Aurum muriaticum natronatum

A double chloride of gold and sodium (commonly Na[AuCl₄]·2H₂O), bright yellow, deliquescent, and freely soluble in water and alcohol. In pharmacy it is prepared by triturating the crystallised salt with lactose to 3x and above, or by diluting an aqueous solution to form a mother tincture from which centesimal potencies are made [Hughes], [Clarke], [Allen]. Toxicologic notes on soluble gold salts include metallic taste, stomatitis, salivation, gastro-enteric irritation, nephritis, and dermatitis; vascular spasm and anginal phenomena are recorded for chloroaurates in physiological literature, helping to frame the later cardiac symptoms [Hughes], [Allen], [Clarke]. Historically, this particular gold salt gained a distinctive reputation for indurations and tumours of the pelvic organs—uterus, cervix, ovaries—together with sclerotic states of heart and liver, while retaining much of Aurum’s grave, self-reproachful mental picture [Hering], [Clarke], [Boericke].

Primary pathogenetic material is less extensive than for Aurum metallicum; Allen and Hering collate provings and clinical observations of the double chloride, supplemented by toxicologic data from soluble gold salts [Proving] [Toxicology] [Allen], [Hering], [Hughes]. Early clinical confirmations centre on uterine fibroids with menorrhagia, ovarian indurations, angina pectoris, and hepatic cirrhosis with ascites [Clinical] [Clarke], [Boericke], [Lippe].

Aurum muriaticum natronatum stands where induration meets conscience. It inherits Aurum’s profound seriousness: the soul weighed down by duty, failure, and honour; music piercing to the quick; the darkest thoughts collecting after midnight. But the double chloride steers this gravity into the pelvis and heart—the stony cervix, the nodular uterus, the enlarged ovary (often left), the chest ringed tight with precordial weight. The core polarity is pressure versus flow: tightness, weight, grasping constriction (heart, pelvis, periosteum) are relieved whenever a flow is freed—menses, epistaxis, stool, sweat—matching clinical observations that “after a free discharge, the head and chest lighten.” Thus the patient’s organism continually seeks movement, air, and release: better open air, better gentle, purposeful motion; worse warm, close rooms; worse suppression. The night is heavy, the left side involved (heart, left arm, left ovary); the mind sinks most when the world is quiet and music awakens pathos, a pure Aurum signature [Kent], [Clarke], [Hering].

From kingdom perspective (mineral), structure and hardness dominate the pathology—sclerosis of vessels and coronaries, valvular thickening, hepatic cirrhosis; in the pelvis, fibroids and cervical induration set the tone. The emotional chemistry of Natrum (grief, reserve, structure) and the muriatic axis (family, duty, depletion) colour Aurum’s moral spectrum, yielding a portrait of one who bears long burdens: humiliation in business, disappointment in intimate bonds, unrelieved responsibility that congeals into tissue hardness [Scholten], [Sankaran], [Bailey]. When contradiction wounds pride, chest tightens; when life’s music plays, sadness deepens—psycho-visceral coupling at its clearest. This remedy therefore suits conscientious, duty-driven patients in whom chronic pelvic congestion or cardiac sclerosis has developed alongside an incurable-feeling sadness, worse night, relieved by air, walking, or any freed outlet. In women, the keynote triad is fibroids + menorrhagia + despair, with relief after flow and a left-ovarian pull; in both sexes, angina with night aggravation and a need to go to the window to breathe defines the crisis [Boericke], [Farrington], [Lippe], [Kent]. The practitioner should listen for the phrase, “I feel crushed by duty,” and watch for the moment when a discharge or a deliberate walk in cool air brings a notable softening—mind and soma together moving from stone to stream.

• Uterus and cervix (induration, fibroids, haemorrhage). Repeated clinical notes for uterine tumours, cervical hardening, bearing-down and metrorrhagia; aligns with gold’s sclerosing influence on connective tissue [Clinical] [Clarke], [Boericke]. See Female and Generalities.
• Ovaries (enlargement, cystic tendency, left-sided predominance). Ovarian pain with pelvic heaviness; nodular indurations in long-standing cases [Hering], [Clarke]. See Female.
• Heart and coronaries (angina, sclerosis). Oppressive precordial pain radiating to left arm and jaw, worse at night and on exertion; functional–organic borderland states [Boericke], [Nash], [Farrington]. See Heart and Respiration.
• Liver (cirrhosis, portal stasis, ascites). Tendency to induration and dropsy from hepatic back-pressure; appetite derangements and nausea accompany [Clarke], [Hughes]. See Abdomen.
• Periosteum and bones (syphilitic taint). Less prominent than Aurum metallicum, yet periosteal night-pains and ozaena with bone involvement remain part of the sphere [Hering], [Clarke]. See Nose and Face.
• Mucosae of naso-pharynx (ozaena, ulceration). Fetid crusts, ulceration, and caries of nasal structures in syphilitic or scrofulous subjects [Hering], [Allen]. See Nose.
• Vascular system (spasm, hypertension tendencies). Pallor, cold sweats, vasomotor instability with cardiac distress; mechanistic tie-in from chloroaurate physiology [Hughes], [Boericke]. See Heart and Generalities.
• Mind and mood (Aurum signature). Profound melancholy, self-reproach, suicidal impulses, aggravated at night and by music; duty-bound seriousness [Kent], [Hering], [Clarke]. See Mind and Sleep.
• Pelvic connective tissue (indurative diathesis). “Stony” cervix, nodular uterus and adnexa, slowly resolving under long courses [Clinical] [Lippe], [Boericke]. See Female and Generalities.
• Glands (chronic enlargement and hardness). Cervical and pelvic glands especially; induration more than acute inflammation [Hering], [Boger]. See Generalities.

Aurum’s gravity suffuses the mental picture: profound melancholy with self-reproach, a sense of having failed sacred duties, and impulses to self-destruction, markedly worse at night and when hearing music that awakens pathos [Kent], [Clarke], [Hering]. The double chloride often channels this despair into the pelvis and heart: as uterine congestion mounts or anginal pressure builds, the mind sinks, explicitly echoing the modality (worse at night) and the affinity (uterus–heart) already noted [Clinical] [Boericke]. There is irritability from contradiction, a stern morality, and a tendency to brood on honour and responsibility; humiliation or professional setbacks precipitate crushing despondency with precordial weight [Kent], [Nash]. Anxiety centres in the chest with fear of sudden death, yet there may be a contrary restlessness relieved by walking in the open air, reflecting the “better open air, gentle motion” modality [Hering], [Kent]. Sensory impressions—especially solemn music—touch a nerve and deepen suicidal imaginings, a keynote shared with Aurum metallicum and helping to differentiate from Natrum muriaticum where music may console [Kent], [Farrington]. Suspicious thoughts, estrangement, or fixed ideas can appear in the setting of long-standing pelvic disease, the psyche mirroring the somatic induration [Clarke]. A micro-comparison: vs. Aurum metallicum (more universal bone/ periosteal sphere, broader mania–melancholy swings); Aur-m-n. narrows toward pelvic and cardiac sclerotics with menorrhagia, angina, and hepatic cirrhosis [Hering], [Boericke]. Case: severe nocturnal despair with suicidal impulse abated as uterine flooding commenced under Aur-m-n. 6C, confirming the “better after free flow” modality [Clinical] [Lippe].

Sleepless after midnight with a tide of sombre thoughts, remorse, and suicidal impulse; cannot endure music-memories—aligning precisely with Mind and “worse night, worse music” modalities [Kent], [Hering]. Wakes with precordial oppression and must rise to seek the window; slow walking about brings relief (better open air, gentle motion) [Hering], [Farrington]. Tossing from pelvic dragging before or during menses; finds some ease after a freer flow [Lippe]. Drowsy by day from cardiac exhaustion, yet unrefreshed [Clarke]. Startles with sinking sensation at epigastrium [Allen]. Dreams of business misfortune, funerals, and old humiliations; wakes in tears [Kent], [Clarke]. Grinding of teeth and sighing respiration in sleep [Hering]. Early morning dozing with anxious images, worse on lying left side [Boericke]. Perspires on falling asleep, then chills [Clarke]. Children in tainted families cry in sleep with blocked nose and raw mouth [Hering].

Dreams of death, burial, and separation from loved ones, with oppressive chest sensations [Kent]. Business failures, public disgrace, examinations missed—Aurum’s conscience drama [Clarke]. Dreams of falling into dark pits (sinking heart) [Hering]. Music sounding from afar brings grief in dreams, and the sadness lingers on waking [Kent]. Of bleeding or flooding, after which relief is felt—psychic mirror of “better after free flow” [Lippe]. Of wandering in cold, damp streets (ozaena/ bone-pain modality) [Hering].

A remedy of induration and sclerosis: stony cervix, nodular uterus, enlarged ovaries; cardiac and hepatic hardening; nasal/ periosteal thickenings—an “indurative diathesis” standing on the Aurum axis of moral gravity and despair [Hering], [Clarke], [Boericke]. The organism worsens at night and in warm, close rooms, and is ameliorated by cool, moving air and gentle, purposeful motion; suppression or checking of any discharge (uterine, nasal, haemorrhoidal, sweat) rekindles congestive head and heart symptoms, while a freer flow brings relief—precise echoes of the Modality set already established [Boger], [Lippe]. Vascular spasm, pallor, and cold sweat blend with precordial weight; the left side (heart, arm, ovary) is often the seat of complaint [Farrington], [Boericke]. The mental world colours the soma: humiliation, contradiction, and failures precipitate chest constriction and pelvic congestion (psycho-visceral loop) [Kent], [Clarke]. Sensory sensitivity—especially to music—unlocks grief and suicidal impulses (Aurum keynote) [Kent]. Periodicity tends to afternoon→midnight worsening [Boger]. Better with firm support at pelvis, steady pressure on sore periosteal spots, and after a relieving flow (epistaxis, menses, stool, sweat), synthesising the remedy’s core polarity: pressure-tightness-induration versus relief-flow-movement [Hering], [Boger], [Lippe].

Evening chill with internal heat and external coldness of extremities; face flushed, hands icy during cardiac spells [Boericke]. Subfebrile states in chronic pelvic and nasal diseases [Clarke]. Heat at night with restless thoughts; sweat toward morning [Hering]. Alternation of flushes and pallor with angina [Farrington]. Slight fever after emotional shock [Nash]. Relieved by cool air [Hering].

Chilliness in warm rooms (paradoxical), better at window [Allen]. Heat in face and chest during oppression; desire for cool air [Farrington]. Night sweats, offensive in tainted constitutions [Hering]. Sweat breaks with faintness in attacks [Boericke]. Cold sweat on forehead with angina [Farrington]. Sweat of scalp during sleep [Hering].

Headache with a sense of weight and band-like constriction, aggravated in warm, close rooms and after mental worry, relieved somewhat in cool air—paralleling the Better/Worse modalities [Allen], [Clarke]. Frontal pressure with nasal and maxillary bone soreness appears in ozaena cases, where periosteal pains bite at night [Hering]. Congestive surges accompany cardiac anxiety; any check of a pelvic or nasal discharge rekindles head fulness and throbbing, tallying with “worse from suppressed secretions” [Boger]. Vertigo with pallor and precordial oppression suggests vasomotor lability, found especially on rising or ascending [Farrington]. Neuralgic darts across the supra-orbital ridges may alternate with pelvic dragging, a head–pelvis axis often noted in chronic uterine disease [Clarke]. Nausea in headaches is common, better from small sips of cool water and walking slowly in open air [Allen], [Hering].

Irritable conjunctivae with photophobia and lachrymation, worse from warm rooms and at night; lids feel heavy as if from vascular stasis [Allen], [Hering]. Old syphilitic or scrofulous ophthalmias may coexist with nasal ulceration, echoing the mucosal–periosteal affinity already cited [Clarke]. Aching in the orbits accompanies anginal spells, sometimes with a dusky periorbital hue [Farrington]. Vision may dim transiently with cardiac oppression or hepatic congestion, improving with fresh air and gentle motion [Hering]. Tendency to sty-like nodosity at lid margins in indurative diathesis [Boger]. Micro-comparison: vs. Mercurius (more acrid discharge, salivation, sweaty prostration); Aur-m-n. shows more moral gloom and induration themes [Hering], [Clarke].

Buzzing, rushing sounds with vascular pulsation in anginous subjects, worse on ascending and at night [Farrington], [Boericke]. Otalgia with periosteal tenderness about the mastoid region, aggravated by cold, damp weather, and jar [Hering]. Eustachian catarrh with nasal crusting; hearing dull in warm, close rooms, clearer in cool air, tracking the modal pattern [Allen]. Intermittent stabbing pains as discharges are checked or suppressed [Boger]. Sensitivity to music is moral rather than acoustic—the mind sinks when hearing melody [Kent]. Occasional pricking as from a foreign body, especially left side [Hering].

Ozaena: fetid crusts, ulceration, and caries of nasal bones with nightly boring pains; a recognised gold-salt sphere, though less intense than Aurum metallicum [Hering], [Clarke]. Obstruction in warm rooms, freer in cool moving air; sneezing fits in close atmosphere, confirming “worse warm rooms, better cool air” [Allen]. Epistaxis relieves headache and precordial weight—another instance of improvement after free flow [Boger]. Ulceration extends to septum with rawness and burning; smell perverted or lost [Hering]. Coryza with frontal heaviness before menses in pelvic cases, demonstrating the head–pelvis axis [Clarke]. Micro-comparison: vs. Kali-iod. (more rapid, corrosive ulceration and facial oedema); Aur-m-n. has deeper moral gloom and uterine/heart linkage [Clarke], [Hering].

Pale, anxious or dusky; lips sometimes cyanosed during cardiac spells [Farrington]. Neuralgic tearing along malar bones, worse at night, better steady pressure [Hering]. Periosteal tenderness of nasal and maxillary bones in ozaena subjects [Clarke]. Expression of deep sadness; furrows accentuated after midnight [Kent]. Parotid or submaxillary gland induration in chronic diathesis [Hering]. Heat of face with cold extremities during angina; sweat breaks with faintness [Boericke].

Metallic taste; salivation; aphthous patches and ulceration of oral mucosa in gold-salt toxicity, echoed clinically in sensitive patients [Toxicology] [Hughes], [Allen]. Tongue coated yellowish or brown at base in hepatic subjects [Clarke]. Gums tender; breath offensive in ozaena and stomatitis [Hering]. Dryness alternating with salivation; thirst for small sips of cool water relieves nausea [Allen]. Teeth feel elongated in periosteal states [Hering]. Burning of palate, worse warm drinks, better cool [Allen].

Toothache from draught of cold air on heated face, worse at night, better firm pressure or holding cold water briefly in mouth (paradoxical relief) [Hering], [Allen]. Periosteal pains with maxillary bone tenderness in ozaena subjects [Clarke]. Teeth sensitive to touch and chewing, especially on the left side [Hering]. Bleeding gums with oral ulceration [Allen]. Grinding with cardiac anxiety in sleep [Hering]. Caries of upper incisors in scrofulous individuals (associational) [Clarke].

Rawness and scraping, worse warm, close rooms; better cool air [Allen]. Thick mucus, difficult to hawk, especially mornings, with relief to head when expectorated [Boger]. Ulcerative patches on fauces in syphilitic taint [Hering]. Sensation of a plug while swallowing, echoing the “indurative” theme [Clarke]. Tightness in throat during anginal pressure [Farrington]. Chronic catarrh with fetor in ozaena subjects [Hering].

Oppression across sternum with need for fresh air; stitches beneath left breast; sighing respiration [Farrington], [Boericke]. Constrictive pains circle to back and left arm; anxiety rises toward midnight [Boericke], [Nash]. Heat of face with cold hands during an attack; sweat breaks with faintness [Farrington]. Palpitation on ascending or in warm rooms, better cool air and slow walking [Hering]. Intercostal neuralgia in sclerotic subjects [Clarke]. Cough dry, teasing at night, with raw throat; relief if a little mucus comes [Boger].

Cardiac sphere notable: angina pectoris with precordial weight, pains radiating to left arm and jaw, worse at night, on ascending, and in warm, close rooms; better open air and measured movement—exactly mirroring the Modalities [Boericke], [Farrington]. Palpitations with faintness and cold sweat; pulse irregular under emotion or dietary excess [Clarke]. Functional murmurs shading into valvular thickening; coronary sclerosis suspected by the pattern of pains [Nash], [Farrington]. Anxiety of conscience and humiliation precipitate attacks (Aurum link) [Kent]. Case pearls note slow, steady walking during prodrome averting a full attack [Clinical] [Farrington]. Micro-comparison: vs. Cactus (iron band crushing, marked constriction), vs. Glonoinum (violent surges, throbbing head with heat), vs. Naja (moral depression with cardiac dominance, but more left-sided throat–heart link) [Farrington], [Clarke].

Short breath on exertion and on ascending; must seek cool air and move gently [Hering]. Night suffocation fits with cardiac anxiety; cannot lie on left side [Boericke]. Sighing, irregular breathing in depression [Kent]. Asthmatic oppression in warm rooms, easier at window [Allen]. Deep inspiration aggravates precordial pain; shallow breathing from fear of pain [Farrington]. Cough dry at night; scanty expectoration relieves head [Boger].

Nausea with aversion to rich food and alcohol; small, frequent sips of cool water palliate—mirroring Better For items [Allen], [Hughes]. Weight at epigastrium in cardiac spells; faint, empty sinking relieved by open air and gentle motion [Hering]. Eructations sour or bitter after errors of diet; distension aggravates palpitations [Clarke]. Vomiting of bile in hepatic cases, worse at night [Hughes]. Appetite capricious; disgust for meat at times [Allen]. Micro-comparison: vs. Sepia (acid dyspepsia in pelvic states but more indifference and chilliness); Aur-m-n. retains Aurum gravity with cardiac axis [Kent], [Farrington].

Hepatic region tense and tender; cirrhotic induration with ascites in the clinical sphere of this salt [Clarke], [Boericke]. Portal stasis signs—haemorrhoids, abdominal fulness—better after stool or bleeding (ties to “better after flow”) [Boger]. Colicky pulls downward toward pelvis before menses [Clarke]. Spleen may be congested in portal cases [Hughes]. Flatulence aggravates cardiac oppression via diaphragmatic crowding [Farrington]. Constipation alternating with diarrhoea, worse at night and after rich food [Allen], [Clarke].

Ineffectual urging with large, difficult stools; bleeding piles that temporarily relieve head and precordial weight [Boger]. Burning and soreness after stool; fissure-like pains [Hering]. Tenesmus with pelvic congestion, worse just before menses [Clarke]. Diarrhoea from dietary excess or emotion, leaving weakness [Allen]. Itching at anus in hepatic subjects [Clarke]. Offensive flatus; relief of headache after evacuation [Boger].

Irritation of kidneys with albuminous urine in gold-salt toxicity; clinically, frequency and burning in pelvic disease states [Toxicology] [Hughes], [Allen]. Tenesmus vesicae with uterine pressure [Clarke]. Urine scanty in hepatic dropsy, increased on rising of ascites under treatment [Clinical] [Clarke]. Cloudy urine with phosphates after mental strain [Allen]. Nightly urination aggravates insomnia [Hering]. Micro-comparison: vs. Merc-sol. (more raw burning and salivation overall); Aur-m-n. is heavier in mood with uterine/heart axis [Hering].

Aversion to rich foods and alcohol; errors aggravate heart and head [Hughes], [Clarke]. Desire for cool drinks in small sips, which ease nausea and head pressure [Allen]. Little appetite in the evening; morning hunger with sinking [Hering]. Craves bread and simple food during convalescence [Clarke]. Worse after coffee in some (palpitation) [Farrington]. Thirst increased at night [Allen].

Deep gloom with sexual depression; impotence from mental prostration (Aurum trait) [Kent], [Nash]. Prostatic enlargement with aching in perineum, worse at night [Hering]. Orchialgia with nodular hardness in chronic taints [Clarke]. Cardiac oppression after coitus [Farrington]. Thin, corrosive urethral discharge in old syphilis (associational) [Hering]. Better from open air walking [Hering].

A prime sphere: fibroid uterus, cervical induration, enlarged ovaries (often left), menorrhagia and metrorrhagia with black clots, and dragging, bearing-down as if everything would fall out, worse at night and in warm rooms, better firm support and after a free flow [Clinical] [Lippe], [Clarke], [Boericke]. Menses profuse, prolonged, with cardiac anxiety and headaches that lessen as bleeding establishes—explicitly echoing the Better/Worse pattern [Boger]. Sterility with indurated cervix; habitual pelvic congestion with constipation and ozaena interplay [Clarke]. Leucorrhoea thick, yellow, acrid, worse before menses [Hering]. Dull ovarian ache (left>right), worse lying on left side; micro-comparison: vs. Sepia (bearing-down but more indifference and chilliness), vs. Calc-fluor. (fibroids with stony hardness and ligamentous laxity), vs. Thlaspi-b-p. (haemorrhage with cramping and clots rather than moral gloom) [Clarke], [Boericke], [Phatak]. Post-partum subinvolution with heavy mood, night-despair relieved by walking in open air [Hering], [Kent].

Aching between shoulders during cardiac spells; stiffness of dorsal muscles [Farrington]. Sacral heaviness before menses with dragging to thighs [Clarke]. Lumbar soreness, worse from jar and touch, better steady pressure [Hering]. Cervico-occipital tension accompanying ozaena headaches [Hering]. Coldness of back with heat of face in attacks [Boericke]. Throbbing at coccyx in pelvic congestion [Clarke].

Numbness and heaviness of left arm in angina; trembling with faintness [Farrington]. Night bone-pains in tibiae (periosteal) in tainted constitutions [Hering]. Cold hands and feet with hot face during cardiac episodes [Boericke]. Varicose tendency in pelvic sufferers; legs feel weighted before menses [Clarke]. Cramps in calves on ascending [Farrington]. Better from slow walking in open air [Hering].

Coppery-red, indurated ulcers in syphilitic diathesis; slow to heal [Hering], [Clarke]. Eczema-like eruptions after gold salts; pruritus with restlessness at night [Toxicology] [Hughes], [Allen]. Yellowish tint in hepatic cases [Clarke]. Nodes on periosteal surfaces in chronic taint [Hering]. Night sweats stain linen [Boericke]. Dryness with desquamation in winter [Allen].

Uterine / Pelvic Indurations & Fibroids

• Sepia. Bearing-down as if everything would fall out; chillier, apathetic, better vigorous exercise. Aur-m-n. more suicidal gloom, night aggravation, and cardiac linkage [Kent], [Clarke].
• Calc-fluor. “Stony” hardness; ligament laxity, nodes; less moral despair; slower, purely structural sphere [Boericke], [Phatak].
• Thlaspi-b-p. Menorrhagia with cramping and clotting; haemorrhage the keynote; less mental gravity; Aur-m-n. has heart/pelvis axis [Clarke], [Phatak].
• Fraxinus-am. Fibroid uterus with enlarged left ovary; less mind-weight; more organ-specific [Boericke].
• Conium. Gland indurations, worse from jar; more vertigo and mammae pains; less suicidal despair [Hering], [Kent].
• Ustilago. Uterine haemorrhage with oozing and erosion; sexual erethism; not Aurum gloom [Boericke].

Cardiac / Angina

• Cactus. Iron band constriction; purple congestion; less moral despair [Farrington].
• Glonoinum. Surging, throbbing head and heat; explosive vasodilation rather than sclerotic spasm [Farrington], [Clarke].
• Naja. Depressed, guilty mood with cardiac focus; more throat–heart linkage; left-sided [Farrington].
• Spigelia. Needle-like precordial pains, worse motion, eye symptoms; less pelvic induration [Farrington].
• Digitalis. Slow, weak pulse, sinking at epigastrium; less moral anguish; more fear to move [Nash], [Farrington].

Syphilitic / Mucosal–Periosteal

• Aurum met. Stronger periosteal and bone caries; broader mania–melancholy polarity; less uterine specificity [Hering], [Clarke].
• Kali-iod. Swift, corrosive ulceration with oedema; restless; less suicidal pathos from music [Clarke].
• Merc-sol. Profuse salivation, sweats, rawness; less indurative pelvis and cardiac sclerosis [Hering].

Hepatic / Portal

• Chelidonium. Right-scapular pain, jaundice; less moral gravity; little uterine focus [Clarke].
• Carduus-m. Portal stasis with piles; more digestive focus; less angina [Boericke].

Mind / Music / Night

• Nat-m. Grief, reserved; music may console; headaches like hammers; not typically angina with pelvic induration [Kent], [Clarke].
• Ignatia. Paradoxical, hysteric, sobbing from grief; music variable; less sclerotic diathesis [Kent], [Nash].

• Complementary: Sepia—pelvic congestion, bearing-down; Sep. follows in functional laxity after Aur-m-n. resolves indurations [Clarke], [Kent].
• Complementary: Calc-fluor.—connective tissue hardness; finishes structural repair post-haemorrhage control [Boericke], [Phatak].
• Complementary: Conium—glandular indurations; alternates when vertigo and mammae symptoms predominate [Hering].
• Complementary: Fraxinus-am.—fibroids with ovarian enlargement; organ-specific support [Boericke].
• Follows well: Thlaspi-b-p. after haemorrhage subdued; Aur-m-n. then addresses induration [Phatak], [Clarke].
• Follows well: Crataegus in cardiac weakness; Aur-m-n. when angina and sclerosis persist [Boericke].
• Follows well: Kali-iod. in syphilitic mucosal disease; Aur-m-n. for residual induration [Clarke].
• Precedes well: Sepia or Murex for remaining pelvic atony vs. erethism [Clarke].
• Precedes well: Digitalis when pulse is failing; Aur-m-n. later for sclerotic angina [Nash], [Farrington].
• Antidotes (functional): Nux-v. for gastric drug aggravations in Aur-m-n. cases; Camph. in sudden collapse [Clarke], [Hughes].
• Related (compare): Aurum met., Naja, Cactus, Glon., Merc-sol., Kali-iod. [Farrington], [Clarke], [Hering].

Clinical Tips

• Chronic fibroids / cervical induration: long courses in 3x–6x or 6C have classical endorsements; intercurrent higher potencies (30C) for mental–cardiac knots in vigilant hands [Clarke], [Boericke], [Lippe].
• Angina with night aggravation, left-arm radiation, better slow walking in cool air: consider 6C–30C in the functional–sclerotic borderland, with organ support as needed [Farrington], [Nash].
• Cirrhotic ascites / portal stasis: low trituration (3x) in chronic states, monitoring diuresis and stool as proxies for “flow” response [Clarke], [Hughes].
• Avoid abrupt suppression of discharges in these patients; favour gentle regulation—mirrors remedy polarity [Boger], [Lippe].
• Case pearls (ultra-concise):

• • Fibroid uterus, black-clot menorrhagia; night despair → steady improvement after Aur-m-n. 6C; bleeding moderated; mood lifted after each flow [Clinical] [Lippe].
  • Angina worse ascending, relieved by cool night air walking; attacks shortened on Aur-m-n. 30C with intercurrent Cactus for constrictive crises [Farrington].
  • Ozaena with periosteal soreness; headaches ease after epistaxis; Aur-m-n. 6x long course softened crusts and relieved night pains [Hering], [Clarke].
  • Hepatic cirrhosis with piles; better after stool and sweat; Aur-m-n. 3x for months improved ascitic tendency [Clarke].

Mind

• Suicidal disposition; night; worse. Classic Aurum axis; central selection cue [Kent], [Hering].
• Music; aggravates mental symptoms. Deepens sadness; differentiates from Nat-m. [Kent].
• Brooding; mortification from contradiction. Chest oppression accompanies [Kent].
• Anxiety; heart symptoms with. Psycho-visceral link [Farrington].
• Despair; religious or moral. Aurum sphere [Clarke].
• Better; open air; walking slowly. Confirms overall polarity [Hering].
• Sadness; worse warm room. Matches general modality [Allen].
• Irritability; from contradiction. With precordial weight [Kent].

Female

• Uterus; fibroid tumours. Leading clinical rubric [Clarke], [Boericke].
• Cervix; induration. “Stony” feel; slow resolution [Lippe].
• Metrorrhagia; black clots; worse night. Cardiac–head relief after flow [Boger].
• Ovaries; left; enlargement; aching. Left predominance [Clarke].
• Bearing-down; worse warm room; better pressure. Pelvic axis [Hering].
• Leucorrhoea; acrid; before menses. Congestive pattern [Hering].
• Sterility; with cervical induration. Structural bar [Clarke].
• Prolapsus sensation; needs firm support. Better by pressure [Hering].

Heart

• Angina pectoris; night; worse ascending. Key cardiac rubric [Boericke], [Farrington].
• Pain; left arm; extending to. Coronary signature [Farrington].
• Palpitation; warm room aggravates. Vasomotor element [Allen].
• Oppression; better open air and walking slowly. Confirms remedy [Hering].
• Anxiety of heart; humiliation from. Aurum mind–heart loop [Kent].
• Pulse; irregular; emotion aggravates. Functional–organic border [Clarke].
• Cannot lie on left side; heart symptoms. Positional cue [Boericke].
• Cold sweat; forehead; with heart pain. Crisis sign [Farrington].

Nose

• Ozaena; fetid crusts; caries of bones. Gold-salt hallmark [Hering], [Clarke].
• Epistaxis; relieves head symptoms. “Better after flow” [Boger].
• Ulceration; septum; night pains. Periosteal link [Hering].
• Obstruction; warm room; worse. Modal confirmation [Allen].
• Smell; lost; ozaena with. Chronicity marker [Hering].
• Coryza; before menses. Head–pelvis axis [Clarke].

Abdomen / Liver

• Liver; cirrhosis; induration. Sphere of use [Clarke], [Boericke].
• Ascites; portal stasis. Clinical indication [Clarke].
• Haemorrhoids; bleeding relieves head. Flow polarity [Boger].
• Right hypochondrium; tension; tenderness. Hepatic feel [Clarke].
• Flatulence; aggravates heart symptoms. Diaphragmatic crowding [Farrington].
• Constipation; ineffectual urging. Portal pattern [Allen].

Sleep / Dreams

• Sleeplessness; after midnight; worse. Night pole [Hering], [Kent].
• Dreams; funerals; business failure. Aurum conscience [Clarke].
• Wakes; must go to window for air. Better open air [Hering].
• Grinding teeth; sighing in sleep. Autonomic sign [Hering].
• Unrefreshed sleep; cardiac weakness. Day drowsiness [Clarke].
• Left-side; lying aggravates; heart symptoms. Positional cue [Boericke].

Generalities

• Induration; glands; uterus; cervix. Remedy essence [Hering], [Clarke].
• Worse; night; warm room. Global modality [Allen].
• Better; open air; gentle motion. Global amelioration [Hering].
• Suppressed discharges; complaints from. Flow polarity [Boger].
• Side; left; complaints of. Heart/ovary axis [Farrington].
• Sclerotic conditions; vessels; viscera. Kingdom signature [Boericke].
• Music; aggravates; general. Mind–body bridge [Kent].
• Weakness; after emotions; humiliation. Aurum link [Kent].
• Periodic aggravation; afternoon to midnight. Timing cue [Boger].
• Pressure; firm; ameliorates local pains. Periosteal/pelvic [Hering].

Hahnemann — Materia Medica Pura (1821): foundational Aurum picture (mind, night, music) used comparatively.
Hering — The Guiding Symptoms (1879): clinical confirmations; ozaena, periosteal pains, pelvic bearing-down; sleep notes.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–79): pathogenetic fragments and toxicology of gold salts; modalities.
Hughes, R. — A Manual of Pharmacodynamics (1870s): toxicology/physiology of chloroaurates; hepatic and renal notes.
Clarke, J. H. — Dictionary of Practical Materia Medica (1900): Aurum muriaticum natronatum—uterine fibroids, hepatic sclerosis, cardiac sphere; preparations.
Boericke, W. — Pocket Manual of Homeopathic Materia Medica (1901): concise keynotes—fibroids, ovarian disease, angina, liver induration.
Kent, J. T. — Lectures on Materia Medica (1905): Aurum mental traits (music, night, honour); differential insights.
Boger, C. M. — Synoptic Key (1915): modalities (suppressed discharges; periodicity); flow-relief pattern.
Phatak, S. R. — Materia Medica of Homeopathic Medicines (20th c.): comparisons—Calc-fluor., Thlaspi-b-p., pelvic haemorrhage patterns.
Farrington, E. A. — Clinical Materia Medica (1887): cardiac comparisons—Cactus, Glon., Naja, Spigelia; angina modalities.
Nash, E. B. — Leaders in Homeopathic Therapeutics (1898): cardiac and mental leaders—Aurum axis, Digitalis comparison.
Lippe, A. — Keynotes and Red Line Symptoms (19th c.): uterine induration, menorrhagia with relief after flow, long courses guidance.
Scholten, J. — Homeopathy and the Elements (1996): mineral theme synthesis (structure, responsibility) used interpretively.
Sankaran, R. — The Substance of Homeopathy (1991) & later works: miasmatic/kingdom colour for Aurum/Natrum/Muriaticum axes.
Bailey, P. M. — Homeopathic Psychology (1995): psychological portrait of Aurum and Natrum types, applied inferentially.