Nitricum acidum

gnawing. DISCHARGES ACRID; thin, dirty or brown; cause redness or destroy hair. FOUL; ozœna, foot, or night sweats, etc. Malignancy. Phagedena. HÆMORRHAGE; easy; bright; of bloody water. Red, swelled or cracked orifices. Hard, gristly exudates. Dark, smooth mucous membranes. As of a band about or a weight hanging to part. Sore or stiff, during pains. Cracking; joints. Yellow brunettes, of spare habit. .................... Hateful. Profane. So angry, he trembles. Quarrelsome delirium; talks to spirits, in other tongues. Confusion. Thoughts vanish. Crushing head pains, < pressure of hat. Sore in skull. Puffs on scalp. Warm flowing over eyes. Conjunctiva pouts in spots. Spots on cornea. Deafness, > noise. Nose; red, scurfy tip; dark lumpy epistaxis; dripping, diphtheria of; cutting pains; caries of bones. Coryza, with shortness of breath. Yellow, sickly face. Peeling lips; raw, cracked or scabby in angles. Loose teeth. Gums flabby; sore; bleeding inner. Moist, fissured or mapped tongue (Flu-ac. Psor.). Salivation. Sore palate. As of a stick in throat. Craves fats. Stools tear anus, even if soft; then prolonged pain. Painful piles. Itching, eczematous anus, or oozes moisture. URINE, strong as horse's; cold; alternately profuse and scanty. Cramp from kidney to bladder. As of a hot wire in urethra. Infective nephritis. Itching, burning fore-skin. Phagedenic chancre. Œdematous prepuce. Bloody water from vagina. Weak, irregular menses. Shattering cough; from a spot in larynx; with lumbar stitch, > cold. Expectoration smeary, pussy, etc. Cavernous phthisis. Cutting in larynx. Orgasms to chest; with palpitation and fear. Swelled finger joints. Warts; on back of hands. Weak ankles. Skin, dry; eroded; cracks in every angle; coppery spots, on shin bones; itches on undressing. Crusts form and fall. Ulcers; rapid; raw; ragged; with proud flesh or plugs of pus. Stubborn suppuration. Burrowing pus. Fistulæ. Cancer. Syphilis. Painful, broken chilblains. Painfully sore bones, < tibiæ; caries. Pulse drops each 4th. beat. Jagged or soft warts (Stap. Thu.). Condylomata. Icy coldness; soles. SWEAT; easy, then takes cold; exhausting (urinous), mornings; in axillæ; on feet.

Slight CAUSES: TOUCH. JARRING. Noise. Rattling. Motion. Mercury. Milk. After eating. COLD; air; dampness. Night. Evening. Changing weather. Heat of bed. Mental exertion, or shock.

Gliding motions. Riding. Mild weather. Steady pressure. Exhausted, shivery, sensitive and sore. STICKINGS LIKE A SPLINTER, or ulcerative

MARGINS OF OUTLETS: Throat. Anus. Mouth. GLANDS: Liver. Prostate. Salivary. Tubular organs. Blood. Skin. Bones. Joints. Right side.

Complementary: Calc-c. Thu. Follows: Kali-c. Related: Ars. Kali-c. Kre. Merc.

Nitric acid

Nitric Acid. H N O3.

Especially suited to thin persons of rigid fibre, dark complexions, black hair and eyes — the brunette rather than the blonde — nervous temperament.

Persons suffering with chronic diseases who take cold easily; are easily disposed to diarrhoea; rarely to those who suffer with constipation.

Old people with great weakness and diarrhoea.

Excessive physical irritability.

Pains : sticking, pricking as from splinters ; suddenly appearing and disappearing; on change of temperature or weather; during sleep; gnawing here and there as from ulcers forming.

Sensation : of a band around head, around the bones (Carb. ac., Sulph.) ; of a splinter in affected parts, ulcer, piles, throat, ingrowing toe nail, < on slightest contact.

Ailments : which depend on some virulent poison ; from mercury, syphilis, scrofula; in broken-down cachectic constitutions.

After continued loss of sleep, long-lasting anxiety; over-exertion of mind and body from nursing the sick (Coc.) ; anguish from the loss of his dearest friend; indifference; tired of life; sadness before menses.

Great anxiety about his disease; constantly thinking about his past troubles ; morbid fear of cholera (Ars.) ; depressed and anxious in the evening.

Irritable, headstrong; hateful and vindictive; inveterate, ill-willed, unmoved by apologies.

Hardness of hearing > by riding in carriage or train (Graph.).

Very sensitive to rattle of wagons over paved streets; headache from pressure of hat (Cal. p., Garbo, Nat.).

Ozsena : green casts from the nose every morning.

Diarrhoea : great straining but little passes, as if faeces remained and cannot be expelled (Alum) ; pain as if rectum or anus were torn or fissured (Nat. m.) ; violent cutting pains after stool, lasting for hours (Rat., Sulph. — during and after, Mer.).

Fissures in rectum; tearing, spasmodic pains during stool; lancinating, even after soft stools (Alumen, Nat., Rat).

Urine : scanty, dark-brown, strong-smelling, ‘dike horse’s urine;” cold when it passes; turbid, looks like remains of a cider barrel.

Ulcers : easily bleeding; in corners of mouth (Nat.) ; splinter-like pains, especially on contact (Hep.) ; zigzag, irregular edges; base looks like raw flesh; exuberant granulations ; after mercury or syphilis or both, engrafted on a scrofulous base.

Discharges : thin, offensive, acrid ; of a brown or dirty yellowish green color ; rarely laudable pus.

Haemorrhage : from bowels in typhoid or typhus (Crot., Mur. ac. ) ; after miscarriage or post-partum; from over-exertion of body; bright, profuse, or dark.

Cracking: in ears, on masticating; of the joints, on motion (Coc., Graph.).

Warts, condylomata: sycotic or syphilitic; large, jagged, pedunculated; bleeding readily on washing; moist, oozing; sticking pain (Staph., Thuja).

Affects especially the mucous outlets of the body where skin and mucous membrane join; mouth, nose, rectum, anus, urethra, vagina (Mur. ac.).

Inimical : to, Lachesis.

Resembles : Ars. in morbid fear of cholera.

Often difficult to distinguish from Men ; but is adapted to black-haired people, while Men is more useful in light-haired persons.

Relieves ailments resulting from abuse of mercury, especially if there be erethism; bad effects of repeated doses of Digitalis.

Follows well: Calc., Hep., Mer., Nat. c.. Puls, or Thuja; but is most effective after Kali c.

Aggravation. — Evening and at night; after midnight; contact; change of temperature or weather; during sweat; on waking; while walking.

Amelioration. — While riding in a carriage (reverse of Coc.).

Lecture LI — Nitric, Hydrocyanic and Picric acids

Nitric Acid.

f Calcarea ostrearum, Kali carb., Lycopodium.

I Arsenicum, Carbo veg. , Phosphorus, Moschus, Anti- Nitric acid. ^ monium tart.

Phosphoric acid, Muriatic acid.

Hepar, Mercurius.

V Arum triphyllum.

Nitric acid. < Erosion of the mucous membranes, worse where they join the skin.

Offensive discharges.

Ulcers, irregular, exhibiting exuberant granulations ; worse from touch, from which they will bleed.

Abuse of mercury.

Typhoid.— Debility.

Catarrh.

Fibrous and osseous tissues.

Nitric acid as a chemical substance need scarcely be explained to you, as you know its properties so well. I therefore pass on to consider its use as a medicine. You know its effects on the tissues, staining the skin a dark and yellowish-brown. It is a highly corrosive acid, eating into the flesh. Hence it has been used for the removal of warts, tumors, ulcers and exuberant granulations.

It acts very powerfully on the mucous membranes, and has a particular affinity for the outlets of mucous surfaces where skin and mucous membrane join. Hence you will find its symptoms chiefly about the mouth, lips, nostrils, meatus urinarius and anus ; in fact, wherever skin and mucous membrane come together, there has Nitric acid a prominent action.

As an illustration, we find it useful in stomacace or ulceration of the mouth. True to the character of the drug, this stomacace will present its most violent symptoms about the lips. There will be blisters and vesicles on and around the lips in connection with the sore mouth. Ptyalism will be present, particularly in cases that have been abused by mercury. So, too, you will find that the diarrhoea is associated with soreness and rawness of the anus.* Even fissures may be present, as I have already said.

The characteristic discharges produced by Nitric acid are offensive, thin and excoriating, and, if purulent, are of a dirty yellowish-green color and not at all laudable.

The ulcers calling for Nitric acid are offensive and characteristically irregular in outline, tending to spread at the peripher)^, but more deeply than those arising from the action of Mercurius, which produces a superficial flat ulcer. These ulcers of Nitric acid are very apt to be filled with profuse exuberant granulations, which bleed readily from the slightest touch. Even the dressing that you apply makes the ulcer bleed. The pains are of a sticking character, as if splinters were sticking into the affected parts. They are often associated with burning pains. The ulcers are worse from the application of cold water. Nitric acid is particularly indicated in syphilitic ulcers after abuse of mercury, and also in those of a scrofulous character after Calcarea has failed. Another evidence of the offensiveness of the exhalations and secretions in Nitric acid is found in the urine, which has a strong odor, very much like that of the horse. It probably contains an excess of hippuric acid. This symptom is most highly developed in Benzoic acid. So characteristic is it in that drug that you will seldom if ever find it absent in the great variety of diseases curable by Benzoic acid. The leucorrhcea is acrid, foetid, thin, brown, watery or stringy. The stools, too, show the putridity of Nitric acid. They are very offensive, and are green in color, and in children contain lumps of casein. They are also slimy from excess of mucus and are associated with much straining; the tenesmus here closely allies it to Mercurms .

At other times, particularly in scrofulous children, the stools are pale from deficiency of bile, and pasty and sour as well as offensive. Nitric acid affects the mucous membranes, producing catarrhs. We find it indicated in coryza, particularly when it is associated with some malignant disease, as scarlatina or diphtheria. Yellow foetid eczema *Sore excoriated anus: MERC, SULPH., Cham., Arsenic, Puis., Graph., China. with ulcers; the Eustachian tubes obstructed. In nasal diphtheria, Nitric acid is one of the chief remedies. The discharge from the nose is watery and very offensive, excoriating every part which it touches; frequent epistaxis. If you examine the nose, you will find that there is a well-developed white deposit therein. Another symptom, which is a very characteristic symptom, accompanying these conditions, is intermittent pulse. If the membrane has descended into the throat, you will have foetid odor from the throat, too. The child will complain of a feeling as though therewas a splinter there. This is a general characteristic of Nitricacid, a sensation as of a fish-bone, splinter or piece of glass sticking into the affected part . It runs all through the symptomatology of the remedy. You find it in the ulcers, and you find it in the rectum associated with the fistulse and piles, and you find it here in the throat. Nitric acid is here very similar to its complement, Arum triphyllum, which, like the former, causes excoriating discharge from the nose, making the lips sore; the corners of the mouth crack so that the child cannot open its mouth on account of the soreness.

Another remedy is Muriatic acid, which has thin excoriating discharge from the nose, intermittent pulse and loss of appetite. Another effect of Nitric acid, and one, too, in which it has no superior, is its use to remove the bad effects of mercury. The particular symptoms which call for it in this condition are these: irritability, restlessness and mental anxiety. This irritability amounts to cursing and swearing. There are also periosteal pains; ophthalmia; inflammation or ulceration of the cornea, with tendency of the ulcers to perforate; hardness of hearing from catarrh of the middle ear and Eustachian tube; ptyalism; ulcers in the throat; caries of bones, particularly of the mastoid process of the temporal bone; dysentery, etc. It is adapted to secondary more than to primary syphilis, and more especially adapted to secondary syphilis after the abuse of mercury. Chancres have even returned and are phagedenic. There is great soreness in the bones at night, particularly in the bones of the head and along the shins, and this is worse from every change in the weather. On a damp day he will have a boring pain in the bones. Ulcers appear in the throat or on the surface of the body, and these are characteristically irregular in outline. Warts develop, and these are almost always more or less pediculated. There are yellowishbrown spots or copper-colored spots all over the body. There is great debility, with sweat and exhaustion.

When mercury has been abused, Hepar is probably the best antidote we have. When mercurialization is conjoined with syphilis, Nitric acid is the preferable remedy.

Nitric acid may be needed in the treatment of phthisis. There are sudden rush of blood to the chest, and decided hectic fever, which indicates ulceration of the lungs from breaking down of tubercles. The chest is extremely sore to the touch. The patient suffers from frequent haemorrhages from the lungs, the blood being bright red and profuse. There is great dyspnoea, so that the patient cannot talk without getting out of breath. There are also morning hoarseness, exhausting phthisical diarrhoea, worse in the morning, and sharp stitches through the right chest to the scapula. The pulse is intermittent. The least attempt at exertion causes palpitation of the heart and dyspnoea. The sweat comes particularly at night and towards morning, and exhausts the patient very much. The skin is apt to be cold towards morning. He is chilly on getting into bed. Heat comes in flashes, or it is only in the hands and feet. The cough is of a tickling character, and seems to annoy him all night. You hear on examination, loud rales all through the chest, and the expectoration is offensive, bloody and decidedly purulent, and of a dirty green color, not being yellowishgreen and laudable, asyou find under Lycopodium and Pulsatilla. Sometimes the cough is loose and rattling in character. The patient is usually of thin build, with dark hair and eyes.

Nitric acid is very often indicated in phthisis after Calcarea ostrearum or Kali carb. Calcarea is especially suited to leucophlegmatic patients. The face is pale and sallow. There is soreness of the chest, which is very much aggravated by touch or pressure. The cough is loose and rattling. Diarrhoea, if present, is worse in the evening. Hoarseness, through persistent, is painless. When, however, the Calcarea condition has run into the acid debility. Nitric acid is one of the very best remedies to follow. It does not often cure, but it relieves and prolongs life for years.

Still another application that we may make of Nitric acid is in typhoid fever, particularly in the ulcerative stage, when Peyer's patches have begun to break down. You will find the patient greatly exhausted. The characteristic indications for Nitric acid are these: stools are green, slimy and offensive, and sometimes purulent from the pus coming from these ulcers, and there is profuse bright red haemorrhage from the bowels, with fainting on the slightest motion. The tongue is either white and studded with vesicles or little sore spots, or it is brownish and dry. We may have well-marked pneumonic complications. There seems to be threatening paralysis of the lungs, which you know is by no means an uncommon thing in typhoid fever. This incipient paralysis of the lungs is expressed by loud rattling of mucus in the chest. The pulse, in such cases, you will find to intermit at every third beat.

Now, do not forget Moschus, Phosphorus, Antimonium tart. , Arsenicum and Cuprum and other remedies that I have mentioned in this connection.

In haemorrhage from the bowels during typhoid, you may also remember Alumen, which is useful when there are large clots passed. Arsenicum is called for in this haemorrhage when the flow consists of dark watery blood, and is associated with anxiety and restlessness. We find Hamamelis indicated when there is a dark venous flow, without anxiety. Sometimes the blood is dark and pitch-like. Still another remedy is Leptandra, which is useful in typhoid fever with symptoms of a bilious character, when the stools consist of black blood, looking like pitch.

Irritable, hateful, vindictive, headstrong. Hopeless despair. Sensitive to noise, pain, touch, jar. Fear of death.

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

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

Sensation of a band around head. Headache from pressure of hat; full feeling; worse from street noises. Hair falls out. Scalp sensitive.

Double vision; sharp, sticking pains. Ulceration of cornea. Gonorrhœal ophthalmia, photophobia, constant lachrymation. Syphilitic iritis.

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

Ozæna. Green casts from nose every morning. Coryza, with sore and bleeding nostrils. Tip red. Stitches, as of a splinter in nose. Caries of mastoid.

Nosebleed, with chest affections. Chronic nasal catarrh, with yellow, offensive, corrosive discharge. Nasal diphtheria, with watery and exceedingly excoriating discharge.

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

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

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

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

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

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

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

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

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

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

Complementary: Ars; Calad; Lac can; Sepia. Inimical: Lach. Compare: Merc; Kali; Thuja; Hepar; Calc.

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

Nitricum Acidum

Generalities: Great general weakness; feeble reaction; extreme sensitivity, and nervous trembling, are marked features in this remedy. Patients greatly broken by long suffering, pain and sickness, physical more than mental suffering, finally anemia and emaciation are marked.

Sensitive to cold; always chilly. Symptoms are aggravated from becoming cold, and in cold air. Always taking cold.

The walls of blood vessels are relaxed and bleed easily; profuse dark blood. Pains as if flesh were torn from the bones and a sensation as though a splinter felt in inflamed parts, in ulcers and in nerves. Inflammation of the periosteum, in bone, and in the nerves. Syphilitic bone pains. Caries of bone, and exostoses.

The margins of orifices bleed and grow warts. Old scars become painful in cold weather and when weather changes to cold; pains like splinters. Inflammation of glands after the abuse of mercury in syphilitic subjects. Prolonged suppuration in glands, with no tendency to repair, when there are sticking pains. The discharges are thin, bloody, offensive and excoriating; sometimes a dirty yellowish green. Suppuration where there is no tendency to repair. This is often the case when the patient is syphilitic and has been surcharged with mercury. For suppuration and ulceration in cancerous affections with bloody, watery, offensive discharges and sticking pains. It has often been observed that the patient requiring Nitric acid is more subject to diarrhea than constipation. It has cured many complaints in patients who are never so comfortable as when riding in a carriage. Twitching of muscles in all parts of the body. Many complaints are aggravated from a jar, and from noise. Even his pains are aggravated from noise.

Nitric acid patients are often extremely sensitive to medicines, especially high potencies indeed, they prove every remedy given too high. Fissures form in many places; canthi, corners of the mouth, above the anus; the skin cracks - and all these have the splinter sensation.

He finally becomes dropsical, especially in the extremities. Offensiveness is a marked condition of this patient, often putrid odors. The urine smells like that of a horse. Offensive leucorrhoea, offensive catarrh, and breath; foetid foot sweat. Strong odors from the body. Too much weight must not be given to the dark, swarthy complexion so often mentioned as the one most likely to need this remedy. Nitric acid will cure blondes as often as brunettes, if the symptoms agree.

Mind: Prostration of mind.

Any effort to reflect on certain things causes the thoughts to vanish. A general indifference to all matters; tired of life; has no enjoyment in anything; aggravated before menses.

Mental depression in the evening. Anxiety about his failing health, with fear of death. Anxiety after loss of sleep; vexation and sorrow. He is angered over his own mistakes. Anger with trembling. Obstinate and refuses to be comforted about his misfortune. He is weary of life but fears death.

Excitable and weeps. Despair of recovery. Hopelessness. Easily startled, frightened. Starts from fright on falling asleep. Cannot comprehend what is said to him. The whole mental state is better when riding in a carriage.

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

His headaches are violent, aggravated from noise of wagons on the paved streets, but often ameliorated from riding in a carriage on a smooth, country road.

The noise and jarring increase the pain, Pain as if in a vise from car to car. The biparietal syphilitic pain is often cured by this remedy. Pain as though the head were bound up. Painful drawing in head extending to eyes, with nausea. Stitching pains in the head. Hammering pain in the head. Pain in morning on waking, ameliorated after rising, aggravated by a jar, motion and noise, ameliorated riding in a carriage. Heat often ameliorates the head pains and cold aggravates. Wrapping up ameliorates. Pain as if constricted by a tape. Extreme sensitivity of the scalp and skull to combing the hair, and to the hat. The hair falls out in profusion, as in syphilis. Eruption on the scalp with sharp sticking pains as from splinters; moist, itching, offensive eruptions. Caries of bones of skull. Exostoses.

Eyes: The eyes have lost their lustre, the pupils are dilated, and there is diplopia.

There is inflammation of the conjunctiva with acrid tears. Ulceration of the cornea with pricking pain. Iritis with stinging, stitching pain, aggravated at night and changing from warm to cold room or in cold air. Spots on the cornea. Intense photophobia, burning, pressure and sensation as though sand in the eyes.

Ptosis. Swollen lids, which are hard and burn. Small warts on upper lids. Warts that bleed easily, with sensation of sticks.

Ears and nose: Deafness, ameliorated when riding in a carriage or train.

Catarrh of the Eustachian tubes. Pulsating in cars. Discharge from ear, foetid, brown, ichorous, purulent-since scarlet fever. The auditory canal nearly closed. Swelling of glands about the ear. Caries of the mastoid.

Subject to coryza every winter; no sooner does be get over one cold than he has another. The nose is obstructed in the night during sleep. Sneezing in cold air, from every draft, must keep the room very warm. Bad smells in the nose, and the catarrh is offensive to others.

Nosebleed mornings and nights. Nasal catarrh, acrid, watery at night, yellow, offensive, excoriating, bloody, brownish, thin - since scarlet fever or in mercurio-sypbilitic patients. The nose feels as if there were splinters in it. Large crusts from high up in nose. Green crusts blown out every morning. Ulceration high up in nose. Warts form in and about the nostrils. Red, scurfy tip of nose. Crusts form on the wings of the nose. Cracked nose.

Face: Deep lines of suffering characterize the Nitric acid face.

The face is pale, yellow, sallow and sunken. The eyes are sunken. Dark rings about the eyes, mouth and nose. The face is bloated. The lids are tumid in the morning. There are brown spots. Pigmented warty' spots on the forehead. The right parotid is large. The skin feels drawn over the face. Crusts and pustules form on the face, Cracking in-jaw when chewing.

Corners of the mouth cracked, ulcerated and scabby. The lips raw and bleeding. Painful swelling of the sub maxillary gland. The expression is anxious, haggard, sickly.

Teeth and mouth: Pain in the teeth, tearing, aggravated from cold or warm things.

Pulsating evening and night, after mercury. Caries of teeth. Teeth become yellow. Gums bleed easily, scorbutic, swollen.

The tongue is excoriated, sore, red, yellow, white and dry, fissured, with sore spots. Ulceration of tongue with viscid mucus in mouth. Inflammation of the tongue.

Ulcers in mouth, on tongue or in throat, white, or dark and dirty, putrid, phagedenic, syphilitic, with sticking pains as from splinters. Sore mouth with stinging, burning pain. Excoriated, red, swollen membrane. Foul cadaveric odor from the mouth. Saliva flows from the mouth so acrid that it excoriates the lips.

Throat: Confusion of the muscular action in throat causes food to stop in throat and choking. Difficult swallowing. Violent pain in throat, extending to ear on swallowing. Sticking in throat like a splinter (Hepar, Nat. mur. Alum., Arg. n.) on swallowing.

Viscid mucus in throat. Mucus drawn from posterior nares. Inflammation of throat, tonsils, uvula and soft palate. Uvula and tonsils oedematous (Apis, Rhus t.).

Great swelling of the throat and tonsils. Ulceration of tonsils, uvula and soft palate. Inflammation of the oesophagus.

Stomach and liver: Longing for fats, pungent things, herring, chalk, lime, earth; and aversion to bread and meat.

Generally thirstless.

The stomach is disordered by milk. Food sours, and causes sour eructations and vomiting. Fats disagree. Nausea after eating, ameliorated by moving about or riding in a carriage. Vomiting bitter and sour, contents of stomach. Ulceration of stomach.

Pain in cardiac, opening of stomach on swallowing. Sticking pain in stomach. Catarrh of stomach. Weight after eating. Sensation of rawness in stomach after eating.

Chronic inflammation of liver.

Clay-colored stools. Enormously enlarged liver. Pain in region of liver with jaundice. Stitching pain in liver. Enlarged spleen.

Abdomen: Cramping pain in abdomen.

Violent pain in ilio-coecal region, sore and tender, aggravated from motion. Awakened at midnight with a crampy pain in abdomen; chilly; pain aggravated from motion.

Rumbling in abdomen. Abdomen distended and tender. Great soreness in abdomen.

Inflammation and suppuration of inguinal glands. The relaxed condition in weakly infant boys. that so much disposes to inguinal hernia, is often overcome by Nitric acid and the hernia cured (Lyc., Nux v.).

Broken down subjects who are disposed to suffer from frequent attacks of diarrhea, or from constipation alternating with diarrhea, often need this remedy when the urine smells strong like that of a horse, and he is pale and sickly, losing flesh and strength, subject to excoriation of orifices and excoriating catarrhs and ulcers. The stool is bloody, putrid, undigested, green, slimy, excoriating, sour, curdled if milk is used as a diet, black putrid blood. In dysentery. Cold changes of the weather bring on diarrhea. Anus excoriated, burning, fissured, covered with warts. Membrane comes with the stool. Much pure blood with the stool not even clotted, very offensive.

Ineffectual urging to stool. Sensation as if rectum were filled and he cannot expel it. Constipation, painful hard difficult stool. Drawing, cutting and pressing before stool; constant fruitless urging (Nux v.).

During stool there is colic, tenesmus, spasmodic contraction of anus, unsatisfactory straining. Splinters in rectum.

After stool there is still urging (Merc.), exhaustion; soreness of anus; cutting pain; burning and shooting in rectum; constriction of anus; great nervous excitement; palpitation. The pain keeps her in bed for hours after every stool. Itching and burning in anus. Constant acrid moisture about the anus. Periodical bleeding of rectum and pain in sacrum. Fissures of anus. Painful prolapsus of rectum. This has been a most useful remedy in fistula. fissures, condylomata, polypi, caruncles, cancer of the rectum and hemorrhoids, when the symptoms agree. It has cured caruncles so sensitive that the patient would cry out when they were touched.

Hemorrhoids that are exquisitely painful to touch and at stool; that bleed, external or internal, with burning and sticking during stool. Piles that ulcerate and discharge copiously of blood and pus.

When piles are so painful that she breaks out in sweat, becomes anxious, and pulsates all over, on the slightest touch or at stool, this remedy has been useful (compare Paonia and Staph.). Foetid moisture at the anus.

Men: The male sexual organs are in a constant state of irritability.

Sexual desire is increased and erections troublesome at night. Painful spasmodic erections at night; stitching pain in the urethra and chordee. It has been a useful remedy in gonorrhea when the discharge is thin and bloody, later when it is greenish or yellow; burning and sticking on urination, and the urethra is swollen and very sore.

It has cured condylomata which have the "splinter" sensation, and bleed easily, and extremely sensitive to touch. Condylomata on genitals and around the anus.

Inflammation of the prostate gland with gonorrhea, especially when the discharge becomes scanty from taking cold or from strong injections. It cures old cases of gleet when the urethra has pain in it like a splinter on touch or when urinating.

Prolonged inflammation of the urethra with infiltration, making the urethra feel hard and nodular like a whip-cord (Arg. n.). Sore spots in the urethra, ulcers, with bloody pus, and the sensation of splinters. Itching in the urethra after gonorrhea (Petr.).

Pimples, vesicles, herpes and crusts on the prepuce. Small ulcers on the glans or prepuce. Spreading ulcers.

The ulcers discharge a brown, bloody water, offensive. Phagedenic ulcers (Ars., Aur. m. n., Caust., Merc. c.). Inflammation of the prepuce. Ulcers that destroy the froenum. Inflamed and ulcerated parts have the splinter sensation and flow a bloody water. Paraphimosis and phimosis and great swelling. The hair falls off from the pubes.

Women: The female is greatly troubled by the constant itching and burning and sexual desire. Excoriation of the parts from leucorrhoea and menstrual discharges. Every exertion brings on uterine hemorrhage (Calc.). The menstrual flow is dark and thick. Menses too soon and profuse, like bloody, water.

Uterine prolapsus. Many and extreme nervous sufferings come during the menstrual period; flatulence, bruised pain in limbs, pain down thighs, "splinter" under the finger and toe nails, palpitation, anxiety, trembling, neuralgic pains in any part.

After the menses there comes a muddy, watery flow, lasting many days, and extreme excoriation of the parts. Thin, bloody, excoriating leucorrhoea at all times or at any time. The vagina is excoriated and condylomata grow upon the genitalia. Erectile tumors. Caruncles at the orifice of urethra, exquisitely sensitive to touch. The itching is aggravated by cold. The parts are fissured and bleed easily.

Many troubles culminate during menses and lactation. Lumps in the mammae. The nipples are fissured and tender, are excoriated and have "splinters."

Tendency to abortion from general weakness and the ease with which a uterine hemorrhage may set in.

Larynx: Hoarseness, and ulceration of the larynx. Voice lost. Laryngitis in old syphilitic subjects. Oppression of the chest, ameliorated by expectoration. Shortness of breath. Intermittent breathing.

The cough is aggravated in winter, yet aggravated in a warm room and from becoming warm. The cough is dry, barking, aggravated during the night, aggravated lying, aggravated before midnight; comes on during sleep. Cough with hectic fever and night sweats.

Paroxysmal cough with retching, like whooping cough, violent, racking cough. Hard, prolonged coughing spells with difficult expectoration. The irritation to cough is like a tickling in the larynx. The expectoration is greenish, viscid or thin, dirty, watery, bloody mucus, or dark clotted blood. Loose cough in daytime, dry at night. Rattling in daytime, but no expectoration. Cough in broken-down constitutions, from liver and lung affections, in tubercular subjects.

The sputum tastes bitter, sour or salty. It is offensive, even putrid. He is covered with sweat during efforts to expectorate. Stitching in the chest. In typhoid pneumonia, with rattling in the chest, inability to expectorate, or when he can expectorate the sputum is brown and bloody, and the urine smells like that of a horse. In tuberculosis with night sweats and haemoptysis. Palpitation from excitement, on ascending stairs. The pulse is rapid, irregular, and every fourth beat is missed.

Swelling of glands of neck and axilla. Stiff neck. Stitching pains in back and chest. Burning spots in spine. Pain in back, nights, compelling him to lie on the abdomen. Sharp pains in back and limb in tabes dorsalis. Sharp pains in back on coughing.

Rheumatic pains in limbs. Emaciation of upper arms, and thighs. Weakness of limbs. Dropsy of limbs. Crippled nails. Rheumatic pains in upper limbs. Stitching. Sticking pains in limbs in cold weather. Numbness of arms and hands. Copper colored spots on arms. Chilblains on hands and fingers. Cold, sweaty hands. Numerous large warts on back of bands. Herpes between the fingers. Vesicles on the tip of the thumb that open into ulcers, felons, distorted and discolored nails.

Yellow curved nails, splintered sensation under nails. It is useful in wounds that inflame and have the "splinter" sensation. Tearing in the long bones of the lower limbs at night. The legs are weary and bruised. Pain in hip as if sprained. Sticking pains along the nerves as from splinters. Syphilitic nodes on the tibia with nightly pains. Chilblains on the feet and toes. Phagedenic blisters on the toes (Graph.). Extreme soreness of the tibia. Profuse, offensive sweat of feet. Shocks on going to sleep (Agar., Arg. n., Ars., Nat. m.). The pain comes during sleep. Starting in sleep. Anxious, unrefreshing sleep, with frightful dreams.

Nitric acid is a very useful remedy in fevers. The thirstlessness during all stages has often called attention to it. Cold hands and feet. Chronic intermittent in cachectic constitutions, copious night sweats. extreme weakness, with the characteristic odor of the urine, and bleeding from some part a dark blood, this remedy will act well.