Bismuth is one of our best remedies for cholera infantum; genuine cholera infantum, where the disease is sudden in its onset, and rapid it its course. Such cases die in a night or even a few hours, unless Bismuth, Veratrum, Kreosote or some remedy of such rapid action saves them. With Bismuth the stools are watery, profuse, painless and very offensive; cadaverous smelling. There is also vomiting of large quantities and the intense thirst is accompanied with vomiting of the water drunk the moment it touches the stomach. Water only is so vomited. Food is retained a little longer (with Arsenicum, both water and food are vomited). There is prostration equal to that of Arsenicum or Veratrum album, but the surface is warm and often covered with warm sweat. The face is deathly pale, with rings around the eyes. This is a perfect picture of Bismuth, and no other remedy need be confounded with it.

Again, Bismuth is a remedy for purely nervous gastralgia The pain is of a pressing nature, sometimes pressing between the shoulders and sometimes there is much burning in the stomach (Arsenicum). It is also often of benefit in cancer of the stomach, when there is at times vomiting of enormous quantities of food that seems to have lain in the stomach for days. In such cases there is much burning and pain. It has a restlessness and anguish, similar to Arsenic, wants to move around, can’t stay long in one place. In the neuralgic form of gastralgia the lower triturations have served me best, but in cholera infantum I never use lower than the 200th and have seen remarkable results. Solitude is unbearable, child wants mother to hold its hand for company (Stramonium).

Bismuth exerts its chief influence in the stomach and stomach region. It causes a pure gastralgia, not associated with catarrh like that of Nux. There is vomiting of large quantities and intense thirst, with ejection of water immediately after it is taken; food is retained a little longer. Burning, griping, lancinating, with dull pain in back or spasmodic vomiting. The pains are chiefly piercing, tearing, burning, cramping, and screwing. Headache alternating with gastralgia. There are tearing pressing pains in the bones of the hands and feet, spasmodic affections of the muscles of face and limbs. Hæmorrhages; the blood being dark, pitchy. Anæmia, and with this there is an itch-like eruption. Corrosive itching on side of tibia. Gangrene and gangrenous ulcers, bluish; or dried, parchment-like. Piedvache has recorded a case in which a Bismuth dressing applied to a burn produced the following results: Pseudomembranous stomatitis, with disseminated plaques, the membranes resting on black spots. Black borders on gums; loosening of the teeth. Pharyngeal angina (uvula, tonsils, and palatine arch); false membrane, slightly adherent, and of slight consistency; slate-coloured spots all over; later, sphacelus of soft palate. Vomiting, hiccough. Pain along œsophagus. Diarrhœa, albuminuria.

O. W. Smith has verified: “Pain in stomach > bending backward”; and “eructation tasting of food eaten twenty-four hours before.” Cold drinks and cold bathing > headache; toothache. When the water in the mouth becomes warm it Bending backward (pressure in spine). The patient is restless, moving about; anxiety.

According to Teste, Bism. corresponds to slow digestion, with fetid eructations; it is hardly ever indicated where eructations are inodorous or sour; or when gastralgia is accompanied by habitual constipation, without vomiting, or with vomiting of insipid ropy mucus. The stools are preceded by crampy, pinching pains in the stomach.

Teste cured with the oxide a wearing, nightly cough in a hysteric lady; and a case of sub-acute cystitis, with irregular paroxysms of crampy pains in the bladder; also a case of phlegmasia alba dolens (left); Petroz having cured another.


Discontented, morose, and complaining humour.─Inconstancy.─Aversion to solitude.─Delirium.─Delirium tremens.─Loss of consciousness.─Moral apathy and insensibility.

Head and Eyes.─Giddiness in the morning.─Vertigo, as if the brain were turning in a circle.─Stupor, with mist before the eyes.─Headache, chiefly in the sinciput, and extending even to the eyes.─Cutting pain in brain, beginning above, r. orbit, extending to occiput.─Pressive heaviness on the head, esp. on the forehead, above the root of the nose and in the temples.─Constant digging and piercing in the forehead, which extends to the eyes and point of the nose.─Headache attended by, or alternating with, gastralgia. Burning contraction in the head, esp. in the forehead and in the eyes.─Aching of the eyeballs.─Secretion of humour in the corner of the eyes.

Nose-bleed, dark blood.

Earth-coloured, sickly, and wan (with distorted features), with livid circle round the eyes.─Aching pain in the cheek-bones; > running about and holding cold water in the mouth.─Face pale and cold.

Teeth and Mouth.─Pressive, tractive odontalgia.─Toothache > taking cold water into the mouth, By cold water (drink).─Water is vomited as soon as it reaches the stomach.─Vomiting, convulsive gagging and inexpressible pain in stomach (after operations on abdomen).─Nausea, with inclination to vomit, esp. after having eaten.─Violent risings of a putrid smell.─Strong inclination to vomit, with violent retching.─Cancer of stomach.─Vomiting of brownish matter.─Vomiting (of bile) with oppressive anxiety, small pulse, vertigo and prostration.─Vomiting and diarrhœa.─Vomiting of all fluids (children).─Cramp-like and pressive pains in the stomach, esp. after having cater.─Pressure like a load in the stomach, esp. after a meal.─Burning in the stomach.─(Inflammation of the stomach.).─Borborygmi and rumbling in the abdomen.─Colic with pinching, pressure, and an inclination to go to stool.─Great inflation of the abdomen.─Abdomen bloated in ridges; rumbling of wind along colon, passes rarely, but then relieves.─Painful sensibility of the abdomen to the touch.

In the evening, ineffectual efforts to go to stool.─Aqueous diarrhœa of a putrid smell.─Stools: cadaverous smell.─Cholera; cholerine; fluids vomited as soon as taken.

Frequent and copious emission of aqueous urine.─Emission of urine entirely suppressed.

Aching pains in the testes.─Nocturnal pollutions without dreams.─Pressing, aching in the (r.) testicle.

Cough, day and night, with copious expectoration.─Aching in r. half of chest, near sternum, in a small spot.─Pressure and squeezing across the chest, in the region of the diaphragm.─Hot, burning constriction of the chest, with difficulty of respiration and of speech.─Burning and piercing in the chest and in the back.

Beating of the heart.

Pressive and drawing pain, with paralytic weakness in the forearms and in the bones of the wrist.─Trembling of the hands after eating.─Tearing in r. index finger, also in tips and joints of fingers.─Acute drawing pains under the nails of the fingers.─Excessive dryness of the palms of the hands and of the soles of the feet.─Cramp-like contraction of the hands and of the feet.─Sharp and pressive pains in the bones of the foot.─Itching and gnawing in the tibia and in the back of the foot, increased by scratching.─Tearing in maleolus of r. foot., in paroxysms, terminating in tendo-Achillis.─Thighs and feet bluish.

Sensation of heaviness in the inner parts.─Screwing pains.─Pressing pains (eyes, head, abdomen, testicles).─Pressing-tearing (bones of the hands and of the feet).─Cramp-like contractions in all the muscles.─Aching pains, or aching and pulling pains together.

Ulcers, gangrenous bluish.─Dry gangrene; parchment-like.─Burning smarting in the skin.

Languor and weakness.─Frequent waking, as if in a fright.─Night sleep disturbed by lascivious dreams, with or without emissions.─Great sleepiness in the morning after rising.─Awaking from sleep with a start, and in a fright.─Voluptuous dreams.─Lassitude on awaking in the night.

Coldness of the whole body, externally.─Great heat.─Flushes of heat, esp. on head and chest.─Intermittent, small pulse.

Reference: The Dictionary of Practical Materia Medica. J. H. Clarke. | Leaders in Homeopathic Therapeutics: E. B. Nash

  • Puneet Gupta

    patient vomiting as soon as water reach the stomach