Dorema ammoniacum, Don.

Nat. order , Umbelliferæ.

Common names , Gum ammoniac; (Persian), Oschak or Kandal.

Preparation , Trituration of the gum, or solution in water.

Authorities. [Nos 1 to 5 , Buchner's provings Hygea, 18, 212 and 22, 264 (translated in Shipmans Journal); No 6 , Inaugural Dissertation, Leipzig, 1837 (A. H. Z., 12, 230), No 7 , in Hufeland's Journal, 1800 (A. H. Z., 9, 287); 8, in Burgrave de Aere, etc.]

1 a , 32 grains in 3 ounces of water; 1 b , same repeated; 1 c , effects of fumes of the fluid distilled from the gum; 2 , woman, 42 years old, 30-40 drops aqueous solution; 3 , man, 26 years old, 12-18 grains; 4 , "A," 1-30 grains, triturated; 5 , "B," 2-15 grains in substance; 6 , Jähnel, 1-40 grains; 7 , Wichmann; 8 , Stieglitz.

MIND

A melancholy mood, continued for several days, 1a.
The whole day through, he was uncomfortable and in a melancholy mood, 1b.
During the day, he was in a gloomy state of mind, 5.
He is uneasy and uncomfortable, and, whether walking or sitting, is out of humor, 1b.
Ill-humored, 4.
Morose temper, 5.
Incapacity for mental exertion, 6.
Disinclination for anything, 6.

HEAD

In afternoon, a slight sensation of confusion of the head, 5. [10.]
In the evening, there was confusion of the head, which incapacitated him for labor, 1a.
Somewhat increased confusion of the head, after some hours, and sleepiness, with a sensation as if bruised in the limbs, and pains, continuing half an hour, in the course of the crural nerve, 5.
While reading, he was attacked with vertigo, which passed into a headache, and continued into the night, 5.
Heaviness of the head, 1b.
Violent headache (day and night), 6.
The stitching pains pressing through the head were very distressing; these pains continued, with but little intermission, through the whole day, 5.
Later, the forehead was confused, with weakness of sight and heaviness in the loins, 1a.
Pressive pains in the whole forehead and over the eyes (shortly after taking; lasts all day), 6.
Pressive pain in the whole head, especially in the supraorbital region and occiput (at midday), 6.
Pains were observed in a few hours through the whole forehead; increased all day till evening, and prevented any intellectual labor (after 26 grains), 6.
Aching in the forehead, 1a. [20.]
Aching in the forehead with confusion of the whole head, and such drowsiness that any effort or labor was utterly impossible, 5.
Aching in right half of forehead (10 o'clock), 1a.
Transient, stitching pains in left temporal region (in one hour), 4.
Tearings in left side of head, 1b.
Late in evening, drawing in left zygoma, extending to temples, 1a.
A furry sensation (Pilzigkeitsgefruhl) at the occiput, 1a.
Stitching upon the occiput, where the hairs ceased; under the air, pustules were formed, 1b.
Where the hair ceases, isolated pustules, 1b.
Frequently returning stitches, as from a knife, in the middle of the hairy scalp, 2.
Prickling in hairy scalp, returning next day; also in upper half of eyeball, 2. [30.]
Itching of the hairy scalp (more in the vertex and below), requiring him to scratch, .

EYES

The eyes seem dry to him, with sensation as if there were a foreign body between the left upper eyelid and the eyeball, 1b.
Pressure on the eyes, and a dull stitching, especially when stooping, 4.
Aching over eyes and in forehead, rather stronger in temporal region, continuing nearly the whole day, but moderately, being somewhat relieved after dinner, 5.
The pain in eye was less; drawing, stitching, 4.
Aching in upper part of eye, 1b.
Morning, on waking, purulent matter in the inner canthi of both eyes, but especially the right, 4.
Sensation of a swelling under the tarsus, as if a little gland were swollen, though the finger could not detect any, 4. [40.]
Pricking throbbing in left upper eyelid, which returned the next day, followed by aching, 1a.
Continual dull stitching pain in right lower eyelid, much increased by moving the eyelids, touching them, or stooping; externally, no change apparent, 4.
The pains in the lower eyelids had entirely disappeared; only, in the right one, a small hardened pellicle might be felt, 4.
He cannot read without straining the eyes, 1b.
Such a cloudiness before eyes that things which previously could be recognized from the room without difficulty, seemed now as if enveloped in a cloud, 6.
Blindness in evening, 8.
Dimness and obscuration of sight in evening, amounting almost to blindness; stars and fiery points moved with the eyes, 7.
Dimness of sight in the evening, and especially in the morning after rising, with increased warmth in the eyes, 1a.
The daylight hurt his eyes, although the sky was overcast, 1a.
Before the eyes, a cloud of dust was constantly waving, 5. [50.]
It seemed as if dust floated before the eyes (which were heavy from sleeping), and moved hither and thither; at the same time there was pressure upon the orbital region, 5.
Beams of light and sparks proceeding from the eyes, and a burning bright light, surrounded by brilliant colored rings, while others saw things as through a thick mist or cloud of dust, at evening, 7.

EARS

Deepseated tearings in right external auditory passage, 1b.
Single transient stitches in right ear, 4.
Separate stitches in right ear, 5.
Fleeting stitches in right ear, at noon, 4.
There was a humming perceived in ears, which continued but a short time, 5.
Humming in ear, so violent as to injure the hearing, 6.
Clinking in left ear, while scratching the occiput (at 10 P.M.), 1b.

NOSE

Increased secretion of mucus from nose (immediately after), 1b. [60.]
Frequent sneezing, 1b, 6.
Profuse mucous discharge from the nose, 6.

FACE

Her countenance changed, and she became quite pale, 2.
The lips were dry, and he experienced a burning sensation, 5.

MOUTH

Dull, stitching, jerking pains in the two left lower incisors (which were sound), at 7 o'clock, 4.
Profuse saliva, 6.
Short rheumatic stitches in left eyetooth, 4.
Dry roughness in the posterior part of the gums, with slight aching in pit of stomach, 4.
Thin yellowish coating on tongue, 3.
Yellow-coated tongue and bitter taste, 5. [70.]
Dry roughness of the point of the tongue and the gums, 4.
Nose, mouth, and throat distressingly dry (on waking), 3.
Clayey taste, 1b.
Bitter taste in mouth (immediately), 5.
Bitter, rank taste, 4.
Flat taste in mouth, somewhat sweetish, 3.
No taste in forepart of tongue, but nauseating, bitter in pharynx; disappears after eating (soon after taking), 6.

THROAT

Sensation of fulness extending up into the throat (10 A.M.), 1a.
A sensation of fulness in the throat and gullet, almost inducing nausea, 1a.
Sensation in throat and œsophagus of scraping and burning (16 to 24 grains), 6. [80.]
Soon after taking, scraping sensation in the œsophagus, 5.
Sensation as if something were sticking deep in the throat, making it necessary to swallow, 1b.
Stitching from the region of the right submaxillary glands, extending into the mouth, 1b.
Slight roughness of the throat, 1b.
In the throat, a roughness and dryness was present, 5.
After swallowing, sensation in throat, as from dry cough, 6.

STOMACH

Eructations, 4.
Violent eructations (soon after), 5.
Occasional eructations of a resinous odor, 4.
Eructations of a strong, resinous, bitter taste (immediately after 12 grains), 5. [90.]
Increasing nausea, 2.
Nausea, almost vomiting (soon after taking), 6.
Aching in stomach (immediately), 4.
After supper, aching in stomach, 5.
Sensation of heat and slight burning in the scrobiculus cordis, occupying a space as large as a child's head, 4.
Sensation of warmth and aching in pit of stomach, 4.
Aching in pit of stomach, 4.

ABDOMEN

Transient stitches under the ribs and above the navel, chiefly at the left side, 5.
Transient stitching pains under right short ribs, at 9 o'clock, 4.
At 8 A.M., several transient fine stitches under the right short ribs, returning at noon and in the evening, 4. [100.]
Fine transient stitches under the right short ribs, in the cæcal region, and, after rising, in the right ear also, 4.
For nearly an hour after taking, transient short stitches under short ribs, on left side, and similar pains between the superior and anterior spinous processes of the ilium and left side of navel, 4.
On waking in the morning, dull, stitching, fleeting pains under the short ribs; similar pains in cæcal region, 4.
Half an hour after dinner, slight transient cutting pain about the navel, 4.
Aching and tension, as if pressed together, about the navel, continuing only a few minutes (in half an hour), 4.
Aching and tension below the navel, on the left side, from which was developed a peculiar, dull, stitching (apparently superficial) pain, 4.
Dull, stitching, transient pains between the crest of the left ilium and the navel, immediately; and subsequently similar pains in the cæcal region, 4.
Dull, stitching, jerking pain in the region of the cæcum, disappearing again after some minutes; returning on change of posture, and especially when inclining towards the left side, when lying, 4.
Transient return of the pain in the cæcum, 4.
Fleeting, dull, stitching pain in the region of the cæcum, but less than the day before, 4.
Single, fleeting stitches in the cæcal region at 7.30 o'clock, 4. [110.]
Pains similar to the previous cæcal pains, and at a corresponding point on the left side, some minutes later, 4.
After 1 P.M., there was great rumbling in the abdomen, for half hour, 5.
Rumblings in abdomen, with confusion in forehead, 1b.
Soon after taking, passage of strong-smelling flatus, 5.
In morning, copious discharge of sour-smelling flatus, 5.
At night, unusually free-discharge of wind, 4.
After some hours, slight pains in abdomen, .

STOOL AND ANUS

Pressure on rectum while sitting, 1a.
Soft stool, 5.
Soft stool, accompanied by much flatus, after rumbling in the bowels, 1b.
After 9 A.M., very unsatisfactory soft stool, 1b.
A soft evacuation after partaking of fruit, yet without any sufficient inclination, 4.
Stool soft, but without straining, 4.
Soft stool of dark-brown fæces, 4.
In morning, a pappy stool, 1b. [140.]
After dinner, at 1.30, he had a pappy, fecal stool, having had an insufficient one in the morning, 1b.
After 1 P.M., several pappy stool, 5.
In afternoon, a pappy stool ensued, with rumbling in bowels, 5.
Next day (after 26 grains), the stools were sometimes fluid, 6.
Profuse diarrhœa mucosa (two hours), 6.
Two copious stools, 6.
Profuse mucous stool (follows the chilliness and pains in lower abdomen), 6.
Hard, sluggish stool, 4.
Difficult stool; even when there was a slight sensation of urging to stool, the rectum was so inactive that the stool was only effected by much effort, and with interruptions, 4.
The alvine evacuations were diminished, while the urinary discharge was increased; at the same time the pain in the pubic region, at first but slight, became quite severe, 5. [150.]
Stool delayed till evening, 1b.
No till evening did his bowels move (contrary to his usual custom), 1b.
The stools were delayed two or three days, and were of firm consistence (after twelve days), 3.
Constipation, 4.

URINARY ORGANS

Burning at orifice of urethra, diminishing interiorly, 1b.
Several fleeting stitches through the fossa navicularis, 4.
Increase of urine and sweat, but diminished alvine evacuations, 3.
For a couple of days, after urinating, some drops of urine were still discharged, 1b.
The urine passed contained much lactate of urea, 1b.
Absence of lactic acid and lactate of urea from the urine, 4. [160.]
The marked acid reaction of the urine, which continued for several days, arose from the surplus of uric acid, which was deposited for some time, 4.
The urine also contained much mucus, 4.
After a few days, many torulæ were formed, 4.
Albumen was not present, 4.
Even when cold, the urine had a peculiar smell, and was more pungent than natural; while evaporating, also, it gave forth a peculiar odor, 4.

SEXUAL ORGANS

Stitches at the root of the penis, 1b.
Painful drawing in spermatic cord, 5.
Severe stitches in the spermatic cord, and in the left pubic region, 5.
In evening, drawing pain along the spermatic cord, 5.
Constant drawing in right spermatic cord, 1b. [170.]
Disagreeable drawing in right spermatic cord, 4.
Stitching in right spermatic cord while walking, 2.
Late in evening, stitching in right spermatic cord, 1a.
Slight pains in left spermatic cord, at eleven o'clock, 4.
Drawing in region of left spermatic cord frequently returning, 1b.
Dull, aching drawing in testicles, for some minutes, 4.

RESPIRATORY APPARATUS

Occasional tickling in air-passages, which, however, does not induce cough, 3.
Hoarse voice, 6.
Peculiar sensation in the throat that induces a cough, soon after taking; relieved after eating, 6.
For three days past, in morning, coughing up of a slight, soluble, thickish mucus from the larynx, 4. [180.]
Expectoration mucous, and more copious than usual (day after twenty-six grains), 6.
Respiration accelerated, 5, 6.
For many days the respiration is shorter and more in the upper part of the lungs, but accompanied with no other unpleasant sensation than anxiety and discomfort, 1b.

CHEST

Pain in chest, 2.
Some constriction of chest, with pain (in one hour), 2.
Constriction of lower half of left breast, and soon after a deepseated pain there, 2.
Some oppression of chest, with stitches in left half of chest, when inspiring, 3.
Slight jerking stitches about the short ribs on left side, more towards the anterior surface of the breast, 4.
Anxiety and oppression of chest (in a phthisical person who had formerly spit blood), 6.

HEART AND PULSE

In the evening, after lying down, violent palpitation in the chest and carotids (the stroke of the heart was stronger and more vigorous, but not more rapid than usual), which made it difficult to get to sleep, 4. [190.]
In the evening, palpitations and restless sleep, 4.
Strong, distressing throbbing of the heart, which extended itself below the pit of the stomach, at night when going to bed; it was more violent when lying on the back, or on the left side; less when lying on right side; preventing sleep for a long time, 4.
At night, when lying down, throbbing of the heart and arteries; unusual weariness of the eyes after reading, 4.
Pulse more frequent, 5.
The pulse was evidently accelerated, 5.
The pulse somewhat quick, frequent, and hard, 6.
The pulse was small and tense, without being accelerated, 1a.
Pulse tense, 5.

NECK AND BACK

Heaviness and aching at the end of the lumbar vertebræ, 1b.
Fleeting stitches in left lumbar region, increased when expiring, 3.

EXTREMITIES IN GENERAL. [200.]

Weariness of extremities, 1a.
Heaviness of the limbs (in evening), 1a.
Repeated tearing pains in wrists and ankles, 3.
Before he went to bed he experienced tearing, but, for the most part, very fleeting pains in the right shoulder, knee, and ankle; also in the left tarsal bones, but less severe, 5.
Pains, like rheumatic pains, were felt in the left shoulder, the knee, and right ankle, 5.

UPPER EXTREMITIES

Rheumatic pain in the whole right arm, about twelve o'clock, 1b.
Single, rheumatic, fleeting pains in the right arm, now at one point, now at another, 4.
Sensation in right arm, as if bruised (principally above the elbow), 1a.
Tensive, aching, transient, dull, itching pain on fleshy part of extensors of right arm and elbow-joint, 4.
Sensation of paralysis in left arm, 1. [210.]
Stitching in shoulder and axilla, extending down to the elbow, during ten or fifteen minutes, 5.
Rheumatic pain in right shoulder, 4.
Acute stitches in the right shoulder, 1b.
Stitching and tearing in left shoulder, 1b.
Stitching in left shoulder-joint, 1.
Pricking in left shoulder-joint, extending over the deltoid muscle, almost disappearing when pressing upon it, 1b.
In the evening, stitches in the glands of the right axilla, 1c.
Dull, drawing pains in right deltoid muscle, at 9 A.M., 4.
Drawing and tearing in right wrist, 1b.
Sensation as if bruised in left wrist; afterwards, in the right also, 1a. [220.]
Short, rheumatic pains in the metacarpal bones of the right hand, in elbow, and shoulder, 4.
Rheumatic pain in the index-finger of the left hand, 1b.
Drawing in right middle fingers, 1a.

LOWER EXTREMITIES

At evening, weariness in both hip-joints for several hours, 4.
Stitching in right hip-joint, while sitting (10 A.M.), 1a.
Next day, before nine o'clock, he experienced, while walking, acute stitching pain, somewhat above the right hip-joint, almost compelling him to limp; the pain, which chiefly occurred when sitting bent up, diminished during the day, and by morning disappeared almost entirely, 1c.
Sensation of uneasiness in right trochanter major, 4.
Dull, drawing pain in right trochanter, at 4 P.M., continuing an hour, 4.
From 3.50 to 5.30 P.M., dull stitching pain in right trochanter major, with weariness of leg, 4.
In evening, drawing pain in right trochanter and left knee, 5. [230.]
Sensation of weariness in right thigh, 5.
Jerking pain in left thigh, in the course of the crural nerve (in evening), 3.
Undefinable pains in the left knee, 1b.
At 9 P.M., while sitting, a sensation as if the knee were swollen, with increased heat of the knee, and pricking in the bend of the knee, 1b.
Tension in the right knee-joint, when walking, 1b.
Towards morning, there was stitching in the left side of right knee, 1a.
Constant stitching and aching on the left leg, at the left knee, at the protuberance of the tibia, 1b.
Pain in right leg, above the knee, which made it difficult for him to walk, 1b.
The pain below the knee returned again when walking, 1b.
Tearing pain in right shin, 1b. [240.]
Tearing pain in both ankles, 3.
Pressure above the right ankle, 1b.
Late in the evening, cracking in the left ankle, when moving, 1a.
Painful drawing in left foot, 5.
Pain in middle of sole of left foot, 1b.
Heaviness in right sole, so that he trips up when going upstairs, 1b.
Tearing and drawing in the sole of the foot, 1a.
Burning in left metatarsus, 1b.
Pricking and burning in left metatarsus, .

GENERALITIES

Pulsation and restlessness in whole body, not permitting him to go to sleep at night, though he had drank less than usual, 4.
Weariness, even upon the last motion, 1b.
Weary, and as if beaten, 5.
Immediately upon rising he felt a sluggishness and drowsiness, with depression of spirits, which manifested itself in the body as heaviness and weariness, 1a.
Great lassitude, without having really become previously fatigued; the limbs feeling as if bruised, 5. [260.]
Discomfort, 1b.
Stitching in various parts of the body, on the left great toe, on the left knee, in the chest, but not continuing long in the same place (in evening), 1a.
Here and there fermentation, 1a.
Dryness of mouth and oppression of chest, worse early in morning, 3.

SKIN

On left side of occiput, where hair ceased, vesicles presented themselves, compelling him to scratch, and disappearing again till evening; the same thing occurred in the beard, on the right side of the face, where he noticed only one vesicle, 1c.
Itching returning in the evening, 1b.

FEVER

Chills, running from feet up over the back, at half past ten o'clock, 4.
Chilliness, half an hour after dinner, at one o'clock, extending from feet up over back, 4.
Disposition to sweat, 1a, 5.

SLEEP AND DREAMS

Frequent yawning, which brought tears into his eyes, 1a. [270.]
Soon after soft stool, yawning, because the stomach felt empty, 1a.
Great drowsiness, 5.
Drowsiness, 1a, 5.
After a dose of nine grains, the confusion, heaviness, and pain in head were so combined with drowsiness that all inclination to labor disappeared, 5.
He got to sleep late, 1b.
Although great drowsiness had continued through the whole day he did not get to sleep till late at night; the sleep was disturbed, as every time he dropped to sleep he was awakened by frightful dreams, and it was a long time before he could get to sleep again, 5.
The severest headache continued through the night, and prevented sleep (after thirty grains), 6.
Great weariness, and sensation as if bruised, which prevented sleep for a long time, 5.
Restlessness and pulsations after going to bed, not allowing him to sleep for a long time, 4.
Restless sleep, 5. [280.]
Sleep, during whole night, restless, interrupted, and unrefreshing, 1a.
He was restless at night, woke often, and dreamed much, 1a.
The sleep was often interrupted, 5.
Sleep as quiet as usual, but woke up occasionally, 5.
Although he did not go to bed till about twelve, his sleep was much interrupted till three o'clock, but after that he did not sleep at all, 1b.
Sleep full of dreams (interrupted, 1b.
Many dreams at night, though the sleep was not much disturbed by them, 4.
Fell asleep again (after taking, at 4 A.M.), and had many dreams, 4.
Many confused dreams, 4.
Continued dreams, 6. [290.]
At night, many confused dreams and restless sleep, 4.
His restless was full of dreams, which he remembered, but which were not disagreeable, 1b.
Sleep uneasy; dreams distressing, 1b.

CONDITIONS

Aggravation.
( Morning ), Discharge of flatus; pappy stool; coughing up mucus.
( Morning on waking ), Purulent matter in inner canthi, etc.; dull pains under short ribs, etc.
( Immediately on rising ), Sluggishness, etc.
( Morning after rising ), Dimness of sight.
( Noon ), Stitches in right ear.
( Afternoon ), Slight confusion of head; pappy stool, etc.; colic-like pain; weariness in both hip-joints, etc.
( Evening ), Confusion of head, etc.; blindness; dimness of sight; stitch in right groin; drawing pain along spermatic cord; palpitation, etc.; heaviness of limbs; stitches in glands of right axilla; drawing pain in right trochanter, etc.; jerking pain in left thigh; stitching in various parts, etc.; itching returning.
( Late in Evening ), Drawing in left zygoma, etc.; stitching in right spermatic cord; cracking in left ankle.
( Evening, after lying down ), Palpitation in chest, etc.
( Night ), Discharge of wind; restlessness ; many dreams.
( Night, when going to bed ), Throbbing of the heart, etc.
( Towards morning ), Stitching in right knee.
(

8 A.M .), Fine stitches in right short ribs.

(

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

( About 10 A.M .), Drawing in left toe.
( After 1 P.M .), Rumbling in abdomen, etc.
( 3.50 to 5.30 P.M .) Dull pain in right trochanter.
(

4 P.M .), Pain in right trochanter.

( 9 P.M., while sitting ), Sensation as if left knee swollen, etc.
( Sitting bent up ), Acute pain above hip-joint.
( Bending to left side, when lying ), Dull pain in region of cæcum.
( After dinner ), Pain about navel; pappy fecal stool.
( Expiration ), Stitches in left lumbar region.
( After eating fruit ), Soft evacuation, etc.
( When inspiring ), Oppression of chest, etc.
( Lying on left side ), Throbbing of heart, etc.
( Lying on back ), Throbbing of heart, etc.
( Moving ), Crack in left ankle.
( Moving eyelid ), Pain in right lower eyelid.
( Change of posture ), Dull pain in region of cæcum.
( While reading ), Vertigo, etc.
( After reading ), Weariness of eyes.
( After rising ), Stitches in right ear.
( While sitting ), Pressure upon rectum; stitching in right hip-joint.
( Stooping ), Pressure on eyes, etc.; stitching pain in right lower eyelid.
( After supper ), Aching in stomach.
( Touching eyelids ), Stitching pain in right lower lid.
( While walking ), Stitch in right spermatic cord; tension in right knee-joint; pain below knee.
Amelioration.
( Early in morning ), Dryness of mouth, etc.
( After dinner ), Aching over eyes, etc.
( Half an hour after dinner, at one o'clock ), Chilliness.
( Lying on right side ), Throbbing of the heart, etc.
( ), Pricking in left shoulder, etc.

Ammoniacum