HOMOEOPATHIC ALL MEDICINE

                  Acidum Citricum

1. Description

Kingdom

Plant
Family:
Organic (carboxylic) Acid
Latin Name:
Citricum acidicum
Homeopathic:
Citric acid
Abbreviation:
Cit-ac
Synonyms:
Aurantium, Citric acid anhydrous, Citrus limonum, Citrus vulgaris,Hydroxy propanetricarboxylic acid, Tricarboxylic acid
2. Source & History

The discovery of citric acid has been credited to the 8th century Persian alchemist Jabir Ibn Hayyan However it was not until 1784 that Citric acid was first isolated by the Swedish chemist Carl Wilhelm Scheele, who crystallized it from lemon juice. In 1893, C. Wehmer discovered that Penicillium mold could produce citric acid from sugar. but it wqas not until World War I when Italian citrus exports were disrupted that commercial Citric acid production became significant.

Acidum Citricum

Citric acid is one of a series of compounds involved in the physiological oxidation of fats, proteins, and carbohydrates to carbon dioxide and water. These metabolic reactions are known by various names including Citric Acid Cycle, the Krebs cycle, and the tricarboxylic acid (TCA) cycle. Citric acid is the first acid in the cycleand any disturbance to it will severely influence life by profoundly upsetting the transformation of glucose into energy.
.
Its main uses are as a flavoring and preservative in food and beverages as well as in the soap and laundry detergent industries where its chelating ability makes it particularly useful.
3. Mentals & Generals
People usually very attentive become suddenly averse to  duty and responsibility.
Insensibility, frequent yawning, weariness, great lassitude
.Excitable personality with rapid movements.

4. Particulars

Acidum Citricum

Scurvy
Dropsy
Acidity/ Gastritis 
Chronic rheumatism 
Haemorrhages. 
5. Keywords

Weariness, lassitude, no energy
Scurvy, dry, red, itchy skin
Pain paliation (cancer, muscle, joint, gums, spleenic)
Respiratory dysnpoea with oedema
Gastritis

6. Clinicals

Stress, fatigue, energy enhancemen
Acid reflux, gastritis, acidosis.
Sore throat
Unhealthy skin
Respiratory cold
Splenic problems
Metrohagia

7. Constitutional Prescribing
The use of Cit-ac is usually restricted to symptomatic situations. 
However as always it is the patient picture that is important especially the mental & general manifestations that are the key determinants for its Constitutional use.
High potency Constitutional prescription may be used as background together with a concurrent lower potency symptomatic remedy administered according to the Law of Similars in situations where two or more of the main symptoms occur together in the patient. For example
Dysnpoea and Oedema  

Gastritis and Sore throat. 
Pain and Metrohagia

9. Relationships

Activity:
-
Affinities:
Cit-d, Cit-l, Cit-v
Complements:
Ang, Rut..
Inimicals:
-
Does not Follow Well
or
Remedies that Follow Well


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        Acidum Chrysophanicum 
Botanical name: Rheum officinaleVataireopsis ararobaAcidum chrysophanicum

Related entries: Rheum (U. S. P.)—Rhubarb - Araroba.—Goa Powder - Chrysarobinum (U. S. P.)—Chrysarobin
FORMULA: C15H10O4. MOLECULAR WEIGHT: 253.39.
Source and History.—Chrysophanic acid was discovered by Schrader, in 1819, in the Parmelia parietina, Linné, a common wall lichen. He obtained it impure, and named it "resinous yellow of wall lichens." It was found in this lichen in 1843, and purified by Rochleder and Heldt, who gave it the name chrysophanic acid, from its yellow color (Ann. der Chem. und Pharm., xlviii). Shortly after this, Schlossberger and Dopping decided the coloring matter obtained from rhubarb to be identical. This coloring matter had been known under the names of rheine, rheumine, rhabarberic acid, rhubarb yellow, etc., names doubtless given to impure forms of chrysophanic acid, emodin, especially, being intimately associated with it. Each of these substances are dissolved by benzin, the chrysophanic acid more freely. According to E. Bourgoin, chrysophanic acid is present, in small amount, in senna leaves, and may be obtained by extracting crude cathartin, with ether. It is likewise found in yellow-dock root, in small amount, and a prolific source of it is araroba (Attfield).
Preparation.—Chrysophanic acid may be prepared from araroba, as follows: Mix in a flask 1 part of araroba, in powder, with 8 parts of benzin, and bring to a boil; filter while hot, and when the liquid ceases to pass, return the undissolved matter to the flask, and add 8 parts of benzin; boil, and filter, as before. Mix the filtrates, and evaporate to dryness. Dissolve the yellowish powder in 16 parts of boiling alcohol, filter, and add to the filtrate 32 parts of cold distilled water. Allow this to stand for 24 hours, then separate the yellow precipitate, by means of a muslin strainer, or filtering paper, and dry by exposure to the atmosphere.
From RHUBARB, chrysophanic acid may be obtained by exhausting the coarsely-ground root with water, evaporating the solution to dryness, extracting the residuum with boiling benzin, then evaporating the benzin, and, finally, purifying the residue by solution in hot alcohol, and precipitation with water, the same as stated above, in procuring it from araroba. Thus obtained, it contains emodin, but is pure enough for all practical purposes. The yield from rhubarb is small.
Description.—When pure, chrysophanic acid is in golden-yellow needles, but considerable of that at present upon the market is in the form of a brownish-yellow powder. Subsequent investigations showed it to be dioxymethyl anthraquinone (C15H10O4), while emodin was ascertained to be trioxymethyl anthraquinone (C15H10O5).

Chrysophanic acid is volatile at high temperatures, is soluble to a slight extent in cold, and a little more freely in hot water. It dissolves readily in alcohol, ether, benzin, and glacial acetic acid, to which it imparts a yellow color. Cold sulphuric acid dissolves it without decomposition, and with the formation of a red color, from which solution water precipitates it in yellow flakes. It dissolves in alkaline solutions, with the production of a beautiful red color, from which solution excess of acids precipitates it, and the liquid becomes decolorized. It has but little taste and no odor. Its fusing point is at 162° C. (between 323° and 324° F.).
Action, Medical Uses, and Dosage.—Chrysophanic acid has been chiefly employed as a local application in certain cutaneous affections, as mentagra, eczema, herpes tonsurans, herpes circinati, psoriasis, acne rosacea, etc. It is generally applied in the form of an ointment, consisting of from 10 to 120 grains of the acid to 1 ounce of hot lard (360° F.), with which the acid must be thoroughly incorporated. The parts affected having been carefully washed, to remove fatty substances, and any existing scales (squamae) having been softened and carefully removed, this ointment is to be well rubbed in upon the parts, 2 or 3 times a day. The strength of the ointment, and the number of applications per day, will depend considerably upon the amount of irritation occasioned, as it frequently gives rise to more or less irritation, or even inflammation of the skin. When applied about the face and head, care should be taken to protect the eyes from its irritant action. Its use is often objected to by patients, on account not only of its staining the clothing and bed-clothes a dull purple color, but likewise of its giving a more or less dark purplish tint to the skin, and a yellow color to the hair, with which it comes in contact. Mr. Balmano Squire, of London, Eng., to whom we are indebted for a knowledge of this agent, states that a careful use of bleaching powder will remove the stains from clothing; and liquor potassae, considerably diluted with water, will, it has been stated, discharge the
discoloration of the skin and hair. While rubbing it upon the parts, the fingers may be protected from discoloration by wearing india-rubber finger tips, or by rubbing the stained parts with benzol.
Internally, but little is satisfactorily known as to the effects of chrysophanic acid. In small doses, from 4 to 8 grains, it has occasioned vomiting and in doses of from 10 to 20 grains both vomiting and purging. The time of action varies from 4 to 24 hours after it has been taken, and persists, in many cases, for 2 or 3 days. Liquor potassa,, taken subsequently to the dose of the acid, appears to increase its activity. Napier states that psoriasis yielded to half-grain pills of chrysophanic acid administered 3 times a day, after meals, continuing the drug until its physiological effect, gastro-intestinal irritation, was felt. Arsenic and various local applications had been used without producing any good results. In one case as much as 9 grains in 24 hours were taken without deleterious effects.


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            Acidum Chromicum 
Acidum Chromicum is a disinfectant, like all acids, but it also helps in various day to day afflictions like sore throats and warts.

Acidum Chromicum

Traditional Medicine: Acidum Chromicum is a powerful antiseptic used for disinfecting purposes to arrest fetid discharge and correct putrid smells. "Foul smelling, bloody lochia" is an indication.
Medical Indications: Acidum Chromicum  causes in strong solution inflammation and destruction of epithelium and mucous membranes, a false membrane, gangrene. On the skin it has been used to destroy warts. Cutting pains in eyes. Cough, hard, sometimes deep, swallows sputa.
Vomits breakfast.
Diphtheria, post-nasal tumours and epithelioma of the tongue have been benefited by this remedy. Bloody, foul, smelling lochia. Symptoms come and go suddenly and return periodically offensive discharge. Modalities: Aggravated by the least breath of fresh air, and by cold water. It is worse at night and early in the morning between 2 and 6 o'clock. Pains worse on the left side.

Physical Symptoms:
Main Clinical Signs;
Angina pectoris. Brain inflammation. Cough. Diarrhoea. Eyes, disorders. Gangrene. Gout.
Haemorrhoids. Lumbago. Lupus. Rheumatism. Stiff, neck.
Syphilis. Throat, sore. Toothache. Trismus. Tuberculosis, laryngeal. Ulcers. Warts.

Limbs: Uneasiness in limbs. Pain in shoulder-blades and back of neck. Pain in knees and balls of feet. Drawing pains in soles while walking.
Nose: Ulcers and scabs in nose. Offensive smell. Corrosive pain. Ozaena (Aur).
Rectum: Stools like water, frequent, copious with nausea and vertigo. Weakness in small of back.
Throat: Diphtheria, sore throat. Thick mucous with inclination to swallow it, causing hawking. Post-nasal tumours.

To Note:
The suddenness of many of the symptoms is very marked. Symptoms appear and disappear suddenly and return periodically. Disagreeable pricking and itching here and there with uneasiness in limbs. On turning to right side, pain in left side goes off. Pains suddenly shifting to various parts of trunk, on waking. Sensation of a vacuum at heart of emptiness in chest. The rheumatic symptoms are well-marked and Clarke has frequently obtained good results in rheumatic cases with both preparations.

Connections: 
Antidotes: DAPHNE has cured the rheumatic pains. MERCURIUS CYANATUS, in small doses has counteracted the general effects in workmen. The restlessness and relief from motion suggest RHUS TOXICODENDRON.


Comments on this Acid:
1. Pains that come and go
It was this characteristic that led me to my acid prescription. Usually a sore throat's pain is constant. It is also interesting to note the wide variety of symptoms this acid treats: it is equally effective at treating syphilis as tuberculoses, for example.
2. The sudden onset of symptoms.
Léa's symptoms came on her very suddenly one evening, after a normal day at school. My examination of her throat would have concluded, under normal circumstances, that the infection had already been established for a few days. Her throat membranes already looked evolved and white.
3. Wide Variety of Symptoms.

Acidum Chromicum

This acid is little known and so far it has no Mind Symptoms.
It can cure angina and cancer as well as syphilis and tuberculosis. Chrome is a metal that is resistant and glittering, which are associated with the acid's characteristics. It should definitely undergo further proving to identify mental signs and to discover its full usefulness.
4. A Dream: of being a horse in a freezing river.
Though this is something to note and the closest thing we have to a Mind Symptom, it is not very useful.


In Conclusion:
Acidum Chromicum is a "small" acid with no significant proving. But this is no reason to ignore it. It is an effective remedy against sore throats, where the white membranes have appeared quickly, and when MERCURIUS CYANATUS has failed. For this alone, it is worthwhile.


Literature
MURPHY R., Homeopathic Medical Repertory, Hahnemann Academy, Colorado 1993



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                                           Acidum carbolicum
Natural History.
      Carbolic Acid. Phenol. Monoxy Benzine. Phenic Acid. Phenyl Alcohol. C6H5 OH. Solution in rectified spirit.

Clinical.
      Acne.
      Burns.

Acidum carbolicum

      Carbuncle.
      Cholera.
      Constipation.
      Diabetes.
      Diarrhoea.
      Dysentery.
      Dyspepsia.
      Eczema.
      Eructations.
      Erysipelas.
      Flatulence.
      Gangrene.
      Hydrocephalus.
      Influenza.
      Intermittent fever.
      Irritation.
      Leprosy.
      Meningitis.
      Neuralgia.
      Pneumonia.

      Psoriasis.
      Pityriasis versicolor.
      Scarlatina.
      Small-pox.
      Smell, disordered.
      Stomach, affections of.
      Toothache.
      Ulcers.
      Uremia.
      Uterus, displacements of.
      Vomiting.

Characteristics.
      Carbolic acid, like the Carbons, is a powerful antiseptic, and its use as such in surgery has led incidentally to the poisoning of both patients and surgeons.
      These experiences have provided a number of the symptoms indicating its medicinal use.
      The pains of carbolic acid come suddenly.
      They are burning are pricking, sticking.
      The urine is very dark, black or blackish olive-green, grass or olive-green.
      There is numbness and twitching.
      Putrid discharges are a marked indication.
      The skin is inflamed, and other symptoms appear, with burning, tingling, itching, and numbness.
      Gangrene has been caused by the application 2 to 5 per cent solutions.
      There is profound prostration and fatigue, convulsions, collapse, cold, clammy sweat.
      Constant yawning.
      R. K. Ghosh finds it admirable in cases of cholera where Verat. seems indicated and fails.
      There is intolerance of warm room, but also sensitiveness to cold air which worse many symptoms.
      Many poisoning cases show pneumonia, single or double, affecting the bases principally.
      Dr. Proctor has recorded a brilliant cure of a double basal pneumonia with drop doses of the B. P. solution, after failure of more commonly used remedies.
      Nervous dyspepsia of intensely painful character has frequently been cured by it, and right K. Ghosh has reported great improvement in a case of diabetes when the remedy was given for something else.
      Proell has recorded his own case of idiopathic erysipelas affecting the back of the right hand, first three fingers and arm, with violet-colored swelling and roughness.
      Rhus removed the fever, but did nothing to stop the erysipelas.
      This Carb-ac. 30 did promptly.
      It was prescribed by Dr. Streintz. Fahnestock reports a case of poisoning observed by himself from inhaling the fumes.
      The patient, a woman, feeling ill, ran across the street to a neighbor's.
      Before reaching the house she fell prostrate, pale, gasping for breath.
      When taken in, she had to be propped up in order to breathe, trembled all over, wanted her hands held, "pricking like needles," all over body, unable to raise right arm.
      Cold hands and feet.
      Wanted a drink of water every few minutes, nausea but no vomiting, pain in lumbar region.
      Symptoms lasted four hours.
      It has been used with success in the vomiting of drunkards, of pregnant women with violent frontal headache.
      Great flatulent distension of the abdomen, with belching of wind and desire for stimulants, indicates the drug.
      Palpitation of the heart at night has been cured by it.
      It has relieved cased of cancer of the stomach, and has apparently cured epithelioma of the cheek and nose, with hemorrhages (Allen).
      Deschere has found Carb-ac. 30 of great service in uterine displacements, with or without discharges but these, if present, are always offensive.
      The symptoms first relieved are the agonizing backache across the loins with a dragging sensation down the buttocks into the thighs.
      Cooper regards it as specific in influenza, in the 3X for the attack, and 30th for resulting debility.

Relations.
      It is antidoted by: Chalk, Saccharated Lime. In burns from carbolic acid, Elias C. Price found milk give immediate relief.
      He suggests copious draft of milk in poisoning cases.
      Compare: Gels. Merc. and Sulph. in band-like headache, Ars., Carb-v., Chin. and Kreos. in burns, ulcers, unhealthy, offensive discharges, Pic-ac. (tightly drawn iron band at base of brain, Carb-ac. has this round head), Ant-t. and Varist in Small-pox.

Acidum carbolicum

Mind.
      Irritability.
      Disinclination for mental exertion.
      Muddled, confused, bewildered.

Head.
      Headache: heavy, dull.
      Periodical sick-headache, as if enclosed in tight hand.
      Dull frontal headache, as an if India rubber band were stretched tightly over forehead from temple to temple, better by pressure.
      Itching of scalp.
      Headache better by green tea, while smoking, by tight band, by cold hand, by bending head forward.

Eyes.
      Very severe orbital neuralgia over right eye.
      Pupils dilated.

Nose.
      Tight and stopped up.
      Tickling, prickling, itching in nostrils.
      Sense of smell very acute.
      Ozaena, with great fetor and ulceration.

Face.
      Pale, or flushed and burning.
      Jaws clenched.

Teeth.
      Aching of teeth in right upper jaw.

Mouth.
      Lips dry, cracked, painful or black.
      Tongue burning and tingling, as if a thousand pins were sticking in it.
      Tongue dry and chippy, parched and fissured.
      Throat and tongue black, tender and ulcerated patches in inside of lips and cheeks.
      Intensely bad smell from mouth.

Throat.
      Prickling and burning in throat and oesophagus.
      Heat rising up from the stomach.
      Spasmodic contraction of oesophagus.
      Inability to swallow.
      Sore-throat worse on right side.
      Hawking of clear white mucus.
      Fauces red and covered with a mucous exudation.
      Uvula whitened and shrivelled.


Stomach.
      Wants a drink of water every few minutes.
      Constant belching up of wind.
      Vomiting of drunkards.
      Excessive nausea, and inclination to vomit, while eating a little, after breakfast.
      Vomiting of: Bright's disease, sea-sickness, cancer, pregnancy.
      Weight in epigastrium as if burdened with flatulence.
      Burning in stomach.
      Total loss of appetite.
      Desire for whiskey.

Abdomen.
      Pain in right hypochondrium, also in that region of both sides.
      Rumbling and rolling in abdomen.
      Burning in lower part of abdomen and top of head.

Stool.
      Diarrhoea and dysentery, mucous stools like scrapings, stools like rice-water, thin, black, very offensive.
      Cholera infantum, with putrid discharge like foul eggs.
      Constipation with offensive breath.

Urinary Organs.
      Urine: dark greenish brown, greenish, very dark, black or blackish.
      Quantity increased and passed frequently.
      Diabetes.
      Albuminuria.
      Urine of high specific gravity, urea abundant.
      While urinating always an involuntary mucous discharge from anus.

Male Sexual Organs.
      Itching, or burning-itching of scrotum, better scratching but it soon returns.

Female Sexual Organs.
      Pain in region of left ovary walking in open air.
      Painful swelling of left ovary.
      Menses irregular, too profuse, dark color, followed by headache and nervous irritability.
      Puerperal fever, with putrid symptoms.
      Ulceration of the cervix uteri.
      Offensive discharges.

Respiratory Organs.
      Unable to lie down, gasping for breath continually, wants hands held.
      (Removed in a prover: short breath going up-hill, or upstairs.)
      Short, hacking cough with tickling in throat, can hardly retain anything in stomach.
      Stertorous respiration.

Chest.
      Feeling of narrowness in chest as if diaphragm depressed the lungs.
      Tight feeling, especially in center of chest.
      Pneumonia of (right) base.
      Gangrene of lung.

Heart.
      Stitches in region of heart.
      Fearful palpitation worse night, with great dyspnea.
      Jerking in left common carotid artery while walking rapidly after dinner.

Neck and Back.
      Neck stiff, lame and sore.
      Severe pain in lumbosacral region, worse latter part of night.
      Pain in loins on straightening one's self and by jolting while riding.

Limbs.
      Soreness of muscles of back and limbs.
      Twitching in muscles.

Upper Limbs.
      Aching, rheumatic pains in shoulders.
      Unable to raise right arm.
      Aching, rheumatic pains in arms strongly flexed in tonic spasm.
      Cold hands and feet.
      Vesicular itching eruption on hand.
      Erysipelas of back of right hand, first three fingers and arm, violet-colored swelling, rough skin.

Lower Limbs.
      Rheumatic pain in right hip-joint.
      Dragging down buttocks and into thighs.
      Paralysis of lower extremities, with dragging sensation.
      Aching soreness beneath left patella all day up to 4 p-m., feels as if it would be stiff and sore to move it, but it is not felt during motion.

      Sharp pain in left shin.
      Cramps.
      Cold hands and feet.

Generalities.
      Fainting and insensibility, lasting for hours.
      Pricking like needles all over body.
      Tonic spasm, arms flexed, difficulty in straightening them.
      Prostration from a short walk.
      Offensive discharges.

Skin.
      Offensive odor from skin.
      Erysipelas, violet color swelling, roughness.
      Miliary vesicles.
      Malignant scarlatina.
      Confluent variola.
      (Acne, eczema, impetigo, scabies, psoriasis, prurigo, leprosy, pityriasis versicolor, lupus, carbuncles, cancerous sores, sloughing wounds, chronic ulcers, burns).

Sleep.
      Yawning and sleepy.

      Waking often in night.

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                       Acidum Butyric 

Worries over trifles; impulsive thoughts of suicide; constant state of fear and nervousness. Headache makes him apprehensive about trifles; worse going upstairs or rapid motion. Dull, hazy ache of head.


Poor appetite. Much gas in stomach and bowels. Cramps in pit of stomach, worse at night. Stomach feels heavy and overloaded. Cramp in abdomen below umbilicus. Bowels irregular. Stool accompanied by pain and straining.


Tired feeling and dull pain in small of back, worse walking. Pain in ankles and up back of leg. Pain low down in back and extremities.



Pronounced sleeplessness; dreams of serious nature while asleep.


Perspiration on slight exertion. Profuse, offensive sweat of feet. Crumbling away of finger-nails.



Worse, at night, fast walking, going upstairs.

Dose
Third attenuation.



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             Acidum Boricum
Natural History.
     Boracic Acid

General.
     Used as an antiseptic disinfectant, since it arrests fermentation and putrefaction.
     Pain in region of ureters, with frequent urging to urinate. COLDNESS. (Heloderma.) DIABETES, tongue dry, red, and cracked. Cold saliva.

Acidum Boricum

Skin.
     Multiform erythema of trunk and upper extremities. Oedema around eyes. Exfoliating dermatitis. Oedema of tissues around eyes.

Female.
     Climacteric flushings. (Lach.; Amyl. nit.) Vagina cold, as if packed with ice. Frequent urination with burning and tenesmus.

Dose.
     Third trituration.

     Non-Homeopathic Uses.
     When the diplococci of Weichselbaum is present in the sputum of pharyngitis or bronchitis, pneumonia with tenacious sputum, hacking cough and pain, five-grain doses six times daily. A solution of Boracic Acid, as an injection, in chronic, cystitis, or, a teaspoonful to a glass of hot milk, taken internally. Boro-Glyceride in solution (1:40) is a powerful antiseptic. Styes, 15 gr. to 1 oz. water externally. As a dusting powder on ulcerated surfaces. In cystitis as an irrigating fluid.


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           Acidum Benzoicum
Whenever we see in the nature of a remedy a well-defined state and condition of the human system pointed out by certain distinctive groups of symptoms we may know that there is such a diseased state in the human family. They have not the power to create by themselves any diseased state except there is first such a state in the economy of the human race to be aroused. They simply call up in a single individual something that the individual has, and that something belongs to the human race, and so whenever we see a diseased state in the remedy we know that it exists in correspondence to something in the human race. Things are so adjusted that everything is for use. There may be conditions in the human race that we, as yet, know no remedy for. We see certain groups of peculiar symptoms frequently repeat themselves and we know they are representatives of a state of the economy, but up to this day we may not have seen in the Materia Medica their counterpart. In medicines we have the exact counterpart for the diseases of the human race. 

Acidum Benzoicum

      Now this remedy has a state and condition that is sometimes called the gouty constitution, the uremic or the lithaemic constitution, and these cases are very difficult to manage, as the state is so persistent. It is one of the manifestation of disease. 
      It will be noticed, as one of the foremost things in this remedy's manifestations, that it has strong smelling urine; the urine is pungent, and it sometimes becomes so strong that it smells like hippuric acid, and so it is said urine smells strong like that of a horse. The odor in this remedy approximates that of hippuric acid. 
      The complaints, then, of Benz-ac. are such as are changeable, and we know why they are changeable; when the urine is copious and plenty of uric acid is being passed, and the urine is full of deposits, then the patient is at his best; when the urine is scanty or of light specific gravity he suffers from backache and pains in the joints, he suffers from atmospheric changes, is sensitive to cold drafts and to the air; but let the urine start up again, which it does in a sort of alternating way, light urine alternating with heavy urine, and the patient is comfortable again. Then, there are complaints in which the urine smells strong and pungent; this often occurs in children. It is astonishing that these little ones manifest the uric acid diathesis in early life. Mothers often describe it as intensely urinous. It smells like intensified urine; it is not the smell, so much, of decomposed urine nor of fetid urine, but urine intensified. It has cured many times wetting the bed, involuntary urination in sleep, when the bed that has been wetted several times becomes uncleanable. You can smell it almost as quick as you go into the room; the children all smell like urine, strong urine; the house smells like urine. If two or three of these little fellows wet the bed at night, the urine is so strong it tells the story at once. 
      This medicine needs reproving; details have not been brought out, yet its nature is known. We have a good many medicines having this nature, but this perhaps as intense as any. This remedy does not, of course, fit all these patients, because it does not fit their special symptoms; but it has the nature or general state which, of course, precedes everything, and when it relates to all the particulars as well it does make wonderful changes. 

Acidum Benzoicum

      There are a few mental symptoms. "Inclined to dwell on unpleasant things; if he saw anyone deformed, it made him shudder." Alternation of profound sleep with prolonged periods of wakefulness. In the period of wakefulness, he dwells, during the night, upon all the unpleasant subjects that he can think of. This state alternates with nights of stupid sleep for weeks, and this fluctuates in accordance with the fluctuation of the state of urine. "Sadness." "Anxiety while sweating. " "Child cross. "
      There are many headaches; they are uremic in character and come in many regions with many details. "Fearful pain in occiput or cerebellum." "Rheumatic pains in head. " That is well described, because these headaches of uremic character take on a similarity to rheumatic pains. "Pain and heat in region of organs of reverence and firmness." "Tearing pain in vertex. " The headaches are very numerous; the remedy is full of dull, aching occipital headaches, coming on in the night from change of weather. Pains located in the base of the brain after pains have existed for some time in the joints, and they are passing but little urine. Every time he takes a little cold the urine becomes scanty and he is full of dull aches and pains in the head and especially in the occiput. 
      Perversion of smell. "Sense of smell diminished." "Pain in nasal bones. "
      Another form of transformation scene takes place in this remedy, when all the gouty symptoms of the body cease and inflammation of the tongue comes on. The pains in the joints cease suddenly from taking cold, from stormy weather and on comes a sudden swelling of the tongue. Merc. also has this state. "Extensive ulcerations of tongue, with deeply chapped or fungoid surfaces." Then, again, peculiar kinds of sore throat take place from this same cause. Sudden stoppage or slacking up of the quantity of urine; it becomes scanty, high colored, and pungent, smelling like that of a horse (Nit-ac.), along with acute inflammation and swelling of the tonsils and throat; inflammation of the tonsils with scanty, strong, pungent urine smelling like that of a horse. Another feature that seems almost like metastasis. Take an individual who is going around with more or less rheumatic aches in the joints; he takes cold and all this ceases, but the next day he comes down with inflammation of the tongue or sore throat, or inflammation of the stomach; so that he vomits everything he eats. The gout goes to different parts and in this instance it goes to the stomach; and then Benz-ac., Ant-c. or Sang. Is likely to be useful. When it goes to the throat or is followed by swelling of the tongue Merc. and Benz-ac. should he thought of. Whenever this gouty condition goes to the stomach, of course it must conform to those symptoms that are in the nature of this remedy. In this remedy we have "loathing, sickness at stomach," "nausea with gagging," "vomiting of a salty substance; bitter." When we think of Benz-ac. for the stomach symptoms, it is important that we have in mind its whole nature, how it brings about its complaints and what characterizes a Benz-ac. patient. We would not be able to distinguish from the stomach symptoms alone; we must carry with them the character of the remedy. 

      It has much disturbance of the liver, and many liver symptoms. As to the bowels, the stool, the rectum, anus and urinary organs, it is very rich in symptoms. Its striking ones I will call your attention to, but remember its migrating, metastatic nature, its complaints going from one part to another, which will accompany these symptoms. "Stools, copious, watery." This is true in summer diarrhoea, that has come on suddenly, "excessively offensive." The white stool, like soap-suds, is so strong a symptom that the remedy does not fail to cure even when the gouty constitution is not present. "Excessively offensive, scenting the whole house." "Putrid, bloody. " "Watery, light-colored, very offensive stools (in children)." So we get the idea that the stools are white and that the first passages are like soap-suds, but later the soap appearance subsides and leaves a white stool. It is well, often, when a stool is passed that is of a light liquid, to bear in mind a few remedies that produce this state and ascertain whether it is like soap-suds or filled with bubbles of air. "Diarrhea of children." The urinous odor of the body, and especially that peculiarly pungent, intense smell of the urine. "Slightly elevated, wart-like, round surfaces around anus. "
      The urinary symptoms are too numerous to read. "Fetid urine." "Urine of a very repulsive odor. " "Effervescing with hydrochloric acid." The odor is sometimes like hartshorn; it is pungent; these are only efforts to describe the strong smell. "Urine dark brown." It is true that normal urine after standing a while will get a fetid odor, but, in this remedy, that just passed is properly described as being intensely urinous. "Urine contains mucus and pus." "Morbid condition of urine. " "Renders urine acid." It says in the text "hippuric acid," but this is a rare condition. "Brown urine smells sour." "Too frequent desire to evacuate bladder. " "Nephritic colic." "Urine dark, urinous odor highly intensified. " Gouty troubles of the liver; rheumatism; nephritic colic; it has cured such states after gonorrhea, but it is not much of a gonorrheal remedy. When the rheumatic states and these symptoms are present there are more or less pains in the kidney. "Sore pain in the back; burning in the kidney." "Prolapsus uteri with fetid urine. " "Retention of urine in infants. "

Acidum Benzoicum

      "Asthma with inflammatory rheumatic complaints." "Cough followed by expectoration of green mucus. "
      The organ that is most commonly affected in these rheumatic complaints is the heart. No organ is so likely to be affected when rheumatism leaves the outermost parts as the heart. Pains in the heart. So in this diathesis, with the strong smelling urine and the gout, we may expect affections of the heart. "Pains change place incessantly." "Palpitation of the heart. " The rheumatism, of course, is affecting the heart. "Awakens after midnight with violent pulsations of the heart." Think a moment and you will see in what kind of a case you will need Benz-ac. The constitution of the remedy comes to mind at once with the heart symptoms, the dyspnoea, pain in the heart with rheumatic symptoms; "cannot go to sleep." Think of the alternation of sleeplessness with sleep; think of the strong urine, of the fluctuating complaints, of the erratic constitution. "Palpitation worse at night." "Rheumatic pains in extremities relieving heart. " There we get relief; complaints going back to the extremities with relief to the heart. The heart will relieve when the urine becomes copious or when the rheumatism goes back to the extremities, into the fingers and knees, especially the knees in Benz-ac. Rheumatism alternating between the extremities and heart. This medicine has cured
affections of the heart when the rheumatism has a long time ago disappeared from the extremities and has ever since been affecting the heart; after Benz-ac. has been administered a very good sign of its action is that the extremities become painful and the urine becomes copious; free urine and solids increased; the urine becomes heavy, whereas it was light. "Hard, frequent pulse. "
      The extremities are full of rheumatic affections. "Lassitude in lower limbs." "Swelling of knee. " All gouty affections belong to this remedy. "Gouty concretions." "Nodes on joints. " Benz-ac. is often an excellent palliating remedy in old gouty constitutions; they want to be relieved of the pains in their fingers and in the nodes and joints. The fingers crack and are clumsy and painful. But often the pain has been relieved and gone to other parts. This is one among the remedies that will drive the complaints away from the internal organs and generally increase the pain in the extremities, which they will scold about. "Trembling with palpitation of heart." "Extreme weakness; sweat and comatose condition. " Note that comatose condition with sweat; the Benz-ac. patient sweats without relief. Copious, exhaustive sweat and profound sleep, but there is no relief. "Awaken with difficulty of breathing." Pulsation all over. 
      "All sorts of catarrhal states; gouty diathesis, gout with arthritic nodosities, syphilitic rheumatism, etc." These patients are getting low down in the scale of life, the tissues become feeble. Ulcers form upon the skin and mucous membranes.

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                         Acidum Aceticum
This drug produces a condition of profound anæmia, with some dropsical symptoms, great debility, frequent fainting, dyspnœa, weak heart, vomiting, profuse urination and sweat. Hæmorrhage from any part. Especially indicated in pale, lean persons, with lax, flabby muscles. Wasting and debility. Acetic acid has the power to liquefy albuminous and fibrinous deposits. Epithelial cancer, internally and locally (W Owens). Sycosis with nodules and formations in the joints. Hard chancre. The 1x solution will soften and cause formation of pus.



Mind.--Irritable, worried about business affairs.

Head.--Nervous headache, from abuse of narcotics. Blood rushes to head with delirium. Temporal vessels distended. Pain across root of tongue.

Face.--Pale, waxen, emaciated. Eyes sunken, surrounded by dark rings. Bright red. Sweaty. Epithelioma of lip. Cheeks hot and flushed. Aching in left jaw-point.

Stomach.--Salivation. Fermentation in stomach. Intense burning thirst. Cold drinks distress. Vomits after every kind of food. Epigastric tenderness. Burning pain as of an ulcer. Cancer of stomach. Sour belching and vomiting. Burning waterbrash and profuse salivation. Hyperchlorhydria and gastralgia. Violent burning pain in stomach and chest, followed by coldness of skin and cold sweat on forehead. Stomach feels as if she had taken a lot of vinegar.

Abdomen.--Feels as if abdomen was sinking in. Frequent watery stools, worse in morning. Tympanitic. Ascites. Hæmorrhage from bowels.

Urine.--Large quantities of pale urine. Diabetes, with great thirst and debility (Phos ac).

Female.--Excessive catamenia. Hæmorrhages after labor. Nausea of pregnancy. Breasts painfully enlarged, distended with milk. Milk impoverished, bluish, transparent, sour. Anæmia of nursing mothers.

Respiratory.--Hoarse, hissing respiration; difficult breathing; cough when inhaling. Membranous croup. Irritation of trachea and bronchial tubes. False membrane in throat. Profuse bronchorrhœa. Putrid sore throat (gargle).

Back.--Pain in back, relieved only by lying on abdomen.

Extremities.--Emaciation. Œdema of feet and legs.

Skin.--Pale, waxen, œdematous. Burning, dry, hot skin, or bathed in profuse sweat. Diminished sensibility of the surface of body. Useful after stings, bites, etc. Varicose swellings. Scurvy; anasarca. Bruises; sprains.

Fever.--Hectic, with drenching night-sweats. Red spot on left cheek. No thirst in fever. Ebullitions. Sweat profuse, cold.

Relationship.--Acetic acid is antidotal to all anæsthetic vapors. Counteracts sausage poisoning.

Compare: Ammon acet (Profuse saccharine urine, patient is bathed in sweat). Benzoin oderiferum--Spice-wood (night sweats). Ars; China; Digitalis; Liatris (General anasarca in heart and kidney disease, dropsy, and chronic diarrhœa).

Dose.--Third to thirtieth potency. Not to be repeated too often, except in croup.

##Collected##

               Acetanilidum
      Formed from aniline.
      CH3 CO NH C6 H5 Exalgine is a derivative from this, Methyl acetanilid, and has almost identical action.
      Solution and trituration.


Clinical.
      Asthma.
      Cyanosis.
      Fainting.
      Head, enlarged sensation.
      Palpitation.
      Thrombosis.

Characteristics.
      Given as remedies for migraine and in order to reduce fever, Antifibrinum. And Exalg. have produced symptoms of collapse and cyanosis, in some instances fatal, with great rapidity.
      One patient experienced from Exalgine a sensation that his head was so large that it seemed to occupy the whole room.
      Respiration was most difficult as in a bad attack of asthma, he seized and clenched the hands of those around him.
      He was not an asthmatic subject.

      He felt as if the diaphragm had ceased working and he must go on breathing on his own account at any cost.
      Several cases of thrombosis of the lower extremities from heart weakness have followed its use.


Relations.
      Compare: Antipyr., Anilinum, Glon., etc.

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