Kali nitricum

Made from saltpetre — the nitrate of gunpowder and preserving, whose nitrate chemistry became modern cardiology's most famous drug family.

SourceMineral sourceMineral kingdom

The whole picture, in one breath

Think of asthma that owns the small hours: the breathlessness and suffocative cough that wake the sufferer between three and four in the morning, forcing them upright over the bedside, with a sense of constriction across the chest, and relief only as dawn comes. The 3 a.m. asthma: that is Kali nitricum.

The substance, in plain words

Potassium nitrate — saltpetre — is the nitrate of gunpowder, of bacon-curing, of the old 'nitre' febrifuge. Its nitrate chemistry is the direct ancestor of nitroglycerin and the whole nitrate family — modern medicine's first and most famous angina drugs.

The traditional picture Classical sources

The inner state

The body

Modalities (worse and better factors)

Worse from ⬇Better from ⬇
3–4 a.m.; cold damp weather; lying down; draughts.sitting up leaning forward; the approach of dawn; warmth.

Where it acts (organ affinities)

Bronchi and lungs (asthma), heart and chest, mucous membranes, night rhythm.

Where the classical picture comes from

The old 'nitre' febrifuge and the proving gave the remedy its small-hours asthma portrait; clinically it attached to the clockwork asthmatic whose 3 a.m. the whole household knew.

The substance in real medicine Pharmacology

What this section is: the pharmacology and toxicology of the source substance. It is not clinical evidence that a homeopathic preparation of it treats any condition. What controlled trials do and do not show is set out on the Evidence page.

Nitrate chemistry's real legacy is cardiology itself: nitroglycerin — an organic nitrate cousin of this very salt — has relieved angina since 1878 and remains a first-line heart drug, its mechanism (nitric oxide) winning a Nobel Prize. The asthma it portrayed is now managed with inhalers that work in seconds; the nitrate family it belongs to works in minutes.

Look-alikes (how the classical authors told it apart)

RemedyLooks similar because…Tells it apart because…
Arsenicum albumMidnight anxiety, asthmaArsenicum is chilly, fearful, sipping at midnight; Kali-nit is the 3 a.m. asthmatic leaning over the bed.
Kali carbonicumEarly morning asthmaKali-carb is 2–4 a.m. with the stitching back; Kali-nit 3–4 a.m. with the constriction band.
Spongia tostaConstriction, croupy coughSpongia is the dry laryngeal saw before midnight; Kali-nit the small-hours asthmatic.
Cactus grandiflorusChest constrictionCactus is the iron band about the heart with arm pain; Kali-nit the 3 a.m. asthma band.
Safety. Waking breathless at night, or chest constriction with sweating, needs urgent cardiac and respiratory assessment.
Compiled by Dr. Sohil Momin, BHMS · Open Materia Medica