We will first study Ammonium carb. Let me call your attention to the fact that the Carbonate of Ammonia may be antidoted by CAMPHOR ; and some of its symptoms by ARNICA.
Despite the apparent resemblance between Carbonate of Ammonia and LACHESIS, these two drugs have been found to be inimical.
Ammonium carb. may be studied from its action on the blood. As I have already said, its prolonged use produces a scorbutic condition. The vital powers are weakened. Haemorrhages of dark fluid blood appear. There is degeneration of blood tissue. The muscles become soft and flabby. The teeth loosen and the gums ulcerate. With these scorbutic symptoms, there is developed also a hectic form of fever.
I now take up the indications for Ammonium carb. in uraemia. These symptoms which I am about to give you, are very important. They are not only characteristic of Ammonium carb. in uraemia, but also in any other disease in which this remedy may be indicated. We may find them present in scarlatina with decomposition of the blood and also in heart disease. Now for the symptoms: You will find Ammonium carb. indicated for somnolence or drowsiness with rattling of large bubbles in the lungs, grasping at flocks, bluish or purplish hue of the lips from lack of oxygen in the blood, and brownish color to the tongue. You recognize in these symptoms, some condition of blood-poisoning from the presence of carbonic acid. This may be in uraemia, or it may be in catarrh of the lungs or in any other disease in which there is deficient oxygenation. The nearest analogue here is ANTIMONIUM TARTARICUM.
A similar condition obtains in ARNICA in typhoid states when the patients are drowsy and heavy, and fall asleep while answering questions.
With the symptoms just enumerated, you can remember Ammonium carb. for oedema of the lungs or emphysema.
Ammonium carb. is also of use in poisoning by charcoal fumes. ARNICA is sometimes of use in these cases, as is also BOVISTA.
Still another use we may make of Ammonium carb., and one, too, that would hardly suggest itself to you, is in the beginning of cerebrospinal meningitis. Sometimes, in the beginning of this disease, the patient is stricken down by the violence of the poison and falls into a stupid non-reactive state. He is cold, and the surface of the body is cyanotic. The pulse is very weak. In just such cases, you should give Ammonium carb. which will bring about reaction. Then you may select some more specific remedy which will cure the trouble.
I would now like to mention the action of Ammonium carb. on the heart. This drug is useful in dilatation of that organ. The patient suffers when ascending a height, as when going up stairs or up a hill. He also suffers intolerably in a warm room. He frequently has cough which is accompanied by bloody sputum. There is palpitation of the heart with dyspnoea and retraction of the epigastrium. You may also find cyanotic symptoms present.
Ammonium carb. is also indicated in pneumonia when there is great debility, together with symptoms pointing to the formation of heart clot.
It is also indicated in chronic bronchitis with atony of the bronchial tubes, this atony favoring emphysema. There are copious accumulation of mucus in the kings, dilatation of the bronchial tubes, and oedema pulmonum. The patient in these cases, is weak and sluggish in his movements, coughs continually, but raises either not at all or with great difficulty. Drowsiness or even some delirium with muttering may be present.
Another use we may make of Ammonium carb. is in scarlatina. It is undoubtedly a useful remedy in the treatment of this disease, even when of a rather malignant type. We find that it produces a rash resembling that of scarlatina, but which is, however, of a miliary character. The throat is swollen internally and externally with enlargement of the glands externally, and with bluish or dark red swelling of the tonsils. The neck externally is engorged, that is, there is in addition to the swelling of the cervical lymphatics, inflammation of the cellular tissue. The nose is often obstructed, particularly at night, causing the child to start from its sleep as if smothering. Frequently, it has to lie with its month wide open in order to breathe. The child is drowsy and may even go into a stupid sleep. We frequently find, too, an enlargement of the right parotid gland.
Let us now study some of the concordant remedies of Ammonium carb. in this disease. First of all BELLADONNA. Between this remedy and Ammonium carb., the resemblance is only apparent. Both remedies have right side of the throat affected, bright red rash, scarlatina and drowsiness. But the distinction between the two lies in this: There is in Ammonium carb. a miliary eruption on the skin, which Belladonna has not. The throat in Ammonium carb. is of a darker red than in Belladonna, and the drowsiness is more complete. The drowsiness of the latter remedy alternates with either wildness or starting from sleep, or restless delirium or crying out in sleep. In Ammonium carb. the patient is in a state of simple somnolence. The starting from sleep is not from irritation of the brain but from stoppage of the child's breathing.
There is some resemblance between Ammonium carb. and APIS, in that both remedies have miliary rash, and both are indicated in low types of scarlatina with somnolence. Apis has, however, more dropsical symptoms present. Whenever it is the remedy, you will find puffiness of the throat and oedema of the uvula. But you will also find inflammation or irritation of the meninges of the brain in Apis, indicated by the sudden shrill crying of the child. This is a sudden shriek and not a mere start as if frightened. There is rolling of the head in the pillow.
LACHESIS, though apparently similar to Ammonium carb. in scarlatina, is really inimical to that remedy. It resembles Ammonium carb. in the blueness of the surface, in the somnolence, in the engorgement of the neck and in the dark red or bluish swelling of the throat. Lachesis has almost always, if not always, that extreme sensitiveness of the surface, so that the patient cannot bear to have anything touch the neck. Then, too, Lachesis affects more the left side and Ammonium carb. the right. This sensitiveness of Lachesis is not the same kind of soreness that you find in other remedies, as in Apis. This symptom is here due to a hypersesthetic condition of the spinal nerves ramifying through the affected part. Firm pressure does not aggravate, although a light touch will.
RHUS TOX. is similar to Ammonium carb., in that both remedies have dark throat and both have drowsiness. It is the left parotid gland that is most likely to be affected under Rhus ; with Ammonium carb., it is the right. There is more restlessness under Rhus.
Next, the action of Ammonium carb. on the mucous membranes. This remedy is useful in nasal catarrh. The nose is stopped up at night; the patient wakens gasping for breath. He is worse at three or four o'clock A.M. The cough is dry and tickling, associated with hoarseness and with a great deal of oppression from mucus in the chest. The nostrils are sore and raw and sometimes, in children, there is a discharge of bluish-colored mucus. This symptom is also found under KALI BICHROMICUM and AMBRA GRISEA. At times the coryza is scalding, excoriating the upper lip, with burning in the throat and along the trachea. There is a feeling as of a lump in the throat. Dry night cough comes, which seems to threaten suffocation ; copious flow of saliva with consequent expectoration ; beating like a pulse in the chest. Ammonium carb. is particularly suited to winter catarrhs. The sputum is slimy and contains specks of blood.
In the 3 A.M. aggravation of Ammonium carb., you may compare the Kali salts.
In this catarrh, with stoppage of the nose, excoriating discharge and rawness down the sternum, there are a few drug which I would have you compare. One of these is the AMMONIUM CAUSTICUM, which is one of the best remedies in the whole materia medica for aphonia, especially if there be present the burning rawness in the throat.
CAUSTICUM and CARBO VEG., are very similar to Ammonium carb., in this rawness and burning down the sternum.
LAUROCERASUS has that expectoration containing little specks of blood.
Ammonium carb. has also been used for sprains when the injured joint is hot and painful.
Here you may compare ARNICA, SULPHURIC ACID and AMMONIUM NMR.
Haemorrhagic diathesis, fluid blood and degeneration of red blood-corpuscles; ulcerations tend to gangrene.
Stout, fleshy women with various troubles in consequence of leading a sedentary life; delicate women who must have the "smelling-bottle" continually at hand; readily catch cold in winter.
Children dislike washing (Ant. c, Sulph.).
Loses breath when falling asleep, must awaken to get breath (Grind., Lach.).
Ill-humor during wet, stormy weather.
Headache: sensation of fullness, as if forehead would burst (Bell., Glon.).
Nosebleed: when washing the face (Am., Mag. c.) and hands in the morning, from left nostril; AFTER EATING.
Ozaena, blowing bloody mucus from the hose frequently; blood rushes to tip of nose, when stooping.
Stopping of nose, mostly at night; MUST BREATHE THROUGH THE MOUTH, a keynote even in diphtheria; long-lasting coryza; "snuffles" of infants (Hep., Nux, Samb., Sticta).
Putrid sore throat; tendency to gangrenous ulceration of tonsils; glands engorged.
In diphtheria or scarlatina when THE NOSE IS STOPPED UP; child cannot sleep because it cannot get its breath.
Cholera-like symptoms at the commencement of menstruation (Bov., Ver).
Menses: too early, profuse, preceded by griping colic; acrid, makes the thighs sore; copious at night and when sitting (Zinc.) ; with toothache, colic, sadness ; FATIGUE, especially of thighs; yawning and chilliness.
Leucorrhoea: watery, burning from the uterus; acrid, profuse from the vagina; excoriation of vulva.
Dyspnoea with palpitation, worse by exertion or on ascending even a few steps; worse in a warm room.
One of the best remedies in emphysema.
Cough: dry, from tickling in throat as from dust, every morning from 3 to 4 A. M. (Kali a).
Panaritium: deep-seated periosteal pain (Dios., Sil).
Body red, as if from scarlatina (compare, Ailan.).
Malignant scarlatina with deep sleep; stertorous breathing. Miliary rash or faintly developed eruption from defective vitality; threatened paralysis of brain (Tub., Zinc).
It antidotes, poisoning with Rhus and stings of insects.
Affects the right side most.
Inimical: to, Lachesis.
Cold, wet weather; wet poultices; from washing; during menses.
Lying on abdomen (Acet. ac.) ; on painful side (Puls.) ; in dry weather.
Nose-bleed when washing the face in the morning. Weak, anaemic, flabby women. Weak, no reaction. Addicted to the smelling bottle.
Tendency to gangrenous degeneration of glands, as in scarlatina; the parotids.
# # # #
Guernsey says: This remedy seems particularly useful in constitutionally delicate women who faint easily and want some kind of smelling salts around them most of the time. They are weak, with deficient reaction and generally of the lymphatic temperament. Such patients want stimulants, especially such stimulants as act through the olfactory nerves, like spirits of Ammonia, Camphor, Musk, Alcohol, etc. In the first onset of such a suddenly prostrating disease as cerebro-spinal meningitis this has been found a good remedy to excite reaction and place the patient in a condition for the choice of the next remedy indicated by the now aroused vital force in conflict with the disease (so called). One thing AMMONIUM CARB. is good for is dry or stuffed coryza, acute or chronic. The patient is worse at night, has to breathe with the mouth open. SAMBUCUS, LYCOPODIUM, NUX VOMICA and STICTA PULMONARIA may be compared with it.
Another frequently verified symptom of the nose is epistaxis WHILE WASHING THE FACE. (KALI CARBONICUM.) I don't know why it comes on then, but it does, and this remedy cures it. The only other affection in which I have found it very useful is scarlatina. The body is very red, almost bluish-red, and the throat seems to be the center where the force of the disease seems to be expended in malignant intensity. The eruption is faintly developed, or has seemed to disappear, from sheer inability from weakness of the patient's vitality to keep it on the surface. (ZINC. has convulsions from the same cause.) Erysipelas of old, debilitated persons comes under the same head. Cerebral symptoms, simulating a drunken stupor, are present in both cases. The whole system seems to be overpowered by the toxic effect of the disease poison. (See also AILANTHUS.) AMMONIUM CARB. will sometimes help us out in such cases.
(Carbonate of Ammonia) The diseased conditions met by this remedy are such as we find often in rather stout women who are always tired and weary, take cold easily, suffer from cholera-like symptoms before menses, lead a sedentary life, have a slow reaction generally, and are disposed to frequent use of the smelling-bottle. Too frequent and profuse menses. Mucous membranes of the respiratory organs are especially affected. Fat patients with weak heart, wheezing, feel suffocated. Very sensitive to cold air. Great aversion to water; cannot bear to touch it. Malignant scarlatina, with somnolence, swollen glands, dark red sore throat, faintly developed eruption. Uraemia. HEAVINESS IU ALL ORGANS. Uncleanness in bodily habits. Swelling of parts, glands, etc. Acid secretions. Prostration from trifles.
Forgetful, ill-humored, gloomy during STORMY WEATHER. UNCLEANLINESS. Talking and hearing others talk affects greatly. Sad, weepy, unreasonable.
Pulsating forehead; better, pressure and in warm room. Shocks through head.
Burning of eyes with aversion to light. Eye-strain. (NAT. MUR.) Asthenopia. Sore canthi.
Hardness of hearing. Shocks through ears, eyes, and nose, when gnashing teeth.
Discharge of sharp, burning water. STOPPAGE AT NIGHT, WITH LONG-CONTINUED CORYZA. CANNOI BREATHE THROUGH NOSE. SNUFFLES of children. EPISTAXIS AFTER TOASHING AND AFTER EATING. Ozaena, blows bloody mucus from nose. Tip of nose congested.
Tetters around mouth. Boils; and pustules, during menses. Corners of mouth sore, cracked, and burn.
Great dryness of mouth and throat. Toothache. PRESSING TEETH TOGETHER SENDS SHOCKS THROUGH HEAD, EYES, AND EARS. Vesicles on tongue. Taste sour; metallic. Cracking of jaw on chewing. Throat. Enlarged tonsils and glands of neck. Burning pain all down throat. Tendency to gangrenous ulceration of tonsils. Diphtheria WHEN NOSE IS STOPPED UP.
Pain at pit of stomach, with heartburn, nausea, waterbrash, and chilliness. Great appetite, but easily satisfied. Flatulent dyspepsia.
Noise and pain in abdomen. Flatulent hernia. Stools difficult, hard, and knotty. BLEEDING PILES; WORSE DURING MENSES. Itching at anus. Protruding piles, worse after stool, better lying down. Urine. Frequent desire; involuntary at night. Tenesmus of bladder. Urine white, sandy, bloody, copious, turbid and fetid.
Itching and pain of scrotum and spermatic cords. Erection without desire. Seminal emissions.
Itching, swelling and burning of pudendum. Leucorrhoea burning, acrid, watery. Aversion to the other sex. Menses too FREQUENT, PROFUSE, early, copious, clotted, black; colicky pains, and hard, difficult stool, with FATIGUE, especially of thighs; yawning and chilliness.
Hoarseness. Cough evory morning about three o'clock, with dyspnoea, palpitation, burning in chest; worse ascending. Chest feels tired. Emphysema. MUCH OPPRESSION IN BREATHING; worse after any effort, and entering WARM ROOM, or ascending even a few steps. Asthenic PNEUMONIA. Slow labored, stertorous breathing; bubbling sound. Winter catarrh, with slimy sputum and specks of blood. Pulmonary oedema.
Audible palpitation with fear, cold sweat, lachrymation, inability to speak, loud breathing and trembling hands. HEART WEAK, wakes with difficult breathing and palpitation.
Tearing in joints relieved by heat of bed; inclination to stretch limbs. Hands cold and blue; distended veins. Fingers swell when arm is hanging down. Panaritium, deep-seated periosteal pain. Cramps in calves and soles. Big toe painful and swollen. Felons in the beginning. Heel painful on standing. Tearing in ankle and bones of feet, better when warm in bed.
SLEEPINESS during the day. Starts from sleep strangling.
Violent itching and burning blisters. Scarlet rash. Miliary rash. Malignant scarlatina. Faintly developed eruptions from defective vitality. Erysipelas in the aged, with brain symptoms. Eczema in the bends of extremities, between legs, about anus and genitals.
Worse, evenings, from cold, wet weather, wet applications, washing, and during 3 to 4 a. m., during menses. BETTER, lying on painful side and on stomach; in dry weather.
Inimical to LACHESIS. Similar in action. Antidotes: ARNICA; CAMPHOR. Compare: RHUS; MURIATIC ACID; TARTAR EMET. Of use in poisoning by charcoal fumes.
Lower potencies deteriorate with age. Sixth potency best for general use.
If we were practicing in the old-fashioned way and considered the wonderfully volatile nature of Ammonium carb. in some of its forms we would only look upon it as an agent to relieve fainting and simple affections and use it in the form of hartshorn to comfort old maids and some other women. But Ammonium carb. is a deep-acting, constitutional medicine, an anti-psoric. It effects rapid blood changes, it disturbs the whole economy and it establishes a scorbutic constitution. Its fluids are all acrid. The saliva becomes acrid and excoriates the lips, so that they crack in the corners and middle, and become raw and dry and scabby. The eye-lids fester and become dry and cracked from the excoriating fluids from the eye. The stool is acrid and excoriates. The genitals of the female become raw and sore from the acrid menstrual discharge and leucorrhoea, and wherever there is an ulcer upon the skin the fluids that ooze from it excoriate the parts round about, this excoriating character belonging to all of the exuding fluids and discharges.
This remedy has bleeding of black blood, often fluid blood, that will not coagulate, flowing from the nose, the uterus, the bladder and bowels. The blood is dark, showing that a great disturbance is taking place in the circulation. The skin has a mottled appearance intermingled with great pallor.
It produces a violent action upon the heart, in which there is audible palpitation, and every motion aggravates the pulsation. With this is associated great prostration. It is rather a strange coincidence that the ancients knew that Amm. carb. would overcome difficult breathing from cardiac attacks and that aqua ammonias or hartshorn is used today to a certain extent in indications similar to those mentioned. They use it as a stimulant, but when indicated the single dose very high is enough. The ancients knew enough, also, to use hartshorn in the low forms of pneumonia, at the turning point in the advanced stage; that is an old allopathic practice, but it had a homeopathic relation to some of the cases. Once in a while they would cure a patient in the awful stage of prostration with heart failure at the end of pneumonia, and because they relieved such a one it was then established as a remedy for all future use.
Ammonium carb. has a state analogous to blood poisoning, such as we find in erysipelas and in the most malignant forms of scarlet fever, with prostration, great dyspnoea, so that it seems as if the heart were giving out. With this there is an unusual patchy condition of the surface, due to the paralytic condition of the blood vessels, enlargement of the glands, duskiness and puffiness of the face. Amm. carb. has been used allopathically in just such a state for centuries and it has demonstrated its homeopathic relations by its efficacy.
It belongs to the simple enfeeblement, weak heart, emaciation. There is quite an absence of symptoms and a lack of response to remedies. The patient must lie in bed because of the palpitation and difficult breathing on motion. It is a matter of mere weakness. Such a case furnished me much amusement for a year and a half. There was a woman in this city who answered just such a description; her state was one of peculiar cardiac weakness with dyspnoea and palpitation on motion. I had been treating the case, but had not fully studied it, and as she did not progress under my management she was taken out of my hands and taken to one of our most able neurologists, who put her upon the "rest cure" and promised that in six weeks she would be perfectly well. But at the end of six weeks she was worse than ever and a cardiac specialist was then brought to examine her. He said it was true the heart was not vigorous, but there was no organic affection and consequently the case did not belong to his branch. Then a lung specialist was brought in, and later she was examined by all kinds of specialists. All of her organs were fully investigated, and it was announced that nothing was the matter with them; but the poor woman could not walk because of her sufferings and palpitating heart. She had a little dry, hacking cough that did not amount to anything, but her chest was examined and there was nothing wrong with it. But after she had been in this continual fire for about three months, and was steadily failing, the side of the family that were my adherents prevailed against the others and I went to see her again. I continued to study the case, which was extremely vague, having nothing but those few symptoms, and finally I settled upon Ammonium carb., and she has been on this remedy for eighteen months. She now climbs mountains, she does everything she wants to do and is about ready to go to housekeeping. She has grown from a case of nervous prostration, brain fag and any other diagnosis that might have been heaped upon her to a well woman, and under that one remedy. This shows you how deeply this remedy acts. One dose generally acts upon her for from six weeks to two months, steadily improving her each time.
Exhaustion coming at every menstrual period. An attack of cholera, or what one might mistake for cholera, coming the first day of the menses; a copious diarrhoea. Sometimes it is an exhaustion with vomiting, exhaustion as in VERATRUM, with coldness, blueness, sinking, dyspnoea. The kind of dyspnoea that I have been speaking of up to this time is not an asthmatic dyspnoea; it is a cardiac dyspnoea, due to a weak heart; but this remedy has also asthma, and in the asthma there is this peculiarity: if the room is warm the dyspnoea increases until suffocation seems imminent; as if he would die for want of breath. He is compelled to go out into the cold air for relief. While the warm room increases the dyspnoea in asthmatic complaints the bodily state of the patient is worse from cold. The complaints of the body and the headaches are worse from cold.
A common thing running through this remedy is aching in the bones. The bones ache as if they would break. The teeth ache violently from every change of weather or from change of the temperature in the mouth. The jaws ache or the roots of the teeth ache. A prominent feature is falling out of the hair, the finger nails become yellowish, the gums settle away from the teeth and bleed, the teeth become loose, all in keeping with the scorbutic constitution.
This remedy has hysteria, and it is not surprising that nervous women carry a bottle of ammonia hanging to their chain. Many women do this because as soon as they go into a close place they faint and must use their hartshorn. This condition in the woman, if in a mild degree, is not hysterical; it belongs to the sensitive nature of women; but if carried to a more marked state it is hysterical. The hysterical fainting will be averted by the use of the hartshorn. Amm. carb. will stimulate the action of the heart and relieve.
The remedy is full of depression of spirits. She weeps much, has fainting fits, anxiety, uneasiness and exhaustion from motion. Oversensitive about what she hears other people saying. Complaints from listening to others talking. Complaints, both mental and physical, are worse in the wet weather, and she is sensitive to cold, raw, wet weather. The gouty complaints, nervous complaints, prostration, cardiac complaints, dyspnoea, headaches, etc., come on in raw weather. A congestive headache comes on in wet weather and from weather changes. Sensation as if the brain would ooze out through the forehead and eyes. "Pulsating, beating in the forehead as if it would burst," The headache is worse from stepping, especially the headaches that come at the menstrual period. Headache worse in the morning. This medicine in such headaches, with the symptoms I have described, shows its antidotal relation to LACHESIS, because LACHESIS produces all this state of prostration. In the old text-books you will notice this expression, "Inimical to LACHESIS." This means when LACHESIS has been given in high potency and has acted curatively, Ammonium carb. is not likely to act curatively after it, and is sometimes capable of disturbing the case, confusing it and mixing up the symptoms. But when LACH. has been given in too low potency, and the patient has been poisoned with the crude medicine, this remedy then becomes an antidote, used in a high potency, because of the similarity in its action. It will overcome many of the poisonous symptoms of the case. If you will examine the appearance of people who have been bitten by snakes and then examine the pathogenesis of this remedy you will see a great similarity between them. It is well known that this remedy has had repeated use in snake bites. Evidently it did not save all of them, but it must have done something for these cases or it would not have established so great a reputation for itself. Give it not as an antidote PER SE, but when indicated in blood-poisoning and animal bites with zymosis, with a tendency to black liquid bleeding, as in ELAPS. Running through the snake poisons there is a tendency to bleeding of black blood that will not coagulate.
It has many eye symptoms. Sparks before the eyes in connection with headaches; double vision; aversion to light. "Large, black spot floats before the eyes after sewing." When these symptoms have been present in such a constitutional state as I have described the remedy has cured cataract; it has cured the patient and finally the crystalline lens has cleared up. Burning of the eyes, smarting eyes, blood-shot eyes.
It disturbs the hearing, causing hardness of hearing and discharge of acrid fluid from the ears.
We have had scorbutic, catarrhal condition of the nose, such as described. Discharge from the nose acrid. "Severe pain as if the brain were forcing itself out just above nose." "Nose-bleed when washing face or, hands in morning." It has many complaints from bathing, and a prominent feature is that the skin is covered with red, mottled spots after bathing. Bathing produces surging all over, here and there, as well as nose-bleed. Palpitation is worse from bathing.
In the throat we have an appearance like malignant scarlet fever, diphtheria and other zymotic states; purple, swollen, ulcerated and bleeding, and gangrenous, accompanied by great exhaustion, with enlarged tonsils and glands. The glands outside of the throat and neck are enlarged and felt as lumps. In diphtheria, when the nose is stopped, the child starts from sleep gasping for breath. Here again we observe its relation to LACHESIS and the ophidia, for soon after the patient drops to sleep he wakes up suffocating.. In diphtheria, in chest troubles with great prostration, the patient is worse after sleep.
Menses too soon. "The menstrual blood is blackish, often in clots." The leucorrhoea is acrid. "Violent tearing in abdomen and vagina." "Irritation of clitoris." Swelling of the genitals. Now, let me tell you something not mentioned here, but important, and that is a sensation of soreness in the whole pelvic viscera; at times it seems as if all her inner parts were raw. It is a sensation of soreness; not always sore to touch. This sensation of deep-seated soreness is especially felt during menstruation. All through the menstrual period soreness and rawness. "Menses premature, abundant, blackish, often in clots, preceded by griping and colic."
The remedy is full of catarrhal symptoms and cough, with much rattling of mucus in the chest and air passages. Oppression of breathing, a catarrhal dyspnoea. Especially is this a remedy, when the symptoms agree, in hypostatic congestion of the lungs, a filling up of the chest with mucus which it is difficult to expel; great rattling in the chest and great weakness. It is a good palliative in the last stages of consumption. A dose of Ammonium carb. when there is great coldness, prostration and weakness in the chest. It is not unlike that sensation of weakness in the chest which is like STANNUM. He can hardly cough out loud, and because of the weakness he cannot expel the mucus, like ANT. TART. Short asthmatic cough.
The complaints of this remedy come on especially at three o'clock in the morning. The cough comes on at that time. Old people who suffer from catarrh of the chest have an aggravation at three o'clock in the morning with the palpitation and prostration, waking up at that hour with cold sweat and dyspnoea. Almost pulseless; weakness of the heart. Face pale and cold.
"Great lassitude." Defective reaction with, or at the close of, severe zymotic troubles, typhoid, diphtheria, scarlet fever, erysipelas, etc. In those complaints that should come to a crisis, if the patient goes into a state of great exhaustion under remedies fairly well selected, you have an instance where this medicine competes with ARSENICUM for the nervous prostration. You see "heart failure" spoken of in old school literature. They say the patient got along very nicely, but finally died of heart failure. In a great many instances if Ammonium carb. were given in time it would save life.
"Averse to walking in open air." "Children dislike washing." The warmth of the bed relieves the rheumatic pains, relieves the chill. "In a warm room the headache is better." "From washing reappearance of the symptoms; nose-bleed; blue hands; swollen veins." "Worse in cold air."
We come now to the appearance of the skin: "Body red as if covered with scarlatina." "Putrid fiat ulcers with a pungent sensation." "Malignant scarlatina with somnolence, starting from sleep." "Erysipelas of old people when cerebral symptoms are developed." Whenever treating a severe form of disease and an eruption comes to the surface, like a carbuncle or erysipelas, and does not give relief to the patient then there is danger. A remedy must be found soon. When a patient is coming down with severe internal troubles it is not a very uncommon thing for unhealthy looking boils to come out, or carbuncles or erysipelas blotches. It is always serious when these are not immediately followed by relief to the patient. It shows a pernicious state that has been pent up and cannot be held any longer and this violence is going to destroy. This is one of the remedies that you may look for to check the progress of such states. Any remedy, of course, which corresponds to the totality of the symptoms is the remedy to administer.