Nitric acid is a tissue remedy of wide application, but with a particular affinity for the skin and mucous membrane, and especially where the skin and mucous membrane join, with a general tendency top destructive ulcerations, foul odor to all discharges and with sharp., splinter-like pains.
Hahnemann, under whose direction Nitric acid was first proved, says that is acts more beneficially in those of dark complexion and hair (88) than in blondes. “It is also,” he says. “, ore appropriate to chronic patients who are inclined to soft stools, while its is seldom applicable to patients inclined o constipation” (Chr. Dis)
Nitric acid presents many points of resemblance to the lesions of syphilis and, as Hering says, it is useful in “disease depending upon the presence of syphilitic, scrofulous or mercurial poison; broken down, cachectic constitutions,”
In many particulars Nitric acid resembles Mercury, a nd in general it is indicated for 6he bad effects produced by an excess of Mercury (139).
We find in Nitric acid general aggravation from water on washing or bathing (8); there is general emaciation and great weakness, even to trembling (192), with necessity to lie down almost constantly.
The epilepsy calling for nitric acid has the attacks coming on at night or after midnight, beginning like am, a mouse, moving up and down the 1.side.
Many “of the symptom of th drug are relieved buy driving” (Dunham) and it has relieved epileptiform convulsion (66) that would come on at night ongoing to bed and where a long drive would keep off the paroxysm. The vertigo, which is noticed in the morning on rising as well as during the day when walking, is relieved while driving in a carriage.
The Nitric acid patient is easily irritated by trifling occurrence, s is inclined to the peevish, despondent and anxious about himself.
“Externally the head is sensitive, as if contused, withal;liver or in certain spots, as, for example, on the spots pressed on when lying, or by the pressure of a hat” (Dunham).
The headache of Nitric acid is as if in the bones, is “worse in the morning on waking or after rising,” or at night, ” better on lying down or from driving in a carriage” (Hering. There is a failings if the head we constricted by the bad (05), or a feeling as if the head were compressed in a vise extending from ear to ear over the vertex (105).
There is falling out of the hair, “particularly on the top of the head, due to congestion of blood to the head, from nervous headaches, debility or syphilis” (Hering).
On the scalp, we have moist, burning, offensive eruptions, itching more at night and ‘bleeding easily when scratched” (Lilienthal). the eruptions feel sore when laid upon, or from pressure and Nitric acid is of value after the abuse of mercurial ointments. it is of value after the abuse of mercurial ointments. It is of value in eczema, wit crusts and scabs and burning or splinter-like pains, especially eczema at or about the muco-cutaneous outlets (65), as at the angles of the eyes, nose, mouth or anus.
In the eyes it is of value for scrofulous or gonorrhoea ophthalmia (76), with burning pains, and for ulcers on the cornea (77); and it is of great value in chronic syphilitic iritis (74), especially after overdosing with mercury.
It is useful in caries of the mastoid (64), either syphilitic or mercurial.
We have difficult hering, :better when riding in a carriage or train” (Hering), cracking in ears when chewing (640 and obstruction of the Eustachian tube (65).
Nitric acid is useful in acute coryza, with soreness of the nose, dryness and stoppage (39) and a too little used remedy in nasal catarrhs, with a sensation of dryness and instruction anteriorly, the discharge mostly passing in to the pharynx (143).