Podophyllum Peltatum

May Apple ; Mandrake. Berberidacese.

Grows extensively in the United States, in moist, shady woods ; flowers early in June, the fruit ripens in September. The tincture is prepared from the root, gathered after the fruit has ripened.

Proved by Williamson, Jeanes, Ward and Husemann, Trans. Amer. Inst, of Horn., vol. 1, p. 209.

Clinical Authorities Headache, Bell, N. A. J.

H., vol. 20, p. 9 ; Bayes, B. J. H., vol. 31, p. 339;

Bilious headache, Moore, B. J. H., vol. 31, p. 335; Rolling of head, Beriidge, N.

E. M. G., vol. 11, p. 15; Vomiting, Morgan, Hah.

Mo., vol. 8, p. 444; Hepatic derangement, Winans, Times Ret., 1877, p. 38, from M. J., vol. 6, p. 24; Hills, N.

Y. Med. Times, vol. 9, p. 308 (see Bernard & Strong) ; Harris, B.

J. H., vol. 31, p. 341 ; Hepatic disorder, Dixon, B. J.

H., vol. 28, p. 386 ; Jaun- dice, R. S. A.

H. O., vol. 2, p. 42; Blake, Horn. Rev., vol. 16, p. 405;

Rickaby, Times Ret., 1875, p. 75, from Med. Union, vol. 2, p. 254; With olive oil for expul- sion of gall-stones, Hale, N. A.

J. H., vol. 12, p. 258 ; Pain in rectus abdominis muscles, Harrity, Rev. Horn., Beige, vol. 3, p. 313 ;

Abdominal congestion, Bayes, B. J. H., vol. 31, p. 339; Diarrhoea, Colburn, N.

E. M. G., vol. 12, p. 356; Jen- nings, Horn.

Phys., vol. 4, p. 262 ; Pretsch, A. H. O., vol. 1, p. 324 ;

Morrison, Horn. Rev., vol. 18, p. 687 ; Hughes, B. J.

H., vol. 24, p. 673 ; Harris, B. J. H., vol. 31, p. 342;

Deck, B. J. H.,vol. 31, p. .571; Young, Brewster, Seward, Cin.

Med. Adv., vol. 3, p. 380 ; Martin, Hah. Mo., vol. 8, p. 442 ;

Lilienthal, Hah. Mo., vol. 9, p. 218; Miller, Hah. Mo., vol. 9, p. 202;

OShme, Hah. Mo., vol. 9, p. 319 ; Smith, Eaue's Rec, 1872, p. 143, from Med. Inv., vol. 9, p. 7 ;

Angell, A. J. H. M.

M., vol. 3, p. 20; Moore, Med. Inv., vol. 6, p. 343; Clark, U.

S. Med. Inv., 1876, p. 229 (MSS.) ; Seward, Young, Brewster, U.

S. Med. Inv., 1875, p. 418 (MSS.) ; Greenleaf, Times Ret., 1876, p. 92, from Trans.

N. Y. S., 1876, p. 148 ; Berridge, Times Ret., 1875, p. 76, from N.

Y. J. H., vol. 2, p. 308 ; Seward, Times Ret., 1875, p. 76 ;

Young, Brewster, Times Ret., 1875, p. 76, from Trans. N. Y. S., 1875;

Colburn, Times Ret., 1877, p. 95; Dever, U. S. Med.

Inv., 1875, p. 330 (MSS.) ; Chronic diarrhoea, Burt, McClelland, Raue's Rec, 1872, p. 139; Lennard, B. J.

H., vol. 26, p. 654; Dysentery, Smith, B. J. H., vol. 29, p. 399 ;

Angell, A. J. H. M.

M., vol. 1, p. 141 ; Cholera infantum, Fairbanks, Raue's Rec, 1871, p. 119, from Med. Inv., vol. 8, p. 126; Constipation, Bayes, B.

J. H., vol. 31, p. 339; Prolapsus ani, McClelland, Raue's Rec, 1872, p. 153, from Trans. Pa.

Hom. Soc, 1870, p. 56 ; Blake, Hom. Rev., vol. 16, p. 405 ;

Richards, Fahnestock, Times Ret., 1876, p. 96, from Med. Inv., 1876, pp. 94, 236 ; Incontinence of urine, Lobstein, B. J.

H., vol. 16, p. 329 ; Diabetes insipidus. Palmer, Times Ret., 1875, p. 87, from Trans. N.

Y. S., 1875, p. 56 ; Diabetes, Palmer, Times Ret., 1876, p. 19, from Trans. N.

Y. S., 1876-77, p. 144; Diabetes mellitus, Palmer, Times Ret., 1877, p. 102; Pain in r. ovary, Neidhard, Raue's Rec, 1870, p. 374;

Ovarian tumor, Hawley, U. S. Med. Inv., 1875, p. 416, Times Ret., 1875, p. 93;

Seward, U. S. Med. Inv., 1875, p.

PODOPHYLLUM PELTATUM. 504

416, Trans. N. Y. S., 1875, p. 78, Times Eet, 1875, p. 93 ;

Gallupe, Trans. Am. Inst., 1869, p. 114, Eaue's Kec, 1871, p. 146; Ovarian pains, Keidhard, Hah.

Mo., vol. 20, p. 262; Prolapsus uteri, Martin, Hah. Mo., vol. 9, p. 411 ; Klein, A.

H. ()., vol. 2, p. 75; Thatcher, Kane's Kec, 1873, p. 167, from A. J.

H. M. M., vol. 5, p. 232 ; After-pains, Miller, Hah.

Mo., vol. 7, p. 529 ; Asthma, Moore, B. J. H., vol. 31, p. 332;

Chronic bronchitis, Moore, B. J. H., vol. 31 p. 333; Fever and indura- tion of /iwer, Williamson, Hering's Analy.

Therap., p. 159; Ague, Lippe, Med. Inv., vol. 6, p. 345 ; Alien, Allen's Int.

Fever, p. 203, from Amer. Hom., vol. 3,. p. 208; Bruckner, A. J.

H. M. M., vol. 1, p. 51 ; Allen, Times Ket., 1876, p. 161, from Hom.

Times, vol. 4, p. 102; Kushmore, Horn. Phys., vol. 5, p. 149; Gout, Moore, B.

J. H., vol. 31, p. 331.

^ Mind. Conscious during chill, but cannot talk, forgets

words. Delirium, loquacity during heat; afterwards forgetful of

what has passed. I Depression: imagines he is going to die or be very ill ;

in gastric affections. Disgust for life; headache ; bilious disorders.

■ Overfatigue of mind from business; when in bed he

rolled his head on w^aking and while awake. ^ Sensorium. l Vertigo: while standing, in open air; with tendency to fall forward ; with sensation of fulness over eyes ; from gastric or bilious disorders. ^ Inner Head. Momentary darts of pain in forehead, oblig- ing one to shut eyes.

Stunning headache through temples, > from pressure.

Pressing in temples in forenoon, with drawing in eyes as if strabismus would follow.

iThrobbing temples, aching, eyes, hot head, in morning.

I I Burning pain at top of head and over forehead; attack lasts twenty-four hours and, if very severe, ends in vom- iting ; urine pale during attack ; passes much bile day after ; < from overexcitement or walking. ^Bilious headache.

I Morning headache, with flushed face and heat in vertex.

I Dull headache, wdth pain behind eyes ; liver affected.

■ Bilious and rheumatic headaches, based on torpidity of

liver.

■ Headache alternating with diarrhoea.

I I When feeling as well as usual there suddenly appears a blur before vision ; objects look much as if one had been looking at sun for a moment, or perhaps the part at which the eye is directed appears clearly and the rest of the object blurred and indistinct; a more or less distinct wavering or whirling of mist also be- comes perceptible and can be perceived with closed eyes, both ej^es alike ; in five minutes fleeting pains

505 PODOPHYLLUM PELTATUM.

appear in head, more in back part, gradually increase in intensity, occupying mostly occipital protuberances, with disgusting nausea and often sour vomiting with- out relief; pains extend into neck and shoulders; numbness of fingers, like that in beginning of anaesthe- sia ; a peculiar feeling of disgust of life ; pain in upper part of head like that produced by holding a piece of ice for a short time on occipital protuberances ; lying down in a dark and quiet place ameliorates, and often produces sleep, during which the more urgent symp- toms pass off; in severe attacks there were always pecu- liar symptoms of want of power of expression (aphasia) even of simplest ideas, very absurd words being chosen in place of right ones, head does not get fully settled until next day ; attacks appear at any time of day. ^Headache. I Sick-headache accompanied by constipation.

■ Head hot, rolling head from side to side, moaning.

^Dentition.

■ Reflex irritation of brain from disorders of bowels; grind-

ing of teeth at night.

■ Polling of head, with moaning in sleep, eyelids half

closed ; hydrocephaloid. I I Hydrocephaloid after cholera infantum. * Outer Head. iRolling head; grinding teeth ; whining at night ; head sweaty in sleep, flesh cold ; difficult den- tition. ^ Sight and Eyes. Ulceration of cornea; conjunctiva hy- persemic; smarting, aching, heaviness (from grinding the root). I I Scrofulous ophthalmia, < in morning. ^ Smell and Nose, l i Soreness with small pustules in nose. ^ Upper Face, l Hot, flushed cheeks. ^Infantile diarrhoea.

iComplexion sallow, dingy. '"Teeth and Gums, n Great desire to press gums together ; jaws clenched; grinds teeth at night; difficult dentition.

■ During dentition: catarrhal cough and catarrh of chest;

cholera infantum; hydrocephaloid, "Taste and Tongue, i i Total loss of taste, could not tell sweet from sour; sleepless, restless. Everything tastes sour or putrid.

I I Feeling as if tongue and sometimes throat and palate had been burned.

■ Tongue: furred white, with foul taste; white, moist, shows

imprints of teeth; dry, yellow; full and broad with a pasty coat in centre ; red, not bright red ; rough with uniformly erect papillae; dull bluish color; red, dry, cracked, somewhat swollen and often bleeding.

PODOPHYLLUM PELTATUM. 506

'^ Inner Mouth. lOffensive odor from mouth.

lOffensiveness of breath at night, perceptible to patient.

■ Copious salivation.

I Mouth and tongue dry on awaking. I I Nursing sore mouth, canker. ^^ Throat. iDryness of throat.

■ Soreness of throat: extending to ears; r. to 1.; 1. side

sore, < when swallowing liquids and in morning. I I Rattling of mucus in throat. I I Goitre.

I 1 Pharynx dr}^, deglutition painful. ^* Appetite, Thirst. Desires, Aversions, i Indifference to food; loss of appetite; smell of food produces loathing.

■ Satiety from a small quantity of food, followed by nau-

sea and vomiting.

■ Appetite variable, at times voracious.

■ Great thirst for large quantities of cold water; moderate

thirst during fever.

■ Desire for something sour.

'■^Eating and Drinking. ■After eating: regurgitation of food, sour; hot, sour belching; diarrhoea; vomits food an hour after, craving appetite afterwards; depression of spirits. After acid fruit and milk: diarrhoea. After eating and drinking: diarrhoea. *^ Hiccough, Belching, Nausea and Vomiting. ■Heart- burn, waterbrash, heat in stomach.

■ Eructations: smelling like rotten eggs; hot; sour.

■ Sour regurgitation of food.

■ Nausea: distressing and extreme; with attempts to vomit;

motion of gagging is made with mouth and not accom- panied with the effort in stomach seen in retching ; stomach contracts so hard and rapidly that the wrench- ing pain causes the patient to utter sharp screams; gag- ging or empty retching.

■ Gagging: in infantile diarrhoea.

■ Nausea and vomiting with fulness in head.

■ Vomiting: of milk in infants, with protrusion of anus;

of food, with putrid taste and odor; of thick bile and blood ; of hot, frothy mucus ; with congestion of pelvic viscera, during pregnancy. '^ Scrobiculum and Stomach. ■Sensation of hollowness in epigastrium; empty feeling in stomach; weakness in epigastric region.

■ Stitches in epigastrium from coughing.

■ Dyspepsia after abuse of calomel ; tongue shows imprint

of teeth; conjunctiva yellow; aching behind eyes; clayey stools.

507 PODOPHYLLUM PELTATUM.

■ Gastric catarrh.

I I Acute burning pain in region of pyloric orifice, with violent retching and vomiting of bile, and belching of wind ; constipation ; after attacks which occurred some- times twice or thrice a day, prostration, slight jaundice and persistent tenderness to touch in one spot corre- sponding to entrance of common chodedic duct into duodenum. ^^Hypochondria, l Fulness in r. hypochondrium, with flat- ulence, pain and soreness.

■ Twisting pain in r. hypochondrium, with sensation of

heat there. Stitches, < while eating.

■ Pain in region of liver, inclination to rub part with

hand.

■ ■Excessive secretion of bile; great irritability of liver.

■ Biliousness; nausea and giddiness; bitter taste and ris-

ings; tendency to bilious vomiting and purging, dark urine. I I For years subject to diarrhoea which would come on now and then after eating breakfast, with considerable pain in rectum, obliging her to remain at stool as long as pain lasted ; an acute attack caused by bad news caused an early morning aggravation, as well as after eating; attack would also be induced by any depress- ing emotions or excitement of any kind; stools vari- able, mostly deep yellow or greenish, much belching, often severe retching, with almost complete anorexia; great distension of r. hypochondriac region, but no painfulness to pressure; sensation as "of a thousand live things" moving about in abdomen, or of fish turn- ing over each other; chills occasionally, which would commence over region of liver and pass around to back. ^Hepatic derangement.

■ Congestion and enlargement of liver; acute and chronic

hepatitis.

■ Torpidity of liver and portal system; jaundice.

■ Inactivity of liver; great mental depression; chilliness ;

cold perspiration ; restless sleep ; furred tongue, show- ing imprints of teeth ; nausea ; clayey, delayed stools ; fulness, tenderness and stitchlike pain in region of liver; irregular action of lieart ; general prostration.

I I Liver much congested, interfering with portal circula- tion and causing passive congestion of all the pelvic organs, with prolapse of uterus and rectum and a thick, transparent albuminous leucorrhoea.

M Disorders of liver attended by constipation, yellow furred tongue, dark or brown stools, dry, bilious tem- peraments.

PODOPHYLLUM PELTATUM. 508

I I Torpidity of liver, constipation, or diarrhoea alternating with constipation, depression of spirits, irritability of temper, malaise, urine dark colored and defective, or full of lithates.

I Diarrhoea in the morning, stools black, green, watery, or natural but exhaustive ;' jaundice in complication with gall-stones; pain extending from region of gall-bladder, when at its height attended with nausea ; fulness, pain and soreness in r. hypochondrium ; twisting pain with sensation of heat in liver; patient is continually chafing and shaking the hypochondriac region; prolapsus ani ; belching of hot, very sour flatus ; tongue coated white ; emission of fetid flatus; eructations smelling like rot- ten eggs; < evening and before midnight. ^Affections of liver.

I I Jaundice : with gall-stoneSj pain from region of stomach to region of gall-bladder, with excessive nausea; with hypersemia of liver, fulness, soreness and pain ; alter- nate constipation and diarrhoea; itching of skin, urine high colored; feces sometimes white, at others dark; of children ; returning again and again after China and MercuT.; mistaken for cancer of stomach.

iChronic hepatitis, with costiveness ; tenderness and pain in region of liver, ^^ Abdomen. iFlatus: in r. abdomen, palpitation, sleepy in morning; during dentition, with green, sour stools in morning.

■ Tympanitic distension in typhoid, and in children with

diarrhoea. iRumbHng in ascending colon.

I I Pain in transverse colon 3 a.m., followed by diarrhoea. ■Severe pain and heat in bowels, with inclination to go

to stool. I I Pains in abdomen and back are < during stool and

continue after.

■ Dull, unpleasant pain or weight in hypogastric region.

■ Sharp pain in r. groin, preventing motion, latter months

of pregnancy.

■ Frequent but transient abdominal pains, during day, >

from pressure.

■ Pain in bow-els at daybreak, > from external warmth

and bending forward while lying on side ; < lying on back. • I Cramplike pain in bowels, with retraction of abdominal muscles, 10 p.m., and again at 5 a.m. until 9 a.m.; lead colic.

■ Colic: with cramplike knots; every morning with stools

of mucus and blood ; biliary ; of a high grade, pain

509 PODOPHYLLUM PELTATUM.

originating from a depraved and excessive secretion

caused by a morbid state of solar plexus. I I Pains and stool < mornings and excited by eating and

drinking. ^Colic. B Myalgia of abdominal muscles; after abuse of purgatives. I Sharp pain and numbness in rectus muscles.

■ Enteritis affecting jejunum and ileum; duodenitis.

• Duodenitis; catarrhal process extending along biliary ducts and causing jaundice.

■ Conditions simulating puerperal peritonitis, when it has

been preceded by diarrhoea or abuse of purgatives.

I Abdominal plethora : abdomen feels bloated, distended ; soreness and uneasiness; > after stool; causing uterine troubles, constipation and headache in women, and in men headaches, constipation, sometimes variocele. ^° Stool and Rectum, i Emission of fetid flatus.

I I Morning diarrhoea and then no more stools during day.

■ Diarrhoea early in morning, continuing through forenoon,

followed by natural stool in evening.

■ Profuse gushing diarrhoea, coming on in morning, or

more during day than at night ; stools may contain undigested food and often in children deposit a mealy sediment.

■ Early morning diarrhoea, hurrying patient out of bed,

continues through day, but is < at noon; stools change- able in color. I I Liquid, green stools with colic, early in morning, with fainting.

■ Green, sour stool in morning, with flatulence. ^During

dentition.

■ Morning diarrhoea, stools green, slimy, very offensive,

with gagging and excessive thirst, in children.

■ Evacuations in morning attended with strong urgings

in bowels, heat and pain in anus.

■ ■Stools watery, gushing, profuse, green, wdth sudden

urging, often painless; offensive, < in hot weather.

■ ■Diarrhoea: with great sinking at epigastrium, sensation

as if everything would drop through pelvis; painful with screaming, and grinding of teeth; immediately after eating and drinking; from acid fruit and milk; after or while being washed ; dirty water soaking nap- kin through ; with prolapsus ani at every stool ; stool changes constantly in appearance, now green, now yel- lowish, now whitish, slimy, etc.

■ ■ Stools : too frequent, but natural in appearance; frequent,

profuse, painless, watery, fetid ; yellow, pasty; gushing out; yellow, watery, with meal-like sediment; green, sour, with flatulence ; greenish, watery ; dark yellow,

PODOPHYLLUM PELTATUM. 510

mucous; smell like carrion; white, slimy, mucous; bloody and green mucous; mucous and blood-streaked; changeable ; frothy ; involuntary (during sleep) and when passing flatus ; morning during dentition ; green- ish-yellow, slimy, bloody, gelatinous, mixed with feces; with severe straining, much flatus emitted ; mucous, with spots and streaks of blood ; black, only in morn- ing; chalklike, fecal, undigested; muco-gelatinous stools preceded by griping and colic; coated with iihreds of yellow mucus; tarlike. I Before stool: intense nausea; sudden urging; loud gur- gling as of water; rumbling in 1. side; violent colic or absence of pain ; prolapsus ani.

■ During stool: urging in bowels; heat and pain in anus;

sensation as if genital organs would fall out; in women, bearing down as if from inactivity of rectum ; nausea; gagging, tormina and pain in lumbar region ; prolapsus ani ; colic or absence of pain ; pains in sacrum ; emis- sion of flatus; tenesmus (dysenteric stools).

■ After stool: extreme weakness and cutting pains in

intestines; exhaustion ; cutting pains; weak, even after natural stool ; flashes of heat running up back, cutting in bowels, severe and painful tenesmus; great weakness and faintness and pain in lumbar region ; prolapsus ani; flushes of heat up back ; colic continues; sense of weakness and emptiness in abdomen and rectum ; sore- ness of anus.

I I Stools offensive and dark colored; lies upon mother's lap moaning, eyes half closed ; rolling head.

I I Following a miscarriage: muco-gelatinous stools, pre- ceded by undefined pain all over abdomen, < after stool ; tongue red and pointed.

llDiarrhoea from indigestion after eating canned fruit; stools dark-brown, mushy, copious, with much wind ; following night driven out of bed, suddenly, about 3 A.M. ; stool watery, scanty, though gushing, as if abun- dant; stools became frequent ; occasionally slight pain in abdomen; much rumbling and gurgling, finally three to six stools every hour; dark green, with yellow water, somewhat mealy; tenesmus; tendency to pro- lapsus ani; pains frequent and threatening to become intense and incisive; urine almost suppressed; tongue moist but beginning to become moist and white and slimy.

I i Frequent copious, slimy, stringy, green, offensive stools, with straining; < after food; child rolls head in pillow; wants to be carried.

I I Diarrhoea thin, having the appearance of soapsuds, pain

511 PODOPHYLLUM PELTATUM.

preceding evacuation, > by pressure on abdomen; no pain during evacuation.

I I Diarrhoea for a week in a teething girl, set. 20 months ; passages smell like carrion, are watery and pass through diaper leaving a doughy sediment.

■ Diarrhoea during dentition ; stools resemble dirty w^ater ; sleeping with eyes partially closed.

iBowel complaints of children; colic with spasmodic re- traction of abdominal muscles; spasmodic tenesmus; tendency to prolapsus ani.

I I Chronic diarrhoea; bowels moved every half hour, pas- sages looking like washings of fresh meat; severe straining and tenesmus with stool, and for ten minutes thereafter severe burning pain deep in rectum ; severe cough ; tongue coated with thick brown fur; stomach so weak that rice would not digest; said he had a large ball in stomach.

I I Chronic diarrhoea of two years' standing ; great emacia- tion ; bowels flat and hard ; yellowish, watery, slimy discharges, mixed with undigested food, accompanied by soreness of abdomen.

i I Every fifteen minutes severe pain in abdomen, followed by passage of small quantity of mucus and blood. /^Diarrhoea.

I I Dysenteric diarrhoea affecting rectum; discharge of mucus and dark-colored scybala.

■ Dysentery commencing with a watery diarrhcea; dis-

charges become muco-sanguineous, accompanied by sickness at stomach, especially if preceding diarrhoea manifested itself early in morning.

■ Bilious dysentery; stools look like pea soup and consist

of yellowish, greenish, or bloody mucus of disagreeable odor, and accompanied by violent pains in region of colon, rectum and anus.

■ Severe straining during stool, with emission of much

flatus; mucous stools with spots and streaks of blood; thirst, but no appetite. ^Endemic dysentery.

■ Cholera infantum in hot weather; gagging or empty

retching; greenish, watery, white or dark -yellow stools; profuse, painless, very offensive; great prostration; rapid emaciation ; rolling of head ; restless sleep ; half- closed eyes.

■ Frequent loose stools, remaining after attack of cholera

infantum.

■ Diarrhoea of children during epidemic of cholera; catar-

rhal affections of respiratory organs sometimes precede attack; all desire for food gone; great thirst; upper part of intestinal tract affected and vomiting more fre-

PODOPHYLLUM PELTATUM. 512

quent than diarrhoea ; copious, foul-smelling, exhaust- ing stools.

■ Cholera morbus; especially when characterized by

absence of pain; generally during summer; stools watery, come out with a gush and a splutter like water from a hydrant; marked loathing of food; stools very liable to change color ; < after midnight and towards morning.

1 Painless cholera morbus; stools profuse and gushing, each seeming to drain patient dry, but soon he is full again ; there may also be violent cramps.

I Camp diarrhoea.

■ Alternate diarrhoea and constipation.

■ Stool difficult: from inactive bowels; hard, dry, pale or

clayey; voided with difficulty; hard, crumble when evacuated, clay-colored, often streaked with green; hard, coated with yellow, tenacious mucus; thick, trans- parent mucus or mixed with blood. 1 I Constipation waking her almost every night, not always at same hour, with severe abdominal colic in umbilical region, which lasted from one to two hours.

■ Constipation: old intermittent cases or those due to a

residence in India; succeeds diarrhoea in infants artifi- cially nourished ; with irritation in persons of sedentary habits; infantile with prolapsus of rectum ; of bottle-fed babies, with dry, crumbling stools; after uterine dis- ease; attacks of tenesmus uteri, vesicae, abdominal colic and severe and nervous headache, with abdominal venous congestion. I I Enteritis folliculosa ; larger stools than are to be ex- pected from the amount of ingesta taken, with excessive fetor.

■ Acute and chronic colitis.

■ ■Prolapsus ani: with stool, even from least exertion, fol-

lowed by stool or thick transparent mucus or mixed with blood ; even with loose stool ; from debility of in- fancy and childhood, stools too large and frequent, but natural in color and consistence ; with diarrhoea ; most frequently in morning; following parturition; compli- cated with and sequential to uterine displacement ; of children.

■ Anus feels very sore, sensitive and swollen.

■ Chronic, painful, hemorrhoidal tumors all around anus,

some of them bleeding.

■ Internal hemorrhoids, with prolapsus recti.

■ ■Piles, with prolapsus ani and long-standing diarrhoea,

< mornings; or constipatjon.

■ External piles, bleeding or not.

513 ■ PODOPHYLLUM PELTATUM.

^^ Urinary Organs, i Diabetes mellitus and insipidus; chalk- like stools; urinating immediately after drinking ; mic- turition profuse and frequent; thin, auEemic. I I Urinary tenesmus. I Irritability of bladder. I Incontinence of urine ; enuresis.

■ Frequent nocturnal urination during pregnancy. I I Profuse and frequent micturition.

I Urine: dark brown; increased, diminished or sup- pressed ; yellow, containing a sediment. - Male Sexual Organs. Stitching pain above pubis and in course of spermatic cords.

I I Diseases of prostate gland associated with rectal troubles. Female Sexual Organs. iNumb aching in region of 1. ovary ; heat down thigh ; third month of pregnancy.

I Pain in region of ovaries, especially the right.

I I Pain commences in r. ovary, and descends anterior crural nerve, increasing in intensity as it goes down, < by straightening out limb.

I Shooting pain in r. ovary, before and during menstru- ation.

a Tired pain in ovaries, with swelling and pain in both limbs, extending below knees, < on r. side.

I Pain in ovaries connected with diseases of liver; light- colored evacuations.

■ Dragging pains in ovarian regions. I Pain in r. ovary and uterus. 1 I On catching cold after confinement, drawing dragging

pain in r. iliac region, shooting along inside of thigh and crural nerve to knee ; pain intermitted every half hour to an hour, lasting about ten minutes, very severe, not > by passage of flatus ; pain could be traced from r. ovary, through internal spermatic nerve to lumbar plexus, and from there along anterior crural nerve to knee. I I For three months beating and throbbing in r. ovary, pain shooting down knee inside of thigh.

■ Right sided ovaritis in women who have borne children, . coming on suddenly from an imprudence in walking,

getting wet, or from sexual intercourse during or too

soon after menstruation, or from excessive use of sewing

machine. I I Ovarian tumor with pains extending upward to

shoulder. I Four cases of ovarian tumor from size of a hen's egg to

half the size of fist, all on r. side ; pain and numbness

extending down corresponding thigh.

■ Pressing and bearing down in uterine region. voT. VIII. — 33.

PODOPHYLLUM PELTATUM. 514

I Sensation at stool as if genital organs would fall out.

I Pain in uterus.

I Prolapsus uteri : with aching and bearing-down pains; womb disposed to fall very low, even painfully so ; with much aching pain in region of 1. ovary, heat running down to 1. thigh, in pregnancy, must lie on stomach ; after confinement ; with diarrhoea and prolapsus recti ; with pain in sacrum; from washing; with amenorrhoea; stool frequent though natural ; after overlifting or strain- ing; after parturition.

' I Prolapsus uteri for twenty-four years, wore a glass pes- sary for fifteen ; dull pain in back, removal of pessary followed by procidentia.

■ Induration of os uteri.

I I Menorrhagia from straining.

I I Bearing down in abdomen and back during menses ; ovarian pain on both sides of abdomen, with a numb and aching pain running down into thighs. ^Dys- menorrhoea.

■ Retarded menses, with ovarian pains, burning in hypo-

gastrium and sacral region ; pain from motion, > lying down. iLeucorrhoea : discharge of thick, transparent mucus;

with constipation and bearing down. I I Sw^elling of labia during pregnancy. ^* Pregnancy. Parturition. Lactation, i Can lie comfort- ably only on stomach, early months.

■ Morning sickness or excessive vomiting of pregnant

women.

■ Excessive vomiting in pregnancy and conditions arising

from a congested condition of the pelvic viscera.

■ Swelling of labia during pregnancy.

Pain in region of ovaries, especially at night, disturbing sleep; very nervous and restless; condition may recur night after night until finally symptoms of abortion set in.

■ Severe after-pains, with strong bearing down sensation.

■ After-pains with heat and flatulency ; also with strong

bearing down.

■ Hemorrhoids and prolapsus recti; after confinement. Pendulous abdomen.

^^ Voice and Larynx. Trachea and Bronchia. 1 1 Chronic

bronchitis. ^® Respiration. Inclined to breathe deeply ; sighing. Shortness of breath.

Sensation of suffocation, at first when lying down at night.

■ Bronchial asthma; < after catching cold.

515 PODOPHYLLUM PELTATUM.

"^ Cough. I Cough: loose, hacking; with remittent fever; dry; loose ; rattling on chest, during dentition ; whooping, with constipation and loss of appetite ; from disease of liver.

^^ Inner Chest and Lungs. ■ Catarrh of chest during den- tition. I I Pneumonia.

^' Heart, Pulse and Circulation, i Sensation in chest as if heart were ascending to throat. ■Stinging pain in region of heart.

■ Palpitation: with a clucking sensation rising up to

throat, obstructing respiration ; from mental emotion or exertion, with rumbling in ascending colon, heavy sleep, fatigue on awakening in morning, drowsy all forenoon ; from physical exertions ; nervous in conse- quence of excessive hepatic action.

I Pulse slow, scarcely perceptible; pulseless. ^^ Neck and Back. Nape of neck stiff, with soreness of mus- cles of neck and shoulders.

Pain under r. scapula.

Pain between shoulders, in morning.

Flashes up back, with stool.

Weakness and soreness of back.

I Lumbar backache after washing. ^Prolapsus uteri. ^Diarrhoea.

I Pain in lumbar and sacral regions, < during stool and still < afterwards.

Pain in lumbar region, withered sensation, < at night and from motion.

Pain in loins, < when walking on uneven ground or from a misstep.

iSacral pain. ^Uterine displacement. ^^ Upper Limbs. iPain in course of ulnar nerve of both arms.

■ Rheumatism in 1. forearm and fingers.

I I Pains from head into neck and shoulders; fingers

numb. Weakness of wrists, soreness to touch. ■" Lower Limbs. ■ Sharply defined ache in sacro-ischiadic

foramen, with tenderness on pressure. Pain and weakness in 1. hip, like rheumatism from cold;

< going uj) stairs.

■ Slight paralytic weakness of 1. side.

■ Cramps in calves, thighs and feet, with painless watery

stools. Knee joints crack during motion. Joints weak, especially knees. Legs heavy and stiff, as after a long walk. Aching of limbs < at night.

PODOPHYLLUM PELTATUM. 516

I I Severe pain and swelling of ankle joints.

Feet : cold ; sweat in evening. ^ Rest. Position. Motion. Ljdng down : ovarian pain > ; sensation of suffocation ; chilliness.

Must lie on stomach : during pregnancy.

Lying on back : pain in bowels worse.

Bending forward when lying on side; pain in bowels better.

Straightening out limb ; pain down leg worse.

Stretching in bed : > restlessness.

Standing: vertigo.

Motion : ovarian pain ; pain in lumbar region < ; knee joints crack ; during fever chilliness.

Walking: bilious headache, < pain in loins < from walk- ing on uneven ground ; misstep.

Going up stairs : pain in 1. hip.

From physical exertion : palpitation. ^^ Nerves. Nervous irritability and sleeplessness ; feels as if weak and unable to move about.

I iFaintness, with sensation of emptiness in abdomen after stool.

■ Sensation of great prostration with pain in stomach.

■ Slight paralytic weakness of whole 1. side. Sudden shocks of jerking pains.

■ Convulsions from reflex irritation in teething children ;

rolling of head ; variegated, slimy stools. •^^ Sleep. ■Sleepiness: in daytime, especially in forenoon; with rumbling in bowels, in morning.

■ Heav}^ sleep ; fatigue on w^ aking.

■ Drowsy, half-closed eyes, moaning, whining, especially

children. Great restlessness, tossing about in bed, yawning and stretching, with entire relief on doing so.

■ Very w^orrying and sleepless early part of night, appar-

ently from nervous irritability. ^Dentition.

■ Moaning in sleep, with eyelids half closed.

■ Restless sleep, whining.

■ Drowsiness or restless sleep, with grinding of teeth or

rolling of head.

■ Unrefreshed by sleep on waking in morning.

•^^ Time. Morning : throbbing temples ; aching in eyes ; head- ache ; scrofulous ophthalmia < ; sore throat < ; early, aggravation of diarrhoea and pain ; diarrhoea ; sleepy ; green, sour stools ; pain and stools < ; diarrhoea < ; green stools with colic and faintness; sickness; fatigue on awakening; pain between shoulders; dull, throb- bing headache. 3 A.M.: pain in transverse colon; sudden diarrhoea.

517 PODOPHYLLUM PELTATUM.

5 A.M. until 9 A.M. : cramplike pains in bowels. 7 A.M. : chill. 11 A.M.: shaking chill.

Forenoon : pressing in temples ; diarrhoea ; drowsy. Noon: diarrhoea <.

Day : frequent transient abdominal pain. Afternoon : feverish. . j •

Evening : diarrhoea < ; natural stools after morning diar- rhoea ; cold foot sweat. 10 P.M. : cramplike pains in bowels. _

Night : whining ; grinds teeth ; offensive breath ; pain m region of ovaries ; sensation of suffocation ; pain in lumbar region < ; aching of limbs < ; very worrying and sleepless ; fever. Before midnight: diarrhoea <. After midnight: stools <. .

^^Temperature and Weather. Open air: vertigo while standing. After or while washing : diarrhoea. External warmth : pain in bowels >. Hot w^eather : offensive stools ; cholera infantum. Covering up warmly in bed : > chilliness. Catching cold: bronchial asthma <. Chilliness : not > by heat of stove. '"Fever. l Chilliness while moving about during lever and in act of lying down, with sweat immediately afterwards. .

I Chilly at first on lying down in evening, toiiowed by

fever and sleep with talking and imperfect waking. _ lChill,7 A.M., pressing in both hypochondria; dull aching

in knees and ankles, elbows and wrists. iBackache before chill. ■ During chill, great loquacity. I I Shaking and sensation of coldness continue lor some

time after heat commences. I I Heat begins during chill or while he is yet chilly. Feverish during afternoon, with occasional chilliness, not > by heat of stove, but > by covering up warmly

in bed. , ,

I Pain in bow^els first attended with coldness, loUowed by

heat and warm sweat. I Heat with violent pains in head ; excessive thirst ; great loquacity, constantly talking, which continues with de- lirium until fever reaches climax, when he falls asleep and sweats profusely, with forgetfulness of all be had

I Flashes up back and abdominal pains during stool. I Sweat warm on head and legs; feet cold; head sweat with coldness of skin ; sleep during sweat.

PODOPHYLLUM PELTATUM. 518

I I Moaning, groaning, restlessness and ravenous hunger with thirst during fever, white tongue, heat in abdo- men, especially in region of liver, liver indurated; asth- matic cough.

I I Shaking chill, 11 a.m., with pain in wrists, knees and ankles, followed by heat without pains, then sweat on

. back, head, face and hollow of elbows. ^Ague.

■ Loquacity during chill and far into heat, with complete

forgetfulness afterwards of all that had passed; falls asleep at climax of heat, and sleeps during perspiration.

I I Chill with pressing pain in both hypochondria; dull aching pain in joints ; great desire to talk, but cannot because he forgets words. ^Intermittent.

I I Obstinate constipation, all bones ache; fever, sweat, full pulse, with congestion to head; chill followed by fever at night ; an hour of chilliness followed by an hour of fever, such a succession continuing during whole twenty- four hours. ^Ague.

I Backache severe in lumbar region; gastric and bilious symptoms are marked, sometimes for days before parox- ysm. ^Ague.

1 I Bilious remittent fever; dull throbbing headache when waking in morning with dread or fear that he would be very ill; dry mouth with bad taste; heavy, dirty- white coating on tongue; preceding paroxysm of fever, nausea and vomiting of a bilious substance, accompa- nied by first a yellow, then a greenish diarrhoea ; during paroxysm patient stupid, inclined to talk, but would drop a sentence before half finished ; great thirst, hot face, protruding eyes and continued talking, finally sleep with sweat.

■ Bilious fever: with much vomiting of bile; bilious diar-

rhoea; tongue coated yellow; great thirst; much intes- tinal irritation; remittent or intermittent.

■ Remittent fever from excessive hepatic action.

■ L'ritative fever and infantile remittent.

^'Attacks, Periodicity. Alternate: headache and diarrhoea;

constipation and diarrhoea. An hour of chilliness followed by an hour of fever, during

whole twenty-four hours. For ten minutes after stool : severe burning pain in

Every fifteen minutes : severe pain in abdomen. Every half hour: bowels moved; shooting along thigh

519 PODOPHYLLUM PELTATUM.

Every morning : colic with mucous stools.

Almost every night : constipation wakes her.

Attack lasts twenty-four hours : burning pain at top of

'•' Sensations. As if strabismus would occur ; pam m head as if having held a piece of ice on occipital protuber- ances ; as if tongue, throat and palate had been burned ; as of a thousand live things moving about in abdomen, or of fish turning over ; as if everything would drop through pelvis; as if genital organs would fall out; bearing down as if from inactivity of rectum ; as if heart were ascending to throat ; as if weak and unable to move about. • i- n

Pain: in region of liver; in rectum; m region ol gall- bladder; in transverse colon; in anus; m lumbar region; in sacrum; all over abdomen; in region of ovaries ; first in ovary, ascends crural nerve ; m both limbs ; in r. ovary and uterus ; under r. scapula ; between shoulders ; in loins ; in course of ulnar nerve of both arms ; in 1. hips ; in stomach ; in bowels ; in wrists ; m knees ; in ankles. Violent pains : in head. . .

PODOPHYLLUM PELT ATOM. 520

Stitchlike pain: in region of liver

Stitching pains: above pubis and in course of spermatic cords.

Fleeting pains : in head, extend into neck and shoulders.

Twisting pain : in r. hypochondrium.

Dragging pains: in ovarian region; in r. iliac region.

Pressing pain: in both hypochondria.

Stunning pain : through temples.

Burning pain : at top of head and over forehead ; in re- gion of pyloric orifice; deep in rectum ; in hypogas- trium and sacral region.

Stinging pain : in region of heart.

Cramplike pains: in bowels.

Cramps : in calves, thighs and feet.

Dull, unpleasant pain: in hypogastric region; in back.

Tired pain : in ovaries.

Pheumatic pain : in 1. forearm and fingers.

Aching : in eyes ; behind eyes ; in region of 1. ovary ; running down into thighs ; sharply defined in sacro- ischiadic foramen ; of limbs ; in ankles and joints, elbows and wrists ; dull in joints; in bones.

Numb aching : in region of 1. ovary.

Beating : in r. ovary.

Drawing : in eyes.

Throbbing: in temples; in r. ovary.

Bearing down : in uterine region ; in abdomen ; in back.

Pressing: in temples; in uterine region.

Smarting : of eyes.

Soreness : of nose ; of throat ; in hypochondrium ; in ab- domen ; of anus ; of muscles of neck and shoulders ; of back.

Heat: in head; in vertex; in stomach; in hypochon- drium; in bowels; in anus; down thigh; in abdomen.

Heaviness : of eyes.

Weight : in hypogastric region.

Fulness : in head ; in r. hypochondrium.

Dryness : of throat.

Weakness : in epigastric region ; of back ; in wrists ; in 1. hip ; of 1. side.

Withered sensation : in lumbar region.

Numbness : of fingers ; of rectus muscles ; down r. thigh ; of fingers.

Empty feeling : in stomach.

Itching: of skin.

Coldness : of feet ; of skin. ** Tissues. I I Emaciation ; many stools daily, all of which are natural ; morning diarrhoea. ^Atrophy of children.

■ Softness of flesh, with debility; children.

521 PODOPHYLLUM PELTATUM.

Relaxes the sphincters.

iFuhiess of superficial veins, indicating impairment of

I I Useful in gout after acute symptoms have subsided, or

I I Inclination to rub region of liver with hand. ^''Skin. I Sallow skin; jaundice; also in children.

iSkin moist with preternatural warmth.

Scabs on skin.

■ Rawness and itching about genitals; also pustules (from grinding the root).

Cold, clammy skin.

I I Erysipelas. *^ Stages of Life, Constitution, i Bilious temperaments, especially after mercurialization.

Child, set. 4 months ; diarrhoea.

Child, set. 18 months, suffering several months ; diarrhoea after cholera infantum.

Boy, ffit. 1 ; diabetes mellitus.

Boy, set. 2, fair complexion, blue eyes, light hair, impul- sive and vehement disposition, suffering since beginning of dentition ; diarrhoea.

Boy, set. about 3 ; diarrhoea.

Boy, set. 9 ; diabetes insipidus.

Maud B., child ; diarrhoea.

Man, £et. 33, cachectic appearance, liver or spleen or both disordered; asthma.

Man, a^t. 35, treated allopathically from childhood for disorders of liver and stomach, has been regarded as having " disease of neck of stomach," has taken mer- curials and potash ; hepatic disorder.

Minister, set. 38, nervo-bilious temperament ; headache. _

Woman, set. 45, subject to occasional dyspepsia ; hepatic derangement.

Mrs., ffit. 45 ; dysentery.

Mrs. M., set. 45, sanguine temperament, full habit, not through " change of life," sensitive to all atmospheric changes, for fourteen years has suffered from uterine disease ; constipation and colic.

PODOPHYLLUM PELTATUM. 522

Mrs. H., 8et. 45, suffering twenty-four years; prolapsus uteri.

Man, set. 45, bilious temperament ; gout.

Man, set. 50, blue eyes, light hair, fair skin, nervous tem- perament, suffering two years ; chronic diarrhoea.

Woman, past 60, mother of large family, suffering for years ; hepatic derangement.

Miss T., set. 66 ; ovarian tumor.

Stout lady, set. 71 ; chronic bronchitis.

Man, set. 76, never had a severe illness of any kind ; ague.

Soldier, has taken much opium and acids ; chronic diarrhoea.

It antidotes: Mercur.

Compatible : after Ipec. and Nux vom. in gastric vomiting ; after Calc. ostr. and Sulphur in liver diseases.

Incompatible: Salt, which increases its action.

Compare: jEscuL, Aloes, Apis, Arnic, Bryon., Chelid., Col- lin., Colchic, Helleb., Iris, Leptan., Lilium, Mercur., Nitr. ac, Nux vom., Pulsat., Sulphur, Veratr.

523 POLYGONUM.