Ammoniacum

Dorema ammoniacum, Don. Nat. order, Urabelliferae. Common names, Gum ammoniac; (Persian), Oschak or Kandal. Preparation, Trituration of the gum, or solution in water.

Authorities.'^ la, 32 grains in 3 ounces of water; lb, same repeated; Ic, effects of fumes of the fluid distilled from the gum ; 2, woman, 42 years old, 30-40 drops aqueous solution; 3, man, 26 years old, 12-18 grains ; 4, "A," 1-30 grains, triturated; 5, "B," 2-15 grains in substance; 6, Jiihuel, 1-40 grains; 7, Wichjiiann ; 8, Stieglitz.

Mind

A melancholy mood, continued for several days a.

The whole day through, he was uncomfortable and in a melancholy mood b.

During the day, he was in a gloomy state of mind

He is uneasy and uncomfortable, and, whether walking or sitting, is out of humor b.

Illhumored

Morose temper

Incapacity for mental exertion

Disinclination for anything

Head p. 250

In afternoon, a slight sensation of confusion of the head

In the evening, there was confusion of the head, which incapacitated him for labor a.

Somewhat increased confusion of the head, after some hours, and sleepiness, with a sensation as if bruised in the limbs, and pains, continuing half an hour, in the course of the crural nerve

While reading, he was attacked with vertigo, which passed into a headache, and continued into the night

Heaviness of the head 6.

Violent headache (day and night)

The stitching pains pressing through the head were very distressing; these pains continued, with but little intermission, through the whole day

Later, the forehead was confused, with weakness of sight and heaviness in the loins a.

Pressive pains in the whole forehead and over the eyes (shortly after taking; lasts all day)

Pressive pain in the whole head, especially in the supraorbital region and occiput (at midday)

Pains were observed in a few hours through the whole forehead ; increased all day till evening, and prevented any intellectual labor (after 26 grains)

Aching in the forehead a.

Aching in the forehead, with confusion of the whole head, and such drowsiness that any effort or labor was utterly impossible

Aching in right half of forehead (10 oclock) a.

Transient, stitching pains in left temporal region (in one hour)

Tearings in left side of head b.

Late in evening, drawing in left zygoma, extending to temples a.

A furry sensation (Pilzigkeitsgefriihl) at the occiput a.

Stitching upon the occiput, where the hairs ceased; under the hair, pustules were formed b.

Where the hair ceases, isolated pustules b.

Frequently returning stitches, as from a knife, in the middle of the hairy scalp,l

Prickling in hairy scalp, returning next day; also in upper half of eyeball

Itching of the hairy scalp (more in the vertex and below), requiring him to scratch b.

Itching of hairy scalp more severe than before

Itching in hairy scalp of occiput on left side b.

Eyes p. 250

The eyes seem dry to him, with sensation as if there were a foreign body between the left upper eyelid and the eyeball b.

Pressure on the eyes, and a dull stitching, especially when stooping

Aching over eyes and in forehead, rather stronger in temporal region, continuing nearly the whole day, but moderately, being somewhat relieved after dinner

The pain in eye was less; drawing, stitching

Aching in upper part of eye b.

Morning, on waking, purulent matter in the inner canthi of both eyes, but especially the right

Sensation of a swelling under the tarsus, as if a little gland were swollen, though the finger could not detect any

Pricking throbbing in left upper eyelid, which returned the next day, followed by aching a.

Continual dull stitching pain in right lower eyelid, much increased by moving the eyelids, touching them, or stooping; externally, no change apparent

The pains in the lower eyelids had entirely disappeared ; only, in the right one, a small hardened pellicle might be felt

He cannot read without straining the eyes b.

Such a cloudiness before eyes that things which previously could be recognized from the room without difficulty, seemed now as if enveloped in a cloud

Blindness in evening

Dimness and obscuration of sight in evening, amounting almost to blindness; stars and fiery points moved with the eyes

Dimness of sight in the evening, and especially in the morning after rising, with increased warmth in the eyes a.

The daylight hurt his eyes, although the sky was overcast a.

Before the eyes, a cloud of dust was constantly waving,l

It seemed as if dust floated before the eyes (which were heavy from sleeping), and moved hither and thither; at the same time there was pressure upon the orbital region

Beams of light and sparks proceeding from the eyes, and a burning bright light, surrounded by brilliant colored rings, while others saw things as through a thick mist or cloud of dust, at evening

Ears p. 251

Deepseated tearings in right external auditory passage b.

Single transient stitches in right ear

Separate stitches in right ear

Fleeting stitches in right ear, at noon

There was a humming perceived in ears, which continued but a short time

Humming in ear, so violent as to injure the hearing

Clinking in left ear, while scratching the occiput (at 10 P.M.) 6.

Nose p. 251

Increased secretion of mucus from nose (immediately after) 6.

Frequent sneezing b

Profuse mucous discharge from the nose, I

Face p. 251

Her countenance changed, and she became quite pale,l

The lips were dry, and he experienced a burning sensation

Mouth p. 251

Dull, stitching, jerking pains in the two left lower incisors (which were sound), at 7 oclock

Profuse saliva

Short rheumatic stitches in left eyetooth

Dry roughness in the posterior part of the gums, with slight aching in pit of stomach

Thin yellowish coating on tongue

Yellow-coated tongue and bitter taste

Dry roughness of the point of the tongue and the gums,*:

Nose, mouth, and throat distressingly dry (on awaking)

Clayey taste b.

Bitter taste in mouth (immediately)

Bitter, rank taste

Flat taste in mouth, somewhat sweetish

No taste in forepart of tongue, but nauseating, bitter in pharynx; disappears after eating (soon after taking)

Throat p. 251

Sensation of fulness extending up into the throat (10 a.m.) a.

A sensation of fulness in the throat and gullet, almost inducing nausea a.

Sensation in throat and oesophagus of scraping and burning (16 to 24 grains)

Soon after taking, scraping sensation in the oesophagus

Sensation as if something were sticking deep in the throat, making it necessary to swallow b.

-Stitching from the region of the right submaxillary glands, extending into the mouth b.

Slight roughness of the throat 6.

In the throat, a roughness and dryness was present

After swallowing, sensation in throat, as from dry cough

Stomach p. 251

Eructations

Violent eructations (soon after)

Occasional eructations of a resinous odor

Eructations of a strong, resinous, bitter taste (immediately after 12 grains)

Increasing nausea

Nausea, almost vomiting (soon after taking)

Aching in stomach (immediately

After supper, aching in stomach

Sensation of heat and slight burning in the scrobiculus cordis, occupying a space as large as a child's head

Sensation of warmth and aching in pit of stomach

Aching in pit of stomach

Abdomen p. 251

Transient stitches under the ribs and above the navel, chiefly at the left side

Transient stitching pains under right short ribs, at 9 oclock

At 8 a.m., several transient fine stitches under the right short ribs, returning at noon and in the evening

Fine transient stitches under the right short ribs, in the oiecal region, and, after rising, in the right ear also

For nearly an hour after taking, transient short stitches under short ribs, on left side, and similar pains between the superior and anterior spinous processes of the ilium and left side of navel

On waking in the morning, dull, stitching, fleeting pains under the short ribs; similar pains in coecal region/.

Half an hour after dinner, slight transient cutting pain about the navel

Aching and tension, as if pressed together, about the navel, continuing only a few minutes (in half an hour)

Aching and tension below the navel, on the left side, from which was developed a peculiar, dull, stitching (apparently superficial) pain

Dull, stitching, transient pains between the crest of the left ilium and the navel, immediately; and subsequently similar pains in the caecal region

Dull, stitching, jerking pain in the region of the ciecum, disappearing again after some minutes; returning on change of posture, and especially when inclining towards the left side, when lying

Transient return of the pain in the CiEcum

Fleeting, dull, stitching pain in the region of the cjecum, but less than the day before

Single, fleeting stitches in the coecal region at 7.30 oclock

Pains similar to the previous coecal pains, and at a corresponding point on the left side, some minutes later

After 1 p.m., there was great rumbling in the abdomen, for half hour

Rumblings in abdomen, with confusion in forehead b.

Soon after taking, passage of strong-smelling flatus

In morning, copious discharge of sour-smelling flatus

At night, unusually free discharge of wind

After some hours, slight pains in abdomen

Slight pains in belly, with borborygmus

Chilliness, and wandering pains in abdomen, followed by an abundant mucous stool ; at the same time there was also a mucous discharge from nose, with frequent sneezing, and mucous expectoration (prover was at that time suffering from a coryza)

Slight griping in belly b.

Violent cutting colic (two hours)

Colic-like pains ensued in afternoon, but were transient

The pressure in pit of stomach, and the sensation of aching and heaviness in pubic region, seemed to alternate

The peculiar, dull, stitching, coecal pains, alternating with a similar pain in the corresponding part of the left side

Rheumatic pain in leftside of pelvis 6.

Distressing pain in region of pubis b.

Heaviness and aching in the pubic region

Repeated stitching in right groin, almost in the spermatic cords, returning in the evening (after 12 oclock) a.

The pain in the course of the crural nerve, extending itself towards the inguinal ring and the spermatic cord

Itching in right groin 6.

Jerking, drawing in left groin

Drawing pains about the lower abdomen

Stool and Anus p. 252

Pressure on rectum while sitting a.

Soft stool

Soft stool, accompanied by much flatus, after rumbling in the bowels 6.

After 9 a.m., very unsatisfactory soft stool b.

A soft evacuation after partaking of fruit, yet without any sufficient inclination

Stool soft, but without straining

Soft stool of dark-brown faeces

In morning, a pappy stool b.

After dinner, at 1.30, he had a pappy, fecal stool, having had an insufficient one in the morning 6.

After 1 p.m., several pappy stools

In afternoon, a pappy stool ensued, with rumbling in bowels

Next day (after 26 grains), the stools were sometimes fluid

Profuse diarrhoea mucosa (two hours)

Two copious stools

Profuse mucous stool (follows the chilliness and pains in lower abdomen)

Hard, sluggish stool

Difficult stool ; even when there was a slight sensation of urging to stool, the rectum was so inactive that the stool was only effected by much effiu-t, and with interruptions

The alvine evacuations were diminished, while the urinary discharge was increased ; at the same time the pain in the pubic region, at first but slight, became quite severe,l

Stool delayed till evening b.

Not till evening did his bowels move (contrary to his usual custom) b.

The stools were delayed two or three days, and were of firm consistence (after twelve days)

Constipation

Urinary Organs p. 253

Burning at orifice of urethra, diminishing interiorly/

Several fleeting stitches through the fossa navicularis

Increase of urine and sweat, but diminished alvine evacuations

For a couple of days, after urinating, some drops of urine were still discharged h.

The urine passed contained much lactate of urea h.

Absence of lactic acid and lactate of urea from the urine

The marked acid reaction of the urine, which continued for several days, arose from the surplus of uric acid, which was deposited for some time

The urine also contained much mucus

After a few days, many torulce were formed

Albumen was not present

Even when cold, the urine had a peculiar smell, and was more pungent than natural ; while evaporating, also, it gave forth a peculiar odor

Sexual Organs p. 253

Stitches at the root of the penis b.

Painful drawing in spermatic cord

Severe stitches in the spermatic cord, and in the left pubic region

In evening, drawing pain along the spermatic cord

Constant drawing in right spermatic cord 6.

Disagreeable drawing in right spermatic cord

Stitching in right spermatic cord while walking

Late in evening, stitching in right spermatic cord a.

Slight pains in left spermatic cord, at eleven oclock

Drawing in region of left spermatic cord frequently returning b.

Dull, aching drawing in testicles, for some minutes

Respiratory Organs p. 253

Occasional tickling in air-passages, which, however, does not induce cough

Hoarse voice

Peculiar sensation in the throat that induces a cough, soon after taking ; relieved after eating

For three days past, in morning, coughing up of a slight, soluble, thickish mucus from the larynx

Expectoration mucous, and more copious than usual (day after twenty-six grains)

Respiration accelerated

For many days the respiration is shorter and more in the upper part of the lungs, but accompanied with no other unpleasant sensation than anxiety and discomfort b.

Chest p. 253

Pain in chest

Some constriction of chest, with pain (in one hour)

Constriction of lower half of left breast, and soon after a deepseated pain there

Some oppression of chest, with stitches in left half of chest, when inspiring

Slight jerking stitches about the short ribs on left side, more towards the anterior surface of the breast

Anxiety and oppression of chest (in a phthisical person who had formerly spit blood)

Heart and Pulse p. 253

In the evening, after lying down, violent palpitation in the chest and carotids (the stroke of the heart was stronger and more vigorous, but not more rapid than usual), which made it difficult to get to sleep

In the evening, palpitations and restless sleep

Strong, distressing throbbing of the heart, which extended itself below the pit of the stomach, at night when going to bed ; it was more violent when lying on the back, or on the left side ; less when lying on right side ; preventing sleep for a long time

At night, when lying down, throbbing of the heart and arteries ; unusual weariness of the eyes after reading

Pulse more frequent

The pulse was evidently accelerated

The pulse somewhat quick, frequent, and hard

The pulse was small and tense, without being accelerated a.

Page tense

Neck and Back p. 253

Heaviness and aching at the end of the lumbar vertebrae b.

Fleeting stitches in left lumbar region, increased when expiring/-

Extremities in General p. 253

Weariness of extremities a.

Heaviness of the limbs (in evening) a.

Repeated tearing pains in wrists and ankles

Before he went to bed he experienced tearing, but, for the most part, very fleeting pains in the right shoulder, knee, and ankle; also in the left tarsal bones, but less severe

Pains, like rheumatic pains, were felt in the left shoulder, the knee, and right ankle

Upper Extremities p. 254

Rheumatic pain in the whole right arm, about twelve oclock b.

Single, rheumatic, fleeting pains in the right arm, now at one point, now at another

Sensation in right arm, as if bruised (principally above the elbow) a.

Tensive, aching, transient, dull, itching pain on fleshy part of extensors of right arm and elbow-joint

Sensation of paralysis in left arm

Stitching in shoulder and axilla, extending down to the elbow, during ten or fifteen minutes

Rheumatic pain in right shoulder

Acute stitches in the right shoulder b.

Stitching and tearing in left shoulder b.

Stitching in left shoulder-joint

Pricking in left shoulder-joint, extending over the deltoid muscle, almost disappearing when pressing upon it

In the evening, stitches in the glands of the right axilla c.

Dull, drawing pains in right deltoid muscle, at 9 A.M.

Drawing and tearing in right wrist b.

Sensation as if bruised in left. wrist; afterwards, in the right also a.

Short, rheumatic pains in the metacarpal bones of the right hand, in elbow, and shoulder

Rheumatic pain in the index-finger of the left hand b.

Drawing in right middle fingers a.

Lower Extremities p. 254

At evening, weariness in both hip-joints for several hours

Stitching in right hip-joint, while sitting (10 a.m.) o.

Next day, before nine oclock, he experienced, while walking, acute stitching pain, somewhat above the right hip-joint, almost compelling him to limp; the pain, which chiefly occurred when sitting bent up, diminished during the day, and by morning disappeared almost entirely c.

Sensation of uneasiness in right trochanter major

Dull, drawing pain in right trochanter, at 4 P.M., continuing an hour

From 3.50 to 5.30 p.m., dull stitching pain in right trochanter major, with weariness of leg

In evening, drawing pain in right trochanter and left knee

Sensation of weariness in right thigh

Jerking pain in left thigh, in the course of the crural nerve (in evening)

Undefinable pains in the left knee b.

At 9 P.M., while sitting, a sensation as if the left knee were swollen, with increased heat of the knee, and pricking in the bend of the knee b.

Tension in the right knee-joint, when walking b.

Towards morning, there was stitching in the left side of right knee a.

Constant stitching and aching on the left leg, at the left knee, at the protuberance of the tibia b.

Pain in right leg, above the knee, which made it difficult for him to walk b.

The pain below the knee returned again when walking b.

Tearing pain in right shin b.

Tearing pain in both ankles

Pressure above the right ankle b.

Late in the evening, cracking in the left ankle, when moving a.

Painful drawing in left foot

Pain in middle of sole of left foot b.

Heaviness in right sole, so that he trips up when going upstairs b.

Tearing and drawing in the sole of the left foot a.

Burning in left metatarsus b.

Pricking and burning in left metatarsus b.

Repeated pricking in right metatarsus 6.

Pricking below the right metatarsus b.

Burning, then, five minutes after, stitching in right great toe b.

Gouty pains in left great toe, so that he cannot walk ; this is repeated several times 6.

About 10 a.m., drawing in the middle toe of left foot a.

Stitches in the little toe of the left foot, at the left of the joint, where the skin was somewhat thickened b.

Generalities p. 254

Pulsation and restlessness in whole body, not permitting him to go to sleep at night, though he had drank less than usual

Weariness, even upon the least motion b.

Weary, and as if beaten

Immediately upon rising he felt a sluggishness and drowsiness, with depression of spirits, which manifested itself in the body as heaviness and weariness «.

Great lassitude, without having really become previously fatigued; the limbs feeling as if bruised

Discomfort 6.

Stitching in various parts of the body, on the left great toe, on the left knee, in the chest, but not continuing long in the same place (in evening) a.

Here and there fermentation a.

Dryness of mouth and oppression of chest, worse early in morning

Skill p. 255

On left side of occiput, where hair ceased, vesicles presented themselves, compelling him to scratch, and disappearing again till evening; the same thing occurred in the beard, on the right side of the face, where he noticed only one vesicle c.

Itching returning in the evening b.

Fever p. 255

Chills, running from feet up over the back, at half past ten oclock

Chilliness, half an hour after dinner, at one oclock, extending from feet up over back

Dii^position to siveat a

Sleep and Dreams p. 255

Frequent yawning, which brought tears into his eyes a.

Soon after soft stool, yawning, because the stomach felt empty a.

Great drowsiness

Di-tipsiness a

After a dose of nine grains, the confusion, heaviness, and pain in head were so combined with drowsiness that all inclination to labor disappeared

He got to sleep late b.

Although great drowsiness had continued through the whole day he did not get to sleep till late at night; the sleep was disturbed, as every time he dropped to sleep he was awakened by frightful dreams, and it was a long time before he could get to sleep again

The severest headache continued through the night, and prevented sleep (after thirty grains)

Great weariness, and sensation as if bruised, which prevented sleep for a long time

Restlessness and pulsations after going to bed, not allowing hura to sleep for a long time

Restless sleep

[^280.] Sleep, during whole night, restless, interrupted, and unrefreshing a.

He was restless at night, woke often, and dreamed much a.

The sleep was often interrupted

Sleep as quiet as usual, but woke up occasionally

Although he did not go to bed till about twelve, his sleep was much interrupted till three oclock, but after that he did not sleep at all b.

Sleep full of dreams (interrupted) b.

Many dreams at night, though the sleep was not much disturbed by them

Fell asleep again (after taking, at 4 A.M.), and had many dreams

Many confused dreams

Continued dreams

At night, many confused dreams and restless sleep

His restless sleep was full of dreams, which he remembered, but which were not disagreeable b.

Sleep uneasy ; dreams distressing b.

Conditions p. 255

Aggravations.

(Morning), Discharge of flatus; pappy stool; coughing up mucus.

(Morning on waking), Purulent matter in inner canthi, etc.; dull pains under short ribs, etc.

(Immediately on rising), Sluggishness, etc.

(Morning after rising). Dimness of sight.

(Noon), Stitches in right ear.

(Afternoon), Slight confusion of head; pappy stool, etc.; colic-like pain; weariness in both hip-joints, etc.

(Evening), Confusion of head, etc.; blindness; dimness of sight; stitch in right groin; drawing pain along spermatic cord ; palpitation, etc.; heaviness of limbs; stitches in glands of right axilla; drawing pain in right trochanter, etc.; jerking pain in left thigh ; stitching in various parts, etc ; itching returning.

(Late in Evening), Drawing in left zygoma, etc.; stitching in right spermatic cord ; cracking in left ankle.

(Evening, after lying down), Pulpit-

(Night, when going to bed), Throbbing of the heart, etc.

( Towards morning), Stitching in right knee.

(8 a.m.). Fine stitches in right short ribs.

(9 A.M.), Pains in right deltoid muscle.

(About 10 a.m.). Drawing in left toe.

(After 1 p.m.), Rumbling in abdomen, etc.

(3.50 to 5.30 p.m.), Dull pain in right trochanter.

(4 p.m.). Pain in right trochanter.

(9 P.M., while sitting). Sensation as if left knee swollen, etc.

(Sitting bent vp), Acute pain above hip-joint.

(Bending to left side, when lying), DuW pain in region of secure.

(After dinner). Pain about navel; pappy fecal stool.

(Expiration), Stitches in left lumbar region.

(After eating fruit). Soft evacuation, etc.

( When inspiring), Oppression of chest, etc.

(Lying on left side), Throbbing of heart, etc.

(Lxjing on back). Throbbing of heart, etc.

(Moving), Crack in left ankle.

(Moving eyelid). Pain in right lower eyelid.

(Change of Posture), Dull pain in region of caecum.

(While reading). Vertigo, etc.

(After reading). Weariness of eyes.

(After rising), Stitches in right ear.

( While sitting), Pressure upon rectum ; stitching in right hip-joint.

(Stooping), Pressure on eyes, etc. ; stitching pain in right lower eyelid.

(After supper), Aching in stomach.

(Touching eyelids), Stitching pain in right lower lid.

( While walking). Stitch in right spermatic cord ; tension in right knee-joint ; pain below knee.

Amelioration p. 256

(Early in morning). Dryness of mouth, etc.

(After dinner ). Aching over eyes, etc.

(Half an hour after dinner, at one oclock). Chilliness.

(Lying on right s/rte). Throbbing of the heart, etc.

(Pressure), Pricking in left shoulder, etc.

(Soon after soft stool). Yawning.

Footnotes

† Nos. 1 to b, Buchner's provings, Hygeia, 13, 212 and 22, 264 (translated in Shipman's Journal); No. 6, Inaugural Dissertation, Leipzig, 1837 (A. H. Z., 12, 230) ; No. 7, in Hufeland's Journal, 1800 (A. H. Z., 9, 287) ; 8, in Burgrave de Aere, etc.