R46 drops is indicated for in rheumatism and gout of forearms and hands (a form of acute arthritis that causes severe pain and swelling in the joints). R46 is beneficial in acute cases which causes numbness (without sensation) and swelling of affected parts (i.e., arthritis with deformation). R46 is a useful remedy in other muscular pains (growing worse in damp weather) such as: rheumatism in the knees, shoulders, pains in the sacral (spinal) region, intercostal neuralgia (pain in the ribs), rheumatism of the occiput (back of the head). It contains Lithium Carb which has specific effect in Rheumatism & gout.