NITRICUM ACIDUM [Nit-ac]
Muco-cutaneous junctions affected. Ulcers. Fissures.
Pains-splinter-like, sticking, appear and disappear quickly.
Offensiveness. Sweating of palms, white spots on nails.
Very sensitive to noises. Caries of mastoid. Nosebleed.
Violent cutting pains in rectum after stools, lasting for hours.
A/F : -Abuse of mercury 3 -Syphilis -Scrofula -Continued loss of sleep 2 -Long lasting anxiety -Overexertion of mind and body from nursing sick -Loss of dearest friend -Bad effects of repeated doses of digitalis
MODALITIES : < Change of temperature or weather 3 < Evening < Night 3 < Contact < After midnight < Cold climate 3 < Hot weather < On walking < Mercury < Noise 2 < Touch 3 < Jarring 3 < Milk < Fat food < Motion 2
MIND : -Hateful, vindictive, self-willed, headstrong. Irritable. Violent anger.
-Fear of death, morbid fear of cholera (Ars).
-Hard to please, unmoved by apologies.
-Fear of dependency.
-Agony, from loss of friend.
-Sensitive to noise 3, pain, touch, jar.
-Hopeless despair. Constantly thinks about past troubles.
GUIDING INDICATIONS : -Excessive weakness of mind and body, trembling of limbs, physical 3 irritability.
-Suited to thin persons of rigid fibre, dark complexion, black hair and eyes, suffering from chronic diseases, easily disposed to diarrhoea than constipation.
-Offensiveness 3 and corrosiveness 3 of all discharges especially urine, faeces and perspiration.
-All discharges are thin, acrid, often, brown or dirty yellowish-green coloured.
-Haemorrhages-from bowels in typhoid or typhus -after miscarriage or post partum -after overexertion of body -from slightest touch -bright, profuse or dark.
-Pains-pricking as from splinters 3 -sticking -appear and disappear quickly (Bell) -on change of temperature or weather, during sleep.
-Sensation of band in any part of the body.
-Head-Headache from pressure of hat, with sensation of band, full feeling < street noises.
-Ears-Very sensitive to noise, as of rattle of wagons over pavements (Coff, Nux-v).
-Difficulty in hearing > riding in a carriage 3.
-G.I.T.-Throat pain into ears as from splinters < swallowing.
-Ulcers in soft palate.
-Bleeding gums, bloody saliva, putrid breath.
-Tongue-clean, red, wet, with centre furrow.
-Constipated with fissures in rectum.
-Great straining but little passes.
-Violent cutting pains after stools, lasting for hours 3 (Ratanh).
-After stools, irritable and exhausted.
-Haemorrhoids bleed easily and come out with each stool.
-Diarrhoea and dysentery- often, putrid, dark green or watery and blood streaked, with pieces of membrane like scrapings of intestine (Arg-n, Canth, Colch).
-Discharge of a fetid, watery substance from the anus that keeps it constantly moist.
-Constant urging and tenesmus, very exhausting.
-Loves fat, salt, indigestible things like chalk, earth etc.
-Milk disagrees. Colic > tightening clothes.
-Respiratory system-Nasal diphtheria.
-Nose bleed with chest affection.
-Caries of mastoid.
-Short breath on going upstairs (Ars, Calc).
-Cough in sleep with waking.
-Urinary system-Urine-dark, scanty, offensive 3, smells like horses urine.
-Urine cold 3 on passing.
-Urine bloody, albuminous, contains oxalic acid, uric acid and phosphates.
-Sensation as if hot wire in urethra.
-Female geitalia-Menses-irrgular, early, profuse, like muddy water; with palpitations, anxiety, trembling, tiredness, labor like pain in abdomen and back.
-Leucorrhoea-brown, flesh coloured, watery or stringy, stains yellow, or leaves spots with black border.
-Skin-Warts-sycotic and syphilitic, on back of hands, large, jagged, bleed on washing.
-Ulcers-bleed easily, sensitive, splinter like pains, zig-zag edges, irregular margins, base looks like raw flesh.
KEYNOTES : -Affections of muco-cuntaneous junctions.
-Splinter like pains in affected parts.
-> riding in a carriage 3.
-Corrosiveness 3, offensiveness 3 of all the discharges.
-Ulcers-bleed easily from the slightest touch.
-Head strong, vindictive.
NUCLEUS OF REMEDY : -Patients with chronic disease who take cold easily and are disposed to diarrhoea.
-It has special seat of action, the outlets of body where mucous membrane and skin meet with splinter like pains.
-Desire for fat, salt.
-Sensitive to noise, pain, touch, jar.
NUCLEUS OF REMEDY : -Obstinate, suspicious, restless.
-Profuse sweat of hands feet.
CONFIRMATORY SYMPTOMS : -Affection of mucco-cutaneous junctions, ulceration, fissure.
-Splinter like pains.
-Acrid, offensive discharge.
-Ulceration with bleeding from slightest touch.
-Pains like splinter in anus for hours after stool.
CLINICAL : -As Nit-ac patient begins to improve, skin symptoms may appear for a time, a favorable indication -20 drops in water in haemorrhages from uterus after miscarriage.
-Nit-ac for Metrorrhogia after curetting.
-Superficial erosion of cervix- Dr.Laura B.Hord.
-Nit-ac is almost specific for diarrhoea after antibioties (especially the mycins)-Dr. E.W. Hubbarol.
-For inflamed or ulecrated corns, Nit-ac is good. Also locally for painful corns.
REMEDY RELATIONSHIPS : -Compare-Calc, Hep-s, Kali-c, Merc, Thuj.