Question

An old man complaining of chronic diarrhoea and shortness of breath on going upstairs reported in OPD. On examination, his tongue is clean, red and wet with central furrows with bloody saliva and multiple ulcers on soft palate. The most suitable remedy is :

• A. \( \text{Arum triphyllum} \)
• B. \( \text{Fluoric acid} \)
• C. \( \text{Nitric acid} \)
• D. \( \text{Silicea} \)

Hint:

\textbf{Homeopathy: Polycrest Remedies.} *Nitric acid* is a polycrest remedy with a wide range of applications, often involving ulcerations, mucous membrane affections, and various systemic symptoms. Careful consideration of the specific symptom picture is crucial for its indication.

Answer 1

The Correct Option is C

The combination of symptoms presented suggests a specific homeopathic remedy. Let's analyze the key features: Chronic diarrhoea and shortness of breath on going upstairs:** This indicates involvement of both the gastrointestinal and respiratory systems, with exertion exacerbating the breathing difficulty. Tongue is clean, red and wet with central furrows:** This is a notable tongue appearance. Redness suggests inflammation, and central furrows are characteristic of certain remedies. Bloody saliva and multiple ulcers on soft palate:** This points to inflammation and ulceration in the oral cavity, with a tendency to bleed. Considering these symptoms together, Nitric acid (*Acidum nitricum*) is a homeopathic remedy that aligns well with this picture. Keynotes for *Nitric acid* can include: Ulcerations in mucous membranes, including the mouth, which can be painful and bleed easily. Diarrhoea that can be chronic. Shortness of breath, which can be related to underlying weakness or other systemic involvement. A fissured tongue. The combination of oral ulcers with bleeding, chronic diarrhoea, and shortness of breath, along with the specific tongue appearance, makes *Nitric acid* a strong contender. Let's briefly consider why the other options are less likely: Arum triphyllum: This remedy is strongly associated with raw, sore throat, and burning sensations in the mouth and throat, often with cracked lips and a red, raw tongue. While it can have oral symptoms, the diarrhoea and shortness of breath are less prominent in this context. Fluoric acid: This remedy can have ulcerations and affect mucous membranes, but it is often associated with a feeling of heat, and the overall symptom picture doesn't match as closely. Silicea: *Silicea* is often indicated for weakness, chilliness, and issues related to pus formation. While it can have foot sweat and some skin or mucous membrane involvement, the specific combination of oral ulcers with bloody saliva, chronic diarrhoea, and shortness of breath with the described tongue is less characteristic. Therefore, based on the totality of the symptoms, *Nitric acid* is the most suitable homeopathic remedy.