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Materia Medica

Nitricum Acidum

Nitric Acid
59 sectionsBoericke · 19Clarke · 33Kent · 7

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • as from splinters. Sticking pains
  • Irritable

Essence

Prologue
Boericke

Nitric Acid

  • Selects for its special seat of action the outlets of the body where the mucous membrane and skin meet; these pain as from splinters. Sticking pains.
  • Marked improvement of all symptoms while riding in a carriage.
  • Acts best on the dark complexioned and past middle life.
  • Syphilis, after abuse of Mercury.
  • Pains appear and disappear quickly (Bell).
  • Hydrogenoid constitution.
  • Sycotic remedy.
  • Blisters and ulcers in mouth, tongue, genitals; bleed easily.
  • Fissures, with pain during stool, as if rectum were torn.
  • All discharges very offensive, especially urine, feces, and perspiration.
  • Persons who have chronic diseases, and take cold easily and disposed to diarrhoea.
  • Excessive physical irritability.
  • Cachexia, due to syphilis, scrofula, intermittent fever with liver involvement and anaemia, etc.
  • Gravel; arthritis.
  • Capillary bleeding after curettage.
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Keynotes

Characteristics (part 1)
Clarke

When strong Nitric acid comes in contact with the skin it destroys the upper

layers and turns them yellow, but as it coagulates their albumen it to a certain extent forms a

barrier against its own further action, its action therein differing from that of Sulphuric acid.

When swallowed it acts as an irritant poison; when its fumes are inhaled it may destroy life by

suffocative spasm of the glottis or by intense bronchitis. It is used in old-school practice as an

escharotic for warts and warty tumours; for phagedzenic ulcers, chancres, poisoned bites. The

dilute acid is used internally in fevers to quench thirst; in bronchitis and phthisis to diminish the

excessive secretions; in some cases of syphilis; in phosphaturia. It has even been injected into the

bladder in a dilute form to dissolve calculi (Brunton). In the light of provings and poisonings all

these uses are seen to have more or less specific relationship. "Phthisis," "syphilis," and "warty

growths" represent Hahnemann's three miasms, Psora, Syphilis, and Sycosis; and Nit. ac. belongs

  • almost equally to all three.
  • But in addition to its miasm relationship, Nit.
  • ac.
  • has drug

relationships of great importance. It is one of the chief antidotes of Merc., and it is in cases of

syphilis that have been overdosed with Merc. that its action is most brilliant. I have known it do

equally well when used after over-dosing with Kali iod., whether in syphilitic or non-syphilitic

  • cases.
  • In phthisical cases it follows the action of Kali c.
  • in homeeopathic practice.
  • In sycotic
  • cases Thuj.
  • follows it well.
  • The localities in which the action of Nit.
  • ac.
  • is very strongly marked

are—(/) the muco-cutaneous orifices and adjoining parts. Burnett made a brilliant cure of

actinomycosis with Nit. ac. 3x in a patient who had been the round of the London consultants,

and had doubtless taken much Kali iod. The localities in which the disease manifested itself, the

region of the mouth and anus, gave Burnett his indication. The mouth (especially its angles) and

anus are prominent seats of syphilitic action, and also of the action of the other miasms, the

condylomata and fissures of sycosis; the fissures, fistulee, hemorrhoids, and sore mouth of psora.

The right eye, the male genitals, and the bones are other localities for which Nit. ac. has a very

strong affinity. In his directions about this remedy Hahnemann makes the remark that it is rarely

required by patients who suffer from constipation. In my experience this is absolutely wrong.

Constipation, as the symptoms of the Schema would indicate, is a prominent indication for Nit.

ac., and I have cured almost as many cases with this as with any other single remedy. I have

generally found, when I have had an opportunity of testing them, that Hahnemann's positive

directions are thoroughly trustworthy; but his negative directions are quite as likely to be wrong

Characteristics (part 2)
Clarke
  • as right.
  • The characteristic discharges of Nit.
  • ac.
  • are offensive, thin, excoriating; if purulent they

are a dirty yellowish green, not laudable pus. Ulcers have profuse exuberant granulations, and

bleed easily. The dressing causes bleeding, and every touch causes "sticking pain as if from

  • splinters.
  • " This is a grand keynote of Nit.
  • ac.
  • , and will serve to indicate it wherever it is found.
  • It

requires a touch or movement to elicit it. When it occurs in the throat it requires the act of

swallowing to set it up; in the anus, the passage of the stool; in ulcers, the touch of a dressing. It

may occur from touch in any part of the body; in abdomen; in Ingrowing toe-nails. In the

phthisical cases calling for Nit. ac. the chest walls are extremely sore to touch; there is sudden

rush of blood to chest; hectic; frequent hemorrhages, bright red, profuse; sharp stitches through

right chest to scapula. Great dyspnoea, cannot talk for getting out of breath; morning hoarseness;

cough tickling, seems to annoy all night; at times loose and rattling; loud rales through chest;

sputa offensive, bloody, purulent, dirty green; exhausting diarrhoea; exhausting sweats towards

morning, chilly; heat in flashes or only on hands and feet. The suffocating effect of Nit. ac.

  • fumes is an indication of its affinity for the respiratory organs.
  • Here is an example (H.
  • W.
  • , xxiv.

537): A two-gallon bottle of Nitric acid in the store of Mr. Harold Woolley, of Manchester, had

become fractured. Water was thrown upon the bottle, and whiting placed about it to neutralise

the fumes which issued from the fracture. Mr. Woolley superintended the process, and was in

  • contact with the fumes for two hours.
  • This happened in the afternoon.
  • Next day Mr.
  • Woolley

complained of being unwell, and although medical aid was promptly summoned he died at five

o'clock in the afternoon, death being attributed to "rapid congestion and inflammation of the

  • lungs, in consequence of inhaling the fumes.
  • "—WNit.
  • ac.
  • is indicated in typhus when pneumonia

supervenes; and when hemorrhage from the bowels occurs. The stools are green, slimy,

offensive, may be purulent; the hemorrhages are profuse and bright red. With diarrhoea there is

rawness and soreness of anus; the stool is putrid; in children may contain lumps of casein. Slimy

stools, from excess of mucus passed with much straining. Or they may be (especially in

  • scrofulous children) pale, pasty, sour, offensive.
  • A keynote of Nit.
  • ac.
  • stools, whether loose or

constipated, is pain after stool. There is pain during stool as if anus and rectum were torn and

pierced, and violent pains after stool, lasting for hours. All the other orifices of the body are

affected by Nit. ac.: Chancres and herpes about penis and prepuce; growths about vagina and

cervix; leucorrhoea, immediately after menses; flesh-coloured, stringy, offensive. The nose, ears,

and eyes are also influenced, and Nit. ac. is one of the first remedies in syphilitic eye affections,

  • as iritis.
  • Among the hemorrhages of Nit.
  • ac.
  • is hematuria.
  • Goullon published a case in Archiv.
  • ,
  • ii.
  • 36.
  • (New Series), translated by Mossa, Rev.
  • H.
  • Frangaise, ix.
  • 136.
  • A painter's apprentice, 15,

after gilding an object, was seized with vertigo, with coldness, and soon with violent pain in

bladder region. Next day he passed pure blood, bright red, with frequent strangury; the urine

separated itself distinctly from the blood. During short intervals the blood did not flow. Tongue

  • white, swollen.
  • Nit.
  • ac.
  • 3 one drop was given, and in twenty-four hours the boy was cured.
  • The

urine of Nit. ac. affords one of the most important of all its keynotes: Urine of a strong odour,

like horses’; or extremely offensive. Whenever this occurs as a concomitant in any case it is

likely that other symptoms will point to Nit. ac. Fetid sweats on feet, hands, or in axilla no less

  • point to Nit.
  • ac.
  • Among the hemorrhages of Nit.
  • ac.
  • are those occurring in cachectic women
  • after confinement or abortion.
  • H.
  • N.
  • Coons (Amer.
  • Hom.
  • ) records the case of an aneemic woman,

four weeks after miscarriage, had constant pelvic hemorrhage, at times coming with a gush;

  • constant heavy feeling, much < standing or walking.
  • Nit.
  • ac.
  • 2x, 20 drops in three ounces of

water, a teaspoonful every two hours, quickly arrested bleeding and cured. As showing the value

  • of peculiar symptoms, D.
  • C.
  • Perkins relates (Amer.
  • Hom.
  • , xxii.
  • 12) the case of a woman who said
Characteristics (part 3)
Clarke

she was very ill, but could only describe her illness by saying that she" felt like a pulp-mill." Nit.

  • ac.
  • has "borborygmus as if a boiler was working in the bowels," and Nit.
  • ac.
  • proved to be the

remedy. The sensitiveness to touch runs through the entire symptomatology, including the

symptoms of the mind. The mind is weak, no ideas; if she exerts her mind thoughts vanish. Mind

easily affected, inclined to weep. Hopeless despair. On the other hand, there is nervous

  • excitability (especially after Merc.
  • —-it is the excitable form of mercurialism that Nit.
  • ac.
  • best

meets); peevishness; irritable, quarrelsome; fits of rage and cursing; inveterate ill-will unmoved

by apologies. The head is sensitive to the slightest jar; to the rattle of waggons in the street, or

even to the step of one walking across the floor. The head is very sensitive, even to pressure of

hat; sensitive to combing, and on part lain on. Eruptions and ulcers bleed easily when touched.

Eyes are sensitive to light. The ears present an exception, for deafness is > riding in a train or

carriage. Sensitiveness of the head while out driving and stopping suddenly. The tongue is

  • sensitive even to soft food.
  • Nit.
  • ac.
  • is suited to: Persons of dark, swarthy complexion, with black

hair and eyes; lean persons of rigid fibre; brunette rather than blonde nervous temperament.

Persons suffering from chronic diseases who take cold easily and are disposed to diarrhoea. Old

people with great weakness. Hydrogenoid constitutions. Peculiar sensations are: As if head in a

vice from ear to ear over vertex. As if some one were forcibly pressing head; head tightly bound;

constricted by tape; contused. As of a gathering in left temple. Pain as from splinters in eruption.

As if warm water were flowing from and over eyes (first right, then left). As if teeth soft and

  • spongy.
  • As if abdomen would burst.
  • As if a boiler working in bowels.
  • As if a band round bones.

As if dogs were gnawing flesh and bones, and as if sinews were being pulled up. As if ball of

great toe had been frozen. As if splinters in great toe; in carbuncles, &c. Cramp-like pains,

stinging, shooting, burning, pressure, and soreness. Excessive physical irritability, hysteria.

Pains, even slight ones, affect him violently. Prostration, sick feeling, faints from least motion.

Epilepsy > riding in carriage. Left-sided paralysis. Twitchings in various parts; frequent starts in

  • upper part of body.
  • Easily takes cold.
  • Emaciated.
  • Tedious suppuration.
  • A characteristic
  • accompaniment of Nit.
  • ac.
  • is "Profuse sweat breaks out on hands and feet.
  • " When this occurs in
  • spinal injuries Nit.
  • ac.
  • is the remedy (B.
  • Simmons, H.
  • P.
  • , ix.
  • 327).
  • W.
  • M.
  • James (Med.
  • Cent.
  • , vi.

325) cured this remarkable case: A girl had frequent attacks of petit mal, sometimes as many as

fifty a day between the periods. At the beginning of the menses she had spasms so violent that

  • they dislocated both humeri.
  • Nit.
  • ac.
  • 200 given persistently put an end to the attacks, gradually.
  • The first few times after commencing Nit.
  • ac.
  • there were spasms but no dislocation.
  • Mohr (#7.
  • R.
  • ,
  • xiii.
  • 210) gave Nit.
  • ac.
  • 3x to aman who suffered from cancer of the liver with bloody diarrhcea,

followed by constipation; violent pains in stomach and liver; unable to sleep; or unable to take

  • any food without much pain, mostly vomiting.
  • Nit.
  • ac.
  • removed the pain and relieved the

constipation entirely, and the patient died without an hour's suffering from the time he received

  • Nit.
  • ac.
  • J.
  • H.
  • Fulton cured with one dose of Nit.
  • ac.
  • 200 R.
  • M.
  • , 28, who had had bleeding piles

for eighteen months. He had frequent bloody and slimy stools; but a/ways bright red blood after

stools, from a dessertspoonful to half a teacupful. When the stools were hard there was much

  • pain in passing them.
  • Burning in anus after stools (Med.
  • Adv.
  • , xxxiii.
  • 268).
  • The symptoms are <

by touch; pressure (of hat); > riding in carriage. < Eating (during and after eating, sweat). < Milk

  • and fat food.
  • < Exercise, exertion, effort, raising.
  • arm, walking, standing.
  • < Exerting mind.
  • Lying

down > headache. Night-sweat on parts lain on. Many symptoms come on towards morning.

  • Cannot sleep after 2 a.
  • m.
  • Cough < on rising, during day, and at bedtime.
  • Many symptoms,

including bone-pains, come on in night. Warmth and cold both <. Warm weather < hemorrhoids;

covering up = night-sweats. Least exposure = chills. Cold or warm things = tearing and shooting

Characteristics (part 4)
Clarke
  • in teeth.
  • Washing = warts to bleed.
  • Cold weather < chilblains.
  • Cold water > warm water feeling

in eyes. Winter < chronic cough; hiccough; chilblains.

Mentals

Mind
Boericke
  • Irritable, hateful, vindictive, headstrong.
  • Hopeless despair.
  • Sensitive to noise, pain, touch, jar.
  • Fear of death.
Symptoms — Mind
Clarke

Sadness, despondency.—Excessive melancholy and fits of anguish, esp. in evening, or

at night.—Uneasiness respecting health, with fear of death.—Excessive nervousness, great

  • excitability, esp.
  • after the abuse of Mercury.
  • —Easily startled and frightened.
  • —Unfitness for

labour.—Concentration in self—Taciturn, disinclined to communicate anything.—Vexed at

trifles—Attacks of rage, despair, with cursing and maledictions.—Irritability and

  • obstinacy.
  • —Passion.
  • —Prolonged rancour.
  • —Fits of rage and despair, with oaths and
  • imprecations.
  • —Inclination to weep.
  • —Nostalgia.
  • —Timid and apprehensive disposition.
  • —Weakness

of intellectual faculties, with unfitness for intellectual labour——Excessive weakness of

memory.—Comes over with feeling as if would go out of her mind, with burning feeling on

  • vertex (Agg.
  • from 3x, R.
  • T.
  • C.
  • ).
  • —Woman, 20, intemperate, syphilitic, poor physical condition,

restless, destructive of clothing, talking incoherently and continuously sleepless, excited at any

  • one's approach, using profane and vulgar language (cured with 2x.
  • G.
  • S.
  • Adams, Westb.
  • As.
  • Rep.
  • ,

1889).

Generals

Symptoms — Generalities
Clarke

Shooting pains, as if caused by splinters stuck into affected part on slightest

contact with anything; same in throat on swallowing.—Sensation as if a band were around

affected part or parts; as though a band around bones; jerking pain in inner

parts —Rickets.—Inflammation, swelling, and suppuration of glands.—Pains on change of

weather.—Pains which are perceptible during sleep.—Aggravation of the symptoms in the

evening and at night.—Riding in a carriage > most symptoms.—Great weakness and general

lassitude, with trembling, heaviness of legs, and desire to remain lying down, esp. in evening or

  • morning.
  • —Hysteria.
  • —Epileptic attacks.
  • —Syphilis (secondary).
  • —Sycotic condylomata; and
  • sycosis.
  • —Jaundice, with constipation.
  • —Pains in bones.
  • —Frequent drawing pains in almost all

parts of body, suddenly appearing and disappearing.—Epileptic attacks after midnight, beginning

like a mouse moving up and down 1. side, then loss of consciousness.—Excessive

  • emaciation.
  • —Tendency to take cold.
  • —Affections in general, of any kind, appearing in r.
  • eye (e.
  • g.
  • ,
  • as if a grain of sand was there); r.
  • side of neck; nape of neck; 1.
  • hypochondriac region; |.
  • chest;

inguinal glands; 1. lower extremity; bones of head.

Modalities

Modalities
Boericke
Worse
evening and night, cold climate, and also hot weather
Better
while riding in carriage (Reverse: Cocculus)

Head

Head
Boericke
  • Sensation of a band around head.
  • Headache from pressure of hat; full feeling; worse from street noises.
  • Hair falls out.
  • Scalp sensitive.
Symptoms — Head
Clarke

Vertigo when walking and when seated.—Vertigo, which compels lying down, esp. in

morning and evening.—Vertigo, with weakness, nausea, or headache.—Pressing headache from

without to within, with nausea; < by noise; > on lying down or when riding in a

carriage.—Headache, on waking in morning.—Great sensitiveness of head to noise of carriages,

or to a heavy tread.—Attacks of headache, with nausea and vomiting.—Sensation of fulness and

heaviness in head, with tension and pressure extending into eyes.—Tearing in forehead, vertex,

and occiput.—Lancinations in almost all parts of head, which sometimes compel patient to lie

down, and disturb sleep at night.—Pulsative headache.—Congestion of blood to head, with

internal heat.—Flushing and great heat of head, with tendency to perspiration of head and general

  • wave of heat (produced in man, 60, when taking 30th—R.
  • T.
  • C.
  • ).
  • —Drawing and pressive pains in

bones of head, with sensation as if they were constricted by a tape, < in evening and at night; >

from cold air and while riding in a carriage.—Painful sensitiveness of scalp; a head-dress is

  • oppressive.
  • —Tension in scalp.
  • —Itching of scalp—Humid eruption on head.
  • —Humid, stinging-

itching eruption on vertex and on temples, extending down to whiskers, bleeding very easily on

scratching it, and feeling very sore when lying on it—Inflammatory swellings on the scalp,

suppurating or becoming carious; most painful from external pressure or when lying on

them.—Wens.—Falling off of hair, with humid eruptions, paining as if splinters were thrust in, or

when touched; also on the genitals, after abuse of Mercury; with nervous headaches, great

debility and emaciation.—Ulcerated, running, and burning places on head.

Eyes

Eyes
Boericke
  • Double vision; sharp, sticking pains.
  • Ulceration of cornea.
  • Gonorrhoeal ophthalmia, photophobia, constant lachrymation.
  • Syphilitic iritis.
Symptoms — Eyes
Clarke

Eyes dull and sunken.—Aching and shootings in eyes.—Pressure and stinging in

eyes.—Inflammation of eyes, esp. after suppressed syphilis or after the abuse of

  • Mercury.
  • —Ulceration of eyes.
  • —Fistula lachrymalis.
  • —Specks on cornea.
  • —Swelling of
  • lids.
  • —Frequent lachrymation, esp.
  • when reading, with painful sensitiveness of eyes.
  • —Difficulty

to open eyes in morning (they are surrounded by a yellow circle).—Paralysis of upper lids—The

pupils contract with difficulty—Myopia.—Diplopia.—Mist, spots, nets, sparks, and black spots

  • dancing before eyes.
  • —Sight confused, eyes clouded.
  • —Eyes dazzled by daylight.
  • —Double vision

of horizontal objects—Obscuration of sight while reading; short-sighted.—Iritis, which

continually relapses; also old cases spoiled by Mercury.—(Smarting of eyes after

iritis—Constantly recurring pustular ophthalmia.—Proliferation of cornea, result of scrofulous

inflammation).

Ears

Ears
Boericke

Difficult hearing; better by riding in carriage or train. Very sensitive to noise, as the rattle of wagons over pavements (Coff; Nux). Cracking in ears when chewing.

Symptoms — Ears
Clarke
  • Shootings in ears.
  • —Stitches in the (r.
  • ) ear—Dryness in interior of ear.
  • —Uleceration of

mastoid apophysis.—Discharge from ears.—Excoriation behind ears, with itching and

  • suppuration.
  • —Obstruction of ears.
  • —Hardness of hearing, esp.
  • when relieved by riding in a
  • carriage or in the cars, i.
  • e.
  • , hears better (like Graphit.
  • ) Hardness of hearing, principally from

elongation, induration and swelling of tonsils (after the abuse of Mercury).—Clapping, throbbing,

and rumbling in ears.—Beating and humming in ears. —Echo in ears of one's own

speech.—Cracking in ears during mastication.—Swelling of parotids—Swelling of glands beneath

and behind 1. ear with stitches and tearing extending through the ear——Wen on the lobe of the

  • ear.
  • —[Nit.
  • ac.
  • has a special but very ill-defined power in deafness and tinnitus—Woman, 55, deaf
  • fifteen years with tinnitus in both ears, constant in |.
  • , intermittent in r.
  • , not > in noise; Nit ac.
  • 200

caused great < of noises for two days, then gradual cessation with complete relief of tinnitus in

  • three days.
  • —In another lady Nit ac.
  • 6 always = noises.
  • —In young man Nit ac.
  • always = heavy,

dull deafness with fulness of head as from a cold, a regular eustachian blockage.—Deafness after

  • measles, hiccough and clear expectoration (cured).
  • —R.
  • T.
  • C.
  • ]

Nose

Nose
Boericke
  • Ozaena.
  • Green casts from nose every morning.
  • Coryza, with sore and bleeding nostrils.
  • Tip red.
  • Stitches, as of a splinter in nose.
  • Caries of mastoid. Nosebleed, with chest affections.
  • Chronic nasal catarrh, with yellow, offensive, corrosive discharge.
  • Nasal diphtheria, with watery and exceedingly excoriating discharge.
Symptoms — Nose
Clarke

Redness of point of nose, which is covered with scabby vesicles.—Itching tetters on

alze nasi.—Shooting prickings in nose (as from splinters) when touched.—Pain, as of excoriation,

and burning, with scabs in nose.—Bleeding of nose, excited by weeping, or in morning; the blood

that is emitted is black.—A fetid odour is perceived when breathing through nose.—Fetid odour

  • from nose.
  • —Condylomatous excrescence, like a sycosis in nose.
  • —Abortive sneezing.
  • —Dryness

and obstruction of nose.—Violent fluent coryza, with headache, cough, swelling and ulceration of

nose (the mucus is only discharged through the posterior nares)—Dry coryza, with dryness of

throat and nose.—Coryza, with dry cough, headache, hoarseness, and stitches in throat.—Wings

of nose inflamed and swollen.—Discharge of thick and corrosive mucus from nose.—Fetid and

yellowish mucus in nose.—Large soft protuberances on alz covered with crusts;

syphilis —(Ozzena with clear discharge.)

Face

Symptoms — Face
Clarke

Paleness of face, with eyes deep-sunk.—Yellow colour of face, and esp. round eyes,

with redness of cheeks.—Dark yellow, almost brown complexion.—Dark freckles on

face.—Cramp-like pain and tearing in cheeks and zygomatic process.—Swelling of

cheeks.—Bloatedness around eyes on waking early.—Eruption of pimples on face, forehead, and

temples.—Scurfy pustules on face, with margins, large, red, and covered with scabs;

syphilis—Erysipelatous swelling of cheek, with shooting pain, nausea, and fever.—Furfuraceous

  • skin over whole face.
  • —Itching eruption and tetters in whiskers.
  • —Black pores in face.
  • —Swelling
  • (and itching) of lips.
  • —Lips cracked.
  • —Ulceration of lips, commissures.
  • —Ulcers on red of
  • lips.
  • —Furunculi on chin.
  • —Painful swelling of the submaxillary glands.
  • —Cracking of jaws when

chewing and eating.

Mouth

Mouth
Boericke
  • Putrid breath.
  • Salivation.
  • Bleeding of gums.
  • Painful pimples on the sides of the tongue.
  • Tongue clean, red and wet with center furrow.
  • Teeth become loose; gums soft and spongy.
  • Ulcers in soft palate, with sharp, splinter-like pains.
  • Salivation and fetor oris.
  • Bloody saliva.
Symptoms — Mouth
Clarke

Offensive and putrid (cadaverous) smell from mouth.—Excoriation of tongue, palate,

and internal surface of gums, with acute shooting pains.—Ulcers (mercurial and syphilitic) in

mouth and fauces, with pricking pains.—Ulcerated spots on inner surface of cheeks, with sticking

pains as from a splinter.—Corners of mouth ulcerated; with stitches.—Tongue is very sensitive;

even mild food causes a smarting sensation.—White, dry tongue, in morning.—Tongue: coated

green (with ptyalism); coated yellow, sometimes white in mornings.—Blisters and ulcers on

tongue; and margins, with burning pain when touched.—Bites tongue when chewing; and

cheeks.—Tongue sensitive, even to soft food, which causes smarting.—Profuse flow of

  • saliva.
  • —Saliva bloody in morning.
  • —Saliva has foul odour.
  • —Sour taste in mouth.
  • —Mucous

membrane of mouth swollen and ulcerated; with pricking pains; after abuse of

Mercury.—Ranula.—Salivation (also with ulcers on the fauces), sometimes from febrile

attacks.—Great dryness of the mouth, with burning thirst.

Symptoms — Teeth
Clarke

Odontalgia, with jerking, shooting, drawing, or pulsative pain, principally at night, or

in bed, in evening.—Pain in carious teeth—The teeth feel elongated.—Pain on

chewing.—Stitching or boring pains in teeth when touched by anything cold or warm.—Teeth

become yellow and loose.—Gums bleed, and are white and swollen.—Stomacace.

Throat

Symptoms — Throat
Clarke

Ulcer, with shooting pain in the mouth and throat.—Inflammation of the throat; with

shooting pains; also after the abuse of Mercury, or with burning and soreness, esp. on

swallowing liquids.—Tonsils (uvula and fauces) red and swollen.—Great dryness and heat in the

throat—Much mucus in the throat posteriorly.—Sore throat on swallowing, as if swollen; raw and

ulcerated.—Burning sensation, and pain as of excoriation, in throat——Swallowing very difficult,

as from constriction of the pharynx.—Diphtheritic patches on tonsils and fauces, extending to

mouth, lips, nose.

Throat
Boericke
  • Dry.
  • Pain into ears.
  • Hawks mucus constantly.
  • White patches and sharp points, as from splinters, on swallowing.

Stomach

Stomach
Boericke
  • Great hunger, with sweetish taste.
  • Longing for indigestible things-chalk, earth, etc.
  • Pain in cardiac orifice.
  • Dyspepsia with excess of oxalic acid, uric acid and phosphates in urine and great mental depression.
  • Loves fat and salt (Sulph).
Symptoms — Appetite
Clarke

Loss of appetite.—Milk is not digested —Bitter taste in mouth, esp. after

  • eating.
  • —Complaints < while eating; from abuse of Mercury.
  • —Sour taste.
  • , with burning in

throat —Sweetish taste in mouth.—Violent thirst even in morning, on rising.—Dislike to meat, and

things sweetened with sugar——Repugnance to bread, which leaves a sour taste, and causes

vomiting.—Craving for earth, chalk, lime, or fat food, and herring.—Sharp hunger, with disgust to

  • life —Difficulty in digesting milk.
  • —Nausea from fat food.
  • —Sweat, during and after a meal.
  • —A fter

drinking, during a meal, pain, as from excoriation in throat, cesophagus, and stomach, or else

colic.

Symptoms — Stomach
Clarke

After a meal, fulness in stomach, lassitude with heat, sweat, and palpitation of

heart from least movement, or nausea, risings, flatulency, headache with vomiting, sleep,

  • anguish, &c.
  • —Nausea after eating with heaviness and dulness of head.
  • —Sour risings.
  • —Inclination
  • to vomit.
  • —Pyrosis.
  • —Water-brash, after drinking quickly.
  • —Hiccough.
  • —Frequent nausea, and

inclination to vomit, often attended by anguish, trembling, and shivering.—Bitter and sour

vomitings, with frequent risings (after a meal).—Stomach and abdomen tense after a moderate

meal, clothes seem too tight.—Aching of stomach.—Burning, or sensation of coldness in

  • stomach.
  • —Pain in cardia, on passing of food into stomach.
  • —Cramp in stomach.
  • —Lancinations in

epigastrium.

Abdomen

Abdomen
Boericke
  • Great straining, but little passes, Rectum feels torn.
  • Bowels constipated, with fissures in rectum.
  • Tearing pains during stools.
  • Violent cutting pains after stools, lasting for hours (Ratanh).
  • Haemorrhages from bowels, profuse, bright.
  • Prolapsus ani.
  • Haemorrhoids bleed easily.
  • Diarrhoea, slimy and offensive.
  • After stools, irritable and exhausted.
  • Colic relieved from tightening clothes.
  • Jaundice, aching in liver.
Symptoms — Abdomen
Clarke

Stitches in hepatic region, < from motion.—Tensive pressure and shootings in

  • the |.
  • hypochondrium.
  • —Pains in the abdomen, like those which follow a chill.
  • —Excessive

inflation of abdomen, also in morning.—Frequent pinchings and incisive pains in abdomen (esp.

in morning in bed).—Pain, as from ulceration, in the lower part of the abdomen.—Shootings in

  • abdomen, esp.
  • when touched.
  • —Inguinal hernia, even in children.
  • —Swelling and suppuration of

inguinal glands——Tendency to suffer from a chill in abdomen (colic from cold).—Accumulation

of flatus in abdomen.—Borborygmus as if a boiler was working in abdomen.—(Sensation in

  • abdomen like machinery working.
  • ).
  • —Rumbling and borborygmi in abdomen.
  • —Incarceration of

flatus (in upper abdomen), esp. morning and evening.

Stool

Symptoms — Stool and Anus
Clarke

Difficult and irregular evacuations.—Before stool: colic; cutting constant

pressing in rectum; constant but fruitless desire—During stool nausea; tenesmus; spasm of anus;

cutting in anus and rectum; acute pain in abdomen; sensation as if feeces remained and could not

be expelled; splinter-like pains in rectum (with ineffectual urging); burning; tearing; palpitation

of heart.—A fter stool-continued urging; exhaustion; irritation, anxiety, general uneasiness; anus

sore, raw; cutting, straining, shooting in rectum, continuing for hours; prolapse with sensation of

constriction in anus; stitching pains; hemorrhage; discharge of prostatic

  • fluid.
  • —Constipation.
  • —Inability to evacuate feeces.
  • —Constant ineffectual desire, not > by

stool.—Feeces hard and dry.—Constipation with fissure symptoms: bleeding, pain, distending

  • stool.
  • —Evacuations too frequent.
  • —Urgent desire to evacuate.
  • —Loose evacuations, sometimes

mucous, or of a putrid smell—Offensive and undigested evacuations.—Much discharge of blood

after stool —Sanguineous, dysenteric evacuations, with tenesmus.—Black, offensive blood;

mucous pseudo-membranes, with straining and burning in rectum.—Colic, before stools.—After

stools, excitability and dejection—Burning pain, and itching in anus and rectum; with

prolapse.—Sticking in rectum, and spasmodic contraction in anus during stool; fissures.—Oozing

excoriation at anus.—Hemorrhoids, protruding, painless or burning.—Pain as if rectum would be

torn asunder during a stool.—Swelling of hemorrhoidal tumours in anus, which bleed at every

evacuation.—Moisture on anus.

Urinary

Symptoms — Urinary Organs
Clarke

Frequent want to urinate, with scanty emission of a fetid urine, deep-

  • coloured or brownish.
  • —Incontinence of urine.
  • —Painful emission of urine.
  • —Micturition in a thin

stream, as from a stricture —Urine cold when it passes.—Fetid urine, having an intolerably

offensive, strong smell, or smells like horse's urine.—Urine reddish; usually offensive—Red

sediment and sand in urine.—Smarting and burning in urethra when urinating —Discharge of

mucus, which is sometimes sanguineous, or of pus from urethra.—Swelling (dark red) of orifice

of urethra—Needle-like stitches in orifice of urethra.—Ulecers in urethra.—Discharge of prostatic

fluid after a difficult stool.

Urine
Boericke
  • Scanty, dark, offensive.
  • Smells like horse's urine.
  • Cold on passing.
  • Burning and stinging.
  • Urine bloody and albuminous.
  • Alternation of cloudy, phosphatic urine with profuse urinary secretion in old prostatic cases.

Female

Female
Boericke
  • External parts sore, with ulcers (Hep. : Merc; Thuja).
  • Leucorrhoea brown, flesh-colored, watery, or stringy, offensive.
  • Hair on genitals falls out (Natr m, Zinc).
  • Uterine haemorrhages.
  • Menses early, profuse, like muddy water, with pain in back, hips and thighs.
  • Stitches through vagina.
  • Metrorrhagia after parturition.
Symptoms — Female Sexual Organs
Clarke

Itching, burning pain, and sensation of dryness in vulva.—Great

failing off of hair of genitals.—Stitches up vagina, or from without inward, when walking in open

  • air.
  • —Violent stitches in vagina.
  • —Excoriations in vulva between thighs.
  • —Ulcer, with burning

itching in vagina.—Excrescences on vaginal portion of uterus as large as lentils; great

voluptuousness of mucous membrane in genitals after coitus.—Uterine hemorrhages from

  • overexertion of body.
  • —Metrorrhagia, a principal remedy (R.
  • T.
  • C.
  • ).
  • —Coffee-ground, offensive

discharge from uterus at climaxis, or after labour.—Before menses: throbbing in nape of neck and

small of back—Menses: too early and too profuse, blood very dark and thick; irregular, scanty,

and like muddy water.—During menses: eructations, cramp-like pail, in abdomen as if it would

burst; very offensive urine; bruised pain in limbs; down thighs; labour-like pains in abdomen and

back; palpitation of heart, anxiety, trembling; heaviness; burning in eyes; toothache and swelling

of gums.—After menses: violent pains through abdomen and a sudden gush of "muddy water";

brown or thick leucorrheea, finally a thin, watery, flesh-coloured, offensive discharge, sometimes

acrid; greenish, mucous leucorrhcea.—White glairy leucorrhcea, followed by backache (cured, R.

  • T.
  • C.
  • ).
  • —Menses reappear: a few days after cessation, and are pale red; fourteen days after

cessation, not profusely.—Stringy mucous leucorrhcea, flesh-coloured.—(Leucorrheea staining,

  • yellow.
  • —Leucorrheea leaving spots with black borders on linen.
  • ).
  • —Catamenia too early; or

suppressed.—Cramps in the hypogastrium, and bearing down towards the genital organs, during

catamenia.—Fetid, mucous, corrosive leucorrhcea.—Fetid discharge of a reddish brown colour

(like brown water) from vagina.—Hard nodosities on breast.—Atrophy of breasts.

Male

Male
Boericke

Soreness and burning in glans and beneath prepuce. Ulcers; burn and sting; exude, offensive matter.

Symptoms — Male Sexual Organs
Clarke

Affections of male genital organs in general; glans penis;

  • erections.
  • —Violent itching in genital organs.
  • —Falling off of hair from parts.
  • —Excoriation

between scrotum and thighs.—Red spots covered with scabs on prepuce.—Small, itching vesicles

on prepuce, bursting soon and forming a scurf.—Secretion behind glans, as in gonorrhoea

  • balani.
  • —Swelling, inflammation of prepuce, and phimosis.
  • —Paraphimosis.
  • —Ulcers, like chancres

(after Mercury; esp. with exuberant granulations), on prepuce and glans (with pricking, stinging

pains).—Deep, fistulous, irregular, ragged ulcers on the glans, with elevated, lead-coloured,

extremely sensitive edges.—Syphilis; secondary syphilis —Excrescences, like sycosis, on prepuce

and glans, with smarting pain and bleeding when touched, with oozing of a fetid and sweetish

  • pus.
  • —Red, scurfy spots on the corona glandis.
  • —Relaxation of testes.
  • —Inflammatory swelling of

testes, with painful drawing of the spermatic cord, as far as side of abdomen.—Absence of sexual

desire and of erections.—Great lasciviousness, with copious discharge of prostatic fluid —Painful,

and almost spasmodic, nocturnal erections.—Frequent pollutions.

Respiratory

Respiratory
Boericke
  • Hoarseness.
  • Aphonia, with dry hacking cough, from tickling in larynx and pit of stomach.
  • Soreness at lower end of sternum.
  • Short breath on going upstairs (Ars; Calc).
  • Cough during sleep (Cham).
Symptoms — Respiratory Organs
Clarke

Hoarseness, with coryza, cough, and shooting pains in

throat —Roughness in bronchia.—Bronchitis.—Scratching and stinging in larynx, with hoarseness;

  • esp.
  • when talking for a long time.
  • —Whistling inspiration with rales.
  • —Scraping and shootings in

the trachea, esp. after reading aloud, or after a long conversation—Cough, with shootings and

  • pain in throat and chest, as if parts excoriated.
  • —Cough only in day.
  • —Dry, barking cough, esp.
  • in

evening, on lying down.—Violent, shaking, barking cough, caused by tickling in larynx and pit of

stomach, with expectoration during day of blood, mixed with clots, or of yellow, acrid pus,

tasting bitter, sour, or salt, and of offensive smell.—Cough, with vomiting.—Cough causing

anxiety and vomiting of mucus and food.—Rough, dry cough before midnight.—Shaking cough at

night, with obstructed respiration, almost as in whooping-cough.—When coughing, lancinations

in loins, or pain in head, stomach, and hypochondria, or pain, as from excoriation, and shootings

in chest.—Empyema with considerable muco-purulent sputum.—Purulent, yellowish

expectoration with cough.—Short cough, with expectoration of black, coagulated blood.—Phthisis

pulmonalis (after Kali carb.).

Chest

Symptoms — Chest
Clarke

Wheezing respiration, esp. during manual labour.—Obstructed

  • respiration.
  • —Shortness of breath.
  • —[Panting breathing, esp.
  • when reading or stooping over a desk,
  • in schoolboys (cured).
  • —Dyspnecea and vertigo in children (cured).
  • R.
  • T.
  • C.
  • ].
  • —Loss of breath and

palpitation of heart on walking and going up stairs.—Contractive cramps in chest.—Shooting and

stitches in chest and sides (r. side and scapula).—Pain, as from excoriation, in chest, on breathing

and coughing.—Rapid congestion and inflammation of the lungs.

Symptoms — Heart
Clarke

Dyspneea, palpitation of the heart and anguish when going up stairs —Congestion in

chest, with anguish, heat, and palpitation of heart—Nervous palpitation caused by slightest

mental excitement.—Pulse very irregular; one normal beat is often followed by two small rapid

beats—the fourth entirely intermits; alternate hard, rapid, and small beats.

Neck & Back

Symptoms — Neck and Back
Clarke

Neck stiff and sore from least cold.—Rigidity of the nape of the

  • neck.
  • —Swelling of the glands of the neck and axillee.
  • —Offensive sweat in axille.
  • —Suppuration of

the axillary glands. —Pain in the back and loins after a chill —Drawing in lumbar region, as if

  • stiff—Pain between the scapule.
  • —Neuralgic pains up back, esp.
  • |.
  • side.
  • —Pain in back and down
  • thighs.
  • —Itching on back.
  • —Stitches in sacral region.
  • —Shootings in and between shoulder-blades,

with stiffness of the neck.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Pressive pain in shoulder-joint.—Drawing in arms.—Jerking in muscles of

arms.—Contusive pain in arms, which hinders them from being lifted up.—Drawing (rheumatic)

and tearing in forearms and hands.—Weakness and trembling of the forearms and hands.—Warts

  • on arms.
  • —Cracks and rhagades in hands.
  • —Coppery spots on hands.
  • —Coldness of
  • hands.
  • —Roughness of skin of hands.
  • —Tensive pain in joints of fingers.
  • —Swelling of fingers, esp.

at joints, with shooting pain.—Falling asleep of hands.—Fingers dead and benumbed in cold

  • air.
  • —Chilblains on fingers and hands.
  • —Tetters between fingers.
  • —White spots on nails.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Wrenching pain in hip, which causes lameness.—Tensive pain in r. hip-

joint.—Digging, gnawing pains in flesh and bones.—Bruised pain as from excessive

fatigue.—Lassitude, heaviness, and coldness in legs and feet—Constant coldness of

  • feet.
  • —Drawing tearings (rheumatic) in legs and feet.
  • —Restlessness in legs in evening.
  • —Itching in

thighs.—Pains in thighs, on rising from a seat —Pain in ham, which prevents resting on

  • foot.
  • —Rigidity and shooting in knee.
  • —Failing of joints of knee and foot.
  • —Pain in patella,
  • impeding walking.
  • —Weakness of knee.
  • —Legs (<1.
  • ) very sore in front along shin from ankle to

knee; bound flannel on them to see if tt would >.—Violent cramp in calf of leg, esp. at night and

towards morning, as well as on walking, after having been seated.—Jerking in calves of

legs.—Shootings in heel, when resting on it—Sweat on feet, sometimes fetid, with excoriation

between toes.—Chilblains on toes.—Ingrowing of toe-nails; where nail seems to have grown into

flesh, but in reality has not—very sore, with more or less ulceration, and a feeling as if a sharp

splinter were being stuck into affected part on any contact.

Extremities

Extremities
Boericke

Fetid foot-sweat, causing soreness of toes, with sticking pain; chilblains on toes. Sweating of palms, hands; cold, blue nails. Offensive sweat in axillae at night.

Skin

Skin
Boericke
  • Warts, large jagged; bleed on washing.
  • Ulcers bleed easily, sensitive; splinter-like pains; zigzag, irregular edges; base looks like raw flesh.
  • Exuberant granulations.
  • Black pores on face, papules worse on forehead.
Symptoms — Skin
Clarke

Dryness of the skin.—Itching nettle-rash, also on face, and esp. in open

  • air.
  • —Blackness of pores.
  • —Brown sphacelus.
  • —Reddish-brown spots (scattered over body, esp.
  • if

in dark-haired people) and deep-coloured ephelis on skin.—Copper or violet-coloured

  • spots.
  • —Itching tetters.
  • —Pimples, or exanthema in general; stinging exanthema.
  • —Pain from

chilblains and corns on feet.—In a moderately cold temperature limbs become as if frozen,

inflamed, and itching, and skin cracks.—Large furunculi.—Mercurial ulcers —Carious

ulcers.—Complaints < from punctured wounds.—Wounds and ulcers, with lancinations as by

splinters, or with burning pains (esp. when they are touched), and which bleed

  • easily.
  • —Inflammation and painful sensitiveness of the bones.
  • —Caries.
  • —Inflammation, swelling,
  • and suppuration of the glands.
  • —Ulceration of the bones.
  • —Rachitis.
  • —Ulcers with sanious,

sanguineous, and corrosive suppuration.—Pains in old scars on a change of

weather.—Condylomata moist, like cauliflower, hard, rhagadic, or in thin pedicles.—Tightness of

skin.—Swelling of glands—Warts.—Wens.

Sleep

Symptoms — Sleep
Clarke

Inclination to sleep during day, from weakness, with vertigo.—Sleep retarded in

evening, and early, difficult (or too late) awakening in morning.—Sleeplessness, as from over-

excitement.—Complaints concomitant to waking; too much perspiration, which smells

badly.—Complaints < in evening; in night; on awakening.—Incomplete and agitated sleep, and

frequent awaking with pain and a start.—Sleep unrefreshing —At night, bleeding at nose,

headache, toothache, thirst, gastralgia, colic, pains in limbs, nightmare, anguish, palpitation of

heart, nausea, vomiting, and many other sufferings Anxious sleep, with throbbing.—Many

fantastical, voluptuous, anxious, frightful dreams, often with cries, plaintive groans, talking, and

starts with fright—Dreams of death, of spectres, of business of day, of crimes, of festivities,

&c.—Shocks in body and jerks in limbs during sleep.

Fever

Symptoms — Fever
Clarke

Chilliness mostly in the afternoon and evening, and after lying down.—Chilliness,

  • with internal heat at same time.
  • —Chilliness in morning in bed, after previous heat.
  • —Heat esp.
  • on

hands and face.—Flushes of heat with perspiration on hands.—General coldness of

  • skin.
  • —Continued (chilliness or) coldness.
  • —Fever in afternoon; shivering and heat.
  • —Internal heat,

without thirst, continued, or by fits.—At night internal, dry heat, with inclination to uncover

oneself.—Heat with perspiration and debility after eating —Perspiration every night, or on

alternate nights; the most profuse on the side on which one lies —Dry heat at night, with violent

thirst.—Nocturnal sweat, fetid or acid—Acid sweat, like horse's urine, by day.—Intermittent

fever.—Chilliness in afternoon (an hour and a half, while in open air), followed by dry heat when

in bed, accompanied by all sorts of fancies while in a state of half-waking, without sleep; sleep

and perspiration only come on towards morning.—Chilliness in the afternoon, for an hour;

afterwards profuse perspiration for two hours over whole body; there is no thirst either in the

cold or hot stage.

Clinical

Clinical
Clarke
  • Actinomycosis.
  • Anus, fissure of.
  • Axilla, offensive perspiration of.
  • Bladder, chronic
  • catarrh of.
  • Breath, offensive.
  • Bright's disease.
  • Bronchitis.
  • Bubo.
  • Chancre.
  • Cheloid.
  • Chilblains.
  • Choking, easy.
  • Climacteric.
  • Cold, easily taken.
  • Condylomata.
  • Constipation.
  • Corns.
  • Cough.
  • Dysentery.
  • Dyspepsia.
  • Ear, affections of.
  • Epilepsy.
  • Eyes, affections of.
  • Feet, perspiring.
  • Fistula;
  • lachrymal.
  • Freckles.
  • Frost-bites.
  • Glandular swellings.
  • Gleet.
  • Gums, sore.
  • Heematuria.
  • Heemorrhages.
  • Herpes.
  • Herpes preputialis.
  • Ingrowing toe-nail.
  • /ritis, syphilitic.
  • Irritation.
  • Jaw-
  • joint, cracking in.
  • Menstruation, excessive.
  • Metrorrhagia.
  • Mouth, sore.
  • Mucous patches.
  • Muscee
  • volitantes.
  • Myopia.
  • Nails, affections of.
  • Ozcena.
  • Paralysis (1.
  • side).
  • Perspiration, abnormal.
  • Phimosis.
  • Polypus.
  • Proctitis.
  • Prostate, suppuration of.
  • Ranula.
  • Rectum, affections of.
  • Rickets.
  • Salivation.
  • Spine, injury to.
  • Syphilis.
  • Taste, disordered.
  • Tongue, ulceration of.
  • Ulcers.
  • Warts.

Wens. Whooping-cough.

Relations

Relations
Clarke
  • Antidoted by: Calc.
  • , Hep.
  • , Merc.
  • , Mez.
  • , Sul.
  • /t antidotes: Calc.
  • , Dig.
  • , Merc.
  • Compatible before: Calc.
  • , Puls.
  • , Sul.
  • ; Arn.
  • (collapse in dysentery); Kre.
  • (diphtheritic dysentery);
  • Sec.
  • (gangrene of mucous membrane); Sul.
  • (scrofulous ophthalmia).
  • Compatible after: Calc.
  • ,
  • Nat.
  • c.
  • , Puls.
  • , Sul.
  • , Thuj.
  • (Nupia); Carb.
  • an.
  • (bubo); K.
  • ca.
  • (phthisis, &c.
  • ); Aur.
  • (abuse of Merc.
  • );
  • Mez.
  • (secondary syphilis); Hep.
  • (throat, &c.
  • ).
  • Complementary: Calad.
  • , Ars.
  • Resembles: Ars.
  • (morbid fear of cholera).
  • Jncompatible: Lach.
  • Compare: Medorrh.
  • , Syph.
  • , Pso.
  • , Mur.
  • ac.
  • , Nit.
  • mur.
  • ac.
  • Merc.
  • (Merc.
  • suited to light-haired people; Nit.
  • ac.
  • to dark).
  • Dark-haired people, Iod.
  • >
  • Riding in carriage, Graph.
  • (Graph.
  • is not sensitive; Nit.
  • ac.
  • is).
  • Spinal injuries, Arn.
  • , Rhus,
  • Hyper.
  • , Calc.
  • Punctured wounds, Led.
  • < On awaking, Lach.
  • , Nat.
  • m.
  • , Sul.
  • < Hat on, Carb.
  • v.
  • ,
  • Calc.
  • p.
  • , Nat.
  • c.
  • Ingrowing toe-nail, Mgt.
  • aust.
  • Stringy leucorrheea, K.
  • bi.
  • Pains appear and
  • disappear suddenly, Lyc.
  • , Bell.
  • Pains affect violently, Aco.
  • , Cham.
  • , Hep.
  • Sensitiveness, Hep.
  • Choking easily, K.
  • ca.
  • < Warmth or cold, Merc.
  • Dyspepsia from effects of salt, Nit.
  • s.
  • d.
  • Shooting from below upward in vagina, Sul.
  • , Sep.
  • , Pul.
  • , Pho.
  • , Alum.
  • Piles < walking, Aésc.
  • h.
  • Phimosis, Can.
  • s.
  • , Merc.
  • , Sul.
  • , Thuj.
  • Strong odour of urine, Benz.
  • ac.
  • Brownish scattered spots in
  • dark-haired people, Petr.
  • Splinter pains, Arg.
  • n.
  • , Hep.
  • , Sul.
  • Ulcers, Merc.
  • (Merc.
  • more
  • superficial, Nit.
  • ac.
  • deeper, granulating, bleeding easily).
  • Sore, excoriated anus, Merc.
  • , Sul.
  • ,
  • Cham.
  • , Ars.
  • , Pul.
  • , Syph.
  • , Chi.
  • Straining at stool, Merc.
  • , Nux (with Merc.
  • there is straining

before, during, and after stool; with Nux there is complete > after stool; with Nit. ac. there is

excoriating, cutting pain going on for hours after stool). Ulcers threatening to perforate cornea,

  • Sil.
  • , Calc.
  • (Nit.
  • ac.
  • follows Calc.
  • ).
  • Condylomata, enlarged tonsils (syphilitic or sycotic), fissures,
  • balanorrhoea, greenish leucorrhoea, Thuj.
  • (Nit.
  • ac.
  • has more aching in bones, especially bones

without muscular coverings, as shin bones). Disposition to swear, Anac. Diphtheria, sore mouth,

scarlatina, Ar. t. Constriction at anus, Lach.

Posology

Dose
Boericke

Sixth potency. As the nitric acid patient begins to improve skin symptoms may appear for a time, a favorable indication.

Kent's Lecture

Lecture (part 1)
Kent

Great general weakness ; feeble reaction ; extreme sensitivity, and

nervous trembling, are marked features in this remedy. Patients

greatly broken by long suffering, pain and sickness, physical more than

mental suffering, finally anaemia and emaciation are marked. Sensitive

to cold ; always chilly. Symptoms are aggravated from becoming coldt

and in cold air. Always taking cold. The walls of blood vessels are

relaxed and bleed easily ; profuse dark blood. Pains as if flesh were

torn from the bones and a sensation as though a splinter felt in inflamed parts, in ulcers and in nerves. Inflammation of the periosteum, in

bone, and in the nerves. Syphilitic bone pains. Caries of bone, and

exostoses. The margins of orifices bleed and grow warts. Old scars

become painful in cold weather and when weather changes to cold ;

pains like splinters. Inflammation of glands after the abuse of mercury in syphilitic subjects. Prolonged suppuration in glands, with no

tendency to repair, when there are sticking pains. The discharges are

thin, bloody, offensive and excoriating ; sometimes a dirty yellowish

green. Suppuration where there is no tendency to repair. This is

often the case when the patient is syphilitic and has been surcharged

with mercury. For suppuration and ulceration in cancerous affections

with bloody, watery, offensive discharges and sticking pains. It has

often been observed that the patient requiring Nitric acid is more subject to diarrhoea than constipation. It has cured many complaints in

patients who are never so comfortable as when riding in a carriage.

Twitching of muscles in all parts of the body. Many complaints are

aggravated from a jar, and from noise. Even his pains arc aggravated from noise. Nitric acid patients are often extremely sensitive to

medicines, especially high potencics-^indeed, they prove every remedy

given too high. Fissures form in nSany places ; canthi. corners of the

mouth, above the anus ; the skin cracks — and all these have the splinter

sensation. He finally becomes dropsical, especially in the extremities.

Offensiveness is a marked condition of this patient, often putrid odors.

The urine smells like that of a horse. Offensive leucorrhoea. offensive

catarrh, and breath ; foetid foot sweat. Strong odors from the body.

Too much weight must not be given to the dark, swarthy complexion

so often mentioned as the one most likely to need this remedy. Nitric

acid will cure blondes as often as brunettes, if the symptoms agree.

Lecture (part 2)
Kent

Prostration of mind. Any effort to reflect on certain things causes

the thoughts to vanish. A general indifference to all matters ; tired of

life ; has no enjoyment in anything ; aggravated before menses. Mental

depression in the evening. Anxiety about his failing health, with fear

of death. Anxiety after loss of sleep ; vexation and sorrow. He is

angered over his own mistakes. Anger with trembling. Obstinate and

refuses to be comforted about his misfortune. He is weary of life but

  • fears death.
  • Excitable and weeps.
  • Despair of recovery.
  • Hopelessness.
  • Easily startled, frightened.
  • Starts from fright on falling asleep.

Cannot comprehend what is said to him. The whole mental state is

better when riding in a carriage.

Suffers much from vertigo in the morning ; must lie down.

His headaches are violent, aggravated from niose of wagons on the

paved streets, but often ameliorated from riding in a carriage on a

smooth, country road. The noise and jarring increase the pain. Pain

as if in a vise from ear to ear. The biparietal syphilitic pain is often

  • cured by this remedy.
  • Pain as though the head were bound up.
  • Painful drawing in head extending to eyes, with nausea.
  • Stitching pains in

the head. Hammering pain in the head. Pain in morning on waking,

ameliorated after rising, aggravated by a jar, motion and noise,

ameliorated riding in a carriage. Heat offten ameliorates the head

  • pains and cold aggravates.
  • Wrapping up ameliorates.
  • Pain as if constricted by a tape.
  • Extreme sensitivity of the scalp and skull to combing the hair, and to the hat.
  • The hair falls out in profusion, as in

syphilis. Eruption on the scalp with sharp sticking pains as from

splinters ; moist, itching, offensive eruptions. Caries of bones of skull.

Exostoses.

The eyes have lost their lustre, the pupils are dilated, and there is

diplopia. There is inflammation of the conjunctiva with acrid tears.

Ulceration of the cornea with pricking pain. Iritis with stinging,

stitching pain, aggravated at night and changing from warm to cold

  • room or in cold air.
  • Spots on the cornea.
  • Intense photophobia, burning, pressure and sensation as though sand in the eyes.
  • Ptosis.

Swollen lids, which are hard and bum. Small warts on upper lids.

Warts that bleed easily, with sensation of sticks,

Deafness, ameliorated when riding in a carriage or train. Catarrh

of the Eustachian tubes. Pulsating in ears. Discharge from ear, foetid,

brown, ichorous, purulent — since scarlet fever. The auditory canal

nearly closed. Swelling of glands about the ear. Caries of the mastoid.

Lecture (part 3)
Kent

Subject to coryza every winter ; no sooner does he get over one cold

than he has another. The nose is obstructed in the night during sleep.

Sneezing in cold air, from every draft, must keep the room very warm.

Bad smells in the nose, and the catarrh is offensive to others. Nosebleed mornings and nights. Nasal catarrh, acrid, watery at night,

yellow, offensive, excoriating, bloody, brownish, thin — since scarlet

fever or in mercurio-syphilitic patients. The nose feels as if there were

splinters in it. Large crusts from high up in nose. Green crusts blown

out every morning. Ulceration high up in nose. Warts form in and

about the nostrils. Red, scurfy tip of nose. Cmsts form on the

wings of the nose. Cracked nose.

Deep lines of suffering characterize the Nitric acid face. The face

is pale, yellow, sallow and sunken. The eyes are sunken. Dark rings

about the eyes, mouth and nose. The face is bloated. The lids are

tumid in the morning. There are brown spots. Pigmented warty

spots on the forehead. The right parotid is large. The skin feels

  • drawn over the face.
  • Crusts and pustules form on the face.
  • Cracking in jaw when chewing.
  • Comers of the mouth cracked, ulcerated

NITRIC AClD 707

  • and scabby.
  • The lips raw and bleeding.
  • Painful swelling of the submaxillary gland.
  • Ihc expression is anxious, haggard, sickly.

Pain in the teeth, tearing, aggravated from cold or warm things.

Pulsating evening and night, after mercury. Caries of teeth. Teeth

become yellow. Gums bleed easily, scorbutic, swollen.

The tongue is excoriated, sore, red, yellow, white and dry, fissured,

with sore spots. Ulceration of tongue with viscid mucus in mouth.

Inflammation of the tongue.

Ulcers in mouth, on tongue or in throat, white, or dark and dirty,

putrid, phagedenic, syphilitic, with sticking pains as from splinters.

Sore mouth with stinging, burning pain. Excoriated, red, swollen

membrane. Foul cadaveric odor from the mouth. Saliva flows from

the mouth so acrid that it excoriates the lips.

Confusion of the muscular action in throat causes food to stop in

throat and choking. Difficult swallowing. Violent pain in throat,

extending to ear on swallowing. Sticking in throat like a splinter

  • (Hepar, Nat.
  • mur.
  • Alum.
  • , Arg.
  • n.
  • ) on swallowing.
  • Viscid mucus in

throat. Mucus drawn from posterior nares. Inflammation of throat,

tonsils, uvula and soft palate. Uvula and tonsils oedematous (Apis,

Rhus t.y Great swelling of the throat and tonsils. Ulceration of

tonsils, uvula and soft palate. Inflammation of the oesophagus.

Longing for fats, pungent things, herring, chalk, lime, earth ; and

aversion to bread and meat. Genially thirstless.

Lecture (part 4)
Kent

The stomach is disordered by? milk. Food sours, and causes sour

  • eructations and vomiting.
  • Fats disagree.
  • Nausea after eating, ameliorated by moving about or riding in a carriage.
  • Vomiting bitter and

sour, contents of stomach. Ularation of stomach. Pain in cardiac

  • opening of stomach on swallowing.
  • Sticking pain in stomach.
  • Catarrh of stomach.
  • Weight after eating.
  • Sensation of rawness in

stomach after eating.

Chronic inflammation of liver. Clay-colored stools. Enormously

enlarged liver. Pain in region of liver with jaundice. Stitching pain

in liver. Enlarged spleen.

Cramping pain in abdomen. Violent pain in ilio-caecal region, sore

and tender, aggravated from motion. Awakened at midnight with a

crampy pain in abdomen ; chilly ; pain aggravated from motion.

  • Rumbling in abdomen.
  • Abdomen distended and tender.
  • Great soreness in abdomen.
  • Inflammation and suppuration of inguinal glands.

The relaxed condition in weakly infant boys, that so much disposes to

inguinal hernia, is often overcome by Nitric acid and the hernia cured

{Lyc., Nux V,).

Broken down subjects who are disposed to suffer from frequent

attacks of diarrhoea, or from constipation alternating with diarrhoea,

often need this remedy— when the urine smells strong like that of a

7o8

NlTKXC ACID

Lecture (part 5)
Kent

horse, and he is pale and sickly, losing flesh and strength, subject to

excoriation of orifices and excoriating catarrhs and ulcers. The stool

is bloody, putrid, undigested, green, slimy, excoriating, sour, curdled

if milk is used as a diet, black putrid blood. In dysentery. Cold

changes of the weather bring on diarrhoea. Anus excoriated, burning, fissured, covered with warts. Membrane comes with the stool.

Much pure blood with the stool not even clotted, very offensive. Ineffectual urging to stool. Sensation as if rectum were filled and he

cannot expel it. Constipation, painful hard difficult stool. Drawing,

cutting and pressing before stool ; constant fruitless urging {Nux v.).

During stool there is colic, tenesmus, spasmodic contraction of anus,

unsatisfactory straining. Splinters in rectum. After stool there is

still urging (Merc.), exhaustion ; soreness of anus ; cutting pain ;

burning and shooting in rectum ; constriction of anus ; great nervous

excitement ; palpitation. The pain keeps her in bed for hours after

every stool. Itching and burning in anus. Constant acrid moisture

about the anus. Periodical bleeding of rectum and pain in sacrum.

Fissures of anus. Painful prolapsus of rectum. This has been a

most useful remedy in fistula, fissures, condylomata, polypi, caruncles,

cancer of the rectum and haemorrhoids — when the symptoms agree.

It has cured caruncles so sensitive that the patient would cry out when

they were touched. Haemorrhoids that are exquisitely painful to

touch and at stool ; that bleed, external or internal, with burning and

sticking during stool. Piles that ulcerate and discharge copiously of

blood and pus. When piles arc so painful that she breaks out in

sweat, becomes anxious, and pulsates all over, on the slightest touch or

at stool, this remedy has been useful (compare Pseonia and Staph.),

Foetid moisture at the anus.

Lecture (part 6)
Kent

The male sexual organs are in a constant state of irritability. Sexual desire is increased and erections troublesome at night. Painful

spasmodic erections at night ; stitching pain in the urethra and chordee. It has been a useful remedy in gonorrhoea when the discharge

is thin and bloody, later when it is greenish or yellow ; burning and

sticking on urination, and the urethra is swollen and very sore. It

has cured condylomata which have the ‘‘splinter” sensation, and bleed

easily, and extremely sensitive to touch. Condylomata on genitals and

around the anus. Inflammation of the prostate gland with gonorrhoea,

especially when the discharge becomes scanty from taking cold or

from strong injections. It cures old cases of gleet when the urethra

has pain in it like a splinter on touch or when urinating. Prolonged

inflammation of the urethra with infiltration, making the urethra feel

  • hard and nodular like a whip-cord (Arg.
  • n.
  • ).
  • Sore spots in the urethra, ulcers, with bloody pus, and the sensation of splinters.
  • Itching

in the urethra after gonorrhoea (Petr.). Pimples, vesicles, herpes and

  • crusts on the prepuce.
  • Small ulcers on the glans or prepuce.
  • Spread-ing ulcers.
  • The ulcers discharge a brown, bloody water, offensive.
  • Phagedenic ulcers {Ars.
  • , Aur, m.
  • n,, Caust.
  • , Merc, c.
  • ).
  • Inflammation of the prepuce.
  • Ulcers that destroy the fraenum.
  • Inflamed

and ulcerated parts have the splinter sensation and flow a bloody

water. Paraphimosis and phimosis and great swelling. The hair

falls off from the pubes.

The female is greatly troubled by the constant itching and burning

and sexual desire. Excoriation of the parts from leucorrhoea and

menstrual discharges. Every exertion brings on uterine haemorrhage

(Calc,), The menstrual flow is dark and thick. Menses too soon and

profuse, like bloody water. Uterine prolapsus. Many and extreme

nervous sufferings come during the menstrual period ; flatulence,

bruised pain in limbs, pain down thighs, “splinter’' under the finger

and toe nails, palpitation, anxiety, trembling, neuralgic pains in any

part. After the menses there comes a muddy, watery flow, lasting

  • many days, and extreme excoriation of the parts.
  • Thin, bloody, excoriating leucorrhoea at all times or at any time.
  • The vagina is excoriated and condylomata grow upon the genitalia.
  • Erectile tumors.

Caruncles at the orifice of urethra, exquisitely sensitive to touch. The

itching is aggravated by cold. The parts are fissured and bleed easily.

Many troubles culminate during menses and lactation. Lumps in

the mammae. The nipples are figured and tender, are excoriated and

have ‘"splinters.” Tendency to abortion from general weakness and

the ease with which a uterine hiemorrhage may set in.

Hoarseness, and ulceration of the larynx. Voice lost. Laryngitis

in old spyhilitic subjects. Oppression of the chest, ameliorated by

expectoration. Shortness of breath. Intermittent breathing.

Lecture (part 7)
Kent

The cough is aggravated in winter, yet aggravated in a warm room

and from becoming warm. The cough is dry, barking, aggravated

during the night, aggravated lying, aggravated before midnight ;

comes on during sleep. Cough with hectic fever and night sweats.

  • Paroxysmal cough with retching, like whooping cough, violent, racking cough.
  • Hard, prolonged coughing spells with difficult expectoration.
  • The irritation to cough is like a tickling in the larynx.
  • The

expectoration is greenish, viscid or thin, dirty, watery, bloody mucus,

  • or dark clotted blood.
  • Loose cough in daytime, dry at night.
  • Rattling in daytime, but no expectoration.
  • Cough in broken-down constitutions, from liver and lung affections, in tubercular subjects.
  • The

sputum tastes bitter, sour or salty. It is offensive, even putrid. He

is covered with sweat during efforts to expectorate. Stitching in the

chest. In typhoid pneumonia, with rattling in the chest, inability to

expectorate, or when he can expectorate the sputum is brown and

bloody, and the urine smells like that of a horse. In tuberculosis with

MUX MOSCHAtA

night sweats and haemoptpis. Palpitation from excitement, on ascending stairs. The pulse is rapid, irregular, and every fourth beat

is missed.

Swelling of glands of neck and axilla. StifE neck. Stitching pains

in back and chest Burning spots in spine. Pain in back, nights,

compelling him to lie on the abdomen. Sharp pains in back and limb

in tabes dorsalis. Sharp pains in back on coughing.

Rheumatic pains in limbs. Emaciation of upper arms, and thighs.

  • Weakness of limbs.
  • Dropsy of limbs.
  • Crippled nails.
  • Rheumatic

pains in upper limbs. Stitching. Sticking pains in limbs in cold

weather. Numbness of arms and hands. Copper colored spots on

  • arms.
  • Chilblains on hands and fingers.
  • Cold, sweaty hands.
  • Numerous large warts on back of hands.
  • Herpes between the fingers.

Vesicles on the tip of the thumb that open into ulcers, felons, distorted

and discolored nails. Yellow curved nails, splintered sensation under

nails. It is useful in wounds that inflame and have the “splinter”

sensation. Tearing in the long bones of the lower limbs at night.

  • The legs arc weary and bruised.
  • Pain in hip as if sprained.
  • Sticking pains along the nerves as from splinters.
  • Syphilitic nodes on the

tibia with nightly pains. Chilblains on the feet and toes. Phagedenic

  • blisters on Ae toes (Graph.
  • ).
  • Extreme soreness of the tibia.
  • Profuse, offensive sweat of feet.
  • Shocks on going to sleep (Agar.
  • , Arg.
  • m.
  • , Ars.
  • , Nat.
  • m.
  • ).
  • The

pain comes during sleep. Starting in sleep. Anxious, unrefreshing

sleep, with frightful dreams.

Nitric acid is a very useful remedy in fevers. The thirstlessness

during all stages has often called attention to it. Cold hands and feet.

Chronic intermittent in cachectic constitutions, copious night sweats,

extreme weakness, with the characteristic odor of the urine, and bleeding from some pan a dark blood, this remedy will act well.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.

Additional notes

Symptoms — Limbs
Clarke

Tearing or pulling in limbs, esp. after a chill —Cracking joints—Frozen

limbs.—Epileptic fits, preceded by pulling in limbs, and followed by rigidity of body and

stertorous breathing.

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