Materia Medica

Nux Vomica

Written by Dr. Manisha Bhatia

Dr. Manisha Bhatia presents Nux vomica materia medica. Nux Vomica personality is ambition, driven and irritable. Nux symptoms include constipation with ineffectual desire.

Nux vomica is a member of the Loganiaceae family. The medicine is prepared from dried seeds of the plant. Nux vomica contains as active principles two alkaloids known as Strychnia and Brucia.

Strychnia being a poison causes restlessness, trembling of the limbs, stiffness of the neck and jaws constriction of the throat and tetanic convulsions with opisthotonos. These Strychnia convulsions are re-excited by impressions made on the senses, particularly by the slightest touch, and the patient is conscious throughout the attack. In Nux vomica, as Strychnia is its principal ingredient, we will find running all through its symptomatology this over-impressibility; that is, everything impresses the patient excessively. External impressions such as sounds, odors and noises excite him, and this symptom is characteristic of the drug.

Nux vomica is one of the best remedies with which to commence treatment of cases that have been drugged by various medicines to counteract those chronic effects. Nux vomica is a polycrest remedy with the bulk of symptoms corresponding in similarity with the most common diseases of our modern era. Nux vomica is useful for those persons who lead a sedentary life, doing much mental work, or those who remain under stress from prolonged office work and business worries.

Dr. Hahnemann said “Nux vomica is chiefly successful with persons of an ardent character; of an irritable, impatient temperament, disposed to anger, spite or deception.” Nux vomica is best adapted to the thin, spare patient with an irritable and nervous temperament who is prone to indigestion and hemorrhoids.

The Nux vomica individual is very impatient, competitive and ambitious. The major focus of his life is his work and achievement. This person is compulsive with his work. People of such temperament have a focused nature and often have strong, aggressive personalities. This anger is very characteristic of Nux vomica. The patient can be irritable, at first only sporadically, but as he becomes more pathological the irritability becomes anger, then rage, then frank violence. He becomes infuriated at the slowness and insufficiency of his co-workers. Even an inanimate object can anger the patient: he may tear his shirt if the button doesn’t come out easily.

Nux vomica patient is very competitive in all aspects of his life. He must win even at the cost of his own health. A Nux vomica patient finds it difficult to accept the limitations of anything and he cannot resign himself to circumstances. To keep up with work pressures, he uses various stimulants like coffee, cigarettes, drugs, alcohol, or even sex. From all this come the bad effects of stimulants as initially they may help him to cope , but later on, toxicity develops and the entire nervous system becomes overwhelmed and oversensitive. Such patients are easily subject states of collapse from over work or abuse of substances or from indulgence and excess. The Nux patient is also very fastidious and becomes angry if objects are not in their proper place.

Nux vomica has a characteristic peculiarity of waking in the morning, falling back to sleep, then waking again feeling worse. He has a bitter taste in his mouth and his tongue is coated. There is a dull headache and he is constipated. All this happens because of inappropriate sleep or we can say sleeplessness. His mind is so wrought up that his thoughts run around and don’t let him sleep. There is a typical morning aggravation with waking at 4 a.m.

The Nux patient is very chilly and has a repugnance to cold and cold air. He feels cold from the least movement or from uncovering. He must be covered in every stage of fever, chill, heat and sweat.

On the physical plane, Nux vomica pathology centers largely on the gastrointestinal tract. There is marked craving for spicy and fatty food, alcohol, bear and stimulants. Hiccough; from overeating . Eructations are sour, bitter; nausea and vomiting especially in the morning and after eating. The patient feels “I would be better, if I could vomit”. Stomach pain worse after anger; worse from tight clothing and better by warmth. Soreness of abdominal wall, worse after eating. Peptic ulcers and gastritis in workaholic patients. Uneasy, fitful and fruitless urging for bowels to act; > stool. Constipation, inactive peristalsis. Strains hard at stool; feels as if a part remains unexpelled.

The nervous system seems bound up and works against itself. This is described best by Kent: “Another state running through Nux is that actions are turned in opposite directions. When the stomach is sick, it will empty its contents with no great effort ordinarily, but in Nux there is retching and straining as if the action were going the wrong way, as if it would force the abdomen open; a reversed action; retches, gags, and strains and after a prolonged effort he finally empties the stomach.

– The same condition is found in the bladder.

– He must strain to urinate.

– There is tenesmus, urging.

– The bladder is full and the urine dribbles away, yet when he strains it ceases to dribble.

In regard to the bowels, though the patient strains much, he passes but a scanty stool. With diarrhoea at times, when he sits on the commode in a perfectly passive way, there will be a little squirt of stool, and then comes on tenesmus so that he cannot stop straining, and when he does strain there comes on the sensation of forcing back; the stool seems to go back; a kind of anti-peristalsis.

Nux vomica also has its action on the liver. There is hypertrophy and swelling of the liver caused by high living, debauchery, and drunkenness. A region of the liver is so sore, that the patient constantly loosens his clothing to relieve the oppression.

Nux vomica is also a very good remedy for colds. In the first stages of coryza the nose feels dry and obstructed, despite an acrid watery discharge and frequent sneezing . The catarrh is fluent in the morning but dry at the night time. It is worse in a warm room but better in the open air. Catarrh is frequently associated with headache, heat in the face and chilliness. The nostrils feel sore as if ulcerated.

Nux vomica affects very strongly the nervous system. Initially there are many twitchings and jerking, similar to Hyoscymus and Agaricus. There are severe neuralgic pains, particularly of the head.

On the physical level of the Nux vomica image, a general impression is that Nux primarily creates functional difficulties. It does not have the deep degenerations that are characteristic for example, in Arsenic, which has deep spreading ulcerations and gangrenous putrefactions.

In this article I have tried to provide a broader image of the Nux vomica patient, because in practice, we should match the image of the patient with the image of the medicine, not merely with the separate symptoms.

About the author

Dr. Manisha Bhatia

M.D. (Hom), CICH (Greece)
Dr. (Mrs) Manisha Bhatia is a leading homeopathy doctor working in Jaipur, India. She has studied with Prof. George Vithoulkas at the International Academy of Classical Homeopathy. She is the Director of Asha Homeopathy Medical Center, Jaipur's leading clinic for homeopathy treatment and has been practicing since 2004.

She writes for about homeopathic medicines and their therapeutic indications and homeopathy treatment in various diseases. She is also Associate Professor, HoD and PG Guide at S.K. Homeopathy Medical College. To consult her online, - visit Dr. Bhatia's website.


  • The psychological characteristics match almost perfectly with me. Not able to get a cure for oral ulcers, from which I had been suffering for over 20 years, I was prescribed Nux Vomica 30 around 8 months ago and I have not had those painful ulcers since. Those who have had them know the suffering they cause.

  • Hi,
    I am Ranjan Karia. My son is 11 years old . He is having allergic asthama . He had bronchoneumonia when he was 2 months old. After that he had to be hospitalised for severe cough at the age of 11 months. He frequently has cough and cold.
    My mother-in-law has severe asthama. My husband and brother-in-law has mild allergic cough pboblems. My son, Neel feels completely alright when he is ouyside Bombay. He hardly requires any medicines there not even for few months after coming back.
    I have tried my best not to give him any allopathymedicine. I initially tried local homeopathy doctors. I tried four homeopathic doctors continuing each for atleast 2 years.
    Surprisingly enough first year with all the doctors went smoothly with pboblems arising in the second year with each doctors.
    I could never understand why this happens?As according to me my child’s resistance should increase after taking the homeopathic medicine. With the results I was getting I could not understand the differance between the homeopathy and allopathic medicines. So I dicided to consult the best doctor before leaving the hopes from homeopathty for ever.
    I went to DR. Farokh Master. MY child is under his treatment for last two and half year. Unluckily here too the same results wre repeated. My chld was responding very well for 1st year. But slowly medicines failed to show any effect. My son had pathetic one year . He was getting asthama attack of increasing frequency each time. I kept enough patience for the whole year thinking that conditions will soon improve. My son missed his routine life for all this time. He has to skip his schools at some important occasions . I feared to send him at birthday parties, school excursions, swimming classes which he had been going for last 3 years. I think his illness had started affecting his personality greatly.
    In a book I had read even homeopathy finds it very difficult to cure heriditary asthama . Well, initially I did not believe it or my family members who are also of the same opinion. But now even I am loosing trust in homeopathy.
    What as a doctor you have to say about it?I will eagerly wait for your reply.
    thank you.

    • Hi Ranjan,

      Children with asthma often have some family history of allergic disorders but I have not seen that as a difficulty in attaining complete cure in most cases. I cannot say why your child improves in the first year but starts going down after that as I do not have the full case and prescription details with me. One thing is definitely obvious – it usually happens due to mistake in case management. The doctor finds the right remedy for your child and the child starts improving. Then an acute (cough, cold, diarrhoea, fever) comes up or a skin complain comes up and that is suppressed either with allopathy or partially similar homeopathic remedies. This decreases the health status of the patient and the child starts getting sicker again. The doctor often loses trust in his initial selection and changes the remedies – to no avail. Because the problem was not in the initial remedy selection but case management. And then you change the homeopath!
      Homeopathy can still help your child become alright. It’s just the matter of hitting the right homeopath!

      • if this mismanagement happens would it help if the homeopath went back to the original remedy which had helped the first year?

    • Hello Mr.Ranjan,

      I am not a doctor. However, i have family members who had asthma and allergy. Even i have nasal blockage-alternates from left to right nose.

      Anyways, coming to your son. These days the kids don’t go out to play as much as we used to do. So, there is a sufficient deficiency of Vitamin D3–sunlight provided this to us when we used to run and play outside for hours.

      Please get some VitaminD3–800 IU atleast and give it your kid every day once.. Also, please verify this with one of your allopathic doctors– he may do a blood work to measure the current vitamin D levels. But this vitamin has a significant impact on our immune system. Most of our trouble start from the stomach. Kids these days are not getting enough physical activity as we used to get when we were kids. That lack of outdoor play is the root cause of all of these troubles.

      Hope your kid recovers soon. All kids deserve a great life. God bless your kid.

  • Realy Nuxvomica helps to remove the bad effects of Alcohol and improves the digestive system of the people who always sit and do.

  • Thank you for this succinct description of Nux vomica. It is ideal also from the practical aspects of dealing with the patient

  • Realy Nuxvomica helps to remove the bad effects of Alcohol and improves the digestive system of the people who always sit and do.

  • Dear Members,

    This is what as per my knowledge, people loose faith in homeopathy. Take any medicine, it requires time to adjust to yr bodies functionaity, secondly faith in what you are following and the person dealing i mean doctor. As per my knowlwdge and practice on myself itslef i have succeeded in over powering chronic cold and asthama’ reducng from frequent attacks say every month to now say after 4/6 months. But even today i am still trying to find the cause thst inspite of taking regular doses for the above i am finally attacked while travelling in an A/c car/train/plane.Can anybody suggest me somthing to just prevent this.I will welcome the suggestion.



  • Dr.
    The description is very brief but I was surprised a bit by the symptom, “The bladder is full and the urine dribbles away, yet when he strains it ceases to dribble” for Nux Vomica. Isn’t it for Bar-C? Or is this true only in case of old men with prostrate problems?

  • I frequently suffer from heartburn when i take beaf or spicy meals and for the treatment i am taking omeprazole with temporary relief.Dr can u suggest me any homeopathic remedy,will NUX be of any benefit

  • Dear Dr’
    i m a student of homeopathy. all charactristics and symptoms of nux match to me. i m sufferring with gastric problems and feels as if a part remains unexpelled and main symptom is that stool sticks with combode and hardly remove with flusshing of water, or brush. smell from mouth in the morning specially. slightly witish toung and yellow teath. i m taking nux 200 at the night time but no considerable improvement. can u suggest a remedy with potency to me
    I will eagerly wait for your reply.

    thanking in anticipation.

  • i thoroughly read the article and response.. i want to say ” it is the homoeopath who fails… but homoeopathy never fails… I’m not saying this as a homoeopath student but as a user of homoeopatic medicine.. i request ranjan not to loose hope your son will be alright.

  • Hi dr,
    I suffer from frequent night falls n headaches over frontal region. Does nux vomica suit ? If so then pl suggest me the trade name of product, how much to use, wen to use, any special precautions.
    Eagerly waiting for Ur reply

  • when Nux Vom 1x,3x,6 30 and 200 can be administered ? what are the basic characteristics based on ewhich potency to be selected ?

  • I am GERD patient. Nux Comics gives me relief. Is it safe to take nux vomica for a prolonged period ,ie for years or does it have side effects.

  • Hello, I am hoping for a quick response. My friend is in the final stages of breast cancer and has spread to her liver which is now causing it to shutdown. We are desperate to find something to help her. I was encouraged to purchase some Nux Vomica but am having some trouble finding some more information as to whether this would help heal her liver. I have been searching the web so much and now cross eyed. Do you feel that this could help her? She is very sick and extremely weak. Thank you in advance for your help

  • Very well done Doctor.Amazing article symptoms 100% match to myself.Now I am satisfied that I am taking right medicine.

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