1. AMMONIUM GROUP (NH4) DR. TARKESHWAR JAIN MD ( HOMOEO) ASTT.PROF; DR M P K HOMOEOPATHIC MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, JAIPUR (INDIA)

2. INTRODUCTION  Ammonium is only occasionally taken in and then almost completely synthesized in liver to urea.  Only traces of salts escape synthesis and circulate in blood.

3. PHYSIOLOGICAL ROLE RRole in phase of excretion. BBuffering of urine with a sparing of alkali. IIts liberated in decomposition accompanying muscle and nerve activity. TThis process is irreversible and results in weakening and paralyzing effects of muscles and nerves under the influence of ammonia.

4. AAmmonia develops in erythrocytosis. EExcess of metabolic end product damage the erythrocytes. EExcess of ammonia is expelled through respiratory system, involvement of mucous membrane of respiratory passages is important.

5. IMPORTANT REMEDIESIMPORTANT REMEDIES  Ammonium Acet.  Ammonium Benz.  Ammonium Brom.  Ammonium Carb.  Ammonium Caust  Ammonium Iod.  Ammonium Mur.  Ammonium Phos.  Ammonium Picric  Ammonium Valer.

6. AMMONIA GROUP Blood Heart Mucus Membrane (Nose, throat, Larynx, lungs ) Skin CNS Fat/Initially Emaciation Bloated/Relaxable Fibres Corpulence tendency Tired/Fatigued Slow, defective Reaction Weak heart and R.S. Hydrogenoid Chilly Septic/Scorbutis Uraemia/carbonized blood Erythema/Scarlitina Muscle weakness Paralysis ‍Raised BP & Sweat Bleeding/Ulceration Cold/sinusitis Lung Problems Emphysema Heart and Stomach Sciatica Inflm.of Joints Contractures

7. AMMONIA GROUP Rancor Grudge Resentment Anger Aggression Hate/Critical Close Minded Reserved Disappointment Gloom/Bitterness Idealism Antagonized by Ver Vir/digitalis Aconite/cold Cardiac sedatives Action favored by Heat/Opium/iodine Valeriana/asafoetida Alcohol Resembles Acidums, Ign, Natrums, Nitricums Inflm.of of Muscles Inflm.of of RT Central vasomotor Collapse Prolong anesthesia Ammonia intoxication Desires: coffee Alcohol, sweet Sour, Aversion: Meat, potato <3hr, lying, Discharge: acrid, yellow water Exhaustion

8. GROUP CHARACTERISTICS  SPHERE OF ACTION Blood (Scorbutis, Uraemia, Carbonized blood) Heart Mucous Membrane (Nose, throat, lungs Larynx ) Skin ( Erythema, Scarlatina) Nervous system (Peripheral, Central)

9. CONSTITUTION  Best suited to fat and bloated persons.  Overweight and may show emaciation in beginning stages.  Aversion to cold, chilly subjects.  Hydrogenoid constitution, great sensitivity to cold and water.  <from and before damp weather and from use of water in any form.

10. CONSTITUTION  Shows labored croupy breathing.  Weak action of heart.  Slow manner of reaction/defective power of reaction.  Relaxed fibers.  Always tired and fatigued, tendency to corpulency.

11. MENTAL GENERALS GGeneral theme of all ammoniums is RANCOUR. BBitter enimity,deep seated unfriendliness, or hostility, and spitefulness. FFeeling of ill will, displeased. RResentment because of possessions AAnger or ill will in view of real or fancied wrong.

12. MENTAL GENERALS  Disappointment  Accompanied by bitterness and gloom.  Darkness or depression of mind.  Sullen, dejected.  Discontented, thoughts of frustration.  Disappointments caused by too much idealism.  Believe in envisioning the things as they should be or according to preconceived standards.

13. MENTAL GENERALS  Overlook negative sides.  Over critical  Attempting to live in accordance with their own ideas.  Understanding feelings of ammoniums is like taking breath in ammonia, face gets distorted in disgust and starts back in horror.

14. MENTAL GENERALS  Anger  Aggression  Hate  Extreme feeling of dislike.  Animosity.  This is expressed in morose, ill humored, gloomy, hatred, malicious or suppressed anger.

15. MENTAL GENERAL  Critics.  Leads to cynicism.  Sarcastic  Close minded  Keep anger inside.  Reserved ness.  Restrain their feelings.

16. GENERAL FEATURES  Inflammation of mucus membranes.  Inflammation of respiratory passages.  Vasomotor collapse  Expectorant  Act on PNS and CNS producing ammonia intoxication and long maintained muscle weakness.  Complete paralysis of lower extremities.

17. GENERAL FEATURES  Central exciting action on blood pressure and sweat production.  Septic and scorbutic states with tendency to bleeding.  Desires for coffee, chocolates, sweet, sour, and tobacco.  Aversion to meat, potatoes, and alcohol.

18. GENERAL MODALITIES  Aggravation: Bathing Stretching Cold Eating potatoes Open air, 3 A.M Amelioration: Lying eating

19. CLINICAL APPLICATIONS  Biting and caustic nature of complaints.  Discharges burning, acrid, yellow, watery, and leads to ulceration.  Bright redness, swelling, burning of skin and mucus membranes.  Exhaustion  Cold, sinusitis, lung troubles, emphysema.  Heart troubles, stomach complaints.  Sciatica, inflammation of joints, contractures.

20. RELATIONSHIPS  Antagonized by Verat vir, Digitalis, Aconite, cold.  Action favored by heat, opium, iodine, valeriana, asafoetida, and alcohol.