, NH4 Br.

Preparation , Triturations.

Authorities.

A.M. Cushing, provings in Trans. Am. Inst. of Hom., 1870.

1 , first dec. trit., repeated doses up to 20 grains, then stopped; 2 , second dec. trit., first day, 25 grains; second day, 25 grains, three times; fourth day, 75 grains; seventh day, 100 grains; eleventh day, 50 grains.; 3 , third dec. trit., first day, 50 grains; second day, 50 grains and 100 grains; third day, 25 grains.

HEAD

Peculiar pain in head, cannot describe it (fourth day), 2.
At times during day felt as if a band was tied around head above ears , pressing hardest just above the ears 1

(third and fourth days), 1.

Pain in right side of head, near the eye, as if a nail were driven into it (second day), 3.
Sharp pain in left side of head, near the eye (daily), 1.

EYES

Much redness between orbit and inner canthi; looks as if a membrane were growing over it (fifth day), 1.
Pain around both eyes, into head (fourth day), 1.
Pain around orbits (fifth day), 1.
Eyes feel badly to-day, though awake but an hour and a half last night (sixth day), 2.
In evening eyes feel very large, with constant blue before them (sixth day), 2. [10.]
Right eye feels large and smarts; he was to wear a shade in the evening, to read or write (sixth day), 1.
Eyes smart (fifth day), 2.
Eyes smart in evening, but have not during the day (fifth day), 1.
Eyes sore (ninth day), 2.
Eyes feel sore, and if sand in them (third day), 2.
Both eyes sore and very red (ninth day), 1.
In morning, eyes red and sore, with white mucus in corners; left eye worse (second day), 2.
Right eye sore (sixth day), 1.
Right eye feels as if bathed in bot water (3 P.M.), (fifth day), 2.
Right eye full of white stringy mucus (fifth and sixth days), 1. [20.]
Lids swollen (sixth day), 1.
Every evening eyelids droop, and it is difficult and painful to raise them (third day), 3.
Lids stuck together in morning (seventh day), 1.
Eyes stuck together (sixth day), 2.
Mucus on eyelashes (third day), 2.
In evening eyeballs feel large and sore (fourth day), 2.

EARS

Sharp pain in lower portion of left ear, extending to cheek and neck (8 P.M.), (third day), 3.

NOSE

Nose stopped up; then discharge of clear fluid (second day), 1.
Occasional discharge of watery fluid from left nostril (fourth day), 2.

MOUTH

Tongue very sore, as if burnt; cannot talk or read without pain, 1. [30.]
Tongue sore on top, both sides and tip (eight day), 1.
Tongue stiff and sore, 1.
In morning, tongue dry, sore, and stiff, 1.
Biting sensation on left side of tip of tongue, 1.
In morning, tongue smarts severely, as if just burned (second day), 1 ., etc.
Tongue feels as if burnt worse near the tip (fifth day), 2.
Mouth feels as if burnt (ninth day), 2.
In morning, mouth feels as if badly burnt (eighth day), 2.
In morning, mouth very dry (fourth day), 3.
Mouth filled with saliva, 1. [40.]
Stringy, tasteless mucus in mouth, 1.
Mouth filled with white, frothy, stringy mucus (fourth day), 1.
In morning, mouth full of white, sticky mucus (third day), 3.
Tasting of food eaten several hours before (third day), 1.

THROAT

White, thick mucus in throat (second day), 1.
Throat filled with white, sticky mucus; he has to hawk it up, causing smarting of fauces (first day), 3.
During day, throat filled with white, sticky mucus, streaked with blood (fourth day), 3.
Throat sore (seventh day), 1 , etc.
Throat sore; looks mottled, as if diphtheritic deposit were commencing (eight day), 1.
Throat sore; worse on left side (eight day), 1. [50.]
Throat sore; preparing to swallow is painful, but the act of swallowing is not (8 P.M.), (third day), 3.
Throat sore, with expectoration of white, sticky mucus, with similar discharge from nose (second day), 2.
Throat much irritated (third day), 3.
Irritation of throat, with inclination to cough, 1.
Throat smarts (third day), 2.
Sensation of hot air passing up throat, on right side, though stomach feels cold (fourth day), 1.
Tickling in throat, 1.
During the evening, tickling in throat (second day), 2.
Tickling in throat, with cough (seventh day), 2.
Tickling on both sides of throat, causing deep cough (third day), 1. [60.]
Tickling in throat in morning, with inclination to cough, 1.
Pain in both tonsils (fourth day), 2.
Fauces look red (third day), 2.
Fauces dark-red and congested (seventh day), 1.
Accumulation of mucus in fauces, 1.
Accumulation of mucus in posterior fauces, 1.
In morning, fauces and mouth full of white, sticky mucus (third day), 3.
Fauces and top of tongue, for half its length, feel as if scalded, 1.
Fauces sore (ninth day), 2.
Fauces slightly sore (sixth day), 1. [70.]
Stinging in fauces, with inclination to cough, but relieved by sneezing, .

STOMACH

Food does not digest, 1.
Occasional belching of small quantities of wind, slightly sour (fourth day), 1.
Something seems to rise from pit of stomach, almost stopping the breath and causing a faint and very disagreeable sensation, partially relieved by raising wind (third day), 1.
Frequent sensations (which are daily), as if something were rising from the stomach, but not like wind, causing a faint sensation, but disappearing in a moment (eight day), 1.
Stomach feels bad, 1.
Distress in stomach (third day), 1.
Stomach feels badly in afternoon, but much easier than evening previous (fifth day), 1.
Swallowing anything cold causes a distress the entire length of œsophagus and into the stomach (second day), 1. [80.]
During afternoon and evening, sensation of fainting or suffocation, beginning at the epigastrium, and rising on both sides of sternum to throat, causing him to sigh and walk around the room; feared he might die (fourth day), 1.
Sharp, cutting pain in stomach (eight day), 1.
Sore, lame feeling in stomach (second day), 1.
Terrible distress in upper part of epigastrium; could not sit still, had to walk the room; during this time, much belching of wind; the pain went through to the back, and extended to both hypochondria; could scarcely get his breath; pain so severe that it produced a perspiration over whole body (second day), 1.

ABDOMEN

Sharp, twisting pain just above crest of ilium, right side, 1.

STOOL AND ANUS

An old hæmorrhoidal tumor, which had not appeared for some time, returned, and was quite hard, sore, and very small, but soon disappeared, 1.
Sudden, urgent desire for stool, with loose stool (in twenty minutes), 1.

RESPIRATORY APPARATUS

When walking, had to hold mouth open on account of heat in throat and lungs, 1.
Tickling in throat, with inclination to cough (11 A.M.) (third day), 2.
During the evening, tickling in the throat , mostly on the sides, causing him to cough suddenly (third day), 2 , etc. [90.]
Sudden inclination to cough, from tickling in both sides of throat, just below tonsils (fourth day), 1.
A very sudden desire to cough, coming so suddenly, by a tickling in the throat, it strangles one, and almost arrests breathing (tenth day), 2.
Almost constant desire to cough (ninth day), 2.
Inclination to cough from low down in throat (second day), 1.
Frequent cough (tenth day), 2.
Sudden cough, 1.
Sudden deep cough (second day), 1.
Sudden short cough when rising from bed in morning, from sensation of mucus in throat, 1.
During the evening, sudden, hacking cough, with watery discharge from nose, 1.
Sudden cough, from tickling in throat just below tonsils (fifth day), 1. [100.]
Occasional, sudden cough, with expectoration of white mucus (seventh day), 1.
Sudden cough, then a deep cough (fourth day), 2.
During afternoon and evening the cough is deeper (from tickling just below the tonsils), causing pain in the tonsils (sixth day), 1.
Expectoration of white, sticky mucus (ninth day), 2.
Expectoration of white, sticky mucus, and occasionally blood (fifth day), 3.
Expectoration of gelatinous mucus (tenth day), 2.
Inclination to draw a long breath, 1.
Absence of suffocation from the lungs, which causes him to move round from fear of suffocating (ninth day), 2.

CHEST

Frequent constrictive pains across chest (tenth day), 2.
Tightness across chest (tenth day), 2. [110.]
Tightness across chest, with pain in lungs, 1.
Sharp pain in lungs, and, during the forenoon, pain seems to be mostly in the pleura (eight day), 2.
Sharp pain in lungs, worse in upper portion of right lung (seventh day), 2.
Lung feels cold inside (fourth day), 2.
Pain in right lung (fourth day), 2.
Pain under middle of left clavicle (fourth day), 1.

BACK

Feeling over right kidney as if something were pressed hard against it; relieved by pressure , but leaving a pulling sensation (fifth and sixth days), 1.

UPPER EXTREMITIES

Sensation in right shoulder as if pressed by a weight (9 P.M.) (eleventh day), 2.

LOWER EXTREMITIES

Legs ache, 1.
All forenoon, feels as if a cord were tied around the right leg, midway between the hip and knee, making him limp, causing pain (eight day), 2. [120.]
In the afternoon, the pain in right leg disappeared, and was felt below knee in left leg; in the evening, it was in the ankle, then in left foot, soon passing away, with the inclination to cough returning (eight day), 2.
Repeated sharp pains in back side of left leg, midway from hip to knee, 1.
Pain in left leg gone but is in same locality in right leg, 1.
Left ankle and foot lame (ninth day), 2.
Feet cold (fifth day), 1 , etc.
In evening, feet cold (second day), 3.
Feet cold in warm room (sixth and seventh days), 1.
Feet very cold in a warm room, causing legs to ache (second day), 3.

FEVER

Troubled more with cold than at any time during the winter; have to warm feet, even in a warm room, 1.
Back and feet cold in a warm room (fourth day), 1. [130.]
Inclined to be chilly, with flashes of heat (fourth day), 1.
Flashes of heat over the body, as if perspiration would come on (second day), 1.

SLEEP AND DREAMS

Slept but two hours last night (eight day), 1.

CONDITIONS

Aggravation.
( Morning ), Eyes red, etc.; tongue dry, etc.; tongue smarts ; mouth feels as if burnt; mouth dry; mouth full of mucus; tickling in throat, etc.; fauces full of mucus.
( Morning on rising ), Sudden short cough.
( Forenoon ), Pain in pleura; feeling as of cord tied around leg.
( Afternoon and evening ), Sensation of fainting etc.; cough deeper, etc.
( Evening ), Eyes feel large, etc.; eye smarts; eyelids droop; eyeballs feel large; tickling in throat; tickling in throat, etc.; sudden hacking cough; feet cold.
( Swallowing anything cold ), Distress along œsophagus, etc.
Amelioration.
( Afternoon ), Stomach feels easier.
( Sneezing ), Stinging in fauces.
( Raising wind ), Faint sensation from stomach, etc.

SUPPLEMENT: AMMONIUM BROMATUM. Authorities.

4 , Clark and Amory, Monograph on Bromide of Potassium, p. 165, a student took 40 grains in 1 ounce of water, at 7 P.M.; 4 a , the same, at 2.45 P.M. next day, took a rectal injection of 40 grains in mucilage of starch; 5 , another student, took 40 grains in a claret glass of water, on an empty stomach, at 10 P.M.; 5 a , same, took 20 grains on a full stomach, at 12 o'clock, before retiring to bed; 6 , Dr. Borlow, Lancet, 1877 (1), p. 839, effects on a girl, with laryngismus.

Within half an hour, felt as though he had taken a dose of Opium, though less excited; thinks that he fell asleep without the aid of the drug; dreamed of trying to pass urine into a bottle, but could not do so on account of being constantly in a crowd of men or women, 3a.
Tightness at the temples (within three hours and a half), 4.
Flushing of the face (within three hours and a half), 4.
Had a dejection during the day; towards evening he noticed uneasiness in the bowels (second day); the next day decided diarrhœa set in, and lasted for twelve hours; no griping or distress was induced, except that the abdomen felt as if distended with flatus; he never had diarrhœa, and could see no cause for this attack except from the drug, 5.
Slight excitement of the circulation (within three hours and a half), 4.
The same excitement of the circulation as noticed above, besides feeling a slight nervous excitement, such as he has after taking wine (after forty-five minutes), 4a.
Vascular excitement, and exhilaration as after taking Morphine; this gradually decreased, and was lost in a fit of drowsiness (after forty minutes), 5. [140.]
Pulse 80, before taking the dose; 88 (after fifteen minutes); 80 (after thirty minutes), 5.
Found himself nodding and then retired (after one hour and a quarter), 5.
Rash villous and papillated in the flexures of the neck, persistently for several weeks, 6.
Prickling sensation in the skin (within three hours and a half), 4.

Ammonium Bromatum