In cases in which syphilis, or mercurialization, have brought the patient into a condition of susceptibility to consumption, which might never have occurred except for such a cause. Such cases occur and this remedy is indispensable. One of the first symptoms appearing is a pricking in the throat as from splinters. These prickings or silver – like pains may be found elsewhere, as in chest rectum, anus, etc., and are as characteristic as are the stinging pains of Apis. Affections of mucous outlets of body are common, as cracked corners of mouth, fissured rectum, vagina or bladder, flushes of heat in localities, or general (like Sulphur ). Great general weakness and tendency to sweats at night. Bowels tend to looseness (chronic diarrhoea) instead of constipation, etc. These are the general symptoms which are leading, and the patient is like Iodine oftener than otherwise of the brunette type with rigid fibre, dark complexion, black hair and eyes. The local symptoms are not so characteristic as under some other remedies; but hoarseness, cough dry or loose, shortness of breath are commonly present, and especially the stitching pains (like splinters) are much in evidence in the chest, as elsewhere. Bryonia and Kali carb. are sometimes used for them when Nitric acid would do better. Dunham gave as characteristic sticking pains in rectum when coughing; extremely strong and offensive urine (smelling like horse urine.).
Discharge acrid, watery, offensive, corroding upper lip in scarlatina, diphtheria or syphilis; or cracks, or ulcerations of nostrils, scurfy, bloody matter, with pricking as from splinters in the nose. Chronic nasal catarrh.