AM MUR. Muriate of Ammonia. Hahnemann’s “Chronic Diseases,” Vol. II. Duration of Action; from 3 to 4 weeks.
Am.-Carb., and its analogous remedies.
Camph., Coffea, Hepar, Arnica, Hydrastis-ac., Lauroc., Nitr.-sp.
RATIONALE OF ITS ACTION.
This salt consists of about thirty-one parts of Ammonia, and sixty-nine parts of Muriatic-acid. Hence it is to be supposed that it partakes in part of the action of these two remedies, although it necessarily has effects peculiar to itself. It is most nearly allied in its action to Hydriodate of Potash, Muriate of Baryta, Chlorate of Potash, and Bromide of Potash.Counsellor Gumpert commenced with administering one-half or one drachm of the salt in twenty-four hours; increased the doses one drachm every three or four days, until, finally, from four to six drachms were given each day. When about half a pound of Sal- ammoniac had been used in the course of four weeks, the following complex of symptoms would appear. ]J.C.P.
A state of things which would exactly imitate a starts pituitosus, or febris mucosa, attended with the most invincible repugnance to the remedy, so that even the thought of it would cause nausea. The eyes would become dull, and present a peculiar glassy or watery shine; lassitude, sluggishness, and prostration overpowered the whole body; the tongue became coated and white; the patient experienced a constant shivering, hawked constantly, and scraped his throat, because there was an incessant tickling there, although he did not get up much mucus;there was a sense of emptiness in the stomach, although the patient could not bring himself to take food. The perspiration was generally increased; the sweat broke out from the slightest exertion. Much urine was exerted, of a strong ammoniacal, or even mouldy odor, although it generally remained quite clear. Glassy and tough mucus was occasionally evacuated by stool but diarrhoea occurred only rarely.- J.C.P.
This state of things did not last long before a formal attack of fever would prostate the patient upon his bed; the paroxysms consisted of CHILLS and FEVER, followed by profuse perspiration. These paroxysms resembled those of an ordinary fever and ague, and were followed by relief from the premonitary symptoms already alluded to, and from some of those of the disease against which it was given. In the course of eighteen months, Gumpert noticed five paroxysms like the above, all of which followed the seven- day type quite accurately; they recurred regularly as long as the organism was sufficiently saturated with Sal-ammoniac; they became slighter, and finally ceased as the effects of the drug wore off; and could be reproduced again at pleasure by resuming the remedy. In one case, the septimania set in after the Muriate had been used six weeks, and recurred regularly every Thursday for four weeks; the fifth paroxysm was slight, and the sixth omitted, while the seventh was reproduced by repeated doses of the drug.
Wibmer took from ten to twenty grains per dose, and repeated it at the end of an hour; the effects were a sensation of warmth and oppression in the stomach, increase of appetite and digestion, and softness of the stools, headache, and increased desire to pass urine.
When applied locally, it irritates the skin moderately; but, if very freely applied, it may inflame it. When taken internally in a powder, it produces a feeling of coolness in the stomach; but in solution it causes the contrary sensation of warmth, which, if the dose is somewhat large, may be attended with epigastric uneasiness or oppression. The secretions become notably increased, especially those of the bronchial tubes and other mucous membranes; urination and perspiration are also frequently induced, and menstruation is said to be promoted. Small doses are apt to constipate, while large doses cause loose stools and discharge of quantities of a tough glassy mucus. With these effects, or rather preceding them, there is a liquifacient, falsely called an alternatives influence, for Arnold found it to diminish the plasticity of the blood, and Fischer saw a scorbutic-like dyscrasia produced by the long continued action of this salt. It exercises a specific influence over the stomach, for Orfila, Smith, and Arnold observed that inflammation of the stomach ensued to whatever part of the body the salt might have been applied.
In the inferior animals it has been found, when largely given, to cause great disturbance of the nervous system, as indicated by convulsions, paralysis, and coma. Vogt supposed that it exerts a peculiarly specific action upon the ganglionic system, as is evinced by its powerful and specific action upon the stomach and portal system, and its peculiar relation to fever and argue and the vegetative processes generally.
VASCULAR SYSTEM. Heart and Arteries.
According to Sundelin, after its absorption it appears to reduce moderately the action of the heart and arteries, and in the respect belongs to the class of debilitating or temperant agents. Vogt regards it as a cooling and antiphlogistic neutral salt, which follows well after Nitrate of Potash.
The Germans suppose that it exerts almost as specific an action upon the portal system as Mercury; and Sundelin hazards the opinion that it is a temperant agent to the arterial system, and an excitant to the venous capillary system.
It causes a scorbutic like state of the blood, in which there is no necessary increase of the watery particles, but diminution of the blood-globules and fibrine; in chlorosis, there may be an increase of fibrine and diminution of blood-globules; in scrofula, an increase of albumen and deficiency of fat, fibrine, and blood globules.
It has always been supposed to exert a specific action upon the lymphatic vessels and glands. It excites a more active state of all glandular organs; acts as a powerful resolvent remedy, and while it increases their power of absorption, it also stimulates the excretory actions of the skin and kidneys. It has been decided to act more powerfully upon the glandular tissues of the gastro-hepatic system, and of the uterine organs, than any others.
It is supposed to exert a specific action upon the mucous membranes, especially those of the gastro-intestinal organs. It acts, although in a less degree, upon the pulmonary mucous membranes; also upon those of the urinary organs; while it effects in a still less degree the mucous membranes of the female genital organs, merely because they are more isolated from the system than any others.
Next to the mucous membranes, it is supposed to extend its action to the tissues, increasing the vegetative processes in them, especially their power and function of absorption, more particularly in the peritoneum and pleura.
It is not generally or distinctly stated that this remedy exerts any specific action upon the fibrous tissues, but it has effected cures of induration of the prostate, and other fibrous glands also in thickening and semi-fibrinous conditioned of the stomach bladder, and urethra; also of indurations of the liver, ovaries, and uterus, when a large quantity of fibrous tissue of new formation is developed in these organs.
It acts as powerfully on this system as liquor Potassae or Kali- hydriodicum. Imagine a man about fifty years old, of middle stature, with a broad face, whose breath was still more increased by a large mass of fat hanging beneath the chin; imagine also a large head, with a broad neck, adorned with a fatty mass, extending from one ear to the other; two small ears, pushed forwards and outwards by the fatty tumor; sallow eyes and face; lax cheeks, and thin hair, and you will have a true picture of the head of the patient. Place this head upon a delicately constructed, bony frame, with small thin hands and feet, scantily nourished arms and legs. Then imagine, on each arm, a large mass of fat, which commences at the deltoid muscles, passes over the shoulders to the nape, forwards upon the chest, and filling the arm-pits; a flabby pot belly; and, finally, to nates, whose proportions would be envied by many modern dames, and you would have a vivid idea of the funny figure which our patient presented when unclothed. He was put under the use of Ammonium-muriaticum. In the sixth week, the seven day fever was established and recurred regularly every Thursday. When the patient abandoned the treatment, his belly was collapsed, there was only a trace of the fatty bolster on his neck, the nates were shrunken, so that his clothes had to be made greatly smaller, and the swellings on the shoulders had much diminished. After every paroxysms of the seven day fever, the diminution of the swellings was too evident and remarkable to admit of doubt, while the general improvement of the patient’s health was equally great. Before commencing the use of Sal-ammoniac, his digestion was very irregular; loss of appetite alternated with canine hunger, and constipation with diarrhoea; but all these disturbances ceased, and his sallow complexion was replaced by a more healthy and animated one; his eyes became clear; his breathing, which had been much oppressed probably from accumulations of fat about the heart and in the chest became quite free.
HAHNEMANN.”In the following affections, this remedy has shown itself especially efficacious: Whining, peevish, unsociable mood; muscae volitantes, in the day-time, and in the evening by candle- light; (hard hearing ); tingling and buzzing in the ears; ulcerated corners of the mouth; tensive pain in the articulations of the jaws, when masticating or opening the mouth; empty eructations; painful stitches in the left hypochondrium, early, on waking up in bed, with difficulty of breathing, which obliges the person to sit up; the groin, when touched, feels as if there were swelling and subcutaneous ulceration; disposition to costiveness, discharge of blood during stool; soreness up along the rectum, when sitting; vomiting and diarrhoea during the catamenia; pressive and contractive pain at the belly and back during the catamenia; pain at, the small of the back during the catamenia; tearing in the feet during the catamenia; lancinations in the nape of the neck, as far as the shoulder, when sneezing; violent cough; tightness at the chest when doing some kind of labor with the hands; stiffness in the small of the back; stitches in the right scapula, when breathing, lancinating pain as from a sprain in the left hip; cold feet; paralytic weakness in the limbs, with dizziness; sleepiness during the day, with laziness and indisposition to work; night-sweats.”-ED.
Pain as from bruises in the whole body, especially in the back, with tearing in both shoulders and in the back, early in the morning, after rising, and worse during motion. Erratic lacerating and painful shooting in the limbs, mostly in the (temples), arms, popliteal spaces, thighs, calves, fingers, and toes, in the evening, when sitting, relieved after lying down; in the evening, shooting and lacerating in the tips of the fingers and toes; shooting, stinging, and burning pricking in the tips of the fingers and toes, as if they had gone to sleep.; burning and stinging in the abdomen, back, and scapula, with chilliness and sleepiness. Erethistic state of the circulation, constantly. Seething of the blood in the whole body, with anxiety. Violent throbbing pain in the forehead, towards evening, lasting one hour, increasing by contact accompanied by weakness and by chills on going to bed. Sudden faintness and weakness after dinner, while taking exercise in the open air. A good deal of lassitude in the morning.*Paralytic weakness in the limbs, with dizziness. The limbs of the right side appear to be more affected than those on the left. She appears to be better in the open air.
Excessive itching over the whole body, mostly in the evening; especially on the chest and the fore-arms, with little pimples after scratching; violent itching around the hips, at night and early in the morning; also of the thighs, legs, and around the bend of the knee, with rash pimples, fine rash over the whole body for two weeks; vesicular pimples upon the chest and the left leg, itching at first, and then burning.
Great sleepiness early in the evening. No sleep before three o’clock in the morning. No sleep before midnight, on account of cold feet or heat in the head. Starting while falling asleep; weary sleep, restless nights, sleep full of dreams; frequent, anxious, frightful dreams, which rouse her from sleep with a start; she then feels oppressed with anxiety. Lewd, voluptuous dreams. Frequent sneezing, without having a cold, with titillation in the throat. Weight on the chest; excessive pain in the small of the back; rousing her from her slumber, with painful lameness in both hips and the thighs. bruised pain in the side and back. Stitches and lacerating pains. Violent itching at night.
Chilliness (and coldness), mostly in the evening; sometimes preceded or accompanied by thrust, and followed by sweat in the night. Frequent attacks of fever, every half-hour; chilliness, followed by heat, with a bloated, red face, and thirst, both during the chilly and hot stage. Frequent flushed of heat, with subsequent sweat. Great heat, when ion bed at night, followed by sweat early in the morning. Heat in the palms of the hands, soles of the feet, and in the face, in the evening, immediately after lying down (with thirst); afterwards, sweat. Heat over the whole body, with redness of the face, and sweat, when taking exercise in the open air. Sweat over the whole body for several nights; copious sweat, early in the morning, when in bed.
MORAL SYMPTOMS, SENSORIUM.
Great earnestness; full of melancholy and anxiety; disposition to weep; bitter taste during the anxiety, and nauseating, bitter eructations; is full of ill humor, indifferent, absorbed in thought, and can scarcely be induced to speak, in the evening. Involuntary antipathy to certain persons. The head feels gloomy, as after intoxication; dizzy and dull in the room; passing off in the open air; vertigo, worse during motion, passing off in the open air; giddiness and fullness of the head; the head feels as if too heavy.
Feeling of heaviness in the head. Violent headache for several days; headache on the top of the head, as if the head were broken in two; Pressure in the forehead, with sensation of heat, the head feels as if compressed. Painful dartings from below upwards, in the left temple. Lacerating in the head. Stitches in the left temple, side of the forehead, and of the head, when stooping, and in the vertex, with sensation as if the head would bust; stitches and pressure in the head, especially on the left side, in the room. Boring in the forehead, almost the whole day. Glowing heat in the right side of the head every evening; frequent flushes of heat; heat and fullness in the head, early after rising; burning pain, and sometimes stitches in the left temple, when at rest; when masticating or sneezing.
Itching of the hairy scalp.
Sensation as of hammering or pushing over the margin of the right orbit.-Lacerating in the upper border of the right eye; in the external canthus of the eye; in the eye-balls. Burning of the eyes, especially of the canthi, after rising, with intolerance of light; the eyes burn at night, with profuse lachrymation. Twitching of the eye-lids; lachrymation early after rising; redness of the whites of the eyes, and itching; a vesicle on the white of the eye. Mist before the eye; in the open air she distinguishes nothing. Yellow spots before the eyes, when sewing, and when looking into the garden out of the window. *Motes before the eyes.
Stitches in the ears, from without inwards, and from within outwards, with boring or burning, mostly when walking in the open air. Grinding and tearing pain in the right ear; also at night, when lying upon it; with digging and rolling in the ear, as if something would get out. Shooting and boring in the ears; itching in both ears, with running of liquid wax. Buzzing and thundering noise in the right ear, when sitting, also at night, with pulsative beats at equal intervals. *Humming and tingling in the ears. (*Hard hearing).
Sore nose, internally, and around the margin of the nostrils; external swelling of the left side of the nose, with discharges of bloody crusts. Bleeding at the nose from the left fossa, after previous itching Frequent sneezing; *sometimes with tearing from the nape of the neck to the shoulder. Stoppage of the nose, with constant itching. Coryza, with sore nose; obstruction of the nose and loss of smell; dry coryza, with discharge of clear water; with sense of obstruction, with copious but difficult expulsion of mucus; only in one nostril, with sensation of a quantity of thick yellow matter, and tearing in the malar bones and teeth.
Complexion very pale.-Shooting and lacerating pain in the bones of the face. Burning heat in the face, passing off in the open air. Swelling of the cheek, with enlargement of one of the submaxillary glands, attended with a throbbing and lancinating pain. Eruptions in the face, herpes in the face, dry and tettery. Both lips burn like fire; excoriation of the upper lip, with burning soreness; chapped lips; dry, wrinkled lips; itching pimples around the upper lip; blisters on the upper lip, which become inflamed and ulcerated; *ulcerated corners of the mouth.
JAWS AND TEETH.
*Tensive pain in the articulation of the jaws when chewing or opening the mouth. Swelling of the gums; tearing toothache, mostly in the evening.
Vesicles at the tip of the tongue, which burn like fire.
THROAT AND OESOPHAGUS.
Sore throat; stinging in the throat, during and between the acts of swallowing; swelling of the throat with painful pressure when swallowing, and drawing and lancinating pains in the swollen submaxillary glands. Throbbing in the tonsils, which are not swollen, with uneasiness and oppressive anxiety; throbbing in the glands of the neck, with flushes of heat. Swelling of the cervical glands. Sore throat, with rawness. Roughness of the throat, which passes off after dinner; with stinging pains. Feeling of dryness in the throat; phlegm in the throat, mostly early in the morning.
TASTE AND APPETITE.
Pappy, disagreeable, or bitter taste in the mouth, with bitter eructations, passing off after eating.
Sourish taste in the mouth on waking; nausea and water-brash after eating; beating in the chest after dinner, through the pharynx, with heat of the face and uneasy mood. Diarrhoea after every meal, with pain in the back, belly, small of the back, and limbs. Almost total loss of appetite. Much thirst, absence of thirst, bitter eructations, sometimes tasting of the ingesta;. gulping up of bitter, sour water, the taste remaining in the mouth until she ate something; frequent hiccough. Attacks of nausea, with disposition to vomit, when walking in the open air, or after dinner; after dinner that symptom passes off, and by walking in the open air; nausea, with oppression of the stomach and disinclination to eat.
Sensation in the stomach as of emptiness or hunger; sensation of fullness in the stomach, with oppression. Frequent drawing in the stomach, water-brash, and qualmishness, even vomiting, relieved by eructations in the open air; gnawing or grinding in the stomach, as of worms. Burning in the stomach; extending to the pharynx, like heartburn, burning and pressure at the stomach, terminating in stinging; burning and pricking at the pit of stomach, shifting thence to the right axilla and the upper arm.].
Occasional pinching in both hypochondria. Stitches and burning in the region of the right ribs, in the afternoon, when walking. Splenetic stitches, even when sitting; *in the morning, on waking, with difficulty or breathing, obliging him to rise. morning, on waking, with difficulty of breathing, obliging him to rise. Pressure in the left side of the abdomen, as from the hand. Weight in the abdomen as of a load, with anxiety, as if the abdomen would burst. Distention of the abdomen. Stitches in the left side of the abdomen, over the hip, when sitting or stooping; cutting and shooting around the navel. Pinching in the belly, around the navel, with subsequent evacuations; pinching and griping pain in the abdomen, with dyspnoea; pinching in the belly at every inspiration, passing off again by an expiration; pinching, shifting about in the abdomen and in the groins, as before the appearance of the menses, early after rising. Burning pain in the epigastrium, also in the right groin, when sitting. Feeling of distention in the groins; pressing, lacerating pain in the groin; sometimes with stitches or tenesmus of the bladder; ulcerative pain in the groin. rumbling and moving of flatulence in the abdomen, at times with pinching, rumbling, or fermentation in the sides of the abdomen; frequent emission of loud or fetid flatulence.
Occasional intermission of stool for several days. No stool for two days, with constant colic, and sensation as if diarrhoea would come on. Hard stool, in clots, scanty, followed by a soft stool. Several loose stools during the day, sometimes with tenesmus and pain in the abdomen, loose yellow stools; with great urging, followed by tenesmus and burning in the rectum; diarrhoea, followed by pain in the abdomen, a feeling of soreness as if bruised; half liquid, slimy stools, with pain around the umbilicus; green slimy stools, early in the morning; pain around the navel preceding the usual stool. Stinging in the rectum during stool; burning in the rectum during and after a loose stool; itching and soreness of the rectum; pustules by the side of it. Lacerating in the perineum when walking. Lancinating pain in the perineum in the evening.*Bleeding from the rectum.