Tabacum
Nicotiana tabacum · Plant · Solanaceae
Tabacum suits individuals with a tendency to sudden collapse, extreme pallor, cold sweats, and violent nausea precipitated by motion. The typical patient is pale, cold, trembling, and nearly prostrate, with a sinking sensation at the stomach and relief only in open fresh air with the abdomen uncovered. It is especially suited to seasickness, morning sickness of pregnancy, and conditions of heart failure with intermittent pulse.
Key symptoms
- Deathly nausea with icy coldness and cold sweat
- Vomiting from least motion; worse on opening eyes
- Terrible sinking, faint feeling at pit of stomach
- Face deadly pale, sunken, covered with cold sweat
- Wants abdomen uncovered; uncovering relieves nausea
- Seasickness with violent vomiting and prostration
- Intermittent, feeble, imperceptible pulse
- Vertigo on opening eyes; sick headache with deathly nausea
- Angina pectoris with precordial oppression and cold sweat
- Complete muscular prostration and collapse
Worse (aggravation)
- Opening the eyes
- Any motion, including motion of a vessel
- In the evening
- Indoors or in a closed room
- Extremes of heat and cold
- Lying on the left side (causes palpitation)
- Rising up
- From stimulants
Better (amelioration)
- Uncovering the abdomen
- Open fresh air
- Cold affusion to head
- Weeping
- Vomiting

Tobacco
The symptomatology of Tabacum is exceedingly well marked. The nausea, giddiness, death-like pallor, vomiting, icy coldness, and sweat, with the intermittent pulse, are all most characteristic. Has marked antiseptic qualities, antidotal to cholera germs. Complete prostration of the entire muscular system. Collapse. Gastralgia, enteralgia, seasickness, cholera infantum; cold, but wants abdomen uncovered. Vigorous peristaltic activity diarrhœa. Produces high tension and arteriosclerosis of the coronary arteries. Should prove the most homeopathic drug for angina pectoris, with coronaritis and high tension (Cartier). Constriction of throat, chest, bladder, rectum. Pallor, breathlessness, hard-cordlike pulse.
Mind
Sensation of excessive wretchedness. Very despondent. Forgetful. Discontented.
Head
Vertigo on opening eyes; sick headache, with deathly nausea; periodical. Tight feeling as from a band. Sudden pain, as if struck by a hammer. Nervous deafness. Secretion from eyes, nose and mouth increased.
Eyes
Dim sight; sees as through a veil; strabismus. Amaurosis; muscæ volitantes. Central scotoma. Rapid blindness without lesion, followed by venous hyperæmia and atrophy of optic nerve.
Face
Pale, blue, pinched, sunken, collapsed, covered with cold sweat (Ars; Verat). Freckles.
Throat
Nasopharyngitis and tracheitis, hemming, morning cough, sometimes with vomiting. Hoarseness of public speakers.
Stomach
Incessant nausea; worse, smell of tobacco smoke (Phos); vomiting on least motion, sometimes of fecal matter, during pregnancy with much spitting. Seasickness; terrible faint, sinking feeling at pit of stomach. Sense of relaxation of stomach, with nausea (Ipec). Gastralgia; pain from cardiac end extending to left arm.
Abdomen
Cold. Wants abdomen uncovered. It lessens the nausea and vomiting. Painful distension. Incarcerated hernia.
Rectum
Constipation; rectum paralyzed, prolapsed. Diarrhœa, sudden, watery, with nausea and vomiting, prostration, and cold sweat; discharges look like sour milk, thick, curdled, watery. Rectal tenesmus.
Urinary
Renal colic; violent pain along ureter, left side.
Heart
Palpitation when lying on left side. Pulse intermits, feeble, imperceptible. Angina pectoris, pain in præcordial region. Pain radiates from center of sternum. Tachycardia. Bradycardia. Acute dilatation caused by shock or violent physical exertion (Royal).
Respiratory
Difficult, violent constriction of chest. Præcordial oppression, with palpitation and pain between shoulders. Cough followed by hiccough. Cough dry, teasing, must take a swallow of cold water (Caust; Phos). Dyspnœa, with tingling down left arm when lying on left side.
Extremities
Legs and hands icy cold; limbs tremble. Paralysis following apoplexy (Plumb). Gait shuffling, unsteady. Feebleness of arms.
Sleep
Insomnia with dilated heart, with cold, clammy skin and anxiety.
Fever
Chills, with cold sweat.
Modalities
Worse, opening eyes; evening; extremes of heat and cold. Better, uncovering, open fresh air.
Relationship
Compare: Hydrobromic acid; Camph; Verat; Ars. Compare: Nicotinum (Alternate tonic and clonic spasms, followed by general relaxation and trembling; nausea, cold sweat, and speedy collapse; head drawn back, contraction of eyelids and masseter muscles; muscles of neck and back rigid; hissing respiration from spasm of laryngeal and bronchial muscles).
Antidotes
Vinegar; sour apples. Camphor in the physiological antagonist. Ars (chewing tobacco); Ign; (smoking); Sep (neuralgia and dyspepsia); Lycop (impotency); Nux (bad taste due to tobacco); Calad and Plantag (cause aversion to tobacco); Phosph (tobacco heart, sexual weakness).
Dose
Third to thirtieth and higher potencies.

Nicotiana tabacum. Tobacco. N. O. Solanaceæ. Tincture of the fresh leaves collected before the flowers are developed.
Clinical
Amaurosis. Anæmia. Angina pectoris. Anus, prolapse of. Apoplexy. Asthma. Backache. Brain, anæmia of. Brain-fag. Catalepsy. Cholera. Cholera infantum. Colour-blindness. Constipation. Diarrhœa. Epilepsy. Freckles. Glands, enlarged. Heart, intermittent. Hernia. Hiccough. Idiocy. Leg, jerking of. Lip, cancer of. Masturbation, effects of. Ménière's disease. Œsophagus, stricture of. Optic neuritis. Pregnancy, pruritus of; sickness of; toothache of. Prostatorrhœa. Pruritus. Pyrosis. Rectum, paralysis of; stricture of. Sea-sickness. Speech, embarrassed. Strabismus. Tetanus. Toothache. Varicocele.

Tobacco. (Solanaceae)
Diseases originating in cerebral irritation followed by marked irritation of functions of vagi. Emaciation of cheeks and back. Complete prostration of entire muscular system. Sensation of excessive wretchedness. Icy coldness of surface; covered with cold sweat. Symptoms occur in paroxysyms - asthma, sick headache, vertigo, sneezing. Great despondency with indigestion, palpitation, intermittent pulse. Vertigo: death-like pallor, increases to loss of consciousness; relieved in open air and by vomiting; on rising or looking upward; on opening the eyes. Sick headache coming on in early morning, intolerable by noon, deathly nausea, violent vomiting; < by noise and light; periodical, lasting one or two days. Sudden pain on right side, of head as if struck by a hammer or a club. Dim-sighted: see as though a veil; strabismus, depending upon brain troubles. Amaurosis, from atrophy of retina or optic nerve. Face pale, blue, pinched, sunken, collapsed, covered with cold sweat (cold sweat on forehad, …

Stomach
Vomiting violent, with cold sweat, soon as he begins to move.
Stomach
Seasickness < by least motion and > on deck in fresh cold air.
Heart and Pulse
Palpitation, due to tobacco, tightness of chest, > by taking inspiration.

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Vertigo with qualmishness, better outdoors, worse indoors.
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Death-like paleness of the face, with sick stomach.
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Icy coldness from the knees to the toes.
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Icy coldness, cold sweats and intermittent pulse.
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Violent pain in small of back, during soft stool, with tenesmus and burning.

Phatak's chapter on Tabacum is available in the app.
Read Phatak in the appClassical texts are in the public domain. Educational reference only — not medical advice.