Nit-ac, Nitricum Acidum

Nit-ac in brief

• Nit-ac is a very common used, deep-acting remedy. That 's why Hahnemann introduced it as the only psoropsychosyphilitic remedy.

• It is widely used in the process of many viral diseases, cancers, digestive problems such as IBD, Fissure.
• Nit-ac special location is Orifices (Mouth, Genital, Anus)
• His special pain is Sticking pains, as from splinters. (Hep ₳ Nit-ac)
• Pains appear and disappear quickly (Bell ₳ Nit-ac)
• Blisters and ulcers in mouth, tongue, genitals; bleeds easily.
• Fissures, with pain during stool, as if rectum were torn.

• Offensive discharges
• Take cold easily and disposed to diarrhea
• Cachexia: Excessive weight loss + Physical irritability (Ars ₳ Nit-ac)

4 main axis of Nit-ac

1. Hypochondriasis / Anxiety (Ars)
2. Anger/ Hatred and offended from the past (Nat-m)
3. Slow growth HPV-like eruptions / Tumors and Deep pathology (Thuj) (Nit-ac ₳ Thuj)
4. Combination of Anger + Aggression (Merc)

Note that in clinical experiences, often Nit-ac is not spiteful and hypochondriacal at the same time.

Malicious

• His reaction to this intense anxiety and insecurity is a self-centered and belligerent behavior that gradually causes chronic mistrust + long-lasting anger and eventually hatred.
• His reaction to any adversity has two axes: Anxiety & Anger
• As if his self-centered and winning look are a sign of his intellectual independence.
• He hates the past , He is angry about today and is completely pessimistic about the future.
• Contemptuous: Hateful face, sharp look. The desire to humiliate others is seen in his face expression (Twitching in the corner of his left lip)

Stabbed from behind:

• Somewhere in his life, he has faced a severe crisis, for example, a trusted friend left him behind and he was greatly offended, and as a result, a deep grudge and hatred was formed. (Nat-m ₳ Nit-ac)
• Cancer has a lot to do with hatred. This relationship is evident in Nit-ac.

DDs

• Similar to Lach and to some extent Bell because of its sharpness and Ready for war.
• Adjacent to Ars, Phos, Kali-c due to severe health anxiety/fear of disease. (Nit-ac ₳ Phos) (Kali-c ₳ Nit-ac)
• Similar to Nat-m due to deep emotional wounds / Back-stabbing. It belongs to Sympathetic remedies
• Like Thuj A chronic and progressive disease but not mild. (HPV)
• Next to Ars, Phos, Sul in chronic inflammations of Lymph-nodes, brain, blood and liver. (EBV)
• Next to Merc is ulcerative aphthous eruptions with painful superficial neural involvement (Merc ₳ Nit-ac) (HSV-2)
• Next to Hep for throat pain, splinter-like as if. (Hep ₳ Nit-ac)
• Next to Puls for his growling and hating (Nit-ac ₳ Puls)

Menses

• Any effort and activity is associated with extra uterine bleeding (Calc)
• Menses early, profuse, like muddy water, with pain in back, hips and thighs.

Mucus membranes

Proctitis Tenesmus, Aching /Burning / Shooting pain and up to a few hours later Stool urgency Feeling of not emptying completely Spasmodic constipation / Painful prolapse of the rectum, Dry / Irregular stools Feeling of tightness Painful hemorrhoid / Fissure. Splinter-like pain after defecation, that continues up to an hour (Rat, Peon and to some extent Nux-v)	Gingivitis, stomatitis Painful Plague Corrosive / Painful mouth esp on tongue Geographic tongue Hairy Leukoplakia (EBV, HPV) File:Geographic tongue.jpg Geographic tongue	PID , Herpetic eruption Bloody / Foul-smelling / Green-Brown / Thin / Thick / Stretchy / Burning / Stringy / Offensive / Flesh-colored leukorrhoea Chronic Cervicitis (Ulcer) (Hep, Merc,Thuj) Leukorrhea which ends in Cervical ulcer, Vesicular rash, ulcers and penile chancre with foul smell (Kreos) Hair on genitals falls out (Nat-m, Zinc) File:Herpetic eruption.jpg Herpetic eruption	Urethritis Thick yellow secretions, Burning and stinging pain when urinating, Scanty urine, Cold and cloudy urine Dark, offensive (Smells like horse's urine), Hematuria Albuminous urine Cold urine on passing. Burning and stinging
Periostitis Severe and stinging pain, which may lead to exostosis of bone destruction (Foot soles, fingers, knees and head).	Tonsillitis, Parotiditis Dryness, Hawks mucus constantly Pain stitches into ears White patches and sharp points, as from splinters, on swallowing	Conjunctivitis , Blepharitis , Chemosis, Iritis, Keratitis Double vision; sharp, sticking pains Ulceration of cornea Discharging ophthalmia Photophobia, constant lachrymation Neonatal ophthalmitis	Rhinitis Inflammation and burning catarrh Watery and bloody coryza

Ulcers

• Corrosive wounds (Caust, Ars, Merc-c, Aur-m-n) with yellow, bloody, watery and smelly secretions
• Ulcerative Colitis, Crohn's disease

Vaginismus

• Itching, swelling and burning, shooting pains
• Swelling and burning, wounds and cracks in the vagina and penis.
• Painful intercourse (Nat-m, Sep)

Some points

• Very sensitive to noise, as the rattle of wagons over pavements (Coff, Nux-v) (Nit-ac ₳ Nux-v)
• Loves fat and salt (Sul).
• Short breath on going upstairs (Ars, Calc).
• Cough during sleep (Cham).

Modalities

• Agg evening and night
• Agg cold climate, and also hot weather.
• Amel while riding in carriage (Reverse: Cocc)

Relations

• Complementary: Ars, Calad, Lac-c, Sep
• Inimical: Lach

Miasms

1. EBV,
2. HSV-2
3. MTB