Nitricum Acidum



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 (Mercurius), 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 (Argentum nitricum). Sore spots in the urethra, ulcers, with bloody pus, and the sensation of splinters. Itching in the urethra after gonorrhea (Petroleum).

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 (Arsenicum, Aurum m. n., Causticum, Mercurius 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 (Calcarea). 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 (Graphites). Extreme soreness of the tibia. Profuse, offensive sweat of feet.

Shocks on going to sleep (Agaricus, Argentum nitricum, Arsenicum, Natrum mur.). 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.

James Tyler Kent
James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.

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