Nitricum Acidum
Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 40,163 chars · source ↗
General
Nitricum Acidum.
Nitric acid. Aqua fortis. HNO3. Solution.
Clinical
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. Haematuria. Haemorrhages.
Herpes. Herpes preputialis. Ingrowing toe-nail. Iritis, syphilitic.
Irritation. Jaw-joint, cracking in. Menstruation, excessive. Metrorrhagia.
Mouth, sore. Mucous patches. Muscae volitantes. Myopia.
Nails, affections of. Ozaena. Paralysis (l. 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.
Characteristics
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 phagedaenic 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 homoeopathic practice.
In sycotic cases Thuj. follows it well. The localities in which the action of Nit. ac. is very strongly marked are—(1) 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, fistulae, haemorrhoids, 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 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 haemorrhages, 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 râles 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."—Nit. ac. is indicated in typhus when pneumonia supervenes; and when haemorrhage from the bowels occurs. The stools are green, slimy, offensive, may be purulent; the haemorrhages 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 haemorrhages of Nit. ac. is haematuria. Goullon published a case in Archiv., ii. 36.
(New Series), translated by Mossa, Rev. H. Française, 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 haemorrhages of Nit. ac. are those occurring in cachectic women after confinement or abortion.
H. N. Coons (Amer. Hom.) records the case of an anaemic woman, four weeks after miscarriage, had constant pelvic haemorrhage, 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 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 (H. R., xiii. 210) gave Nit. ac. 3x to a man who suffered from cancer of the liver with bloody diarrhoea, 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 always 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 < haemorrhoids; covering up = night-sweats. Least exposure = chills. Cold or warm things = tearing and shooting in teeth.
Washing = warts to bleed. Cold weather < chilblains. Cold water > warm water feeling in eyes. Winter < chronic cough; hiccough; chilblains.
Relations
Antidoted by: Calc., Hep., Merc., Mez., Sul. It 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). Incompatible: 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 leucorrhoea, 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, Aesc. 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.
Mind
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).
Head
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 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
Shootings in ears
Stitches in the (r.) ear
Dryness in interior of ear
Ulceration 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 l. 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 l., 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
Redness of point of nose, which is covered with scabby vesicles
Itching tetters on alae 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 alae covered with crusts; syphilis.—(Ozaena with clear discharge.)
Face
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.
Teeth
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.
Mouth
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.
Throat
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.
Appetite
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
After drinking, during a meal, pain, as from excoriation in throat, oesophagus, and stomach, or else colic.
Stomach
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
Stitches in hepatic region, < from motion
Tensive pressure and shootings in the l. 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 And Anus
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 faeces remained and could not be expelled; splinter-like pains in rectum (with ineffectual urging); burning; tearing; palpitation of heart
After 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; haemorrhage; discharge of prostatic fluid
Constipation
Inability to evacuate faeces
Constant ineffectual desire, not > by stool
Faeces 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
Haemorrhoids, protruding, painless or burning
Pain as if rectum would be torn asunder during a stool
Swelling of haemorrhoidal tumours in anus, which bleed at every evacuation
Moisture on anus.
Urinary Organs
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
Ulcers in urethra
Discharge of prostatic fluid after a difficult stool.
Male Sexual Organs
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.
Female Sexual Organs
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 haemorrhages 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 leucorrhoea, finally a thin, watery, flesh-coloured, offensive discharge, sometimes acrid; greenish, mucous leucorrhoea
White glairy leucorrhoea, 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 leucorrhoea, flesh-coloured.—(Leucorrhoea staining, yellow
Leucorrhoea 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 leucorrhoea
Fetid discharge of a reddish brown colour (like brown water) from vagina
Hard nodosities on breast
Atrophy of breasts.
Respiratory Organs
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 râles
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
Wheezing respiration, esp. during manual labour
Obstructed respiration
Shortness of breath.—[Panting breathing, esp. when reading or stooping over a desk, in schoolboys (cured)
Dyspnoea 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.
Heart
Dyspnoea, 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 And Back
Neck stiff and sore from least cold
Rigidity of the nape of the neck
Swelling of the glands of the neck and axillae
Offensive sweat in axillae
Suppuration of the axillary glands
Pain in the back and loins after a chill
Drawing in lumbar region, as if stiff
Pain between the scapulae
Neuralgic pains up back, esp. l. 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.
Limbs
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.
Upper Limbs
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
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 (< l.) very sore in front along shin from ankle to knee; bound flannel on them to see if it 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.
Generalities
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 l. 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; l. hypochondriac region; l. chest; inguinal glands; l. lower extremity; bones of head.
Skin
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
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
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.