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Ptelea Trifoliata

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General

PTELEA TRIFOLIATA. [Ptel. trif.] Wafer Ash. Rutaceae.

Mind

► Nervous, irritable, starts from a voice. ► Sad, irritable ; hurried manner, but dazed and confused, with muddled feeling in the head. ► Disinclined to mental work, with languor rather than with inability. ► Dazed, confused, as in a bilious attack. ► Memory weak ; forgetful as if intellection was slow ; yet by collecting thoughts could recall things read many years ago.

Sensorium

► Confusion ; raises a bitter fluid. ► Vertigo, worse turning head or from sudden motions ; with dulness and languor, rumbling about the navel, nausea, griping, aching in stomach ; worse when writing, rising or in a warm room.

Inner Head

► Headache, bones. ► Splitting headache, worse mental exertion, stooping, or moving eyes ; with nausea. ► Dull aching in the forehead with depression and sour stomach ; racking pain, with hurried manner and red face. ► Pain from forehead to root of nose ; sensation of a nail driven into the brain ; worse in the morning on rising. ► Throbbing over one eye. ► Darting pains over left eye, deep into head. ► Hot flushes and pain in top of head and eyes. ► Pain in left temple running across to the right. ► Headache in the occipital region passing to the frontal, over the eyes. ► Pressive feeling at the base of the brain, compared to the bruised headache of Ipec. ► Headaches are worse from mental exertion, moving eyes, walking, noise, warmth, and on awaking, mornings.

Ears

► Intolerance of loud talking. ► Ringing in the ears ; slight giddiness.

Nose

► Breath seems so hot that it burns the nostrils. ► Nasal passage sore. ► Sneezing.

Face

► Expression : sickly, pale, especially around the eyes. ► Color : yellow, skin dry and hard.

Teeth

► Carious teeth sensitive ; gums sore. ► Teeth feel as if elongated.

Tongue, Etc

► Coating : white fur, swollen ; yellow, feels rough, papillae red and prominent ; brown-yellow, dry. ► Taste : sour, morning ; bitter. ► Food seems tasteless.

Mouth

► Dry, with bitter taste. ► Saliva profuse ; drooling at night.

Throat

► Pricking pains in throat ; fauces inflamed, worse right side. ► Hawking of mucus from the pharynx ; lips and tongue dry.

Desires And Aversions

► Appetite voracious. ► Craves acid food. ► Dislike thing formerly enjoyed. ► Repugnance to butter and fats, appetite poor ; also to animal food and to rich puddings. ► Appetite poor muddled feeling or pains in liver. ► Thirst. ► No thirst with bitter taste.

Eating And Drinking

► Worse from cheese, meat, pudding, etc. ► Hepatic and gastric symptoms worse after meals.

Nausea And Vomiting

► Eructations : sour ; bitter ; tasting of rotten eggs. ► Nausea, rising of a bitter fluid, confused head, dizzy ; sweat on forehead ; bilious.

Stomach

► Sense of weight and fulness after even a moderate meal. ► Distress epigastrium and right hypochondrium, with drawing pains in fingers and ankles. ► Burning distress ; oppression ; vomiting ; chronic gastric catarrh. ► Empty feeling. ► Faint feeling in stomach ; sour risings. ► Pressure at pit as from stone, worse from a light meal. ► Gripping, cutting pains in the epigastrium ; pressure causes nausea.

Hypochondria

► Liver swollen, sore on pressure, causing dull and aching pain ; griping in the bowels ; clothes feel too tight. ► Weight, aching, distress in the hepatic region ; dull pain, heaviness, better lying on the right side ; turning to the left causes a dragging sensation. ► Sharp, cutting pain in liver, worse from a deep inspiration.

Abdomen

► Bloated, with weight on the stomach. ► Soreness of the abdomen, worse bending body, feels like supporting it with the hands. ► Feeling of warmth. ► Aching distress in bowels, back and legs. ► Pulsation in the umbilical region synchronous with the heart. ► Griping, colicky pains ; heavy aching ; throbbing about the navel. ► Colic, bitter taste ; with rumbling and discharge of wind from the bowels.

Stool, Etc

► Continual urging, with pressure on the rectum ; with scanty or absent stool ; rectal torpidity. ► Diarrhoea : bilious, thin, fecal, dark, offensive, even cadaverous in smell, sulphuric in odor ; with tenesmus ; preceded by griping pain and rumbling ; smarting in the anus. ► Constipation. ► Passes balls of hard feces. ► Diarrhoea and constipation alternately.

Urine

► Smarting in urethra during and after micturition. ► Scalding urine, scanty and difficult of retention. ► Urine : clear deep reddish-yellow, scanty ; deposit of epithelia, phosphates and urates.

Male Sexual Organs

► Sexual desires increased ; later, lost.

Breathing

► Feeling of pressure on the lungs and of suffocation when lying on the back ; on awaking, 1 A.M.

Lungs

► Uneasiness, difficulty in breathing, dull pain in right infraclavicular region, hacking cough ; dulness on percussion (following gastric and hepatic symptoms).

Neck And Back

► Aching distress in back, bowels and legs ; rumbling of wind. ► Lumbar pains : severe aching, distress, soreness, on awaking or awakes him at 4 A.M.

Limbs In General

► Aching ; bruised feeling in muscles and joints on awaking. ► Drawing pains. ► Worse with gastro-hepatic symptoms.

Position, Etc

► Motion : 2, 3.

Turning : 2.

Rising : 2, 3.

Stooping : 3.

Walking : 3. ► Lying right side : 18.

Lying on left : 18.

Bending : 19.

Nerves

► Restless uneasy ; malaise. ► Feeling of weakness, languid, irritable ; sick, faint sensations ; as in bilious patients.

Sleep

► Heavy sleep. ► Awoke : 2 A.M., restless ; headache, etc. At 4 A.M. aroused by gastric and hepatic symptoms.

Time

► Morning : 3, 11. 4 A.M. : 31, 37.

Temperature And Weather

► Generally better in open air (except lung) ; worse in warm room. See 2, 46, etc.

Chill, Fever And Sweat

► Chilliness, shivering ; with the stool. ► Wants to be near the fire. ► Dry, generally heat ; worse face hands. ► Irritable, intolerant of noise. ► Hot flushes and slight headache ; feverish, hot head, dull frontal aching. ► Sweat : profuse on awaking ; on forehead during stool, or with raising of a bitter fluid.

Tissues

► Mucous membranes are congested and irritated, with sense of roughness, smarting or prickling. ► Causes congestion of liver, stomach and bowels, and secondarily of the lungs. ► Is indicated briefly, when there are irritability, dull, confused, frontal headache ; bitter taste, eructations like rotten eggs or bitter ; swollen liver, relief from lying on right side, bilious stools ; languor, muscular soreness.

Contact, Injuries, Etc

► Pressure : 17, 18.

Skin

► Itching all over as from flea-bites. ► White blisters on a red base on right ear, discharging a watery fluid ; later desquamation or pus and scabs form ; boils. ► Spots on limbs red, later purple ; worse when warm or excited ; annoying itching. ► On disappearing they leave yellowish marks like bruises.

Relationship

► Related to other Rutaceae, and by the possession of Berberina, also to Podoph., Berber. Hydrast., etc. ► From Nux vom, Ptelea is distinguished by repugnance to fat, offensive flatus ; from Mercur. by relief of hepatic symptoms when lying on right side.