Ptelea Trifoliata
Ptelea · Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 11,750 chars · source ↗
General
Ptelea.
Ptelea trifoliata. Shrubby Trefoil. Hop Tree. Wafer Ash. N. O. Xanthoxylaceae of the Rutaceae. Tincture of bark of root.
Clinical
Asthma. Constipation. Dysentery. Dyspepsia. Erysipelas. Gall-stones. Gastralgia. Headache, gastric; bilious. Intermittents. Jaundice. Liver, congestion of. Nightmare. Phosphaturia. Rheumatism. Spleen, affections of. Worms.
Characteristics
Ptelea is the Greek name for the Elm, and was applied by Linnaeus to a genus of shrubs and small trees, natives of North America and Asia, and included in Xanthoxylaceae. In Canada the young green shoots of Pte. tri. are used as an anthelmintic in the form of an infusion. The fronds are bitter and aromatic, and have been used as a substitute for hops (Treas. of Bot.). One of the provers of Pte. confirmed its anthelmintic powers by "a very copious expulsion of ascarides." The proving was very thorough and extensive, and T.
Nichol, Burt, and Cowperthwaite were among the provers. A very marked action was produced on the liver, and Nichol, one of the provers, values it highly (says Hale) in "hepatic difficulties, and in those erysipelatous and urticarious eruptions that are so often concomitant with affections of the liver." Hale says it has not the violent action of Pod. or Ir. v., but "a slow, pervading" action, and causes chronic ailments. He has found it useful in "bilious headache, dyspepsia, gastralgia, congestion of the liver, chronic hepatitis, and chronic erysipelas." Others have used it in chronic rheumatism, dysentery, and constipation, Hale says the oily constituent of Pte. resembles Turpentine; and one of the most marked symptoms of the proving is: "Pressure as from a stone in pit of stomach," recalling Abies n. and the conifers.
In the proving the liver was swollen and tender, but there was > lying on right side, and < lying on left. [H. K. Leonard (H. R., xiii. 468) cured a seemingly hopeless case with Pte. 1x on this symptom: Weight, aching distress, dull pain in hepatic region, > lying on right side; turning on left = a dragging as if liver pulling on its ligaments.] The "dull, muddled head" is another liver symptom.
J. Preston (B. J. H., xlii. 71) cured with Pte. a case of jaundice following gall-stones, with great emaciation
Aching distress; general aching and soreness; malaise. A number of alternating symptoms were noted. Nervous pains alternating from left arm to left eye and temple. Liveliness alternates with sadness.
As gastric symptoms improved difficulty of breathing came on. There is the ravenous hunger of the antipsorics; empty sensations in oesophagus, in stomach. Sensitive to light, sound, to open air. Enlarged feelings were noted: head feels large, fingers feel numb, and large and clumsy.
Headache with hunger, especially on awaking, may prove a keynote. Right (liver) side most affected. The symptoms are < in hot room; > in cold air.
< After sleep; on awaking. After eating, feeling of liveliness. After breakfast: distress in stomach, headache and hunger >; one. hour after, <. > After eating acid things.
< From cheese; butter; pudding. General < after eating. > Morning and evening; < afternoon.
< Lying down; lying l. side; > lying r. side. < Walking; speaking; mental exertion; moving eyes; raising eyebrows, before, during, and after stool. Headache > after stool.
Straining at stool < vertigo. Coughing = feeling as if head would burst.
Relations
Compare: Xanthox. Headache at base of brain, Ipec. Congestion of brain with feeling of weight in right hypochondrium and liver enlarged, Mag. m. (Pte.
> lying right side). Weak mind, peevish, irritable, sensitive, tenesmus, must lie down, Nux, Bry. (Bry. has large stool, Pte. small, hard balls; both have > lying right side; Bry.
< least attempt to breathe, Pte. on deep inspiration only; Nux has < lying on painful (r.) side and large stool). Eructations like rotten eggs, aversion to meat, longing for acids, Arn. (with Arn. eating = fulness; with Pte. it = epigastric pain and goneness).
Periodic < of gastric symptoms 3 to 4 a.m., Nux (Nux desires fat, Pte. loathes it; Pte. predominating bitter taste, Nux sour; Pte. feels effect of food at once, Nux two hours after; Pte. dysenteric tenesmus before and after stool, Nux tenesmus ceases after stool).
Head symptoms < straining at stool, Indm. Headache with cough, Caps., Bry., Nat. m. Noise almost = spasms, Asar. Impressions of sounds remain long in ears (images of objects seen remain long, Lac c., Nic.).
Pain like a stone at epigastrium, Ab. n., Bry. Sensation as if abdomen retracted, Pb. (Pb. abdomen hard, Pte. soft). < After sleep.
Lach. Dreams of fighting, Nat. s. Scalded tongue, Sang., Pod. Clumsy fingers, Bovist.
Liver, &c., Hydrast.; Berb.
Causation
Repelled eruption (asthma).
Mind
Liveliness after eating, followed by depression an hour later
Depression, anxiety, and tendency to worry
Irritable; nervous, sudden noise startles and = headache
Unusual energy with disposition to hurry
Thoughts chase each other through the mind, impossible to fix attention
Dull, stupid, dazed, confused, muddled feeling in head
Malaise of mind and body; indisposed to physical or mental exertion
Sudden shrinking from mental work, with sickness and faintness
Memory weak: for things; and names.
Head
Head confused, giddy, weak
Vertigo: with rumbling and swelling in umbilical region;
< straining at stool;
> slow motion, < sudden motion;
< turning head;
< walking; on rising; with piercing pain through brain
Fits of vertigo, > bending head down and closing eyes
Head light; or heavy and full
Severe dull headache, < motion;
< warm room
Pressive feeling at base of brain
Stunning, splitting, bursting, throbbing headache;
< by mental exertion; by coughing
Headache with hunger on waking, > after breakfast
Dull, heavy, frontal headache, < moving eyes
Head feels enlarged
Darting pain through l. superciliary ridge, extending deep into brain
Pressive and piercing pain through temples;
< by chewing
Hot flushes and pain in vertex
Pains alternate between r. temple and between front and back of head.
Eyes
Pressure over eyes, < lifting eyebrows
Eyes heavy
Pains over eyes
Sensitiveness to light.
Ears
Swelling of gland under r. ear sharp pain behind ear
Shooting pains from l. ear down spine
Intolerance of loud talking; a pleasant voice sounds coarse; thought it would produce spasms if obliged to listen; impression produced by the sound lasts long
Roaring and singing in ears.
Nose
Sneezing
Influenza
Nose stopped, sore; breath burns and irritates nostrils.
Face
Face pale, esp. round eyes; sickly, yellow
Burning in face
Pain in r. zygoma
Nervous twitching of upper lip, extending to l. eye
Lips cracked; and sore; dry.
Mouth
Teeth (esp. r. molars) all ache; feel sore and elongated
Tongue: swollen; coated Yellow; papillae red and prominent, rough at back; dry; feels scalded
Soft palate and uvula inflamed, breath hot
Mouth dry
Profuse salivation, drivelling whilst lying on face; tastes salt
Taste: in morning everything tastes and smells sour; bitter; of medicine returning in gusts; nothing tastes natural
Unable to speak for some time on waking.
Throat
Throat sore; ulcerated;
< r. side;
< after noon
Burning and pricking pains before rising, esp. in tonsils
Dryness; roughness; heat; constriction in throat
Heat, dryness, and distressing feeling of emptiness in oesophagus.
Stomach
Appetite: voracious; at supper followed by pain in epigastrium; awoke with hunger and headache
Tired before finishing eating
Desire for acid food
Aversion to meat, butter, and rich food
Thirsty; drank much water
Absence of thirst; with bitter taste
Eructations: tasting bitter; of bad eggs; sour
Hiccough, 3 p.m
Severe, persistent nausea; with fever; with headache;
< lying down;
< speaking or singing
Efforts to vomit
Vomiting without >
Stomach: sour; burning distress at; faint feeling
Weight at stomach with bloating; wakening him 1 a.m
Pressure as of a stone at pit of stomach, < by light meal
Cutting, griping, squeezing, throbbing aching in epigastric region, < by cheese
Feeling as of sand in stomach
Aching and sticking in diaphragm < by speaking
All gastric symptoms < towards morning; = awakening.
Abdomen
Weight and dragging in hypochondria on walking; standing; sitting erect;
> stooping forward
Liver swollen; tender to light touch; clothes feel too tight;
< lying l. side, = dragging pain;
> lying r. side
Pains shoot from r. hypochondrium downwards
Throbbing; stitches; distress in r. hypochondrium
Cutting, soreness, distress in spleen; with pressure in forehead
Pulsation and tenderness in umbilical region
Borborygmi and colic
Involuntary discharge of flatus
Flushes of heat in abdomen
Abdomen feels hollowed; empty; caved in; soft as if front walls drawn in to spine
Distress and griping in hypogastrium and groins.
Stool And Anus
Pressure in rectum; urging to stool
Smarting in anus: after hard stool; with diarrhoeic stool
Stool followed by tenesmus and succeeded by itching and smarting at anus
Diarrhoea, stools dark, sulphurous odour
Cadaverous smelling stools
Stools with shivering
Faeces coated with slime
Copious expulsion of ascarides
Black, lumpy stool
Constipation; with continued urging
Hard, difficult stool, with straining and smarting.
Urinary Organs
Strange uneasiness in bladder and prostate
Heat in prostate
Tickling, smarting, burning, and sensitiveness of urethra
Urine increased; copious white sediment; phosphatic; high coloured; yellowish red; scalding slightly; muddy sediment.
Male Sexual Organs
Throbbing in glans and pubic region on lying down at night.—Sexual desire greatly increased at first; later abolished.
Respiratory Organs
Hoarseness; inability to speak aloud
Sensation of foreign body in larynx, morning before rising
When coughing head feels as if it would burst.
Chest
Uneasiness and difficulty of breathing came on as gastric and hepatic symptoms declined
Stitching pains in lungs
Tenderness of sternum
Pain in back of l. breast near axilla
Darting under r. breast.
Heart
Awoke from afternoon nap with slight pain near heart, and afterwards shooting from under r. breast
Severe, cramp-like pains in region of heart
Pulse quick, full, hard, tense.
Neck And Back
Pain in neck; feels swollen; cords lame
Nape stiff, moving = painful tension
Awoke with headache
Lameness of small of back
Cramp-like pains in sacrum when walking.
Limbs
Aching distress; weary feeling; rheumatic pain in all limbs.—Stitches in shoulder and hip.
Upper Limbs
Rheumatic pain in shoulders and arms
Nervous pain alternating from l. arm to l. eye.—< Nervous trembling of hands
Prickling numbness of hands, feet cold, enlarged, clumsy, stiff
Fine pains in fingers and region of spleen.
Lower Limbs
Weakness of lower limbs
Pain in r. hip
Darting pains in r. thigh
Throbbing in gluteal region
Sticking in l. knee
Drawing pains in l. heel.
Generalities
Weak, languid, sick, tired.—Gone feeling all over.
Skin
Skin: reddish; dry; parched
Intense itching all over body
Eruptions: vesicles; red spots; boil on r. forehead; desquamation.
Sleep
Constant yawning; drowsy
Sound sleep but haunted by frightful dreams
Dreams: vivid, of armies; of dead animals of fighting; of food and awoke hungry.
Fever
Shivering: by warm stove; with hot head from hips down; with chattering teeth; with sensitiveness to cold air
A cold streak runs up and down spine
Feverish heat; with pains in all limbs and nausea
Dry heat over whole body, esp. palms
Burning cheeks and hot flushes
Sweat: all night; profuse on waking; on forehead.