Acidum Nitro Muriatic
(Aqua Regia)
Almost a specific in Oxaluria. Removes the distressing skin symptoms resembling psoriasis. Three to five drops three times a
day. So-called bilious conditions; torpid liver, hepatitis and early cirrhosis of liver. More adapted to hepatic torpor and gastric catarrh common in hot and damp climates and aggravated by meat eating and alcohol (Hale). Constricted anus. Gravel.

Mouth
Gums bleed easily. Ptyalism. CONSTANT DROOLING AT NIGHT. (MERC) Cankers; small, superficial ulceration over inside of mouth and tongue. Metallic taste. (CUPR. MET)

Stomach
Sour eructations, with empty hungry feeling in stomach; not relieved by eating. SALIVATION; WORSE AT NIGHT.

Stool
Constipated, with ineffectual urging. Sphincter constricted. Anus moist and sore.
Urine.
Cloudy. Burning in urethra. Oxaluria.

Dose

Five to ten drops, well diluted.


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                    Acidum Nitricum
Generalities: Great general weakness; feeble reaction; extreme sensitivity, and nervous trembling, are marked features in this remedy.

Acidum Nitricum

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.


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                Acidum Muriaticum
Now that we have obtained an idea of the acids in general, we will find Muriatic acid a very easy drug to study. The continued use of
Muriatic acid must give us pathological effects. Now this acid

Acidum Muriaticum

when abused, produces pathogenetic effects which present two series of symptoms for study. We find its mental and nervous disturbances under two stages or classes. Under the first effects of the drug there is considerable excitement. The patient is irritable and peevish, and the senses are all too acute. Thus light hurts his eyes, distant noises cause buzzing or roaring in the ears, or aggravating headache. Both smell and taste are abnormally acute. The patient is restless and changes this position frequently. His mind is actively engaged in visions in reference to the past and present and even to the future. The cheeks are quite bright red, the tongue and mouth are apt to be dry, and the heart-beat is quick and irritable. The heart-stroke, though quick and irritable, lacks energy and force. If he is at all delirious, it is only slightly so. He is sleepy but unable to sleep, or he tosses about, dreamy and restless, all through the night. Now these are the transient symptoms of excitement or over-exertion which may occur under the influence of Muriatic acid. You are able to trace under these symptoms, from beginning to end, a certain amount of weakness. There is an appearance of over-strength, but it is in a weakened constitution. You know that it is not a true "hyperaction," but only an irritability, that comes under the head of irritable weakness.

The next stage or that of exhaustion has several grades, of course. Beginning with the mental symptoms, we find that the patient is apt to be sad, and is absorbed in self, so as to be taciturn, rather introspective, sad and brooding. If you question him, you will learn that he is anxious about something real or imaginary. Headache may now appear, the feeling being as if the brain were being torn or bruised, or there is heaviness as if the occiput were made of lead.
The patient becomes unconscious with muttering delirium, sighs and groans during sleep, the tongue grows more dry and seems to have actually shrunken and become narrow and pointed; so dry is it that when he attempts to talk, it rattles like a piece of wash-leather in his mouth. Still later, the tongue becomes paralyzed, so that he can scarcely move it at all. The heart-beats are irregular and feeble. The pulse intermits, characteristically at every third beat. He now becomes so weak that the muscles refuse their office. He has diarrhoea, which is watery and is accompanied by prolapsus of the rectum. Stool is involuntary when straining to urinate. He slides down in bed. He actually has not sufficient strength to keep his head up on the pillow.. There is now threatening paralysis of the brain. This is indicated by vacant, staring eyes, dropping of the lower jaw, coldness of the extremities, and this, if not checked, is followed by death. Now these are the symptoms which call for Muriatic acid, particularly in typhoid fever.

The concurrent remedies of Muriatic acid here are RHUS, BRYONIA, APIS, PHOSPHORIC ACID, NITRIC ACID, and ARSENICUM.

BRYONIA resembles it in the early stages of typhoid fever. Both have that nausea when sitting up in bed, both have dry tongue and Soreness through the body, but there are quite a number of other symptoms which will enable you to distinguish, and which have been mentioned in the lecture on Bryonia.

RHUS TOX., like Muriatic acid, has this restlessness in the beginning. The patient is continually moving and tossing about the bed. He cannot sleep at night. There is slight delirium, with muttering. All these symptoms are under both Rhus and Muriatic acid. Rhus has not so much debility as the latter, hence it is followed rather than preceded by the Muriatic acid.

PHOSPHORIC ACID resembles Muriatic acid, but resembles it in this respect: Phosphoric acid has apathy and indifference; a complete "don't care condition" ; indifferent to what may happen to himself, or to others. That is not the condition calling for Muriatic acid, for taciturnity is not indifference. Then again, Phosphoric acid does not cause the same prostration that we find under Muriatic acid. The characteristic stupor of Phosphoric acid is this: The patient is easily aroused from stupor, and is perfectly rational when aroused, no matter how soon he may drop off again to sleep.

APIS resembles Muriatic acid. Both remedies have this dry and shrunken tongue, both have sliding down to the foot of the bed, impending paralysis of the brain, etc. The Apis tongue is very characteristic, and differs from that of Muriatic acid. It is covered with little blisters, especially along the border. The patient cannot put the tongue out; it seems to catch on the teeth, or, if he does get it out, it trembles.

ARSENICUM you can readily distinguish by the symptoms, which I will give you next week when I lecture on that drug.


You should also remember in this connection, BAPTISIA, which has in common with Muriatic acid, this great weakness. Baptisia, however, has a besotted look to the face; the teeth are covered with black sordes, and the tongue is red on the edges and yellowish-brown down the centre.

Now, a word of caution. Do not mistake the symptoms of Muriatic acid for those of Belladonna. The novice is apt to do it. For instance, you notice the flushed face, the over-excitement of the senses, desire to sleep but cannot; these are all symptoms of Belladonna. But try to find the meaning of the Belladonna symptoms and then of those of Muriatic acid, and you will find that they are by no means the same. The Belladonna symptoms apply to hyperaemia, and to the beginning of the disease, and not to overwhelming of the system by disease, as in Muriatic acid.

Next, I wish to refer to Muriatic acid in scarlatina. The body is intensely red, looks like a boiled lobster. There is rush of blood to the head, with bright red face and with great drowsiness. Now the rash comes out very sparingly, and is scattered irregularly over the surface of the body, and interspersed with petechias, with bluish or purplish spots. The child is very restless, throws off the clothes, and will not be covered. As the symptoms progress, the skin becomes purplish and the feet decidedly blue. Then you may have also some of the diphtheritic symptoms already referred to. Catarrhal or even diphtheritic symptoms may complicate the case. There is thin, excoriating discharge from the nose, making the upper lip sore. So irritating are the discharges from the mouth that the mucous membrane becomes intensely red, and even denuded of its epithelium. By and by, yellowish-gray deposit forms in the mouth, and particularly in the fauces, and on the tonsils, uvula, and posterior wall of the pharynx. One of the provers had symptoms that made it difficult to decide between those of diphtheria and those produced by Muriatic acid. The breath becomes very foetid, and the uvula, oedematous. Sometimes, the latter hangs down as thick as your thumb, and lies on the tongue, and causes the child to gag and choke. These are the diphtheritic and catarrhal symptoms, and they may occur with or without scarlatina.

BELLADONNA is apparently, not truly, a concordant remedy here. These symptoms may cause you to give Belladonna, and incorrectly too. The drowsiness and disturbed sleep, etc., of this remedy are caused by congestion of the brain, which is not the case under Muriatic acid.

More closely allied are APIS and SULPHUR, which both produce redness of the skin to a marked degree.

KALI PERMANGANICUM resembles Muriatic acid in the throat symptoms, especially in the oedematous uvula. Other remedies having this symptom are APIS, NATRUM ARSENICOSUM, MERCURIUS CYANATUS, ARSENICUM and HYDROCYANIC ACID. This last remedy resembles Muriatic acid in its throat symptoms, and in the blueness of the surface, and in the presence of petechiae in the rash.

SULPHURIC ACID resembles Muriatic acid in scarlatina in that both remedies have these bluish spots, great weakness and diphtheritic membrane. Sulphuric acid has not relief from uncovering. Then again, there are appearances on the skin like suggillations. Spots appear that look as though the parts had been bruised.

I have also found Muriatic acid useful in the last stages of dropsy from cirrhosed liver. Of course, it may be used in any other serious disease of the liver in which the symptoms indicate it. The dropsy progresses as it does ordinarily in cirrhosed liver. The patient finally develops a typhoid condition, and becomes drowsy. Now these are the Symptoms for which I have selected Muriatic acid. It does not cure; it will only relieve. The patient is drowsy, and becomes very much emaciated. The mouth is dry, or it is aphthous. The stools are often watery and involuntary. The stomach is so weak and irritable that no food can be retained.

NITRO-MURIATIC ACID is also to be remembered in these cases of weak digestion. Its symptoms you will find recorded in Allen, and are very similar to those of Muriatic acid.

The antidotes to Muriatic acid are, CAMPHOR and BRYONIA for the dynamic effects of the drug, and alkalies for its acute poisonous effects.

Muriatic acid may also be used for the muscular debility following the prolonged use of Opium.

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                  Acidum Lacticum
Natural History.
      Lactic Acid. Milk Acid. HC3H5O3.
      Dilution.

Clinical.
      Bones, swelling of.
      Diabetes.
      Foot-sweat.
      Indigestion.
      Pregnancy, sickness of.
      Rheumatism.
      Sciatica.
      Throat, constricted, sore.
      Vomiting.

Characteristics.
      Lactic acid "was discovered by Scheele in sour milk, the result of the spontaneous fermentation of sugar of milk, under the influence of casein.
      It is also met with in many vegetable products which have turned sour." (Hering).
      Reisig introduced it into homeopathy.
      It has been proved in both the lower and higher attenuations, but many valuable observations have been made on patients taking substantial doses for diabetes (C.D.P.).
      In these cases the symptoms of rheumatic fever were directly traced to the acid.
      Pain, swelling, and stiffness and tenderness of joints worse by motion (as with Bry., which antidotes Lact-ac.), and flying pains about limbs.

      One prover had pain along the right sciatic nerve.
      The well-known effects of milk that has soured on the stomach and remained undigested were produced.
      Nausea, vomiting, burning and sense of weight, and these have all proved useful indications in the homeopathic use of the drug.
      Diabetes is the affection for which it has been most given in old.
      School practice, but it has also proved of great power in this affection in the homeopathic attenuations.
      Nash regards the concomitance of rheumatic pains as the chief guiding symptom here.
      (In Med. Adv., xxi. 508 he records a case of diabetes, with rheumatic fever supervening, cured with Lact-ac. 200.), But nausea is no less a guide: Constant nausea, nausea on awaking, before rising, better by eating.
      This may occur in diabetes, or it may occur in pregnancy.
      It is also an indication when occurring in rheumatism.
      There is better by eructations, and worse by smoking.
      Smoking worse eructations.
      Copious foot-sweat is a feature of Lact-ac., but it is not offensive.
      It is suited to anemic, pale women.
      Large doses disagreed with melancholic, choleric constitution, dark hair and eyes.

Relations.
      Antidoted by: Bry. (relieved sharp pains upper third right side, but soreness remained).
      Compatible: Meat diet in diabetes.
      Incompatible: Coffee worse symptoms.
      Compare: Lac can., Lac coag., Lac defl., Sac. lac. In nausea of pregnancy, Nux-v., Puls., Ph-ac., Colch., Lyc., Lac d., Ip. Excessive hawking with (or without) nausea, Caust. (phlegm in throat, cannot be hawked up, causing nausea).
      Diabetes, Ph-ac., Acet-ac., Lac d., Ur. nit. Flying rheumatism, Puls., Rhus. Great discouragement, Psor. 
      Compare also: Vegetable acids, which all cause weakness and thinness of the blood.

Mind.
      Great discouragement.
      Lazy.
      Sarcastic.
      Memory lost.

Head.
      Vertigo: when turning head suddenly, with heat, on rising, on stooping, at night.
      Congestion of head, painless, with strong pulsation of vessels of neck.
      Headache, with sensation of fullness in vertex.
      Dull pain in forehead, just over eyes, and extending into eyes.
      Pain in head and back all night.
      Pain in occiput, and alternating between there and forehead.

Eyes.
      Sensation of fullness in eyes, with headache.
      Eyes feel as if they would burst.
      Photophobia.
      Jerking of left upper lid.
      Marked protrusion of eyes, pupils dilated, eyes feel tired.
      Hyperesthesia of retina, steady aching in and behind eyeball.

Ears.
      Disturbed and troubled by noise.
      Roaring in left ear on rising in afternoon, singing, snapping in left ear.
      Pain from parotids into ear, stiff feeling in parotids.

Nose.
      Great sensitiveness of smell.
      Nose-bleed every morning.
      Severe coryza, stopped nose, sneezing, thick mucus from head to throat, yellow, dead sweet taste.

Face.
      Face flushed or congested from headache.

Mouth.
      Tongue coated thick white.
      Yellow coating on tongue, with bad taste in morning.
      Tongue sore on left side, raw and red, dry, parched, sticky.
      Mouth and fauces very dry and hot.
      Very sore mouth, canker sores.
      Much saliva in mouth, tasting salty.
      Copious salivation (pregnancy).
      Bad taste in mouth: acrid, with nausea, sour, coppery.

Throat.
      Sensation of a plug in the throat.
      Fullness in throat which keeps him swallowing frothy mucus, lump or fullness feels like a small puff-ball, not better by swallowing.
      Intense burning in throat, fauces, and esophagus worse by eructation.
      Sense of constriction low down in throat, rough and dry.
      Fauces hot, dry and swollen.
      Difficulty of swallowing solids, less in swallowing liquids.
      Excessive hawking with or without nausea.

Stomach.
      Appetite impaired.
      Voracious appetite and great thirst.
      Eructations of hot, acrid fluid, which burns from stomach to throat.
      Food sours.
      Eructations of burning, hot gas from stomach, causing a profuse secretion of tenacious mucus, which must be constantly hawked up, worse by smoking tobacco.
      Burning and weight in stomach.
      Constant nausea, persisting for days.
      Nausea on rising in morning.
      Nausea after breakfast, not severe, but very persistent.
      Nausea with water brash or vomiting.
      Sensation as if all food were lodged under upper end of sternum, which oppresses and distresses her for hours.

Stool and Anus.
      Aching pain in anus.
      Soft, mushy stool, diarrhea.
      Greenish yellow stools with tenesmus.
      Very costive, stool once a week, hard, black.

Urinary Organs.
      Frequent pain in kidneys.
      Frequent desire to urinate large quantities.
      Urinates frequently day and night, the attempt to retain it causes pain.

Male Sexual Organs.
      Annoying erections in morning, but loins ache too much to attempt coition.
      Seminal emissions three successive nights.

Female Sexual Organs.
      Aching pain in region of right ovary, worse by rapid walking or exercise.
      Menses: scanty, seventeen days late, two days early, more profuse than usual, pain in small of back and lower abdomen, itching of vulva during flow.
      Leucorrhea, staining linen yellow, when checked nasal catarrh ensues.
      Heaviness and dragging down as if womb down.
      Pain as if menstruating, sitting with feet high better uterine soreness.
      During pregnancy: morning sickness, salivation, nausea and vomiting, water brash better by breakfast.

Respiratory Organs.
      Dryness and rawness, extending to larynx.
      Hoarseness.
      Aphonia.
      After rising, voice was entirely without control, whispering and squeaking when expecting to speak aloud.
      Spasmodic, ringing cough, caused by irritation in throat.
      Hoarse, hard, dry cough, with dryness of glottis.
      Left side of chest sore and painful.
      Cutting or sticking pain in upper third of right side.

Neck and Back.
      Pain in small of back, extending into shoulders.
      Sore aching in lower-part of back, worse when walking.

Limbs.
      Severe, sharp pains in joints.
      Acute pains in joints, flying pains about limbs.
      Joints swollen, not tender, stiff.
      All pains worse by movement.

Upper Limbs.
      Rheumatic pain in shoulders.
      Rheumatic swelling with redness and pain in wrists and elbows, wrists, and small joints of hands.

Lower Limbs.
      Soreness to touch along right sciatic nerve, on getting out of bed, lasting all day and pulsating constantly but slightly.
      Sharp pain in right knee with stiffness.
      Knees and other joints stiff and painful.
      Rheumatic pain in knee-joints.

Generalities.
      Weakness as if from exercise, with rheumatic pains in the bones.
      Debility, weariness of the limbs.
      Aversion to exercise.

Skin.
      Skin harsh and dry, no sweat.
      Red spots or blotches on various parts of the body, particularly thighs and lower extremities.
      Itching and burning, worse by cold.

Sleep.
      Restless all night.
      Does not sleep well.

Fever.
      Cold and chilly at times.
      Flashes of heat.
      Chilly, mostly on limbs.
      Copious perspiration.

      Unusual perspiration of feet.

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                             Acidum Hydrocyanic

                         Acidum Hippuric
Its chief action is on the external tissues of the eyes and nasopharynx, joint surfaces, liver and mucous membranes. Right side especially affected, general muscular soreness.

Acid Hippuric

Head
Pain over right eye, dull, constant, worse in warm room. Eyelids inflamed and swollen.
Throat.
Sore, raw, dry, swallowing difficult, foul odor,
gummy exudate; thickness and infiltration of all tissues around throat.

Stomach

Acid Hippuric

Acid rising. Lump in pit of stomach. Soreness and pressure over liver.

Female
Menstrual flow for three weeks with complete relief of muscular and joint pains.

Extremities
Backache extending down hips. Pain in shoulders and extremities and sore swollen

Acid Hippuric

joints. Pain in middle of thigh posteriorly shooting down right leg. Tired, grating sensation in the joints.

Skin
Itching, burning. Papules looking like goose flesh on chest.

Relationship
Benzoic acid seems to be an analogue.

Dose
Lower potencies.
(Proved by Dr. Wm. B. Griggs)

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                 Acidum gallicum 
Natural History.
      Gallic Acid. C7 H6 O5.

Acidum gallicum

      Trituration.

Clinical.
      Asthma.
      Constipation.
      Debility.
      Delirium.
      Hemorrhages.
      Phthisis.
      Urticaria.

Characteristics.
      Gallic acid is the well-known astringent, derivative of Tannic acid, obtained from galls or oak-apples.
      It is used in old-school practice as a local application to arrest hemorrhages.
      A case is recorded (H. W., xxviii. 502) in which the application of an ointment containing Gallic acid, or the insertion of a tannin suppository for piles, caused an attack resembling hay asthma, with an eruption of urticaria.
      The experience was repeated several times before the cause was found out.

      This is sufficient to show that Gall-ac. Is truly homeopathic to pulmonary cases, in which it has been largely used by the old school as well as the new.
      In pulmonary hemorrhage, and in the excessive expectoration and the night-sweats of phthisis it has been found of especial service.
      Marcy, of New York, has recorded the case of a young lady who had a cavity in the left lung, with copious purulent expectoration, night-sweats, evening fever, pulse 130.
      Under the prolonged use of Gall-ac. IX she recovered her normal health except that the left lung remained dull and she had great shortness of breath on the slightest exertion.
      Her flesh, strength, and general appearance were as when she was in perfect health.
      Bayles says it rapidly checks secretions, give general tone to the stomach, increases appetite and removes constipation.
      This last must be a homeopathic effect.
      Gall-ac.
      Is used in popular practice to check excessive menstruation.
      Prominent symptoms in the proving are: Weakness with irritability.
      Excessive dryness of mouth and throat.
      Sense of contraction of anus.
      Jerking of limbs.
      Itching of skin.


Relations.
      Compare: Quercus, Tannin., Bacil., Ars-i., Phos., etc. Phos. relieved pain in right lung.

Mind.
      Wild delirium at night, very restless, jumps out of bed, sweats profusely, afraid to be alone, insists on constantly being watched, is exceedingly rude and abuses every one, even his best friends, jealous of his nurse and curses every one who speaks to her (a patient taking massive doses for aneurism).

Eyes.
      Photophobia and burning itching of lids.

Nose.
      Discharge thick and stringy.
      Nose-bleed.

Mouth and Throat.
      Gums sore left side around decayed tooth.
      Dryness of mouth, fauces, and throat, with bad taste in deep sleep and dreams at night.
      Increased roughness and secretion of phlegm in throat.

Stomach and Abdomen.
      Appetite lessened, with astringent taste in mouth at noon.
      Slight nausea.
      Stool later than usual leaving smarting, aching, faint, sick, hungry, and gnawing sensation is bowels, extending to stomach, with nausea lasting most of afternoon.
      Gnawing, faint sick sensation in bowels and extending upward to stomach, with an astringent sensation in same.

Stool and Anus.
      Sensation of contraction of anus, requiring a greater effort for expulsion at stool, which comes at length in bulk as if accumulated there.
      Stool delayed.
      Smarting, especially in rectum.

Urinary Organs.
      Urine increased.
      Some red sediment.
      (Hay asthma.)

Respiratory Organs and Chest.
      Pain in right lung, lessened on lying down nine PM, not so severe in morning, worse by coughing, yawning and full inspiration.
      (Cavity in left apex, purulent expectoration.)
      Some aching middle and upper part of lungs, more in left, extending through muscles of neck and right shoulder and down upper part of spine, worse moving and turning head, morning.

Limbs.
      Jerking of limbs.

Skin.
      Itching in various parts.
      Urticaria.

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                  Acidum Formicum

Tuberculosis, chronic nephritis, malignant tumors; pulmonary tuberculosis, not in third stage, however; lupus; carcinoma of breast and stomach; Dr. Krull uses injections of solutions corresponding to the third centesimal potency; these must not be repeated before six months. Chronic myalgia. Muscular pains and soreness. Gout and articular rheumatism, which appear suddenly. Pains usually worse on right side, motion and better from pressure.
FAILING VISION. Increases muscular strength and resistance to fatigue. Feels stronger and more "fit" in ordinary walking. Marked diuretic effect, greater elimination of products of disassimilation, particularly urea. TREMOR. Tuberculosis, chronic nephritis and carcinoma, lupus, etc., have been treated successfully with injections of Formic acid of a dilution corresponding to the 3d and 4th centesimal. In prescribing it for varicose veins, polypi, catarrh, Dr. J. H. Clarke orders an ounce or two of a solution of Formic acid to the proportion of one part of the acid to eleven of distilled water. Of this one teaspoonful is taken in a tablespoonful of water after food once or twice daily. Pain in aponeurosis and muscles of head, neck and shoulders before a snowstorm. Dr. Sylwestrowicz of the Hering Research Laboratory of Hahnemann college, Philadelphia, contributes his experience with FORMIC ACID as follows:
"The best field for the formic acid treatment are cases of atypical gout. Under this classification are to be mentioned disturbances in the muscles such as myositis, periostitic processes of the bones in form of doughy swellings, changes of the fascias such as Dupuytren's contraction, skin troubles such as chronic eczema, psoriasis and loss of hair, kidney disturbances such as subacute and chronic nephritis. In these cases FORMIC ACID in 12X and 30X, hypodermically 1 cc. Is indicated at intervals of 2-4 weeks. Eight till twelve days after the first injection an aggravation is often noticed. In acute rheumatic fever and acute gonorrhoeic arthritis FORMIC ACID 6x, every six days 1 cc., sometimes 12X in sensitive patients shows often splendid results abolishing the pains and preventing reoccurrence. Chronic arthritis needs a special discussion. Clinical experiments of the Hering research Laboratory of the Hahnemann Medical College of Philadelphia on a great number of cases of arthritis with FORMIC ACID showed that it preferably acts on the ligaments, capsula and bursa of the joints. Such kind of cases respond very readily to treatment. The prognosis depends to a large extent upon the etiology of the case. The most satisfactory cases are chronic arthritis in connection with gouty diathesis. Chronic arthritis following an attack of acute rheumatic fever shows also remarkable results although often pains of a neuralgic character persisting in certain spots are very stubborn. Finally chronic arthritis of traumatic nature can be cured by formic acid. In the latter case FORMIC ACID 6x showed quicker and better results than 12X or 30X which are indicated in the previous cases. In general the disappearance of

the stiffness of the joint is the first sign of improvement. Then the pain and swelling cease gradually in 1-6 months time. The prognosis of the formic acid treatment is not so favorably in chronic arthritis in which deformans processes have already taken place on the articular surfaces. Such processes in the beginning can be checked completely, advanced cases frequently show an improvement. But there is always the possibility that this improvement is only temporary. This is particularly to be expected in the cases of the so-called arthritis deformans in which even the inflammations on the ligaments and capsula are of a very progressive character."

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                       Acidum Fluoricum
It takes a long time for this remedy, in the proving, to develop its symptoms. It is a very deep-acting medicine, and an antipsoric, antisyphilitic and anti-sycotic.

Acidum Fluoricum

It is insidious in its action and its symptoms are slow in approach; it is like the deepest and slowest and most tedious diseases, the miasms, and hence it is suitable in the very slowest and lowest forms of disease.

While it has in its nature some febrile action, it is not for this purpose that it is oftenest called for its most typical febrile action is very slow and insidious. It corresponds to overheated states of the system, old cases of nightly fevers, coming on week after week and year after year.

It is an unusually hot-blooded remedy at times, and again it has conditions of coldness. In the evening and night great heat seems to evolve from the body without increase of temperature. The skin becomes very hot.


That patient is often < from warm things, < from covering, < from warm air; suffocates somewhat like Puls. in a warm room. He wants to bathe the face and head in cold water; such bathing is grateful.

The feet burn and are put out of bed in the night; he hunts around in bed for a cool place for the feet and bands. The soles perspire, and the palms perspire, and the sweat is acrid, making the parts sore; excoriation from the sweat between the toes.

The perspiration is offensive; offensive, acrid sweat between the toes. Burning, unusual heat and acridity are words that modify a great many symptom s; an acrid lachrymation or other discharge from the eye; acrid discharge from the nose, acrid sweat, etc.

Sensation of burning and burning pains in parts; heat evolved from the body as a chronic state. Aggravation from heat, from outward heat and from inward heat, belongs to this remedy. It is a strong feature, of this remedy to be worse from drinking tea and coffee. Warm, drinks bring on a diarrhea, or flatulence, or disturbance in the stomach, and cause indigestion to manifest itself in various way The symptoms are worse standing and sitting and better in the open air.

It is a remedy of great depth of action. It so disturbs the functions that there are peculiar outward signs in the nails, in the hair, in the skin; they are all imperfectly developed.

Skin: Whenever such is the case, we know that a remedy has great depth of action and that it is very long acting. It forms like incrustations here and there upon the skin that seem to have no tendency to heal.

A crust forms, but there seems to be no healing beneath the crust. The hair loses its luster; it falls out, and if examined closely under the microscope it is seen to be necrosed; little ragged ulcers will be found along the course of the hair.

The ends of the hair are dry, the hair mats and splits and breaks, becomes ragged in masses and lustreless. The nails are crippled, likewise corrugations in the nails; the nails grow too fast and grow awkwardly; that is, they are deformed and crippled, too thick in some places, and too thin in others; break easily, brittle.

There is a tendency to breaking down of a slow character, where the circulation is very feeble and the skin is near bone or cartilage as in the cartilages in the ears, and in the cartilages of joints.

Ulcers develop over the tibia. There is feeble circulation in the hands and feet and they become cold. In the evening the extremities burn and are feverish, because that is the time of the feverish state; but in the morning and in the daytime there is coldness of the extremities.

The patient is pallid and sickly, and at times becomes waxy and dropsical; oedema of the extremities, and particularly of the lower extremities; oedema of certain parts; oedema of the prepuce.

When a debilitated subject, one suffering from bone and cartilaginous troubles, contracts gonorrhoea, with it he will have enormous swelling of the prepuce, and nothing seems to act upon it. Fluoric acid will cure oedema of the prepuce with gonorrhoea in such a subject. Cannabis sativa has the same symptom, but it is especially useful in robust cases.

Fluoric acid will prevent the manifestation of disease in sycotic subjects, will prevent formation of fig warts. It cures fig warts. It produces hardened, dry warts, and dry crusts upon the skin, and crusts not unlike rupia. It is useful in syphilitic rupia.

Bone affections stand out prominently. Necrosis, especially of the long bones, but also of the bones of the ear. It creates an offensive acrid discharge from the ear. It establishes an offensive oezena, an acrid discharge, with necrosis of the nasal bones.

Acidum Fluoricum

It is very analogous to Sil., and it is one of the natural followers of Sil. where Sil. has been too frequently repeated by persons who do not know that Silicea does its best in a single dose and that it is a long acting and slow medicine.

It not only antidotes the abuse of Sil., but also follows Sil., After practicing a while you will be surprised to observe the Pendulum like -action between beat and cold in various complementary remedies.

To make that clear I will illustrate it by using the series in which this remedy is set and to which it naturally belongs. You take a patient who is hot-blooded, who is always suffering from the heat, from too much clothing and too warm a room especially in the evenings, a patient that is tearful and sad, and may be a blonde.

Why you say, I am trying to describe a Pulsatilla patient. Well, yes; anyone can see that. Puls. is a hot-blooded patient, but after using that remedy a while you notice that the patient goes to the other extreme and becomes chilly, and wants much clothing; the heat is taken out of the case. Sil. is the natural follower of Puls., and you would be astonished to know bow often a patient leaving Puls. runs toward Sil.

Sil. goes deeper into the case, it does more cutting, and it is the, natural chronic of Puls. Other remedies of course follow Puls., but Sil. more frequently than any other medicine. Now, that is the second step; the patient has gone from a warm to a cool state; the overheated state has been lost and he has gone into Sil., but when Sil. has been administered for a while it cures the cold state, and removes the chilliness of the patient (remember, however, that Sil. has at times something of Puls. in it; in some of its complaints it is < from being overheated) and the patient under Sil. goes back to the warm state again, becomes hot-blooded, wants the warm covers thrown off, wants to be lightly covered.

Then it is that this medicine comes in the series. Fluor. ac. follows Sil. as naturally as Sil. follows Puls. They exist in threes.

Series: There are other remedies that exist in threes, but the most common ones you will think of will be:

Sulph., Calc. and Lyc.;

Sulph., Sars. and Sep.; and

Coloc. and Caust. and Staph., which often follow each other and rotate in this way.

Do not let these facts make you give a routine remedy unless the symptoms agree, but it does help to remember that remedies are somewhat similar. It is true that Puls., Sil. and Fluor. ac. are similar all along the line as to the nature of their symptoms.

Puls. corresponds to more acute disturbances, or to the earlier stages of chronic disease, the more active or violent operations of chronic disease. It will take off the wire edge of the disease, and it will be followed by some medicine that is complementary to it, always to be determined by the symptoms that arise.

There are cases that would be greatly injured by so deeply acting a remedy as Sil. if given in the beginning, that is, the suffering would be unnecessary; but if you commence with Puls. you can mitigate the case and prepare it to receive Sil., providing the two would appear to be on a plane of agreement.

A very serious case had better first receive Puls., and the way being paved by that remedy follow it up with Sil.

Bones: Think of the remedy, then, in vicious bone diseases, in necrosis and caries, in fistulous openings, fistula leading to the teeth, fistula lachrymalis and fistula in ano; in calcareous degenerations; in deformity of the nails, hair and teeth; in affections of the thigh bones and leg bones, with chronic fistulous openings leading to bone discharging pus which excoriates the parts all around.

The patient is over-sensitive; is made worse if the bowels do not move regularly; is distressed if the menstrual flow is slightly delayed; suffers if the call to urinate cannot be immediately attended to, hence, as in the text, "headaches > by micturition."

Headache: That symptom is all that is given in the text; but remember something that is analogous to it, viz.; If the call to urinate be not attended to the headache will continue to grow < until the urine is avoided.

That is a peculiar symptom, and it sometimes leads to the study of Fluor, ac. Violent congestive headache with beat and fullness. Violent occipital headaches, worse from motion.

Now, if we take into consideration its great depth of action, we will see furthermore that it is suitable in some brain diseases. In persons who have overworked, who have been working day and night to establish a business, or to keep it up, and when there has been constant use of the brain it is suitable.

Mind: In mental depression and melancholy, with great sadness, in young men who have destroyed the nervous system by vicious practices, by secret vice. It is particularly suitable for that disorder of the human economy where men have continuously changed their mistresses.

There is a state in which a man is never satisfied with one woman, but continually changes and goes from bad to worse until he is a debauchee. If a young man cannot keep away from women, he is not so bad off if he will only keep to one, but he goes from one to many, until he stands upon the street corners and, in his lust, craves the innocent women that go along the street.

Fluoric acid is suitable in that state, like Picric acid and Sepia, and these medicines are particularly suited to that condition of enfeeblement of the mind and that disorder of the human economy that makes man so low, that we have the state described as "low mindedness."

It takes that form in one who is a sort of debauchee, running after alt sorts of things to tickle his fancy, but it takes another form in a man who stays at home with his good wife. He takes an aversion to his children and to his dearest friends and his wife, that is, he has lost that true and noble and orderly affection and friendship and companionship which ought to exist, and he fights against it.

An orderly man considers his wife his best friend and he would rather stay with her than go anywhere else. To him there is no place like home. Now, when man arrives at the state when he wants to go somewhere else, that he wants to go away from home, that be is disturbed at home, that everything annoys him at home, that be no longer loves his children as he once did, he needs Fluoric acid.

"Feeling of indifference towards those he loves best."

The Sepia state is like this, but Sep. is more frequently indicated in women. The woman will say,

"Doctor, there is one thing that I regret very much, and that is, I do not seem to enjoy my children, my home, my companions, my husband and my friends.

There is a sort of alienation."

Such is the way it is told where it is Sepia. In the man it is more commonly Fluoric acid, in the woman more commonly Sep., but this need not necessarily be so. Sepia corresponds more closely to the condition of the uterus and ovaries, and such conditions, as the woman alone can have. (Compare Calcarea.)

Men: Fluoric acid has with this state an overwhelming sexual erethism.

He is kept awake nights by erections. This state of desire forces itself upon him, not only when he is with the opposite sex, but at all times. At times, in the beginning of a gonorrhea, this condition of priapism and intense uncontrollable sexual desire, with swelling of the foreskin is overcome by Fluoric acid. There are times when this priapism demands Canth., but that remedy differs wholly in its nature from this.

Mind: Reticence and silence; sitting and saying nothing. This reticence is like Puls., and often belongs to the insane who will sit in the corner and say nothing all day, never uttering one single word, and hardly answering when spoken to.

A patient sits in the corner and says nothing and does nothing, eats when food is offered, is led to her room when the time comes, resists nobody, answers nothing; such a state is found in Pulsatilla, and is closely allied to this remedy.

There, is some insanity in it, but especially the fatigue and mildness of a the brain. Mental exhaustion from overwork or from vices.

It is suitable after Sil. in the spinal affections that are attended with paralysis, trembling and numbness in the soles of the feet. It will often stop the progress of structural nervous diseases and prevent the, case from getting worse.

Veins: An excellent and very useful feature of this remedy is its ability to produce varicose veins and varicose ulcers.

The veins become varicosed anywhere, but particularly upon the lower limbs, especially following pregnancy.

Hemorrhoids protrude after a stool; the anus and rectum protrude, and there is some bleeding, because of the hemorrhoidal condition. Varicose conditions with very old ulcers upon the lower extremities; the varicose veins ulcerate.

You might predict what kind of ulcer and what kind of a margin Fluoric acid would produce. We see the feebleness of its circulation, we see its tendency to create hard crusts, and hardened, horny skin and eruptions.

We might now easily assume that the inflamed borders of an ulcer would become indurated, hard and glassy. The margins of ulcers are indurated and the ulcer is an old, indolent ulcer.

Parts once broken will not close up. Union will not take place between the broken ends of bones, there is no repair. From bones and from ulcers, we have the foetid, acrid, thin, watery discharges, or at times very scanty discharges, but acrid, burning the parts all around, raising eruptions and scurfs around the ulcers.


From the feebleness of the circulation one might suppose that numbness would naturally be present, and it is true.

The ears become numb, the scalp becomes numb, there is a sensation as if the back of the head were made of wood. The scalp loses its sensation, the hair falls out and crusts form. The extremities become numb and there is numbness of the feet and bands extending upwards; numbness, with or without dropsy; numbness in spinal affections; numbness in brain diseases. Numbness of the limb not laid on.

"Crusta lactea; dry scales; itches very much, bald places.

Caries of the temporal bone; discharges offensive smelling pus periodically." "whole left side of the head retarded in growth, left eye seems smaller."

Skin: That is a clinical state, but it is significant.

Its use in syphilis must not be overlooked. in old cases with exostoses, caries and necrosis, cases that have been mercurialized, and treated by other drugs until ulcers have developed or those affections of the nose that we have often observed in syphilitic states. He blows small pieces of bone out of the nose; great pain in the nose; nasal bones all destroyed, and the nose becomes flat as though only a soft piece of flesh with perforations.

The vulva is eaten off and the tonsils become honeycombed by syphilitic ulcers.

Lingering, low forms of ulcers and eruptions. The teeth decay or break off or ulcerate at the roots; fistulous openings from the root of the tooth, continuing to discharge.

Many a time has this remedy taken away that ulcer of the root, closed up that fistulous opening, cured the pain, saved the tooth.

"Craves cold water and is continually hungry."

Often that "all gone" sensation in the stomach. Is always eating and is relieved from eating, but like Iodine it does not last long, for soon be becomes hungry again. Such medicines are very deep. We see that they go, to the very root of assimilation and nutrition.

Chronic ulcers of the throat not necessarily syphilitic, but it is particularly useful in the old forms of syphilis; not generally so suitable in the earlier ulcers as in those that are associated with the tertiary forms, with debilitated states, with brain disease, with nervous symptoms that go on for years when the patient is supposed to be cured.

Very often the trouble will come back in the throat, and the ulcers consist of little gummatous growths. Sil. especially covers such a condition, and Sil. is also one of the most useful medicines for rooting out Mercurius.

In potentized form sil. and Merc. are inimical, yet the high potencies of Sil. will antidote crude Mercury.

This patient craves pungent, highly seasoned things. The appetite must be tickled; there must be some inducement to eat. At times the appetite is changeable in spite of the fact that he is overwhelmingly hungry; he cannot eat, yet he is > when the food is in the stomach, > after eating.

The most vicious kind of chronic diarrhea with this low feeble constitution, in insidious complaints.

"Morning diarrhoea."

The itching of the anus is sometimes intense; protrusion of the anus during defecation; profuse haemorrhage after stool; constipation with piles; itching around and in anus, in perineum, etc,

This drug is also suitable in the dropsy of drunkards. They are very often liver dropsies. Old cicatrices become red around the edge surrounded by itching vesicles, itching violently; squamous eruptions upon the body; dry, cutaneous eruptions upon the body, very scaly.

"Sensation as if a burning vapor were emitted from the pores of the body."


Especially under the covers there is this sensation of great heat, tremendous, like steam. It is not in fever. He has no fever but it is a chronic state of giving out heat without thirst, or increase of temperature.

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