Ptelea Trifoliata

° It is one of the most reliable remedies for the relief of mgAi sweats. {EclecHo.)

; from exhausting fevers. {Sale.)

{Wafm- Ash.) BoTAKicAL Description.— Tills plant is also known as Wingseed, Bhffuhhy

trefoil, and Swamp Bogvjood. It is a shrub from six to eight feet liigli, with.

leaves trifoliate, and marked pellucid dots: the leaflets are sessile, ovate,

short, acuminate, downy beneath when young, crenulate, or obscui'ely

toothed ; lateral ones inequilateral, terminal ones cunate at base, from

three to four and a half inches long, by from one and a quarter to one and

a half inches wide. The Jtoieerg are polygamous, greenisli-white, nearly

half an inch in diameter, of a disagreeable odor, and disposed in terminal

corymbose cymes. Stamens mostly four; ityle short; fruit a two-celled

samara, nearly an inch in diameter, winged all aionnd, nearly orbicular.

It is common to this country, growing mostly west of the Alleghanies, in

shady, moist hedges, and edges of woods, flowering in June.

Oppicinal Prbparatioss. — Tincture from the hark with strong alcohol ;

dilutions; triturations from the tincture. ANALoauES. — Amiea^ Bryonia, Chelidonium, Ifvsi vomica, Jihus.(?) Mental Sphere.

Great languor and indisposUion for either mental or pliyaic-al labor.

Malaise of body and mind; desire to lie down and think of nothing at all.

Inability to concentrate the thoughts, they seem to be chasing each other through the brain.

Complete incapacity for mental exertion, with headache.

Fretful and irritable at very slight cause.

Compelled to give up any attempt at exertion in p. m.

Performed his duties in a perfunctory manner.

Great mental confusion.

Extraordinary weakness of memory; inability to read names.

Peevish, irritable feeling, and intolerance of noise.

Ma/rked forgetfulness, with increased headache, and disposi- tion to hurry when writing.

Confusion of thought, with hurriedness of manner, forgetful ness, with mistakes in writing.

Sick and faint; desire to shrink frani every mental work.

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PTELEA. TEIFOLIATA. 527

Dull and stupid feeling.

Aversion to society; a wish to be let alone.

Annoyance and irritation from ordinary conversation.

Pressive feeling at the baae of the brain, with nausea, closely

resembling the Ipecacuanha symptoms: "Headache, as

if the braio and skull were bruised, penetrating through

all the bones, down to the root of the tongue, with nausea." Frontal headache all day, pressing from, within outwards. Pressive pain in the frontal region, extending to the root of

the nose, as if a nail were driven into the brain (left side). Piercing pain shooting through the temples, with increased

by pressure. Maoki/ng frontal headache, with heat of the face and head, and

great desire to hurry his business. Heaviness in the occiput, with a gloomy feeling in the fore

Heavy, pressive frontal headache, worse at night,piercing from

walking. Sharp, darting pain over the left eye, extending deep into the

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528 FTBLEA TKlrOLIATA.

Severe throbbing headache on rising, with great weakness.

Dull, frontal headache, with depression and sonr stomach.

Headache, intermitting with pain in the hjpogastrium, dizzi- ness and nausea.

Pain in the left side of the head and right side of the neck.

Headache over the eyes.

Sadden pressive pain in the temples, as if they would he pressed together, or as if the riglit would be pressed to the left (frequently occarring during the proving).

iVontal and occipital headache; headache while reading.

Giddiness, with continued vertigo, and increased abdominal tenderness.

Giddiness of the head, when rising in the morning, and when waiting, reeling as if intoxicated.

Giddiness and vertigo in the forenoon, so as to necessitate a recumbent posture.

Severe attack of vertigo, with increased headache, and aggra- vation of all the symptoms.

Stidden giddiness, with faintneas on turning the head; vertigo aggravated by even a gradual turning of the head.

Vertigo and nausea aggravated by rising to the feet, also by walking; inability to stand without the aid of a chair.

Vertigo and confusion too severe to permit letter writing.

Sudden attack of vertigo, lasting a minute.

Everything seemed to be in a violent agitation. Byea.

Twisting of the eyelids,

A shooting pain over the eyes, when startled.

Nervous twitching of the upper lip, extending to the left eye.

Nervous pain, extending from left arm to left eye.

Eolling the eyes upwards aggravated the frontal headache.

Pressure over the eyes, aggravated by lifting the eyebrows.

Heavy fullness over the eyes; pain in the eye; pupils con- tracted.

Painful sensitiveness to light, with irritability.

Ringing in the ears, with slight giddiness.

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PTELEA TEIFOLIATA. 529

s to sounds; impressions of sounds last heard con- tinue for a long time.

Intolerance of noise and of loud talking; annoyance at even ordinary conversation.

Easily startled at usual sounds

Pain in tlie right ear, and behind the right ear.

Intense throbbing pain in the ear, worse on motion.

Itching of the right ear, with inflammation and swelling, ter- minating in white blisters on a red base, discharging copiously a watery fluid.

Pace, etc,

Burning heat of cheek and face.

Heat of head and face, especially of the forehead- Yellowish face, with dry, hot skin.

Sickly paleness of the face, especially around the eyes.

Pressure at the root of the nose.

Feverishness and dryness of the lips, with thirst (^).

The lips cracked and sore, notwithstanding an abundance of saliva (s).

Unrning, prickling sensation of the month and tongue.

Much dryness of the lips and tongne, with hamldng of mncus from the pharynx.

Great dryness of the month and head.

Increased secretion of saliva of a saltish or bitter taste.

Drooling in the night, wetting the pillow.

Fine prickling sensation over the whole surface of the tongue- Tongue coated with a yellowish fur ; the papilla; red and. prominent.

Tongue dry and brownish-yellow or light brown.

Tongue swollen aiid furred, white.

Tongue coated yellow along the centre and base.

Tongue feeling as if scalded, or as after taking Aconite.

Tongue inflamed, but not swollen.

Dull, aching pains in all tlie teeth.

Teeth all feel sore, with increased secretion of saltish saliva..

Pain in the right molar teeth; first lower, then upper.

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530 PTELEA TRIFOLIATA.

Teeth feeling elongated, or as if something was crowding them

evening). Soreness and inflammation of the fautes, soft palate and uvula

Taste and Appetite. tTiiusual hunger; craving for acid food.

* Voracious appetite; food had not its natural taste; with pain

* Great repugnance to animal food, and to rich puddings, of

which he is ordinarily fond. [Ilale.)

Great repugnance to butter and fatty foods; even a small quantity aggravated the epigastric pain. (/S-)

Disgust at the sight or smell of food, especially of roast beef.

Tlie taste of the medicine continualiyreturning in gusts to the mouth, with a feeling as if vomiting would relieve.

Very little appetite, with great repugnance to butter.

Eructations tasting of the medicine, with persistent nausea.

Eructations tasting of rotten eggs; sour eructations.

Frequent bitter taste in the mouth, with dryness.

Taste of brass on rising in the morning.

"Dyspepsia, chronic, obstinate (many eases). {Hale.) Gastric.

Nausea and retching, with increase of frontal headache; aggra- vated by speaking.

Severe nausea, with efforts to vomit for two minutes.

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FTELEA TEIFOLIATA. 531

• Sensation of goneness, or an empty feeling in tJie stoniacL

liver. * Liver perceptibly swollen and sore on pressure, causing a

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632 PTELEA TKIFOLIATA.

Sharp pains in the right hypochondi'iac and the gastric regions,

caused by rapid motion. Awoke witli hard, aching distress in the base of the liver.

* Hepatic and gastric symptoms, aggravated towards morning,

awating the prober at four o'clocls, " Janndice, with hyperemia of the liver. {Miller.)

when taking a deep inspiration, witli increased tenderness

full, deep inspiration, by speaking, and by pressure,

causing nan sea. Pain and soreness across the abdomen, and in the epigastrium,

aggravated by standing or sitting erect, and relieved by

stooping forward. Kumbhng and swelling in the umbilical region, with slight

vertigo, and sweat on the forehead, ItumbU/ng and bloating m- the iawels, with tenderness on

bloating,

* Pressure as of a stone at the pit of the stomach, aggravated

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FTELEA TKIFOLIATA. 538

Pain in the epigastrium, with i Severe pains in the left iliac region, changing to the right; worse on motion.

Severe bearing-down pains in the bowels ; spasmodic and gi-iping, or sharp and throbbing.

Pain in the kypogastrvum and bladder, with headache, inter- mitting during the paroxysms.

Betraetion of the abdomen, with pulsations isochronous with the heart.

Soreness of the abdomen, aggravated by motion and relieved by compressing it with the hands.

Abdomen tender on pressure for three weeks after the proving.

° Ascites, probably from hepatic disease. [Miller.) stool and Beotum.

Sudden and unexpected urging to go to stool, which was diarrhffiic, with slight tenesmus, accompanied by sweat on the forehead and head.

Urging before stool, with straining during diarrhceie stool.

Constipation, with a continual urging in the rectum.

Constant urging to stool, with rumbling in the bowels all day.

Small, hard stool, with mucli straining.

Hard and difficult stool, followed by smarting of the rectuin.

Stools of usual consistence, with slimy coating, accompanied with straining and vertigo.

Involuntary discharge of flatus, with iiiefFectual urging to stool.

Urging to stool, with difficult passage of small, hard balls.

Constant, ineffectual urging to stool; a continual pressure in the rectum.

i'ressiiro in the rectum all day, resulting in the discharge of a small stool of indurated fseces, with slight relief, appa- rently a true torpor of the rectum.

Pressure in the rectum, with qualmislmess, aggravated by motion.

Violent urging, followed by a stool of fluid consistence and fffitid smell ; the passage accompanied with chilliness and straining; and after this, renewed tenesmus.

Urging to stool, and sudden copious discharge of thin diar-

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584 PTELEi

rbteic fseces of a cadaverous smell, with smarting of the

Pressure in the rectum, as in dysentery, not relieved by a

Two stools in succession, of fteees coated with mucus, fol- lowed by tenesmus; during stool, shuddering and chi]-

lineas of eacral region : after stool, smarting of the

rectum, with itching. Copious stool of fluid consistence and bilious smell; with it

QenerativQ Organs.

Intense throbbing pain in the glans penis, extending

— Oatamenia two days too early, and quite copious.

and then increased during the proving, A deposit of muddy sediment in the urine ; afterwards

slightly decreased. The condition of the 1

proved by the proving.

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TKIFOLIATA. 535

Respiratory Organs.

Aching pain, with occasional stitches in region of i3iaphragni.

Stitches in the diaphragm, arising- from continued speaking.

Stitching pains in the upper part of the posterior medaatinum, aggravated hy breathing or a reciimhent position, and accompanied with soreness of tlie trapezius muscles.

* Pressure on the lungs, with a sense of suffocation. Uneasiness and difficulty of breathing, coming <jri as the

gastric and hepatic symptoms declined; with dull pain, especially in the right infra-clavicular region, accompa- nied by hacking cough, without expectoration. This has approached very insidiously, and now the right lung is dull on percussion at the apex.

During a full inspiration, sharp pains shoot from the sternum toward the nipples; worse on the left.

Pressure on the intercostal spaces, close to the sternum, causes a dull, aching pain.

These thoracic symptoms are better in the house and aggra- vated in the keen air.

Cough, with bursting headache, in the morning.

A sharp, darting pain through the upper part of left lung; frequently returning, and aggravated by stepping down.

Pain in the lower part of each long, in the evening.

Stitches through the right lung, which is sound.

Pain back of the left breast, near the axilla.

Cramp-like pain in the cardiac region.

* Dyspnoea; the walls of the chest feel as though they would

sink in. "Asthma (from retrocesEion of erysipelas). {Hale, Miller^ " Phthisis; with purulent expectoration of sweetish taste, and

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536 PTELEA TEIFOLIATA.

Hat-d baetaohe the whole length of spine and back of the

hands and the face, with a feeling as if tie prover had

been up all night; feels worse when the pains are worse.

Sleep sound, but haunted by frightful dreams. Sleep deep and heavy, awaking with racking frontal headaclie,

aggravated by rolling the eyes upward. The sleep is broken and restless, and disturbed by frightful

and annoying dreams, waking in a profuse perspiration. Sleep restless, and disturbed by dreams and by drooling of

awaking. Sleeplessness, almost total, from harrassing pain in the back;

qnarter-past nine p.m.; quite conscious, but unable to

stir, on account of a pressing weight on the stomach and

whole front of body.

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PTELEA TKIFOUATA 537

* Attucks of quotidian ague, continuing for two years, resist- ing many remedies. (MUler.) Chilliness and shivering over the whole body, in a warm room ;

dose; shivering, with chattering of the teeth. Scarcely comfortable near a large fire; but all the symptoms

Greneralitiea. Great lassitude and weariness, with a disposition to hurry

through duties. Extreme weakness of limbs, brain, memory, thought and will;

abdomen and head. Singing increases the nausea and aggravates tlie heada^he^

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538 PEOTOSDLPHIDE OF MEECTTRT.

afl;ei' meale, toward morning and after eating cheese, i-ich

pudding, butt«r, or any fatty food ; but relieved by motion

moving the eyes, noise, walking, going up stairs, stooping,

or warmth, or during the night, while in bed; but alle

via.ted in the cool open air, or by pressure. PredoiiiiiuMitly aggravated in the warm room, after eating

fatty food, when lying down, or early in the morning,

from noise, or when stooping, Predornvnantly alleviated in the cool, open air, when rising

from bed, or during continued motion, and by tlie use of

vegetable acids. From above, downwards, from within, outwards, mainly in the

right side, or from right to let^.

PROTOSULPHIDE OF MERCURY.

{MercariuH Protogulpliide,.)

Phakmaooloot.— This is known as the iJlack sulphide of mercury, Black Biilphuret of mercury, and tlie SubsTilplmret of mercury.

It is a black imp'ilpable powder having none of the metallic lustre of mercuiy ad ts mb tnl th lart t j pearance of

the mer u 1 p t 1

It may b p pa d by t t at ng m y d bl med sulphur

together a th t< n p p rt n Th f llj w gl ut one hun-

dred gra ns p m nry (qu kal ) dthtytw as a'lblimecl sulphur mix ry th ugMy aam t& wh 1 1 as t)e a fiUywaslied and thoroughly dried, and then (ntural* with lorce tVoni two and oae-half to three hours.

AJXALiOaa^s.—Ariieaieum, Bwptida, Shm, TerbintMna.

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FT1X8ATILLA NUTTAIUAITA. 539

Characteristic Symptoms.

t'<ibfUe heat, pungent; pulse small, weak, 120-130; great weakness; paleneaa or flushing of the face m the middle and after part of the day.

Drowsiness or wakefulness, with restleaaneaa ; unconauiousness, with muttering delirium.

Headache in the forehead. Eyes with dark circles under them ; li^s dry and shrunken ; tongue shrnnkeii, covered witli a dark brown crust; stiff, dry and black,

Ahdomen tender, particularly in the c(Bcal and epigastric region, distended (tympanitic). Urination frequent, scanty.

ZHarrhcea biliona, dark yellow, watery, preceded by colic; fol- lowed by fainting; not profuse or frequent, only two or three evacuations a day.

*■ In the second stage of typhoid y&ver, with local lesion in the solitary and aggregated glands of the iliiim, without much ulceration of the mucous membrane.