Nitricum Acidum

Nitric Acid. H N 0^.

Introduced by Hahnemann ; proved by himself, Bethmann, Foissac, Hartmann, Hering, Rummel, Stapf and others (Chronische Krankheiten). Later provings by Robinson (B. Jour. Horn., vol. 25, p. 235), Berridge (N. Am. Jour, of Hom. N. S., vol. 3, p. 101, and Amer. Jour, of Hom. Mat. Med., vol. 8, p. 128). Toxicological reports are numerous.

Clinical Authokities Effects of overexertion of mind and body, Haynel, Ana- lytical Therapeutics, vol. 1, p. 108 ; Dread of Cholera, Salzer, Raue's Record, 1875, p. 31; Amblyopia (with Aurum), Small, Raue's Rec, 1872, p. 77 ;

Syphilitic iritis, Berridge, N. A. J. H., vol. 22, p. 192 ;

Affections of cornea, Lobethal, Gross, Weber, Riick. Kl. Erf., vol. 1, p. 275; Scrofulous ophthalmia, Goullon, Times Retros., 1877, p. 58;

(with Sidph.), Gonorrhceal ophthalmia, Norton, Ophth. Therap., p. 131; Knorre, Riick. Kl.

Erf., vol. 1, p. 314; Lachrymation, Goullon, Raue's Rec, 1871, p. 57 ; Condyloma on eyelid, Wahle, Riick. Kl.

Erf, vol. 1, p. 318 ; Otorrhcea, Lobe- thal, Times Retros., 1876, p. 66 ; Epistaxis, Rosenberg, Riick. Kl.

Erf., vol. 5, p. 177 ; Catarrh of nose, Rosenberg, Riick. Kl. Erf, vol. 5, p. 173 ;

Syphilitic ozcena, T. C. D., Organon, vol. 1, p. 222 ; Freckles on face, Lippe, Raue's Rec, 1872, p. 95 ;

Toothache, Bcenninghausen, Riick. Kl. Erf., vol. 1, p. 469; Affection of teeth, Alt- schul, Riick.

Kl. Erf., vol. 5, p. 207 ; Fetor oris, Matthes, N. E.

M. G., vol. 6, p. 6; Raue's Rec, 1872, p. 6 ; Stomacace, Weber, Mschk., Riick.

Kl. Erf., vol. 1, p. 510 ; Stomatitis, Hartmann, Meyer, Riick. Kl.

Erf, vol. 5, p. 222 ; Raue's Rec, 1876, p. 83; Ulcers on fauces and soft palate, Windelband, Times Retros., 1877, p. 38; Ulcers on tonsils and pharynx, Riick.

Kl. Erf., vol. 5, p. 248 ; Syphilitic affections of mouth and pharynx, Meyer, Riick. Kl.

Erf., vol. 5, p. 247 ; Tumor in mouth, Slo- comb, N. E. M.

G., vol. 5, p. 485 ; Ptyalism, Kirsch, Riick. Kl. Erf, vol. 1, p. 510 ;

Angina, Griessel, Riick. Kl. Erf., vol. 1, p. 537 ; Sore throat, Edmundson, Hah.

Mo., vol. 8, p. 471 ; Diphtheria, Goullon, Times Retros., 1875, p. 60 ; Lippe, Times Retros., 1876, p. 74 ; Guernsey, Raue's Rec, 1871, p. 73 ;

Houard, Hah. Mon., vol. 10, p. 327; Merritt, A. H.

O., vol. 4, p. 399; (3 cases) Billig, A. H. Z., vol. 110 p. 27, 45 ;

Hirsch, Goullon, Villers, Lorbacher, Lippe, Sybel, Billig, Palmer, Mer- ritt, (Ehme's Diphtheria, pp. 61-5 ; Chronic affection of throat, Arnold, Riick. Kl. Erf., vol. 5, p. 247 ;

Appetite for chalk] Matthes, N. E. M. G., vol. 6, p. 8 ;

Dyspepsia^ Miller, Hah. Mo., vol. 10, p. 161 ; Diarrhoea, Negendank, Hom. CI., vol. 2, p. 209 ;

49 NITRIC ACID.

C hronic diarrhcea, Hirsch, Riick. Kl. Erf., vol. 5, p. 423; Chronic ulceration of bowels, Bennett, Horn.

CI., vol. 2, p. 159; Dysentery, Chapman, B. J. H., vol. 7, p. 390 Hirsch, Raue's Rec, 1875, p. 147 ;

Constipation, Brown, Raue's Rec, 1875, p. 115 Hills, Times Retros., 1877, p. 96; Constipation and piles, Berridge, Horn. Phys., vol. 4, p. 288 ; Cutting in rectum, C.

G. R., Raue's Rec, 1872, p. 6 ; Fissure of rec- tum (with Hepar), Cox, Raue's Rec, 1872, p. 153; Hemorrhoids, Williamson,, Raue's Rec, 1872, p. 6;

Eggert, Raue's Rec, 1875, p. 162; Gillett, Knorre, L., Riick. Kl. Erf., vol. 1, p. 1000;

Gross, Riick. Kl. Erf., vol.5, p. 494; Hemorrhoids and anal fissure, Ostrom, Organon, vol. 3, p. 206 ;

Contracted kidney, Kidd, B. J. H., vol. 13, p. 567; Kidd, Hirsch, Quaglio, Riick.

Kl. Erf., vol. 5, p. 524; Urinary difficulty, Rentsch, Riick. Kl.

Erf., vol. 5, p- 505 ; Hcemaiuria, difficidt urination, Goullon, Lembke, Riick. Kl. Erf., vol. 2, p. 23;

Oonorrhcea, Attomyr, Stapf, Goul- lon, Schreter, Riick. Kl. Erf., vol. 2, p. 90; Gollman, Riick.

Kl. Erf., vol. 5, p. 546 ; Oonorrhcea and buboes, Hirsch, Raue's Rec, 1874, p. 222 ; Ulcer on peniSy Berridge, Horn.

Phys., vol. 6, p. 211 ; Chancres, Guernsey, T. H. M.

S. Pa., 1874, p. 233; Times Retros., 1875, p. 91; Sycosis;

Chancres; Condylomata; Buboes; Oonorrhcea ;

Hahnemann, Lobethal, Trinks, Attomyr, Buchner, Hofrichter, Hart- mann, AVehsemeyer, Rummel, Liedbeck, Fielitz, Rosenberg, Horner, Guylas, Langhammer, Riick. Kl. Erf., vol. 2, pp. 158-166 ; Paraphimosis, Hoyne, Times Retros., 1876, p. 113;

Gleet, Stapf, Riick. Kl. Erf., vol. 2, p. 90; Itching on genitals, Berridge, Hah.

Mo., vol. 10, p. 77; Chronic metritis, Butman, Times Retros., 1876, p. 126 ; Excrescences on uterus, Goullon, Raue's Rec, 1870, p. 251 ; Uterine hemor- rhage, Goullon, Riick.

Kl. Erf, vol. 2, p. 318 ; Menstrual disturbance, Howells, Or- ganon, vol. 2, p. 383 ; Vaginitis, Triiger, Maylander, Times Retros., p. 106 ;

Leu- corrhoea, Hartmann, Riick. Kl. Erf., vol. 2, p. 365 ; Goullon, Raue's Rec, 1873, p. 164 ;

Uterine hemorrhage during pregnancy, Goullon, Raue's Rec, 1873, p. 177 ; Syphilitic laryngitis, Hoyne, Times Retros., 1876, p. 83 ; Cough, Hirsch, Riick. Kl.

Erf., vol. 5, p. 688; Whooping cough, 6 cases, inhalation of gas, Lederer, B. J. H., vol. 15, p. 249 ;

Pneumonia (with Aeon.), Stens, Riick. Kl. Erf., vol. 5, p. 824; Pleurisy, Goullon, Riick.

Kl. Erf., vol. 3, p. 306 ; Swelling of cervical glands, Kun- kel, A. H.

Z., voh 109, p. 134; Whitlow, 9 cases (locally), Olmstead, A. H. O., vol.1, p. 183;

Panaritium, 3 cases, (locally), Hirsch, B. J. H., vol. 21, p. 218; Warts and rhagades on hands, Gaillard, Horn.

CL, vol. 3, p. 135 ; Chilblains, Effects of cold, Lobethal, Goullon, Riick. Kl. Erf., vol. 4, p. 175 ;

Offensive foot sweat, Gorton, Raue's Rec, 1874, p. 297 ; Intermittent fever, Watson, N. A. J.

H., vol. 6, p. 208 ; Ague, Terry, N. A. J.

H., vol. 25, p. 310; Night sweats, Miiller, Raue's Rec, 1871, p. 102 ; Typhoid fever, Goullon, Riick. Kl.

Erf., vol. 4, p. 757 ; Post-scarlatinal dropsy, Mann and Bragden, Raue's Rec, 1875, p. 286 ; Carbuncular diathesis, Gal- lupe, N. A.

J. H., vol. 21, p. 113; Boils, Gallupe, Raue's Rec, 1872, p. 257; Syphilis.

Guernsey, Hah. Mo., vol. 16, p. 174 ; Watzke, 2 cases, B. J.

H., vol. 26, p. 201 ; Scarlatina, Lippe, T. A. I.

H., 1880, p. 300 ; Scarlatina and diphtheria, Wilke, Times Retros., 1877, p. 81; Eczema, Blake, B. J.

H., vol. 30, p. 118; Pityriasis versicolor, Lilienthal, Times Retros., 1875, p. 134; Psoriasis, Blake, B. J.

H., vol, 30, p. 125 ; Bhypia (with Thuya), Desterne, Raue's Rec, 1872, p. 171 ; Verrucce plancB, Schweikert, A. H.

Z., vol. 109, p. 44 ; Syphilitic eruption (with Sulph.), Hirsch, Raue's Rec, 1875, p. 172.

' Mind. Unconsciousness.

■ Great weakness of memory, with aversion to mental exertion.

NITRIC ACID. 50

Has no ideas ; comprehends nothing, does not understand

what people tell her. I If she exerts herself to reflect upon important things, her

thoughts vanish.

■ Fancies she will die soon, yet is not physically ill. Raving, as if delirious, with coldness of body and inclina- tion to fall.

Feels as though he had partly lost his will-power. ■Taciturn, disinclined to communicate anything ; moody in morning.

■ Very easily affected ; inclined to weep.

■ Sadness, great fear of death, sensation of extreme weak-

ness, even to trembling.

■ Indifference; tired of life; joyless; sadness before menses.

■ ■Depressed and very anxious in evening.

■ Hopeless despair.

■ ■Often anxious about his illness; constantly thinks

about his past troubles; mind weak and wandering.

■ Anxiety as if he was engaged in a lawsuit or dispute,

causing uneasiness. '■■Anxiety about his disease, with fear of death; morbid fear of cholera.

■ ■After continued loss of sleep, long-lasting anxiety, over-

exertions of mind and body from nursing the sick, great anguish of mind from loss of his dearest friend.

■ Satiety of life with fear of death.

■ Irritable disposition ; headstrong; trembling while quar- ■ reling ; fits of rage with curses and maledictions ; invet- erate ill-will, unmoved by apologies.

■ ■Nervous, excitable, especially after abuse of mercury.

■ Peevish, irritable, sad and obstinate; vexed at trifles.

■ Discontent with himself induces violent weeping.

■ Easily startled and frightened; starts up from fright on

falling asleep. ^ Sensormm. ■Dizzy, dull, stupid and heavy.

■ Vertigo : in morning, must lie or sit down ; with obscura-

tion of sight ; with nausea followed by eructations ; with pulsation in head and pressure in middle of brain, in evening; when raising head after stooping; when walking or sitting, obliging him to lie down ; in evening, after lying down, during climaxis (syphilitic).

■ When collecting his thoughts to reply to questions,

drops what he is holding. ^ Inner Head. ■Head sensitive to rattling of wagons over paved streets or stepping hard.

■ Congestion to head with heat; painful sensation of

fulness.

■ Pressure in forepart of head and upon eyes.

51 NITRIC ACID.

1 1 As if head was in a vise from ear to ear over vertex ; as

if someone was forcibly pressing head ; as if head was

tightly bound up. 1 1 Painful tension within head extending to eyes, with

nausea. I Stitches in head: compel one to lie down; disturb sleep. Iln temples: drawing pain inr. ; stitches in 1. or both ;

piercing.

■ Violent throbbing, hammering on 1. side of head, com-

ing on gradually towards morning and going off about breakfast time.

I I Throbbing headache.

I Headache: in morning on waking, > after rising ; < by motion and succussion ; < from noise ; > on lying down or from riding in a carriage ; with nausea and vomiting; arthritic, mercurial or syphilitic.

Headache began near vertex, descended to region of 1. ear, then went gradually over vertex to r. side of head, but still < on 1., not > by warmth of flannel.

I I Violent sticking pain in occiput.

^ Outer Head, i Pain in skull, with sensation as if constricted by a tape.

I I Head very sensitive even to pressure of hat ; < in even- ing and on part lain on ; sensitive as if contused, either all over or in certain spots ; whole r. side of skull painful.

I i Pain like a gathering at 1. temple.

I Head feels hot.

I I Profuse falling out of hair : particularly on top of head ; from congestion of blood to scalp ; from syphilis ; ner- vous headaches, debility, emaciation.

■ On anterior boundaries of hair, and partly on tem-

ples, numerous intensely red and brownish pimples. /^Syphilis.

■ Scabby, moist, itching, offensive eruption; paining as

from splinters or when touched. I Humid, stinging eruption on vertex and temples, also in whiskers ; bleeding easily when scratched and feel- ing very sore when lain on.

■ Single, burning, moist sores on scalp. ^Syphilis.

■ Inflammatory swellings on scalp, suppurating or becom-

ing carious ; < from pressure, or when lying thereon.

■ Caries of bones of skull.

"^ Sight and Eyes. lEyes dim, sunken, pale face; sight ob- scured while reading ; black spots before eyes ; objects appear dark. I I Photophobia.

I I Great sensitiveness to daylight, a kind of nyctalopia. ^Scrofulous ophthalmia.

NITRIC ACID. 52

1 1 Double vision ; shortsightedness.

I Pupils dilated and dim.

I On lying down or even inclining head from upright position, feeling as if warm water was flowing over and from eyes, first r. then 1., > by cold water. /I^Syphilitic iritis.

I Iritis : pressing stinging as if an ulcer was being pressed ;

pains < in change of temperature, at night and on

touching parts ; acrid lachrymation ; continual relapses ;

old cases spoiled by mercury; posterior synechia. iCornea: spots; dark spots; dim and ulcerated (after

Calc. OY Puis.); superficial ulcers; phlyctenulse which

become flat ulcers ; keratitis, to prevent staphyloma ;

pannus ; herpetic pannus ; proliferation of corneal

lamellse. Conjunctiva inflamed.

■ Scrofulous ophthalmia; lids much inflamed and swollen,

intense photophobia, excessive lachrymation ; great red- ness ; complicated with shallow ulcers on cornea.

I I Ophthalmia : neonatorum ; scrofulous ; gonorrhoeal ; syphilitic ; from abuse of potash and mercury.

I 1 Burning in eyes ; aching ; pressure like sand ; biting ; stinging ; stitches.

■ Burning in lids in morning.

■ Region of eyes painful, sore to touch.

■ Flow- of irritating tears ; also after injury to eye. I I Lachrymation and agglutination of lids.

■ Fistula lachrymalis.

■ Difiiculty in opening eyes and raising lids in morning.

■ Paralysis of upper lids.

■ Eyelids swollen, hard, livid, smart and burn.

■ Syphilitic inflammation and swelling of lids, with copious

lachrymation. ^Ectropium.

■ Small wart on upper lid.

■ On r. lower lid a large condyloma, suppurating and

bleeding easily when touched; it seemed to arise from a lens-shaped body on inner surface of lower lid ; ectro- pion ; eye and vicinity much inflamed wdth burning, sticking paiii, profuse, hot lachrymation and agglutina- tion mornings. Eyelashes of r. side all point stiffly towards nose.

■ Dermoid swelling on eyes.

^ Hearing and Ears. One's speech echoes in ears ; roaring ; buzzing ; beating ; humming ; cracking when chewing ; stoppage with detonations.

■ Deafness : > when riding in a carriage or train ; from

induration and swelling of tonsils ; after abuse of mer- cury; syphilitic.

53 NITRIC ACID.

I Eustachian tubes obstructed.

I Throbbing in ears.

lOtorrhoea: fetid, ichorous; purulent; post-scarlatinal.

I Auditory canal nearly closed.

■ Swelling of glands behind and beneath 1. ear.

I Redness, suppuration and violent itching behind ears.

■ Caries of mastoid process.

■ Auditory derangements depending on swelling of tonsils, i I Cystic tumors in lobes of ears.

^ Smell and Nose. ■Smell: disagreeable on inhaling air; unpleasant evenings on lying down.

■ Nosebleed: mornings; at night; black, clotted; when

weeping; blood acid. ■Sneezing: frequent; without corj^za ; during sleep; un- successful attempts.

■ Coryza: nose dry and stuffed; with obstruction; dry,

with dryness of throat; water drops out in open air; wings of nose inflamed, swollen, burning ; nasal mucus discharged only from mouth through choanse ; awakens frequently all stopped up with mucus, has to blow nose and expectorate ; with difficult breathing even through mouth ; stitches in throat when swallowing ; with sore throat and cough.

■ ■Nasal catarrh : acrid, watery at night ; yellow, offensive ;

corroding ; with swelling of upper lip ; with night cough; with scarlatina or diphtheria; syphilitic.

■ In nose: violent itching, burning, soreness; bleeding,

scabbiness ; stitches as from a splinter on touch ; stitches in root which is distended, especiall}^ on sneezing and coughing.

■ Ozsena: green casts every morning; with ulcers; syphi-

litic, involving upper lip which is swollen and honey- combed with ulcers; offensive yellow mucus and pus; frequent epistaxis ; dry coryza ; throat dry ; fetid.

■ ■Ulceration: of nostrils, scurfy; of inner nose, frequent

bleeding ; bloody matter blown from nose.

■ Hard plugs form in nares, hard to detach and leaving a

raw sore.

■ Condyloma: on nose; on and in nostrils, bleeding on

slight touch ; lipoma-like.

■ Tip of nose: red; scurfy; vesicles.

■ Alse: itching herpes ; feeling of soreness ; large, soft pro-

tuberances, covered with crusts (syphilis). ^ Upper Face. Face : yellow ; pale, eyes sunken ; dark yel- low about eyes, red cheeks ; bloated around eyes on waking ; scaly ; rash ; pimples ; black pores ; freckles or brown spots ; small, elevated, pigmented warty spots upon forehead, rough to touch ; erysipelas.

NITRIC ACID. 54

I I Right parotid greatly enlarged. ^Ulcer on tongue. I Pricking; tearing in malar bones; bones painful.

■ Tension in skin of forehead.

■ Suppurating pustules, with broad red circumference,

forming crusts. ^Syphilis. ^ Lower Face. H Cracking in maxillary articulation when chewing and eating.

I Lips: swollen and itching; ulcered and blistered; under

lip dry and cracked, sore, peeling off; stitches as from splinters in upper lip when touched.

I I Corners of mouth ulcered and scabb^^ I I Blood-boils on chin.

I Painful swelling of submaxillary glands. ^^ Teeth and Gums, l Tearing in teeth; boring or shooting when touched by anything cold or warm ; pain in hol- low teeth.

I Pulsating, stinging in evening in bed and all night, after abuse of mercury.

I Teeth feel elongated ; sensation of coldness in teeth.

■ Caries of teeth after abuse of mercury; teeth painful,

loose ; sensation as if teeth would fall out.

I The teeth, previously very white, became yellow.

iSensation as if teeth were soft and spongy; did. not dare to bite them together for fear they would fall out ; on slightest sucking of teeth blood exuded from gum.

I Gums: red and enlarged between teeth; white, swollen ; bleeding ; scorbutic ; itching ; tumor size of walnut. "Taste and Tongue. Taste: bitter after eating; sour, with burning in throat ; sweet.

I Tongue: sensitive, even to soft food; bites it when chew- ing ; sore pain ; red like a beet ; yellow ; white, dry, mornings ; green, with ptyalism ; dry and fissured ; white with sore spots ; blistered, with burning pain ; small painful pimples on sides ; ulceration with tough, ropy mucus; deep, irregular-shaped ulcers on edge (syphilis).

I I Glossitis, mercurial cases. ^^ Inner Mouth. iiFoul, cadaverous smell from mouth.

I Dry mouth, no thirst, swollen, hot lips.

I Sore mouth : intense stinging pain and burning, surface

swollen, bright red; blisters and vesicles on and around lips.

I I Ulcers: sticking pains as from a splinter; within cheeks ; on edges of tongue ; deep eating ; at first lar- daceous, later discolored, dark, dirty ; putrid ; destruc- tive ; syphilitic.

I Aphthae or stomatitis: mucous membrane swollen, ulcer- ated ; profuse salivation, acrid, causing ulceration of

55 NITRIC ACID.

lips, chin and cheeks ; fetor from mouth as if mercurial ;

gums tender, could not chew solid food ; syphilitic

dyscrasia. 1 1 Mucous membrane: gets between teeth, easily bitten ;

swollen, ulcerated ; with pricking pains, especially after

abuse of mercury ; aphthous ; covered with white or

thin, yellowish-grey membrane. llSaliva: profuse; fetid, acrid, makes lips sore; bloody. iPtyalism: swelling of gums; fetor oris; teeth black,

carious; with ulcers; scorbutic; mercurial; syphilitic. iRanula. llSwelling of parotid and submaxillary glands, with

loose teeth and bleeding gums, after abuse of mercury.

I Tumor in mouth with a streak down neck.

^^ Throat. While eating, small pieces of food are forced into choana3, producing a sickening sensation, they are after- wards drawn out covered with mucus. 1 1 A morsel sticks in pharynx while eating, as if pharynx was constricted.

■ Pressure in throat on swallowing food, as if it would not

go down.

I I Swallowing: very difficult; distorts face and draws head down ; cannot swallow even a teaspoonful of fluid ; causes violent pain extending to ear.

■ Sensations: acrid, burning after eating; sore pain in

pharynx ; scraped feeling ; pressure as if swollen ; sticking; stitches; stitches in tonsils and burning in fauces, behind uvula ; pricking as from a splinter, < when swallowing.

■ Much mucus in throat posteriorly; hawking.

■ Mucus only discharged through posterior nares. ^Coryza,

■ Dry throat, heat; gums sore.

■ Arch of palate and tonsils swollen, painful, with injected

vessels. I I Painful soreness of soft palate, tongue and inside gums, stinging pain.

■ Uvula and tonsils oedematous.

■ Fauces and posterior pharynx red, swallowing difficult.

■ ■Tonsils: swollen, red, uneven, with small ulcers; yel-

low streak ; white patches.

■ Diphtheria: chilliness alternating with heat; pricking

as from a splinter or piece of glass; acrid fluid from nose, with hoarseness ; difficult, painful deglutition ; salivation ; fetor oris ; great uneasiness ; violent fever ; excessive prostration ; tonsils and uvula covered with exudate surrounded by a red areola; coating white at margin, yellowish in thicker portions and turning black at some points; exudate had disappeared, there re-

NITRIC ACID. 56

mained symptoms of adynamia of a marked character, local surfaces, late seat of exudate, dark hue, verging on mahogany ; membrane on tonsils and fauces ex- tending to nose ; intermittent pulse ; swollen parotid and submaxillary glands; vomiting of ropy, greenish- yellow mucus; great prostration; profuse discharge from nostrils ; frightful fits of coughing.

■ Ulcerated sore throat; three large, deep ulcers, having

bluish margins, with red centres, near root of tongue ; tonsils nearly sloughed off; great pain on taking least nourishment ; fetor oris ; syphilitic history.

■Suddenly appearing, or slowly creeping ulcers on fauces and soft palate, after abuse of mercury ; they destroy rapidly the bony wall of palate or whole soft palate.

I Superficial ulcers on 1. palatine arch.

I Flat, white, or greyish ulcers on tonsils ; syphilitic ulcers in pharynx, flat, covered with pus; difficult degluti- tion ; ptyalism ; metallic taste in mouth ; fetor oris.

■ Hypertrophy of tonsils, after angina.

■ CEsophagitis (when Rhustox. is insufficient.)

'* Appetite, Thirst. Desires, Aversions. ■Excessive hun- . ger: with languor, sweetish taste in mouth; weariness of life.

■ Appetite: variable or absent.

■ Thirst violent in morning. ^Tuberculosis.

■ ■Longing for : fat; herring; chalk; lime; earth.

■ Averse to meat and bread.

'^ Eating and Drinking. Chokes while eating. During eating and after: sweat.

After eating: bitter taste; fulness in stomach, debility after least exertion, heat, palpitation; heavy weight in stomach ; sweat.

■ Food causes acidity; fat food nausea and acidity.

■ Milk disagrees.

'® Hiccough, Belching, Nausea and Vomiting. Hiccough, especially in winter.

■ Eructations: before and after eating; sour, with nausea;

empty.

■ Nausea: after eating; with heat in stomach, extending

to throat ; > from moving about or riding in carriage ; vomiting of mucus and food, caused by cough.

■ Much nausea, cannot take food; vomits occasionally.

■ Vomiting: bitter and sour, with much eructation ; yel-

low mucus ; constant, tenacious, p.urulent and bloody mucus. '^ Scrobiculum and Stomach. ■Stitches in pit of stomach.

■ Pain in cardiac orifice on swallowing food.

■ In stomach: pressing, gnawing, pulsating; burning;

burning distress ; pressure.

57 NITRIC ACID.

■Sensation of a heavyweight in stomach after eating;

strong-smeHing urine; easy sweat. ^Dyspepsia. I I Dyspepsia from abuse of salt.

■ Vascular and organic cardialgia; erosions and ulcers of

^^ Hypochondria, l i Stitches in hepatic region.

I J Jaundice; pain in region of liver; urine scanty and

■ Chronic hepatitis and the "liver-cake " of ague.

I Spleen large after yellow fever.

^^ Abdomen. 'In abdomen: uneasiness; fulness and tight- ness shortly after eating ; pressure in 1. side ; drawing pain wdth shuddering; pinching and rumbling; vio- lent cramplike pains as if abdomen w^ould burst, with constant eructations; pain when walking, must bend over; pain settles in ileo-csecal region, dull, sore, tender.

I I Awakened at midnight, wath crampy pains in small intestines; chilly; pain < if he moved.

I I Colic : cutting, < in morning in bed ; before stool ;

griping at night ; from cold. iBorborygmus, as if a boiler was working within bowels;

mucous or watery stools, great prostration.

■ Gurgling in 1. side of abdomen, cold feet; fetor oris.

■ Abdomen distended with flatus, very tender.

■ Incarcerated flatus in upper part of abdomen, < morn-

ing and evening.

■ Chronic intestinal catarrh; acute pain in abdomen

during stool ; < in morning ; discharge brown and slimy.

■ Intestinal dyspepsia with constipation.

Burning over whole abdomen as from a hot, dry cloth ; 2 to 3 P.M., several afternoons.

■ Stinging soreness of abdomen when touched.

■ ■Suppurating swelling in inguinal glands. ^Syphilis.

■ Inflamed buboes after coitus, without any other indica-

tions of venereal infection ; buboes after frequent and violent connection.

■ Inguinal hernia; also of children.

^^ Stool and Rectum. ■Stools: bloody, with tenesmus; of mucus; putrid, mucous ; undigested; loose, much flat- ulence, rumbling; of yellow-white fluid ,_ loose, morn- ings; green, slimy, acrid ; pale from deficiency of bile; pasty and sour; green, curdled, mixed with mucus; green or bloody mucus ; contain lumps of caseine or flakes of false membrane; putrid; acrid; sour-smell-

NITRIC ACID. 58

ing ; bloody, brown and slimy, with great exhaustion ; of black, offensive blood. 1 1 Diarrhoea: great straining, but little passes; as if stayed in rectum and could not be expelled; with soreness and rawness of anus ; during typhoid ; in children of syphil- itic parents ; in children, with putrid smell from mouth ; copious flow of saliva ; ulcers in mouth and on tongue ; chronic, with soreness of intestines, discharge of serous liquid and symptoms of intestinal phthisis.

■ Dysentery: constant pressing in rectum without any

stool, or patient evacuates mere mucus, after which tenesmus continues, followed by headache, dryness of throat, violent thirst, intermittent pulse ; diphtheritic.

■ Disorders of bowels: after sharp northwest winds, sud-

den manifestation of symptoms after midnight or in morning hours; discharges from bowels from the first very offensive, dark green, watery, with pieces from an inch to an inch and a half long floating in them, re- sembling scrapings of intestines ; lower part of abdo- men distended, hard and painful to touch ; tongue clean ; appetite not impaired ; head hot but without pain ; pulse variable ; soreness in extremities and gen- eral debility; cheerful mood.

■ Burning in rectum towards perineum, with ineffectual

urging; straining without stool. ^Diphtheritic dys- enter3^

■ Sero-croupous discharge, with much straining. ^Dys-

entery.

■ Hemorrhage bright red, not clotted, or black and offen-

sive; faint from least motion; ulcers in ileo-csecal region.

■ Ineffectual urging to stool, with sharp, splinterlike cut-

ting pains in rectum during stool.

■ ■Desire for stool, but little passes ;' feels as if it stayed in

rectum and could not be expelled.

■ Ineffectual urging to stool; colic.

■ ■Constipation: painful, hard, difficult, scanty, dry, irreg-

ular stool ; stool in hard masses ; with every stool pro- trusion of hemorrhoidal tumors with profuse bleeding, latter also occurring at other times ; stools hard, pre- ceded by great pressure, followed by mucous discharges ; stool like sheep dung, accompanied by a mucous secre- tion ; stools alternately firm and liquid ; in patients of a bilious habit, suffering from tedious hepatic derange- ment, syphilitic affections, or suffering from effects of mercury ; during convalescence from a protracted and severe fit of sickness ; great pain during and after pas- sage, as though there were fissures of anus, child fears

59 NITRIC ACID.

to have a passage ; and piles, with bearing down on standing; bread disagrees.

I I Discharge of prostatic fluid after difficult stool.

I Before stool: colic; drawing pains; cutting; constant pressing in rectum ; continual but fruitless desire.

I During stool: nausea; colic; tenemus ; spasmodic con- traction of anus; cutting in anus and rectum; acute pain in abdomen ; prolonged straining (even with soft stool) ; sensation as if part of feces remained in rec- tum and could not be expelled ; sharp, splinterlike pains in rectum (with inefl'ectual urging); burning in rectum towards perineum ; tearing, spasmodic pains (fissures in anus) ; pressure upon rectum with desire for stool, but only a little passes.

I After stool: continued urging; 1 1 exhaustion ; irrita-

tion, anxiety and general uneasiness ; soreness and rawness of anus ; violent drawing and cutting pains in rectum, continuing for hours; burning and shooting in rectum ; painful prolapsus of rectum, and sensation of constriction of anus ; colic and great prostration ; painful hemorrhoids with hemorrhage; pain as though anus was fissured ; nervousness and debility ; sharp, stitching pains ; scratching and stinging in anus and rectum ; succus prostaticus.

Aggravation : on alternate days ; during typhoid fever ; after dinner; after milk; after abuse of mercury; in morning.

Amelioration : from riding (general condition).

• Constant weight and pressure in rectum.

I I Burning in rectum: after micturition; extending to perineum ; on waking at night and in morning ; like coals of fire on attempting introduction of enemata.

Hitching in rectum and anus; moisture.

I For several years severe pain in small of back and per- iodical hemorrhage from rectum ; pain in back so severe and continuous that he cannot assume erect posture but walks about bent ; loss of appetite ; two or three pappy stools a day ; burning in anus ; itching about genitals ; many red pimples and spots in face.

■Secondary hemorrhages from rectum, after removal of hemorrhoids.

■ Fissures in rectum : tearing, spasmodic pains during stools ; lancinating, even after soft stools.

I Painful prolapsus of bowels, and sensation of constric- tion of anus.

iFistula; fissures; polypi; cancer of rectum.

llHemorrhoids: constant pressing out; painful or pain- less, prolapsing with every stool, with loss of blood;

NITRIC ACID. 60

swelling, buroing, pricking ; sharp, stitching pains after every evacuation ; constant weight and pressure, < from exercise ; dark complexion ; brownish-red ; bleed- ing at night in bed ; pain and nausea during stool, which is veir}^ difficult, although not hard ; great sensi- tiveness of anus ; with chronic catarrh of rectum, diar- rhoea, and erythema around anus ; old and pendulous hemorrhoids cease to bleed, but become painful to touch, especially in warm weather; old tumors, secret- ing much slime and bleeding profusely after stool; associated with fissures.

I Constriction of anus almost daily.

I Feeling as if sharp sticks were being pressed into anus, on slightest touch.

■ Constant weight and pressure in anus, < from exercise.

^Hemorrhoids.

I Moist soreness in anus and between nates, when walking.

I Fetid discharge from anus.

I I Eczema ani. ^' Urinary Organs. Contracted kidney.

lAlbuminuria: excessive prostration ; nausea; sour taste; bilious diarrhoea or constipation ; dry skin; fever; head- ache; dull systolic sound of heart; pressure in kidneys; turbid, fetid urine; oedema of feet; < at night; espe- cially in those who have had syphilis and have taken much mercury.

I Diabetes mellitus.

iHgematuria, urging after and shuddering along spine during urination ; blood flows actively, bright red, not clotted ; faint from least motion.

I 1 Cramplike contractive pain from kidneys towards bladder.

■ Painless retention of urine. I Incontinence of urine.

I Frequent urging to urinate, with scanty discharge, par- ticularly at night, with cutting in abdomen.

I Difficult urination, must stand and press along while before urine appears, when flow is established it passes in an uninterrupted stream.

I Spasms of urethra; rectal fissure.

I Burning in urethra and desire to urinate, with hope of relieving burning which, however, is increased.

I I Cutting in urethra; needlelike stitches in orifice.

■ Violent burning in urethra after urination; renewed

desire; discharge of mucus.

I I Ulcers in urethra; bloody mucous or purulent discharge. I Very thin stream, as if from contraction of urethra.

I Urine: extremely offensive; like horse urine; stains

61 NITRIC ACID.

linen brown ; orange-colored, containing bile ; greenish ; filled with mucus, pus and blood; cold when it passes; turbid, looks like remains in a cider barrel. ^^ Male Sexual Organs. l Sexual desire too strong; con- stantly excited; painful spasmodic erections at night; erections with burning or stitches in urethra; chordee.

I I Sexual desire wanting ; want of erections.

I I Gonorrhoea : discharge yellowish or bloody; bloody mucus ; greenish ; severe pain on urination ; chancre on glans; bubo; fever; horrible pain, much swelling and tenderness in testicles; chronic or suppressed; con- dylomata about genitals and anus.

I I Discharge of prostatic fluid after a difficult stool.

■ Prostatitis due to suppressed gonorrhoea; moisture of

anus ; pricking pains.

■ Bad cases of gleet.

■Stricture resulting from gonorrhoea or syphilis. I Ulcers in urethra, with purulent or bloody mucous dis- charge.

I Chronic itching of urethra after gonorrhoea.

I I Small itching vesicles on prepuce, open after a few days . and become covered with small dry scabs or brown

scurf.

llSmall blisters on orifice of urethra and inner surface of prepuce, forming chancrelike ulcers. (^Gonorrhoea.

I Pimples on glans penis and perineum.

I Inflammation and swelling of prepuce, with burning- pain ; on inner surface soreness and small ulcers secret- ing very offensive ichor, stains linen like bloody matter.

lUlcer near r. side of glans perforating frsenum ; similar ulcer on 1. side ; erections at night with severe bleeding from region of frsenum.

I Great swelling of prepuce with phimosis, without much , redness; suppurating ulcers with flat edges, with in- flammation of inner surface of prepuce and its margins, also of orifice of urethra, looking like chancres, with violent sticking, tearing, especially < towards evening, lasting through night and preventing sleep, still < by violent erections towards morning.

I I Ulcers: flat, with elevated, zig-zag edges; painless; clean, looking like raw meat ; spongy ; discharge thin, copious, mixed with blood ; generally appear upon prepuce, several usually appearing at same time ; deep, fistulous, irregular, ragged ; edges often raised, lead-colored ; su- perficial on corona glandis, looking clean but exuding an offensive moisture ; bleed easily when touched ; exu- berant, but pale and flabby granulations; on corona glandis, about frsenum, on prepuce, or on scrotum, with

NITRIC ACID. 62

sensation, on slightest touch, as if sticks were jagging them, hurting exceedingly.

I Sloughing of entire integument of penis, leaving that organ perfectly denuded ; at one inch posterior to corona glandis, on 1. side of corpus spongiosum, a fistu- lous ulcer extending into urethra, so that in micturition a portion of urine escaped through this orifice ; integu- ments covering pubic region sloughed away, leaving muscular structure bare, and ulceration was extending upward under pubis ; entire diseased surface in a very unhealthy or phagadenic ulcerated condition ; urine emitted an intolerably strong odor on being voided, and caused much smarting and burning ; sleep dis- turbed at night; appetite poor; considerable emacia- tion ; frequent painful erections during latter part of night; chancre on glans, and buboes still in an ulcer- ated condition, ^S^q^hilis.

I Chancre : increasing very fast and bleeding easily ; raised edges ; inclined to spread in circumference, with ten- dency to fungous growths ; pains as of splinters ; corro- sive discharge ; buboes threaten to suppurate ; old cases for which large doses of mercury have been given, or when homoeopathic doses of mercury have proved in- effectual ; soft, in weakly, scrofulous subjects.

I Brown spots upon glans penis, disappear after exfoliation of skin ; along raphe of scrotum, from penis to anus, brown, hard nodules, which become painless ulcers and discharge much pus.

I Brown and red spots on glans penis, becoming covered with scabs.

llPhimosis; paraphimosis; sharp stitches in prepuce.

I Itching of prepuce and moisture around glans.

I Burning of testicles ; inflammatory swelling with painful drawing.

I Inflammation and swelling of testicles, pain extending up spermatic cords.

■ Violent itching on scrotum.

I Hard, brown nodules on scrotum, suppurating. ^Syphilis.

I I Condylomata: fetid; bleeding when touched; moist, resembling cauliflower ; on thin pedicles ; oozing ; after abuse of mercury.

• Itching mercurial herpes preputialis.

■ Falling off of hair from genitals.

■ Secondary syphilis.

^^ Female Sexual Organs. ■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.

63 NITRIC ACID.

I Coffee-ground offensive discharge from uterus at climac- teric period or after labor.

■ Before menses: throbbing in nape of neck and small of

I Menses: too early and too profuse, blood very dark colored and thick; irregular, scanty and like muddy water.

■ Pressing down in hypogastrium and small of back, as

though everything would protrude; pain down thighs; abdomen feels swollen. ^Uterine displacement.

■ During menses : eructations, cramplike pain in abdomen,

as if it would burst; very offensive urine; bruised pain in limbs ; pain down thighs ; laborlike pains in abdo- men and back ; eructation ; palpitation, heat, anxiety and trembling; tiredness; burning in eyes; toothache and swelling of gums.

■ After menses: violent pains through abdomen and a

sudden gush of " muddy water ;" brown or thick leucor- rhoea, finally a thin, watery, flesh-colored, offensive dis- charge, sometimes acrid ; greenish mucous leucorrhoea.

■ Profuse, brown, offensive discharge between irregular

periods. ^Cancer uteri.

■ ■Leucorrhoea: of ropy mucus; of green mucus; flesh-

colored ; acrid, brown, offensive ; flows like water, clear and acrid, down legs; chronic, vaginal; in cachectic subjects; after mercurialization, gonorrhoea or chancre; with suppurating bubo.

■ Stitches up vagina, or from without inward, when walk-

ing in open air.

■ Vaginal fistula; granular vegetations.

■ Vaginitis with cracks and ulcers on labia minora.

■ ■Itching, swelling and burning of vulva and vagina.

■ Tumors of vulva; syphilitic taint; itching of parts when

walking or otherwise irritated.

■ Erectile tumors; much itching sticking pain.

■ Cold aggravates pruritus and leucorrhoea.

■ Plard knots in mammae; atrophy; soreness of nipples;

■ Metrorrhagia after abortion or confinement.

■ Croup : with violent coryza, hoarseness and cough ; stitches

in throat; shooting pains in region of larynx; sharp.

NITRIC ACID. 64

scratching roughness in throat, like a file, not felt on swallowing, but on breathing, with oppression of chest and coryza ; dry, barking evening cough ; rough, dry cough before midnight, giving no rest, shaking whole body ; stitches through chest ; fever ; shortness of breath ; oppression ; cough < at night, and troublesome during day, when reclining or slumbering.

■ Ulcers in larynx; toneless voice; previous mercurial

abuse.

■ Large broad condylomata in larynx, which nearly closed

glottis ; great dyspnoea and complete aphonia.

■ Syphilitic laryngitis.

■ Laryngeal phthisis; bronchitis.

^^ Respiration. ■Loss of breath and palpitation and anxiety on ascending steps. I I Sudden loss of breath and palpitation, when walking slowly.

■ Loses her breath and speech, she is so weak. /^Uterine

displacement.

■ Oppression of breathing caused by cough.

■Awakens often stopped up with mucus, must expectorate

before he can breathe easily. ■Shortness of breath, wheezing and panting, even asthma;

panting during work. I ' Catching respiration.

■ ■Litermittent breathing. /^Scarlatina.

^^ Cough. ■ ■ Cough : dry, barking, from tickling in larynx and pit of stomach ; < at night, also in day when lying down; rough, dry, before midnight; dry, during sleep, before midnight ; with general physical depression, loss of flesh, sleeplessness, fever, thirst, night sweats, dry paroxysmal retching; excessively hard, dry racking, with complete ptosis of both eyes, resulting from hard coughing; chronic dry laryngeal, with stinging, smart- ing, as if small ulcers were in larynx, generally felt on one side ; dry, sputum raised with difficulty ; in morn- ing, followed by greenish-white casts as if from air cells (secondary syphilis) ; shattering, barking, spas- modic, excited by tickling in larynx and epigastrium, with expectoration in daytime of dark blood mixed with coagula, or of yellow, acrid pus of an offensive odor (whooping cough); in morning, with pain low down in lungs as though something was tearing away, followed by expectoration of greenish-dirty mucus caus- ing gagging; loose, < in warmth, at bedtime and on rising in morning ; with tendency for small ulcers to form in back part of throat ; and symptoms of sluggish liver with tendency to diarrhoea ; with thirst in morn-

65 NITRIC ACID.

ing (bronchitis); chronic, in winter, awakens stopped up wiUi mucus, short breath, panting during work ; chronic, accompanied by gastric irritation and general cachexia; liver cough. iSppta: can hardly be dislodged, seem to stick like glue; dirty yellowish-green; in morning after raising large lumps of mucus, greenish-white casts as if from air cells, sometimes hanging together and spreading out in ves- sel; yellow, acrid, bitter; sour; salt; offensive; of blood mixed with clots during day ; brownish, bloody, with irregular pulse (typhus). ^* Inner Chest and Lungs. ■ In chest : uneasiness ; op- pression ; tightness ; fulness ; cramplike pains ; sticking in r. side; violent stitch in upper part of and within r. ribs, through abdomen and back; stitches in r. side; soreness when coughing or breathing ; congestion, with anxiety, heat and palpitation ; whistling and rales on. inspiration.

■ Soreness at lower end of sternum. iRush of blood to upper part of chest.

■ Pain suddenly abates, yet pulse becomes smaller and

weaker; pneumonia" and pleurisy of old and cachectic people ; , protracted cases. I Lungs attacked, rattling breathing, loose cough; threat- ened paralysis; sputum brown, bloody; pulse irregular ^Typhoid.

■ Tuberculosis with colliquative night sweats.

■ Empyema, with considerable muco-purulent sputum.

■ ■Haemoptysis.

^^ Heart, Pulse and Circulation. ■Nervous palpitation of heart, caused by slightest mental excitement.

■ Palpitation and anguish on going up-stairs.

■ Pulse: irregular; one normal, followed by two small

rapid beats; ■■fourth beat intermits; alternate hard, rapid and small beats. ^^ Neck and Back. ■ Swelling of cervical and axillary glands.

■ Neck stiff and sore from least cold.

I I Small warts on neck and sternum,

■ ■Stitches in and between scapulse; neck stiff.

■ Pain in small of back: drawing; as if stiff; from cold;

burning, in a small spot.

■ Pain in back at night, allowing to lie only on abdomen;

pulsations in it ; < coughing.

■ ■Neuralgic pains up back, particularly 1. side.

■ Lightninglike pains of a sticking character. (^Tabes

dorsalis.

■ Cramplike stiffness of back and whole body.

■ Pain in back and down thighs.

VOL. VIII.— 5.

NITRIC ACID. 66

■ Numbness, trembling, tingling of r. forearm.

I Rheumatic pains mostly in forearms and fingers.

■ Syphilitic rheumatism of arms and fingers; joints much

■ Chilblains on hands and fingers. I Cold, sweaty hands.

■ Numerous large Avarts on back of hands.

I I Large blue tubercles and spots on hands.

■ Eczema on inner side of 1. hand.

I I Numbness and swelling of fingers.

■ Swelling of finger joints, stinging pains.

■ I Herpes between fingers.

■ Suppurating, spreading vesicles at tip of thumb.

■ Whitlow : intense pain < at night, great sensitiveness to

touch and pressure ; intense redness and swelling on one or both sides of nail ; yellow stripe on edge of nail, threatening suppuration, extensive and violent inflam- mation, tendons, veins and cellular tissues affected, irri- tation extending up arm, all the way to axilla; fever; quick, tense, contracted pulse ; skin burning hot ; total want of appetite ; violent thirst.

■ Hand is carried wrapped up, but finger exposed, from a

sensation as if a splinter or piece of glass was in part, which friction of the wrappings aggravates. ^Paro- nychia.

■ ■Paronychia (applied in its incipiency).

■White spots and flaws on nails ; misshapen, crumbling and discolored or yellow curved finger nails. ^ Lower Limbs, l l Pain across buttocks.

■ Hip as if sprained, with limping.

I 1 Pressive-tensive pain in r. hip joint.

■ Rheumatic and arthritic pains in hip joint from mercu-

rial abuses ; diseases of periosteum and necrosis of bones of joint; caries, putrid decomposition.

■ Bruised pain in legs, as from excessive fatigue.

I I Deep-seated feeling as if dogs were gnawing flesh and bones and as if sinews were being pulled up.

!■ Tearing in bones of lower extremities, especially at night.

67 NITRIC ACID.

I Sticking pains as from splinters, especially on touch.

I I Dry herpes on outer side of thigh.

lParal3^tic pain in leg, with excessive heaviness and

lassitude. I Rheumatic pains in legs and feet.

■ Painful stiffness in knees, feeling as if bends of knees

were swollen. iPain in patella, impeding walking; stiffness and stitches

in knees. ■Soreness along periosteum of tibia.

I Itching of shins, bleeding when scratched; small scabs

form.

I I Syphilitic nodes upon shin bones, with severe nightly pains.

I Violent cramp in calf, at night and when walking after sitting.

■ Cramps in calves and soles of feet at night. I I Cracking in ankle while walking.

I I Spreading vesicles on feet.

■ Chilblains with itching, swelling and pain, especially in

very cold weather ; they inflame from a slight degree of cold ; skin cracked.

■ Chilblains in irritable subjects with delicate skin; great

redness of parts affected by the cold (locally, several drops in water).

■ Redness and heat of great toe and its ball, with sticking in

it, as if it had been frozen.

■ Ingrowing toe nail; nail seems to have grown into flesh,

but in reality has not, very sore, with more or less ulcer- ation and feeling as if a sharp splinter was being stuck into part on contact.

■ Phagadenic blisters on toes.

■ Offensive, profuse sweat on feet, causing soreness, with

sticking paitis as if walking on pins.

■ Foul-smelling sweat on feet, in both sexes, when there is

an impoverished state of blood, with weak vital powers. ^ Limbs in General. ■ Limbs restless in evening.

■ Dull pain as from weakness in extremities. I 1 Drawing in all the limbs.

I I Itching, especially in bends of extremities. Contraction of joints; cracking in joints.

■ Hands and feet swollen.

■ From not very severe cold, frozen, inflamed, itching

limbs ; painful chilblains.

■ Crippled nails on fingers and toes.

NITRIC ACID. 68

feeling as of warm water flowing over and from eyes ;

chill. Walking: vertigo, must lie down; pain in abdomen;

moist soreness in anus and between nates ; stitches in

vagina ; itching of tumor of vulva ; slowly, sudden loss

iTwitchings in various parts; frequent starts in upper

part of body.

I Pains, even slight ones, affect him violently. Easily takes cold.

A sick feeling over whole body ; faint from least motion.

I I So weak, almost constantly obliged to lie down; loses breath and speech.

1 1 Great weakness; trembling; shocks on going to sleep; depressed in spirits.

1 1 Great debility, heaviness and trembling of limbs, espe- cially in morning.

■ Excessive prostration, with diarrhoea, especially in old

■ Difficulty of going to sleep; shocks on dropping off' to

sleep ; starting up as if from fright. I Pains felt during sleep.

■ Sleep: anxious, with sobbing; restless, unrefreshing ;

frightful dreams ; nightmare ; very restless after 12 ; cannot sleep after 2 a.m.

69 NITRIC ACID.

I On awaking feels as if he had not slept enough. ^' Time. Morning: moody; vertigo; towards, headache going off at breakfast time ; on waking, headache ; burning in lids ; difficulty in raising lids ; nosebleed ; tongue dry, white ; violent thirst ; in bed, colic ; incarcerated flatus in abdomen < ; acute' pain in abdomen during stool <; sudden manifestations of symptoms ; stools loose ; ag- gravati )ns during typhoid ; burning in rectum ; cough followed by greenish-white casts ; cough with pain low down in lungs; cough < on rising; thirst; falling asleep of hands ; heaviness and trembling of limbs ; chill ; perspiration.

After 2 a.m. : cannot sleep.

Afternoon : chill.

On bedtime : cough <.

During day : cough troublesome ; cough with expectora- tion of dark blood mixed with coagula ; sputa of blood mixed with clots; drowsy.

Evening : depressed and very anxious ; vertigo ; head < ; unpleasant smell ; pulsating in teeth ; incarcerated fla- tus <; tearing in ulcers on prepuce; barking cough; limbs restless ; chill ; sweat.

Night : iritis < ; nosebleed ; cough ; pulsating in teeth ; griping; burning in rectum; hemorrhoids bleed ; urg- ing to urinate < ; erections with severe bleeding from region of frsenum ; sleep disturbed ; painful erections ; cough < ; pain in back ; whitlow < ; tearing in bones of lower extremities < ; cramps in calves and soles ; dry, internal heat ; blood seems hot.

Before midnight: rough, dry cough.

Midnight : awakes with crampy pain in small intestine < ; chill.

After midnight : very restless ; sudden manifestations of symptoms. ^' Temperature and Weather. Warmth : of flannel does not > headache ; cough <.

Warm weather : hemorrhoids painful to touch.

On covering up : night sweats.

Least exposure, in room or at fire : chills.

Open air: water drops from nose; stitches in vagina when walking ; itching nettlerash.

Cold or warm : causes tearing and shooting in teeth.

Change of temperature : iritis < ; cicatrices pain.

Washing: causes warts to bleed.

Slight degree of cold : chilblains swell.

After sharp northwest winds : disorders of bowels.

Cold weather: chilblains <.

Cold water : > feeling of warm water flowing from eyes.

NITRIC ACID 70

I Hands very cold.

I Icy coldness of soles of feet.

I Heat : on hands and face ; flushes of single parts, or over entire body ; with moisture of hands ; with dryness of throat ; dry, at night ; dry, internal at night, wants to uncover ; blood seems hot at night especially in hands, could not sleep ; with sweat and debility after eating.

I No thirst during hot or cold stage.

llSweat: with cold hands and blue nails ; in axillte, of- fensive, of a strong odor ; sour, offensive, like horse's urine ; all over, after eating ; most on upper part of body ; of feet ; on soles of feet, makes them sore ; in morning; offensive for several nights.

I Night sweat : every night, or profuse every other night;

on covering up in bed ; only on parts on which he has been lying; mostly on feet; copious (maltreated bu- boes); colliquative, with much emaciation (tuberculosis).

IlLong-lasting chronic cases of intermittent, where liver is involved and blood is aneemic, with general cachexia.

■ Typhoid: hemorrhages; great sensitiveness of abdo- men ; green, slimy, acrid diarrhoea ; tenesmus ; white- coated tongue with sore spots ; inflammatory affection of lungs, with rattling cough and breathing; brownish, blood}^ expectoration and irregular pulse; after Calomel.

I I Hemorrhages of bright red blood, not clotted ; tongue presents a deep red appearance, with a sort of velvety look ; soreness of bowels with persistent diarrhoea streaked with blood ; fetid urine ; burning, pungent skin ; ulcers in ileo-csecal region, with gurgling in ab- domen ; raving delirium, getting out of bed; inflam- matory affection of lungs, with rattling cough and breathing ; brownish, bloody expectoration and irregu- lar pulse, or quick, hard pulse, with suffocative respira- tion ; prostration, listlessness ; stupidity, with startling, wild looks, deafness, great weakness and trembling ; faint from least motion ; cold feet. ^Typhus.

71 NITRIC ACID.

Every night : night sweat.

Nightly : severe pain in nodes.

On alternate days : aggravation during typhoid.

Every other night : ni*ght sweat.

Several nights : offensive perspiration.

Several afternoons : burning over abdomen.

For several years : severe pain in small of back and hem- orrhage from rectum.

Winter : hiccough < ; chronic cough ; chilblains. *^ Locality and Direction. Right: drawing pain in temple; side of head painful ; on lower lid a large condyloma ; eyelashes point stiffly towards nose ; ulcer near side of gians ; sticking in side and within ribs ; stitches in side ; aching in shoulder and arm ; numbness, trembling, tingling of forearm ; pressive-tensive pain in hip joint.

Left : stitches in temple ; throbbing on side of head ; pain like a gathering at temple ; swelling of glands behind and beneath ear ; ulcers on palatine arch ; pressure in side ; gurgling in side ; ulcer on side of glans ; on side of corpus spongiosum a fistulous ulcer ; neuralgic pains < side of back ; aching, powerless feeling in hand ; eczema on inner side of hand ; paralysis.

First r. then 1. : feeling of warm water flowing over eyes.

From vertex to 1. ear, thence over vertex to r. side of head : headache. " Sensations. As if head were in a vise from ear to ear over vertex ; as if some one were forcibly pressing head ; as if head were tightly bound up ; as if skull were con- stricted by tape ; head as if contused ; pain as of a gathering at 1. temple ; pain as from splinters in erup- tion ; as if water were flowing over and from eyes ; as if an ulcer were being pressed, in eyes ; as of s'Bnd in eyes; as of a splinter in nose ; teeth as if elongated ; as if teeth would fall out ; as if teeth were soft and spongy ; as of splinter in ulcers in mouth ; as if pharynx were constricted ; as if food would not go down throat ; throat as if swollen ; as if abdomen would burst ; as if a boiler were working within bowels ; as of a hot, dry cloth on abdomen ; as if stool were stayed in rectum ; as of splinters in rectum ; as of fissures of anus ; as if sharp sticks were being pressed into anus ; as if urethra were contracted ; as if sticks were jagging ulcers on scrotum ; as if small ulcers were in larynx ; as if something was tearing away in lungs ; small of back as if stiff; upper arm as if beaten ; as if splinter or piece of glass were in finger ; hip as if sprained ; pain in legs as from excess- ive fatigue ; as if dogs were gnawing flesh and bones, and as if sinews were being pulled up ; as if bends of

NITRIC ACID. 72

knees were swollen ; as if -great toe and ball had been

frozen ; as if sharp splinter were being stuck into great

toe; as if walking on pins ; pricking as if from needles;

as if splinters were running through carbuncles. Pain: in skull; in hollow teeth; in cardiac orifice; in

region of liver ; in ileo-csecal region ; down thighs ; low

down in lungs ; in back ; across buttocks ; in patella ;

in bones of lower extremities. Piercing : in temples.

chancre ; in finger; in great toe; in eruption. Stitches : in head ; in 1. temple ; in throat ; in nose ; in root

of nose ; in upper lip ; in tonsils ; in pit of stomach ;

in hepatic region ; in urethric orifice ; in prepuce ; up

vagina ; in chest ; in r. side ; in and between scapulae ;

in sacral region ; in knees. Sticking pain: in occiput; in eyes; in ulcers; in throat;

in prepuce ; in erectile tumors ; in r. side ; in upper

part of chest and within ribs ; through abdomen and

back ; in great toe and ball ; in feet ; in warts. Pricking: in bones of face; in mouth; in hemorrhoids;

kidney towards bladder; in chest; stiffness in back

small of back. Biting : in eyes.

Stinging soreness : of abdomen. Stinging: eruption on head; in eyes; in teeth; in mouth;

corners of mouth ; in anus ; in throat ; in finger joints ;

through carbuncles.

73 NITRIC ACID.

Sore pain : in tongue ; in pharynx.

Soreness : in nose ; of mouth ; of anus ; of intestines ; of extremities ; moist, in anus and between nates ; of inner surface of prepuce; of nipples; of chest; at lower end of sternum; along periosteum of tibia; of feet; of tonsils. Burning distress : in stomach.

Burning: of sores on scalp; in eyes; in lids; of wings of nose; in nose; in throat; of tongue; in fauces; in stomach ; over whole abdomen ; in rectum ; in hemor- rhoids; in urethra; of vulva and vagina; pain in small of back.

Smarting : in wart on upper lip.

Rawness : of anus.

Bruised pain : in legs.

Drawing pain: in r. temple; in abdomen ; in rectum ; in small of back; in arms and hands; in all limbs.

Neuralgic pain : up back.

Paralytic pain : in leg.

Pressive-tensive pain : in r. hip joint.

Rheumatic pains: in forearms and fingers; in hip joint; in legs and feet ; in all limbs.

Dull pains : in extremities.

Bruised feeling : in arm.

Scratching : in anus and rectum ; in throat.

Scraped feeling : in throat.

Aching: in eyes; in r. shoulder and arm ; in 1. hand.

Painfulness : of r. side of skull ; of bones of face ; of soft palate, tongue and inside gums.

Pressure: in middle of brain; in forepart of head and upon eyes ; in throat ; in stomach ; in 1. side ; in rectum ; in anus ; in kidneys ; down, in hypogastrium and small of back.

Heaviness : in legs.

Heavyweight: in stomach ; in anus.

Stiffness: painful, in knees.

Oppression : on chest.

Constriction : of anus.

Tension : painful within head to eyes ; in skin of forehead.

Fulness: painful in head; in abdomen; in chest.

Tightness : in abdomen ; in chest.

Pulsation : in head ; in teeth ; in stomach ; in back.

Tickling : in larynx ; pit of stomach ; in epigastrium.

Tingling : of r. forearm.

Heat : in stomach to throat ; of hands and feet.

Lassitude : in legs.

Numbness : of r. forearm ; of fingers.

Uneasiness : in abdomen ; in cliest.

NITRIC ACID. 74

Dryness: of throat; of tongue; of mouth; of skin.

Icy coldness: of soles of feet.

Cold feeling: in teeth.

■ Easily takes cold.

1 1 Hemorrhages : bright; profuse; dark; from bowels, in typhoid ; after miscarriage, or post-partum ; from over- exertion of body; uterine; epistaxis; haemoptysis; from rhagades.

Cracking in joints.

I Inflammation of periosteum and of bones; feeling as if flesh were torn from bones.

I Caries of bones, sloughing, phagedsena and gangrene.

I Bone tumors following mercury or syphilis.

llSyphilitic bone-pains.

Acts very powerfully on mucous nrembranes and has a particular afflnity for outlets of mucous surfaces where skin and mucous membrane join.

Pain in old scars on change of weather.

I Post-scarlatinal dropsy with fetid breath.

I I Inflammatory swelling, enlargement or suppuration of inguinal or axillary glands, especially after abuse of mercury or in syphilitic subjects.

llDischarges thin, oftensive and excoriating, and, if pur- ulent, are of a dirty yellowish-green color and not at all laudable.

■ Tedious suppurations.

I Easily bleeding ulcers, looking like raw flesh, with zig- zag edges, and exuberant granulations on base.

Pressure : of hat, head sensitive ; on swelling on head < ; whitlow very sensitive.

75 NITRIC ACID.

Lain on : head < ; eruption on head very sore ; swellings on scalp <.

Friction of wrappings around hand : < feeling of splinter in part.

Scratching : eruption on head bleeds easily.

Riding in carriage: headache >; deafness; nausea > ; amelioration of general condition; epileptic fits >.

Rattling of wagons over paved streets or stepping hard : head sensitive.

Injury to eye: flow of irritating tears. ^® Skin. I Skin: sallow, yellow; dirty; brown-red, copper- colored and violet spots ; blackness of pores ; dark freckles ; tight ; dry ; scaly ; itching ; dry and burning hot.

■ Scarlatina miliaria with very hot skin; intermittent

breathing; tonsils swollen and sore, with great diffi- culty of swallowing ; angina extends up to nares, with thin, purulent discharge ; tongue dry and cracked ; cachectic children. ■Scarlatina; ichorous discharge from nose; neglected cases.

■ Itching nettlerash in open air.

■ Large boils on scapulae, nape of neck, thighs and legs.

■ Carbuncles ; prickling stinging as if from splinters run-

ning through them.

■ Eczema around edge of calvarium, in meatus aud. ext,

and on genitalia.

■ Herpes in whiskers, between fingers and on alse nasi.

■ Pityriasis versicolor.

■ Frostbites; itching, inflamed from slight degree of cold;

skin cracked.

■ Painful chilblains and corns.

■ Cicatrices pain on change of weather.

■ ■Rhagades, deep, bleeding.

■ Ulcers : bleed when touched ; stinging pains ; feeling as

of a splinter; edges hard, everted, irregular; exuberant granulations; inclined to spread in circumference rather than in depth, tendency to fungous growth; carious, mercurial or syphilitic.

■ ■Warts: sticking and pricking; wart on upper lip

smarts and bleeds on washing, painful to touch ; soft, with a thin epidermis, and moist ; large, jagged, often pedunculated, exuding moisture and bleeding readily ; syphilitic condylomata, elevated, exuberant, cauli- flower-like.

■ Syphilitic eruptions of skin, in advanced stage, with

superficial ulcers, and pains in bones.

■ Plerpes, condylomata, tubercles, ulcers and syphilitic

eruptions, with sore, prickling itching pains ; especially soft chancres.

NITRIC ACID. 76

I Fungoid or mucous tubercles. /^Syphilis.

*'' Stages of Life, Constitution. iiSuitable especially to lean persons of rigid tibre, dark, swarthy complexion, black hair and eyes ; the brunette rather than blonde- nervous temperament.

I I Persons suffering from chronic diseases who take cold easily and are disposed to diarrhoea ; very seldom to those who suffer with constipation.

1 1 Old people, diarrhoea with great weakness.

Hydrogenoid constitutions.

Child, set. 1 ; pneumonia.

Girl, set. 4, during illness of brother suffering with

old had an attack of wdiooping cough which lasted five

Young man, 18, phthisical, suffering one year ; sycosis. Young man, set. 19, suffering three days ; gonorrhoeal

warts and rhagades on hands. Man, sdt. 21, assistant in bookstore, small stature, weak

constitution ; diphtheria. Girl, set. 22 ; gonorrhoea.

Man, set. 23 ; after frequent and violent coitus ; buboes. Countryman, set. 24 ; syphilis.

Woman, set. 28, lively disposition, small stature; condy- loma on eyelid. Woman, set. 30, after a return from India, had an attack

of angina ; chronic affection of throat.

77 NITRIC ACID.

Man, £et. 30, mild disposition, blonde, strong ; pleurisy. Man, set. 30, blonde, phlegmatic, strong, several years had

gonorrhoea which was maltreated ; difficult urination. Man, set. 30, joiner, strong, robust, had chancre three

months previous, had taken calomel ; syphilis. Woman, set. 30, married, dark complexion, jet black hair

and eyes, nervous temperament ; two months ago had

an abscess in r. broad ligament with severe peritonitis,

which she thinks was induced by injections to cure leu-

ago had a chancre, has taken much mercury and co-

syphilis. Officer, set. 34, last eight years has had several attacks of

of one child three years old ; suffering for the last five

menses profuse, disposed to catarrh and angina ; ,

NITRUM— NUPHAR LUTEUM. 78

sat., Sulphur; by Arnic. in collapse of dysentery, by Kreos. in diphtheritic dysentery, by Secale in gangrene of mucous membranes, by Sulphur in scrofulous ophthalmia.

Resembles Arsen. in morbid fear of cholera.

Incompatible : Laches.

Calad., Arsen.

Mur. ac.

NITRUM. (See Kali Nitricum.)