\documentclass{article} \usepackage{xymtex} \usepackage{chemist} \pagestyle{empty} \begin{document} \tetrahedral{0==C;1==\utrigonal{0==C;1==(yl);3D==O;2==O$^-$};2==$^+$H$_3$N;3==\tetrahedral{0==C;1==(yl);2==H;4==H; 3==\fiveheteroh[ac]{1==CH;2==NH$^+$;3==C;4==HC;5==NH}{3==(yl)}};4==H} \end{document}