA, PENNA.
The Homeopathician, Ferbruary, 1912
« The individualizing examination of a case of disorder… demands of the physician nothing but freedom from prejudice, sound sense and attention in observation, and fidelity in tracing the picture of the disorder. » ORGANON § 83.
There are scattered through the Materia Medica remedies whose names appear almost synonymous with disease names. On hearing of Spongia, who does not think of croup? The thought flies instantly from Cactus grandiflora and Digitalis to heart troubles; from Belladonna to scarlet fever, and so on. In the same way, Mercurius cyanatus suggests diphtheria. This is not fair to the remedies, for each remedy has an individuality of its own, just as each patient has his own individuality. No one sick-making cause can imitate, by its own characteristic symptoms, the individuality of the remedy; but it can cause, in the patient, symptoms other than its own, which do resemble the individuality of the remedy; therefore we should not think of remedy and disease, but of remedy and patient.
There has been no real proving of MERCURIUS CYANATUS, but from poisoning cases and clinical cases there have been gathered symptoms which show his strong personality. Indeed, he has proven himself one of those strong characters who are a tower of strength in the hour of need. When we do need him, we are like the little lame boy who, looking across from where he was sitting in a Chicago department store, observed a toy locomotive standing upon a toy truck and said, « I need an engin and a railroad very much, and I need them right this minute. » When we need MERCURIUS CYANATUS, we need him very much, and we need him on the minute, for he often works down in the borderland.
His individuality is expressed in his
- Excitement and anger.
- Restless, sleepless nights.
- Loquacity and delirium. Lack of vital heat. Extreme prostration. Faintness and cyanosis.
- Sensation of coldness; his skin is icy cold; hands and feet are cold.
- General debility; he is too weak to stand.
- Face pale and wan.
- Aversion to food; aversion to soups and hot drinks; they taste too salty.
- Taste bitter.
- Saliva profuse, and has what is known as the mercurial odor.
- Intense, burning thirst, but drinks are soon vomited.
- Vomiting frequent after drinking. Nausea constant.
MERCURIUS CYANATUS expresses himself in the character of his ulcers:
- Ulcers, many and spreading.
- Sometimes begin as blisters.
- May be round or irregular.
- Surrounded by bright red, and have a grayish base or are covered with a grayish coating.
- Scattered along the edge of the tongue and inside of the cheeks.
- Throat is sore (pharynx).
- Swallowing difficult.
- Gums swollen and painful.
- Covered with a thick adhesive, whitish coating.
- Have a violet border.
- He is hemorrhagic, bleeding from nose, bowels and stomach.
- Hemorrhoidal tumors, small, around the anus.
- Rectum, frequent urging to stool.
- Tenesmus before and during evacuation.
- Stool liquid, slimy, bloody.
- Obstinate constipation.
- Retention or complete suppression of urine.
- Urine highly albuminous.
- Extremities, slight spasms.
- Heart, strong palpitation or a weak heart-beat.
- Pulse weak and slow.
These complete the picture of MERCURIUS CYANATUS.
What is the diagnoses?
In looking through the books we find that it has been needed by patients during Bright’s disease, malignant dysentery, diphtheria, follicular tonsillitis, ulceration of the tonsils. We know that whatever the disease may be, the MERCURIUS CYANATUS patient will be cured by Merc. cy As an illustration, I will cite a case:
Mrs. E., aged 28 years.
Light hair, blue eyes, well developed; had been a physical culture teacher and a fairly healthy girl until the time of her marriage, about seven months previously. From the time of her marriage she began to emaciate; didn’t feel well; had a profuse leuchorrhea. For the first time in her life she submitted to Old School treatment. Her physician removed, surgically, small growths from about the anus, which he told her were hemorrhoids. A small, sore spot within the vulva he diagnosed an abrasion. This was followed by a smooth eruption, small spots so thickly scattered all over her that she asked if they were measles. The eruption itched over the pubis only. With the eruption were pain and stiffness in the large joints. Following the eruption, round, sore spots, the site of her thumb-nail, resembling denuded spots, appeared upon the back of the tongue, which had been thickly coated yellow. Tinty round ulcers upon the tonsils followed the sore tongue; these were cauterized with nitrate of silver, and a gargle was used. While the ulcers were upon the tonsils, a row of white spots appeared upon the mucous membrane edge of the uvula which itched intensely. These were suppressed by mercurial ointment. Following the disappearance of the ulcers from the tonsils, small, round ulcers appeared upon the uvula and velum. At this time, three months after the ulcers first appeared and seven months from the time she began to be ill, she returned to her father’s home and consulted her old physician. I found her:
- Emaciated, pale and wan
- Swallowing difficult because painful.
- Pain, aggravated by sweet things.
- Aggravated by sour things.
- Aggravated by coughing.
- Aggravated morning and evening.
- Wakened her during the night.
- Ulcers, round, thickly studded the uvula and velum, and extended between the jaws and across the mucous membrane of the checks nearly to the corners of the mouth, like a string of beads.
- Those upon the velum were shallow, with lardaceous bases.
- Those in the checks were deep and partly covered by thick, dirty white coating, and were surrounded by a ring of deep red, which spread out, growing fainter until it blended with the color of the membrane living of the checks.
- Very sensitive, bleeding if touched; were round or nearly so and spread until the edges united with the ulcer next in line.
- Round, on a swollen base, appeared upon the border of the tongue about one half inch on each side of center of tip.
- Gums were swollen, violet in color and nearly covered with an adherent exudation, yellowish white, through which the violet of the gums could be seen.
- There was an oozing of blond from -the gums.
- Spots of dried blood were upon the exudation and between and upon the teeth.
- Cheeks swollen.
- Teeth slightly loosened and pus exuded from between teeth and gums.
- Saliva profuse, bloody, flows from mouth during deep, and stains light brown. Microscopical examination showed motil spirochetae in abondance.
- Breath, odor strongly mercurial and penetrating; could detect it upon entering the house.
- Intense retching was followed by a flow of stringy, bloody saliva until a lump of clotted blood and mucus was ejected.
- Pain along dental serves; worse at night.
- Amelioration, listening to loft music.
- Amelioration if her mother gently rubbed her hands and arms in a downward direction.
- Pains in the long bones.
- Stiffness in large joints.
- Sleepless, restless, full of anxiety at night; nervous, jerking of arms at night, quieted by mother sitting beside her and gently rubbing arms and hands.
- Could sleep alter 5:30 A.M. and alter a warm drink.
- Weakness intense.
- Thirst intense.
- « Fainted » one day at stool.
- Moaned constantly.
- Twitching of arms and legs.
- Eyes staring.
- She regained consciousness when they placed her full length upon the floor.
- Constipation obstinate, stool streaked with blood.
- Abdomen distended and heavy.
- Leucorrhea yellow, profuse.
- Chilliness, coldness, wanted something warm to the face; wanted to be well covered.
MERCURIUS CYANATUS 10m. One dose was given.
For twenty-four hours patient was much worse, then improvement began.
All of the symptoms disappeared under three doses, the second, given one month after the first and the third, three and one-half months after the first. Three and one-half months alter the first dose an ulcer appeared upon the tonsil where the first ulcer was cauterized. This lone last ulcer disappeared under the third dose of the remedy. By this time she had regained her flesh and looked and felt better than at any time since her marriage. Two months alter the first dose, Wasserman’s « Blood Test » showed only faintly positive.
Not all of these symptoms have been brought out in MERCURIUS CYANATUS proving, but the patient had the general weakness, the coldness, the restlessness, the hemorrhagic condition, the restless, sleepless nights the thirst, etc., of the remedy; she also had the characteristic ulcers and gums. She was steadily growing worse until she received MERCURIUS CYANATUS 10 m. There was an aggravation for the first twenty-four hours; then the patient improved steadily under its influence. It is but fair to the remedy to consider the case a verification of its work in the field of a dreaded chronic miasm.
The prescription was made for the patient, not for the disease. The case illustrates the deep, long action of the single dose of the high potency of the remedy. It also illustrates the power of the high potency of the remedy, prescribed homœopathically, to make the patient appear decidedly worse before it makes him feel better. It demonstrates the success of the homœopathic remedy after months of failure with crude drugs, internally and externally.
The « Brittle Man » whose condition and treatment were reporter by Dr. H. Fergie Woods, in 1910, in the « Medical Advance » has continued treatment in the London Homœopathic Hospital and has so far recovered that the muscles of the body are relaxing and he is happy in his ability to breathe freely and eat almost any kind of food and cut his own fond. He is able to raise the right leg without the use of a stick and can turn the right hand.
 Presented, together with the paper on Stramonium (printed in the January HOMŒOPATHICIAN) in the Materia Medica Section of the International Congress at London, 1911. See Analysis in College Students’ section.