# Nitricum Acidum

## Remedy Classification
- **Type:** Homeopathic Remedy
- **Miasm:** Syphilitic Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Morning

## Keynote Indications
Source:  Derived  from  nitric  acid  (HNO₃),  a  highly  corrosive  mineral  acid,  prepared  for. homeopathic  use  through  serial  dilution  and  succussion  to  enhance  therapeutic  action  while. eliminating material toxicity, in accordance with homeopathic pharmacopeia standards. Traditional  Context:  Historically  employed  in  homeopathy  for  mucosal,  dermatological,. psychological, gastrointestinal, and systemic disorders , particularly those involving ulcerations,. irritability, and chronic debility. It is noted for symptoms such as fissures, warts, anxiety, and. offensive discharges, often aggravated by cold, night, or emotional stress, and ameliorated by. warmth, rest, or gentle motion. Modern  Context:  Indicated  for  mucosal  conditions (e.g.,  oral  ulcers,  anal  fissures),. dermatological  conditions (e.g.,  warts,  psoriasis),  psychological  conditions (e.g.,  generalized. anxiety disorder, obsessive-compulsive disorder),  gastrointestinal conditions  (e.g., peptic ulcer. disease, hemorrhoids), and systemic conditions (e.g., chronic fatigue syndrome, cachexia). It suits. patients with acute or chronic symptoms characterized by  ulcerations,  warts,  anxiety,  offensive. discharges, or debility, typically exacerbated by cold, night, or emotional stress, and often seen in. individuals with irritable, cachectic constitutions. The remedy is particularly relevant for those with. mucosal or dermatological conditions, often presenting with symptoms like painful fissures or. persistent warts, commonly observed in patients with anal fissures, warts, or generalized anxiety. disorder triggered by stress, cold exposure, or chronic illness.

## Modalities (Aggravations / Ameliorations)
Worse from: Cold (weather, air, drinks), night, touch, emotional stress, acidic/spicy foods,. moisture, anticipation, solitude, exertion, washing, morning, sitting, defecation.

## Symptoms by System

### Mind
- Mind is weak.
- Weakness of memory.
- Confusion.
- Indifference.
- Thoughts vanish after mental exertion.
- No disposition to work to perform any serious business.
- Mind eas ily affected, inclined to weep.
- Weeps from 
discontent of himself.
- Sensitive to noise, pain touchjar.
- Impetuous during daytime.
- Anxiety from thinking about it.
- Anxiety about health.
- Fear of cholera, death.
- Easily frightened.
- Anxiety from 
night watching, loss of sleep.
- Anxiety during a thunderstorm.
- Anxiety on ascending steps.
- Restlessness 
after midnight.
- Discontented, with everything, with himself.
- Pessimism.
- Sadness.
- Taciturn.
- Despondency.
- Hopeless despair.
- Refuses consolation on one’s misfortune.
- Sadness before menses.
- Suicidal disposition with fear of death.
- Sympathetic.
- Holds grudges.
- Constantly thinks about past troubles.
- Unmoved by apologies.
- Estranged from 
family.
- Hatred of persons who had offended.
- Inveterate 
ill-will.
- Anger, over his mistakes.
- Irritable, hateful, vindictive, headstrong.
- Irritability when spoken to.
- Excitability, peevishness, quarrelsome.
- Violent anger.
- Fits of rage and cursing.
- Trembling from anger  while 
quarrelling.
- Profane, cursing.using vulgar language.
- Quar relsome delirium, talks to spirits in other tongue.
- Delusions, thought he was about to die, yet is not physically ill.
- Mind is weak.
- Weakness of memory.
- Confusion.
- Indifference.
- Thoughts vanish after mental exertion.
- No disposition to work to perform any serious business.
- Mind eas ily affected, inclined to weep.
- Weeps from 
discontent of himself.
- Sensitive to noise, pain touchjar.
- Impetuous during daytime.
- Anxiety from thinking about it.
- Anxiety about health.
- Fear of cholera, death.
- Easily frightened.
- Anxiety from 
night watching, loss of sleep.
- Anxiety during a thunderstorm.
- Anxiety on ascending steps.
- Restlessness 
after midnight.
- Discontented, with everything, with himself.
- Pessimism.
- Sadness.
- Taciturn.
- Despondency.
- Hopeless despair.
- Refuses consolation on one’s misfortune.
- Sadness before menses.
- Suicidal disposition with fear of death.
- Sympathetic.
- Holds grudges.
- Constantly thinks about past troubles.
- Unmoved by apologies.
- Estranged from 
family.
- Hatred of persons who had offended.
- Inveterate 
ill-will.
- Anger, over his mistakes.
- Irritable, hateful, vindictive, headstrong.
- Irritability when spoken to.
- Excitability, peevishness, quarrelsome.
- Violent anger.
- Fits of rage and cursing.
- Trembling from anger  while 
quarrelling.
- Profane, cursing.using vulgar language.
- Quar relsome delirium, talks to spirits in other tongue.
- Delusions, thought he was about to die, yet is not physically ill.

### Vertigo
- Vertigo with obscuration of sight.
- Vertigo with nausea followed by eructations.
- Vertigo with weakness, 
must sit down.
- Vertigo with pulsation in head and pressure in middle of brain.
- Vertigo when raising head after 
stooping.
- Vertigo in evening, after lying down.
- Vertigo in morning on rising.
- Vertigo during menopause.
- COMMENTS - Affinity for the mucocutaneous orifices and adjoining parts, particularly the intes tines, throat, 
and mouth.
- The mouth, especially in the angles, and anus are prominent seats of syphilitic action and also of the action of 
the other miasms, the condylomata and fissures of sycosis, the fissures, fistula, hemorrhoids and sore mouth 
of psora.
- Salivation, sores in the mouth, sore throats.
- Mouth symptoms are often confused with Merc.
- Characteristic offensive discharges, thin, excoriating.
- If purulent, they are a dirty yellowish green, not laudable 
pus.
- Ulcers on the skin and in the mouth.
- Ulcer s have profuse exuberant granulations and bleed easily.
- Suppuration.
- Painful scars.
- Characteristic sticking pain, as if from splinter, in any part of the body.
- Pain comes aftertouch or movement.
- Pains, even slight ones, affect him violently.
- Cramp -like pai ns, stinging, shooting, burning, pressure and 
soreness.
- Twitchings in various parts, frequent starts in upper part of body.
- Left sided paralysis.
- Sensitiveness to touch runs through the entire symptomatology including the symptoms of the mind.
- The head 
is sensitive to the slightest jar, to the rattle of wagons in the street, or even to the step of one walk ing across 
the floor, to the pressure of a hat, sensitive to combing and on part lain on.
- Eruptions and ulcers bleed easily when touched.
- Eyes are sensi tive to light.
- Sensi tiveness of the head while 
out driving, stop ping suddenly.
- The tongue is sensitive even to soft food.
- Chilly.
- Easily catches colds.
- Hyperallergic, multiple allergies.
- Excessive physical irritability, hysteria.
- Anxiety (Ars.), obsession about their health.
- Fixed ideas that they have 
a disease.
- Extremely pessimistic.
- Negative attitude, irritable, complaining.
- Arrogant.
- Hateful and vindictive.
- Prostration, sick feeling, faints from least motion.
- Deafness, epilepsy, better riding in carria ge.
- Emaciated.
- Ailments from nursing loved ones (Cocc., Caust., Nux-v.).
- Night watching (Caust., Cocc., Nux-v., Care., Phos.).
- Exhausting sweats towards morning, chilly.
- Profuse, fetid sweats on feet, hands or in axilla.
- Flashes of heat in 
hands and feet.
- Sudden rush of blood to the chest.
- Hectic, frequent hemorrhages, bright, red, profuse.
- Hemorrhages occurring 
in cachectic women after confinement or abortion.
- Shatp stitches through right chest to scapula.
- Tuberculosis 
 
 
when the chest walls are extremely sore to touch.
- Great dyspnea, cannot talk for getting out of breath.
- Morning hoarseness.
- Tickling cough, seems to annoy all 
night, at times loose and rattling.
- Loud rales through chest, offensive sputa, bloody.
- Strong smelling urine, very offensive.
- Typhus w hen pneumonia supervenes, also when the bowels 
hemorrhage.
- Stools are green, slimy offensive, may be purulent, exhausting.
- Slimy stools from excess of 
mucus passed with much straining.
- Stools may be pale, pasty, sour, and offensive, especially in scrofulous children.
- The stool is putrid in children, 
may contain lumps of casein.
- Dysentery and colitis.
- Tendency to acute or chronic diarrhea.
- Diarrhea with every 
cold (Ars.).
- Diarrhea from diet, or since antibiotics.
- Rawness and soreness of the anus wit h diarrhea.
- Pain after stools, whether loose or constipated.
- As if anus 
and rectum were torn and pierced, violent pains after stool lasting for hours.
- Anal fissures with bloody stools 
and mucus.
- Anal warts.
- Burnett made a cure of actinomycosis with Nit-ac.
- 3x in a patient who had seen many London consultants and 
had doubtless taken much Kali-i.
- The localities in which the disease manifested itself, the region of the mouth 
and anus, gave Burnett his indication.
- H.
- N.
- Coons recorded the case of an anemic woma n who, four weeks after miscarriage, had constant pelvic 
hemorrhages, at times coming with a gush, a constant heavy feeling, much worse standing or walking.
- Nit-ac.
- 2x, 20 drops in three ounces of water, a teaspoonful every two hours, quickly ar rested bleeding and cured.
- W.
- M.
- James cured a case in which a girl had frequent attacks of petit mal, sometimes as many as fifty a day, 
between the periods.
- At the beginning of menses she had spasms so violent that they dislocated both humeri.
- Giving Nit -ac.
- 200c p ersistently gradually put an end to the attacks.
- The first few times after beginning 
treatment, there were spasms but no dislocation.
- D.
- C.
- Perkins related the case of a woman who said she was very ill, but could only describe her illness by 
saying that she “felt 
Nitricum acidum 
like a pulp -mill.” Nit-ac.
- has “borborygmus as if a boiler was working in the bowels,” and proved to be the 
remedy.
- Mohr gave Nit-ac.
- 3x to a man who suf fered from liver cancer with bloody diarrhea, followed by constipation, 
and violent pains in the stomach and liver.
- He was unable to sleep or to take any food without much pain, 
vomiting.
- Nit-ac.
- removed the pain and relieved the constipation entirely, and the patient died without an hour’s 
suffering from the time he received treatment.
- J.
- H.
- Fulton cured M., 28.
- with one dose of Nit -ac.
- 200c.
- M.
- had bleeding hemorrhoids for eighteen mouths.
- He had frequent bloody and slimy stools, and bright red blood after stools ranging in quantity from a dessert 
spoonful to half a tea cupful.
- When the stools were hard there was much pain in passing them.
- Burning in the 
anus after stools.

### Head
- Head feels hot.
- Sensation of a band around head.
- Crushing head pains.
- Headaches from pressure 
of hat, full feeling, worse from street noises.
- Painful tension within head with nausea.
- Headaches as if head 
were in a vice.
- Piercing pain in temples.
- Pulsating headache.
- Violent throbbing, hammering pains.
- Headaches, worse motion and jar, better riding in a carria ge.
- Skull sore.
- Decay of mastoid bone.
- Scalp 
sensitive.
- Puffy swelling on scalp.
- Moist scabby, itching eruption on scalp.
- Falling of hair from vertex.
- Head feels hot.
- Sensation of a band around head.
- Crushing head pains.
- Headaches from pressure 
of hat, full feeling, worse from street noises.
- Painful tension within head with nausea.
- Headaches as if head 
were in a vice.
- Piercing pain in temples.
- Pulsating headache.
- Violent throbbing, hammering pains.
- Headaches, worse motion and jar, better riding in a carria ge.
- Skull sore.
- Decay of mastoid bone.
- Scalp 
sensitive.
- Puffy swelling on scalp.
- Moist scabby, itching eruption on scalp.
- Falling of hair from vertex.

### Eyes
- Sharp, sticking pains.
- Gonorrheal ophthalmia, photophobia, constant lach rymation.
- Syphilitic iritis.
- Ulceration of cornea.
- Fistula lachrymalis.
- Double vision.
- Eyelashes, stiff, all point towards nose (right).
- Paralysis of upper eyelids.

### Ears
- Very sensitive to noise  (Coff., Nux- v.).
- Cracking in ears when chewing.
- Decay of mastoid.
- One’s 
speech echoes in ears.
- Deafness from enlarged and indurated tonsils after measles, better noise in trains or 
riding in a carriage.
- Swelling of glands behind and beneath ears.
- Cystic tumors on lobes of ears.

### Face
- Yellow, sickly.
- Dark freckles.
- Pimples on face.
- Blood boils on chin.
- Comedones.
- Peeling of lips.
- Angles 
of lips raw, cracked or scabby.
- Corners of mouth raw, cracked or scabby.
- Stitches as from splinters in upper 
lip when touched.
- Submaxillary glands swollen and painful.
- Cracking in jaws when chewing.

### Mouth
- Putrid breath.
- Salivation.
- Bloody saliva with green coating on tongue.
- Sore palate.
- Ulcers in soft 
palate with sharp, splinter-like pains.
- Ranula.
- Bites 
J the tongue and cheek.
- Gums, swollen, 1 sore, flabby.
- Gums bleeding inner side.
- Margin of mouth covered with sores and blisters.
- Nose - Nosebleeds, dark, clotted with chest affections, worse crying.
- Allergies, hay fever.
- Nasal diphtheria 
with watery and excoriating discharge.
- Frequent sneezing, without coryza during sleep.
- Coryza with shortness 
of b reath.
- Coryza with sore and bleeding nostrils.
- Chronic nasal catarrh with yellow offensive, corrosive 
discharge.
- Ozaena.
- Green casts from nose every morning.
- Stitches, as of a splinter in nose.
- Cutting pain in 
the nose, decay of bones.
- Red, scurfy tip.
- Perspiration - Sweats easily, then takes cold.
- Exhausting profuse sweats in morn ing.
- Sweats in axillae, on 
feet and hands (in spinal injuries).
- Night sweats on part lain on.

### Throat
- Dryness and heat in throat.
- Sharp, stinging pains, with rawness as if sore and ulcerated.
- Throat pain 
goes into ears.
- Sharp pains, as from splinters, on swallowing.
- Difficult swallowing.
- Cut ting in the larynx.
- Diphtheritic patches on tonsils and fauces.
- Uvula and tonsils edematous.
- Tonsils, red, swollen, uneven with 
small ulcers.
- Hypertrophy of tonsils, after angina.
- Hawks out mucus from pos terior sinuses.
- White patches.
- Hoarseness.
- Aphonia with dry, hacking cough from tickling in larynx and pit of stomach.
- Tongue - Tongue, clean, red with center furrow.
- Moist fissured or mapped tongue.
- Painful p imples on the 
sides of the tongue.
- Tongue sensitive, even to soft food, causes smarting.

### Chest
- Congestion in the chest with palpitations and fear.
- Sensation as if bound by an iron band.
- Catching at 
every attempt to breathe.
- Stitches in sides  of chest.
- Soreness at lower end of sternum.
- Offensive sweat in 
axillae at night.
- Constitutions - Hydrogenoid constitution.
- Sycotic remedy.
- Persons who have chronic diseases and take cold 
easily, disposed to diarrhea.
- Acts best on the dark complex - ioned, middle age or older.
- Persons of dark, 
swarthy complexion with black hair and eyes, lean persons of rigid tissue.
- Brunette rather than blonde.
- Nervous 
temperament.
- Old people with great weakness.
- Nervous palpitation caused by slightest mental excitement.
- Palpitations and anguish on going upstairs.
- Palpitation with heat, anxiety and trembling, during menses.
- Pulse rapid and small beats.
- Pulse intermits at 
fourth beat, irregular.
- Kidneys - Infective nephritis.
- Contracted kidney.
- Cramps from kidney to blad  
der.
- Burning and stinging.
- Dyspepsia wi th excess of oxalic acid, uric acid and phosphates in urine and great 
mental depression.
- As of a hot tire in urethra.
- Painless retention or incontinence of urine.
- Stream thin, as from 
stricture.
- Urine, smells strong as horse’s or offensive.
- Urine feels cold when it passes, alternately profuse 
and scanty.
- Scanty, dark offensive urine.
- Urine bloody and albuminous.
- Al ternation of cloudy, phosphatic 
urine with profuse urinary secretion in old prostatic cases.
- Hematuria with shuddering along the spine.
- Shortness of breath  on going up stairs (Sil., Calc.).
- Panting breathing when reading or stooping.
- Short breath from uterine displacements.
- Cough in sleep without waking.
- Cough shattering from a dry spot in 
larynx, with stitching pain in lumbar region, w orse cold, winter.
- Empyema.
- Expectoration, muco -purulent, 
yellow, bitter offensive, smeary, accompanied with sweat.
- Hemoptysis.
- Cavernous tuberculosis.

### Stomach & Abdomen
- Dyspepsia with excess of oxalic acid, uric acid and phosphates in urine and great mental 
depression.
- Dyspepsia from abuse of salt.
- Esophagitis.
- Pain in cardiac orifice.
- Eructations sour, empty.
- Eructations during menses.
- Indigestion and nausea.
- Nausea with sour belch- ings, cannot take food.
- Nausea 
with occasional vomiting, better riding in a carriage.
- Bitter and sour vomiting with much eructation.
- Vomiting of 
tenacious or bloody mucus.
- Vomiting of mucus and food, from cough.
- Teeth - Yellow teeth.
- Teeth feel elongated.
- Coldness in teeth.
- Teeth as if soft and spongy.
- As if teeth would 
fall out.
- Decay of teeth.
- Teeth become loose, gums soft and spongy.
- Toothache on taking anything cold or hot 
into mouth.
- Toothache and swelling of gums during menses.
- Pulsating, stinging in evening in bed and all 
night.
- Gums red and enlarged between teeth.
- Gums white, swollen.
- Itching on gums.
- Bleeding of gums.
- Temperature - Icy coldness of soles.
- Chilly, continuous.
- Chi lls after lying down.
- Chills from least exposure.
- Chills in room or at fire.
- Chills in waves up each side of spine and over chest.
- Chills with aversion to heat.
- Chills with internal heat.
- Dry heat, at night, with violent thirst.
- Heat flushes with sweat on hands.
- Heat flushes 
of single parts, or over entire body.
- Dry heat, internal, at night, wants to uncover.
- Blood seems hot at night, 
causes sleeplessness.
- As of a dry, hot cloth on ab domen.
- Colic relieved from tighte ning clothes.
- Inguinal hernia of 
children.
- Appetite variable or absent.
- Great hunger with sweetish taste.
- Great thirst.
- Aversion to cheese, bread, 
sight and smell of meat.
- Dislikes meat, things sweetened with sugar, bread.
- Longing for indigestible things, 
chalk, earth.
- Loves fat, herring and salt (Sulph.).
- Craving for cheese, fish, carbonated drinks, sweets.
- Worse 
 
 
milk and fatty food.
- Worse after eating.
- Bitter taste after eating.

### Urinary & Genital
- Itching, burning foreskin.
- Edema of prepuce.
- Phimosis.
- Strictures from gonorrhea or syphilis.
- Soreness 
and burning in glans and beneath prepuce.
- Ulcers, burn and sting, exude offensive matter.
- Red, scurfy spots 
on prepuce or on corona glandis.
- Phagedenic chancres.
- Menses early, profuse like muddy water with pain in back, hips and thighs.
- Leucorrhea, brown, flesh-
colored, watery or stringy, stains yellow or leaves spots with black border.
- Bloody water from vagina or  
hemorrhages from overexertion.
- Uterine hemorrhages after childbirth or curetting.
- Vaginitis.
- Stitches through 
vagina.
- Voluptuous itching of vagina after sex.
- External parts sore with ulcers (Hep., Merc., Thuj.).
- Hair on 
genitals falls out (Nat-m., Zinc.).

### Extremities
- Offensive foot sweat, causing soreness of toes with sticking pain, chilblains on toes.
- Offensive sweat 
in axilla at night.
- Sweating of palms, hands, cold.
- Warts on back of hands.
- Finger joints swollen.
- Herpes 
between fingers.
- Blue nails.
- Nails, distorted,  discolored, yellow, curved.
- In - grown nails with ulceration and a 
feeling of splinter, worse touch.
- White spots on nails.
- Tibia painfully sore.
- Pain in patella, impeding walking.
- Weak ankles, cracking when walking.
- Liver - Jaundice, aching in liver.

### Neck & Back
- Stitching pain in lumbar back when coughing.
- Pain in back at night, better ly ing on abdomen.
- Stitches 
in and between scapulae.
- Stiff neck.
- Breasts - Hard nodes or atrophy of breasts.
- Causations - Ill effec ts of loss of sleep from nursing the sick.
- Injury to spine.
- Antibiot ics drugs, penicillin, 
mercury.

### Skin
- Chronic fatigue or weakness, with a sensation of prostration or sinking, resembling.
- chronic fatigue syndrome, worse with cold, exertion, night, or morning, often with.
- cold extremities.
- Wasting  or  emaciation,  with  a  tendency  to  weight  loss,  resembling  cachexia,.
- aggravated by cold, chronic illness, or stress.
- Bone pains or sensitivity, with a sensation of soreness, resembling osteomalacia,.
- worse with cold or night.
- Tendency to systemic debility, with aggravation in cold or cachectic states.

### Sleep
- Sleepiness during day.
- Drowsy all day from debility with vertigo.
- Shocks on going to sleep.
- Pains come 
during sleep.
- Starts in fright on falling asleep.
- Frequent waking and inability to fall asleep again after a long 
time.
- Sleeplessness after 2 a.m.
- Sleeps badly latter part of night.
- Sobbing during sleep, with anxious dreams.
- Anxious, unrefreshing sleep with frightful dreams.
- Wakes too early in morning, or difficult waking.

### Generalities
- As if a mouse running up and down left side.
- Pain as from splinters in eruption.
- As if splinters 
in great toe, in carbuncles, etc.
- As if a band about or weight hanging to the part.
- As if head in a vice from 
ear to ear over vertex.
- As if someone were forcibly pressing head, head tightly bound, constricted by tape, 
contused.
- As if a gathering in left temple.
- As if warm water were flowing from and  
over eyes (first right, then left).
- As if teeth soft and spongy.
- As if abdomen would burst, as if a boiler working 
in bowels.
- As if a band around bones.
- As if dogs were gnawing flesh and bones and as if sinews were being 
pulled up.
- As if ball of great toe had been frozen.