Ammonium Carbonicum

The symptoms of caustic ammonia closely resemble those of the carbonate.

The caustic nature of the drug is exemplified in the burning sensations experienced, especially in

throat, gullet, and rectum. White patches on tongue and inner side of cheeks. There is intense

thirst, and excessively violent ejection of stomach contents. Voice low, weak. Speech broken.

Aphonia, with debility; or with burning rawness in throat. (A good all-round remedy in aphonia.)

Great oppression of breathing; the patient gasps for breath. As with the carbonate there is

timidity—great tendency to take fright. Shiverings. In a case of poisoning in a man who took a

mouthful of a strong solution of "household ammonia" by mistake there was great swelling of

mucous membrane of mouth and throat, stertorous breathing, voice muffled and husky; later,

cough with blood-stained expectoration. One night there was headache and delirium, and at the

same time the urine contained albumen and hyaline casts. It has been used in muscular

rheumatism of the shoulders and thighs. Heemorrhages occur from mucous surfaces. Great

excitement in evening.—< After eating or drinking.

Forgetful, ill-humored, gloomy during stormy weather. Uncleanliness. Talking and hearing others talk affects greatly. Sad, weepy, unreasonable.

Pain, as from subcutaneous ulceration.—Pains, as of ulceration in different

parts, or shootings and acute dragging, mitigated by the heat of the bed.—Pains, as of dislocation,

drawing and tension of the joints, as if from contraction of the tendons.—The right side of the

body appears to be more affected than the left side—The pains for the most part appear either in

the evening or at night, or in the morning. —General restlessness in the body in the

evening.—Inclination to stretch out the arms and the legs.—Great fatigue felt from speaking much

and from listening to another.—Weariness, bruise-like pain and great weakness in the limbs,

chiefly when walking in the open air, or in the evening, sometimes with an inclination to lie

• ▸down.
• ▸—Repugnance to exercise.
• ▸—Convulsions.
• ▸—Local inflammations.
• ▸—Tetanus.
• ▸—Scorbutic

• ▸dyscrasia.
• ▸—Tendency of the blood to decomposition.
• ▸—Emaciation.
• ▸—Great sensibility to cold.

Pulsating forehead; better, pressure and in warm room. Shocks through head.

Sensation as if brain protruded at centre, forward, and on both sides, and the skull was

quartered, but without pain and without confusion of the head.

• ▸Burning of eyes with aversion to light.
• ▸Eye-strain (Nat mur).
• ▸Asthenopia.
• ▸Sore canthi.

Burning in the eyes, principally in the evening, or in the morning, with

• ▸photophobia.
• ▸—Sensation of cold in the eyes.
• ▸—Hordeolum.
• ▸—Nocturnal agglutination of the

eyelids —Dry excretion in the eyelids —Affections from over-straining the eyes.—Muscze

volitantes——Eyes weak and watery after reading or using them at fine work.—Yellow spots before

the eyes on looking at white objects.—Inability to move the eyes.—Confused sight, with sparks

• ▸before the eyes —Double vision.
• ▸—Myopia.
• ▸—Cataract.
• ▸—Black spots and bright bands before the

eyes.—Weeping.

Hardness of hearing. Shocks through ears, eyes, and nose, when gnashing teeth.

Buzzing in the ears, particularly at night——Roaring and tingling in the ears.—Hardness

of hearing, with suppuration and itching of the ears.—Hard swelling of the glands of the neck,

and of the parotid glands.

• ▸Discharge of sharp, burning water.
• ▸Stoppage at night, with long-continued coryza. Cannot breathe through nose. Snuffles of children. Epistaxis after washing and after eating.
• ▸Ozaena, blows bloody mucus from nose.
• ▸Tip of nose congested.

Peculiar redness of skin over nose and frontal sinuses.—Nose stopped.—Watery coryza.

Tetters around mouth. Boils and pustules, during menses. Corners of mouth sore, cracked, and burn.

Extremely pale face, expressive of the greatest suffering —Lower lip swollen three

times its size; black coating in centre—Mucous membrane of lips and nose destroyed.—Glands

under angle of jaw, each side, swollen.

• ▸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.

Profuse bloody salivation.—Burning and scraping at root of tongue and back of

gullet.—Lips, gums, and tongue swollen.

Toothache on compressing the teeth, or after lying down in the evening, or when the

air has penetrated to them, or during catamenia; the pains are, for the most part, drawing or

starting, or shooting, or like those of ulceration, and they frequently extend into the cheeks and

• ▸ears.
• ▸—Aggravation from warm fluids, during the menses.
• ▸—Pricking pain, esp.
• ▸in the molar teeth;

worse when masticating or touching the decayed tooth with the tongue.—Obstinate shooting pain

in the teeth —Caries, elongation, and chronic looseness of the teeth; rapid decay of the

teeth.—The edges of the teeth feel dull—Inflammatory swelling, suppuration, and easy bleeding

of the gums.

Burning and dryness of cesophagus; great difficulty in swallowing.—Uvula retracted,

covered with white membrane.—Tonsils swallowing.—Uvula elongated and swollen.

• ▸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.

Taste of blood in the mouth.—Bitter taste, chiefly after eating, or after waking in

the morning.—Acid taste of food and after having taken milk.—Metallic taste of food—Much

• ▸thirst.
• ▸—Constant thirst.
• ▸—Inability to eat without drinking.
• ▸—Great craving and appetite —Want of

• ▸appetite in the morning.
• ▸—When eating, one is soon satiated.
• ▸—Repugnance to milk.
• ▸—Excessive

desire for sugar.—Dizzy vertigo, and heat in the face when eating.—After a meal, pyrosis, with

scraping in the throat, and drowsiness.

Intense thirst.—Vomiting of mucus and blood and great tenderness over epigastric

region.—Violent ejection of stomach contents by nose, and mouth—Burning in track of

cesophagus, none in stomach.

• ▸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.

Constipation.—Difficult evacuations.—Slow, hard evacuations, in small

pieces.—Stool difficult, hard, knotty.—Soft or loose slimy evacuations, followed or preceded by

cutting pains.—After and during an evacuation, discharge of blood from the anus. Hemorrhoids

in the anus, sometimes bleeding, with smarting pains.—Protrusion of hemorrhoids from the

rectum during the evacuation, with much pain afterwards —Heemorrhoidal tumours protruding

before, during, and after stool.—Nocturnal burning and itching in the anus.—Excoriation between

the legs and at the anus.

Frequent desire; involuntary at night. Tenesmus of bladder. Urine white, sandy, bloody, copious, turbid and fetid.

• ▸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.

Itching and pain of scrotum and spermatic cords. Erection without desire. Seminal emissions.

Excessive sexual desire, without lascivious ideas or erections; or

want of sexual desire and repugnance to the other sex.—Frequent pollutions, and a sense of

contracting, dragging, and heaviness in the testes.—Discharge of prostatic fluid, after a difficult

evacuation.

• ▸Hoarseness.
• ▸Cough every 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.

Bronchitis, with profuse expectoration; blood-stained.—Voice deep,

weak, or absent.—Great difficulty in breathing —Gasping for breath.

Audible palpitation with fear, cold sweat, lachrymation, inability to speak, loud breathing and trembling hands. Heart weak, wakes with difficult breathing and palpitation.

Short breath, with choking, principally on going upstairs.—Asthmatic respiration,

and dyspneea, chiefly in the heat of a room, as well as after any exertion, sometimes with

palpitation of the heart—Nocturnal dyspncea.—Painful sensation of spasmodic asthma, with short

and dull cough.—Shootings in the chest and in the sides, particularly when breathing, singing,

stooping, walking, or at night, with inability to lie for any time on the side affected.—Feeling of

fatigue in the chest—Congestion towards the chest.—Heaviness in the chest, as from congestion

• ▸of blood to the chest.
• ▸—Burning in the chest.
• ▸—Stitch in the heart, frequently.
• ▸—Palpitation of the

heart, chiefly after exertion, and sometimes with retraction of the epigastrium, and weakness in

the pit of the stomach.—Shootings in the integuments of the chest.—Purple miliary eruptions and

furunculi on the chest.

Pains in the lumbar region, and pains in the nape of the neck, mostly of a

dragging nature.—Acute draggings from the side to the scapulary joint—Painful swelling of the

glands of the neck and of the axillary glands.—Goitre —Drawing tension in the back and in the

loins.

Convulsive twitches of r. arm.—Muscular rheumatism of shoulders.

24. Generalities—Bleedings from all orifices, which cause faintness.—A ffection of the mucous

membranes and organs of the chest; contraction of the flexor muscles; contraction of the

cesophagus and of the colon.—Great exhaustion and muscular weakness; weakness which hardly

admits of an upright posture; great trembling on making the slightest exertion.—Skin hot and dry,

afterwards moist, perspiration supervening.—Disturbed sleep.—Shiverings; fever towards

evening; pulse, at first feeble and rather accelerated, afterwards quicker from hour to

hour.—Great tendency to take fright.

Tightness in the legs, as if the tendons were too short.—Jerking and

contracting of the legs.—Great fatigue in the legs.—Pain, as from fatigue, in the coxo-femoral

joint, and the thighs, particularly in bed in the morning; > by walking.—Pain, as if bruised in the

thighs.—Cramps in the feet, in the calves of the legs, and in the tibiz.—Jerking of the knees and

legs —Drawing pain in the legs, when seated.—Acute dragging in the joints of the feet, > by the

heat of the bed.—Pain, as of ulceration, and shootings in the heels.—Sensation of burning in the

feet.—Swelling of the feet—Sweating of the feet—Cold and shivering in the feet, chiefly on

going to bed in the evening.—Pain (as from dislocation) in the great toe, principally in bed at

night, on moving it.—Redness, heat, and swelling of the great toe, in the evening, as if from

chilblains.

• ▸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.

• ▸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.

Violent itching here and there, with burning vesicles and pimples after

scratching. —Miliary, chronic eruptions.—Redness like scarlatina on all the upper part of the

body.—Scarlatina (malignant), dark red, sore throat, parotids and cervical glands much swollen,

stertorous breathing, involuntary stools, vomiting. —Freckles.—Burning, acute shootings and

drawings in the corns.—Excoriation of the skin (between the legs, and in the anus, and in the

• ▸genital parts).
• ▸—Desquamation of the skin (palms of the hands).
• ▸—(Ganglia.
• ▸).
• ▸—Swelling of the

glands.—Rachitis.

Sleepiness during the day. Starts from sleep strangling.

Sleepiness in the daytime.—Sleeplessness, and sleep delayed, esp. after going late to

• ▸bed.
• ▸—Sleeplessness till 4 a.
• ▸m.
• ▸, and when falling asleep, perspiration.
• ▸—Nightmare when falling

asleep.—Frequent waking, with fright (great fear afterwards), and difficulty in going to sleep

again.—Sleep full of dreams, both anxious and romantic, historical and lascivious.—Dreams of

spectres, of death, of vermin, and of quarrels.—Disturbed and unrefreshing sleep.—At night,

attacks of anguish, vertigo, congestion of blood in the head, cephalalgia, toothache, nausea,

gastralgia, colic, inclination to make water, spitting of slimy matter, pains in the great toes and in

the ganglia, shocks in the body, pains in the limbs, itching and pricking in the skin, restlessness,

ebullition of the blood, dry heat, sweat, esp. in the legs, shivering and cold.

Pulse hard, tense, and frequent.—Attacks of shivering in the evening.—Violent

shivering with trembling, before going to sleep.—Feverish heat in the head, with cold in the

feet.—Sweats, every night and towards the morning.—Perspiration in the morning and during the

day, mostly on the joints.

Ammonium Causticum.

• ▸Ammonia.
• ▸Spirits of Hartshorn.
• ▸NH4 OH.
• ▸Solution in water.

• ▸Aphonia.
• ▸Nephritis.
• ▸Esophagitis.
• ▸Rheumatism.
• ▸Sloughing.
• ▸Thirst.
• ▸Timidity.

Ulcerations. Vomiting.

Compare the Ammonias, especially Amm. carb. Antidoted by: Vinegar and

vegetable acids.

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 know that Amm. carb. w^ould overcome difficult breathing from

cardiac attacks and that acjua ammoniac or hartshorn is used to-day 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 homoeopathic 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 ♦tate analogous to blood poisoning, such as

we find in erysipelas and in tlie 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 homoeopathic relations by its efficacy.

It belongs to the simple enfeeblement, w^eak 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 tlian

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 w'ould 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. G^mplaints 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, dyspntea, 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 Loch, 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

ammonium carbonicum

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 state ; 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 Lachests 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 prerriature, 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

ammonium MURUncUM

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 tlie 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 w^here this medicine competes with

Arsenicum for the nervous prostration. You sec “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 flat 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.