Antimonium Arsenicosum – From Boericke’s Keynotes to Clinical Applications

Scientific Name: Antimony Arsenite
Source: Combination of Antimony Trioxide (Sb₂O₃) and Arsenious Acid (As₂O₃)
Origin: Mineral
Miasm: Tubercular, Syphilitic
Thermal State: Chilly
Family: Mineral Compounds
Common Abbreviation: Ant. ars.


KEYNOTES (Boericke + Allen Combined)

"A remedy of slow but sure action, especially adapted to old people, and for chronic, degenerative, respiratory and cardiac affections with marked prostration, dyspnoea, and dropsy."

  • "The Anti-Tubercular + Anti-Cardiac-Respiratory Remedy"
  • For degenerative affections of the lungs, heart, and kidneys with weakness and breathlessness 


CLINICAL INDICATIONS

Respiratory Conditions:

  • Emphysema with excessive dyspnoea on least exertion
  • Asthma in old people with weak heart
  • Chronic bronchitis, bronchial catarrh, productive cough
  • Crepitant rales, frothy expectoration
  • Pulmonary fibrosis or tuberculosis, early or advanced

Cardiac Conditions:

  • Cardiac asthma, dyspnoea at night, must sit up
  • Weak heart with cold sweat and prostration
  • Dropsy due to heart failure
  • Irregular heartbeats, feeble pulse

Other Indications:

  • Chronic nephritis with edema
  • Old age degeneration – heart, lung, kidneys
  • Weakness, restlessness, cold sweat, exhaustion


MIND SYMPTOMS

  • Mental dullness, indifference
  • Anxiety from breathlessness
  • Fear of suffocation at night
  • Restless but too weak to move


GENERAL SYMPTOMS

  • Extreme weakness, prostration after slight exertion
  • Edema – face, limbs, especially ankles and feet
  • Chilly, wants warmth
  • Sweat with slightest motion
  • Emaciation with puffiness – old age degeneration


COUGH & CHEST

  • Loose, rattling cough
  • Difficult expectoration – grayish, frothy, tough
  • Suffocative attacks at night, must sit up
  • Cannot lie down, fear of dying
  • Painful respiration
  • Wheezing, crepitant rales on auscultation


HEART & CIRCULATION

  • Cardiac dyspnoea
  • Palpitation, irregular pulse
  • Heart failure, especially with chest diseases
  • Cold sweat on face, especially during dyspnoea
  • Dropsical swelling of limbs


MODALITIES

Worse From

Better From

Lying down, especially at night

Sitting upright

Motion, exertion

Rest, warmth

Cold, damp weather

Warmth of bed/clothes

After slight physical effort

Open air (sometimes)

POTENCY & DOSAGE

  • Commonly used in 3X, 6C, 30C
  • Lower potencies preferred for organ support (lungs, heart)
  • Use repetition cautiously, especially in weak patients


COMPARE WITH:

Remedy

Key Comparison

Antimonium tart.

More rattling, wet cough in children or aged

Arsenicum alb.

More restlessness, burning, thirst, acute stage

Digitalis

Slow, irregular pulse, more cardiac weakness

Lobelia inflata

Asthmatic attacks with sinking feeling

Carbo veg.

Collapse with cold sweat, gas, and asphyxia

MEMORY AID – “ANTIMONY + ARSENIC = LUNG + HEART FAILURE”

  • A – Asthma, aged patients
  • N – No strength, great prostration
  • T – Tight chest with rattling mucus
  • I – Irregular heart beat
  • M – Must sit up, cannot breathe lying
  • O – Old age, organ degeneration
  • N – Night suffocation, edema
  • A – Arsenic-like anxiety + chilliness
  • R – Rales and crepitation in lungs
  • S – Sweaty, suffocating, sitting up to breathe


POPULAR USE CASE

Used in elderly and weak patients with chronic lung or heart disease where dyspnoea, frothy sputum, and swelling are prominent. Especially if the patient has no vitality, sweats easily, and must sit up at night to breathe.


CONCLUSION

Antimonium Arsenicosum is a deep-acting, organ-supportive remedy used in degenerative cardiac and respiratory conditions, especially in aged, weak, chilly individuals with dyspnoea, cough, dropsy, and restlessness. It balances the action of Antimonium tart. and Arsenicum alb., offering a gentle yet powerful support in chronic asthma, emphysema, cardiac asthma, and kidney disorders.


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