DR. RECKEWEG R46
In rheumatism of forearms and hands

Ingredients:
Ferrum phosphoric. D12, Lithium carb. D12, Natrium sulfuric. D30, Nux vomica D30, Rhododendron D6, Spiraea Ulmaria D12, Ethanol, Aqua pur.

Indications:
In rheumatism and gout of forearms and hands, with swelling of articulations.
In acute cases: numbness and swelling of articulations, characteristic in arthritis with deformation.
Frequently such pains grow worse with change of weather (humidity).
This remedy may also be used in other rheumatic aches (growing worse in damp weather) such as:
sciatica, rheumatism in the knees, shoulders, pains in the sacral region, inflammation of articulations of the haunches, intercostal neuralgia, rheumatism of the occiput (back of the head).

Mode of action:
The present remedy may also be used in feverish infections growing worse or caused by humidity.

Ferrum phosph.: Against inflammations. Influences secondary anaemia frequently occurring in rheumatism and arthritis with deformation.
Lithium carb.: Specific effect in rheumatism and gout, in arthritis with deformation and rheumatic-gouty illnesses.
Natrium sulf.: Aggravation by humidity in rheumatism and asthma.
Nux vomica: Worse on getting up, low spirits in the morning.
Rhododendron: Chronic rheumatism, pains in limbs and mainly in bones of forearms and hands.
Spiraea Ulmaria: Fluttering pains, localized in the articulations of the elbows.

Dosage:
To be adapted according to the acuteness of the pains.
In general: 2–3 times daily 10–15 drops in a little water before meals for a longer period of time (eventually to be alternated with other complementary remedies).
In acute cases: take 10 drops every ½–1 hour. After improvement: take 10–15 drops every 2–3 hours (also with other complementary remedies—eventually in the morning, noon and night).

Remarks:
Complementary remedies:
R1 in pains arising from the tonsils or articular inflammations following angina.
R6 in feverish infections or influenza.
R11 in case of general rheumatic constitution.
R16 in migraine and neuralgia.
R24 with intercostal neuralgia.
R50 in sacroiliac complaints of women and pains along the vertebral column.
It is advisable to use only R46 in the beginning (especially when the pains are localized in the articulations of the hands), before making any combinations with two or three complementary remedies.