Manganum oxydatum

General.
     Pain in tibia, dysmenorrhoea, colic and diarrhoea. Easily fatigued and heated; sleepy. Stolid, mask-like facies; low monotonous voice "Economical Speech." Muscular twitching, cramps in calves; stiff leg muscles; occasional uncontrollable laughter. Peculiar slapping gait. Similar symptoms to paralysis agitans, progressive lenticular degenerations and pseudo sclerosis. Workers in Managa. Binoxide are frequently affected with bulbar paralysis. Use 3X homeopathically.