Ptelea Trifoliata ptel.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Wafer-ash (PTELEA)

General

Is a remarkable remedy in stomach and liver affections. The aching and heaviness in the region of the liver is greatly aggravated by lying on the left side. Atonic states of stomach. Asthma.

Head

Feels dull and stupid. Pain from forehead to root of nose; pressing-outward pain. Frontal headache; worse, noise, motion, night, rubbing eyes, with acidity. Temples as if pressed together.

Mouth

Excess of saliva, with dry bitter taste. Tongue coated white or yellow; feels rough, swollen. Papillæ red and prominent (Arg n). Coating may be brownish-yellow.

Stomach

Weight and fullness. Griping in epigastric region, with dryness of mouth. Eructations, nausea, vomiting. Constant sensation of corrosion, heat and burning in stomach. Stomach feels empty after eating. Stomach and liver symptoms associated with pain in limbs.

Abdomen

Much weight and pain in right side; heavy, aching feeling, relieved by lying on right side. Liver sore, swollen, sensitive to pressure. Retraction of abdomen.

Respiratory

Feeling of pressure on lungs and of suffocation, when lying on back. Asthma; dyspnœa; cramp-like pain in cardiac region.

Sleep

Restless, with frightful dreams; nightmare, awakes languid and unrefreshed.

Modalities

Worse, lying on left side; early morning. Better, eating sour things.

Relationship

Compare: Mercur; Magn mur; Nux; Chelid.

Dose

First to thirtieth potency.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

Another liver remedy, for it has one very characteristic symptom, viz.: Aching and heaviness in the region of the liver, greatly aggravated by lying on the left side; turning to the left causes a dragging sensation. (See Bryonia, which is also < lying on left side and has the dragging sensation. Remember, Bryonia is generally > lying on painful side.) Magnesia mur., you will remember, has all these symptoms, termed "bilious," but like Mercurius, it is worse when lying on the right side. Then Mercurius is apt to have loose stools, while Magnesia mur. is greatly constipated. Ptelea may have either constipation or diarrhœa, or, like Nux vomica, constipation and diarrhœa alternately. I cured one bad case of liver trouble with Ptelea after œdema of the feet and legs had set in; she had the symptoms, could not lie comfortably on the left side; her breathing was becoming oppressed, and I thought the case looked as if it would not be very likely to be much better. I used the 30th in this case. The trouble rapidly disappeared and never returned. I considered it a brilliant cure.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Ptelea trifoliata. Shrubby Trefoil. Hop Tree. Wafer Ash. N. O. Xanthoxylaceæ of the Rutaceæ. 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 Linnæus to a genus of shrubs and small trees, natives of North America and Asia, and included in Xanthoxylaceæ . 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 œsophagus, 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; papillæ 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 œsophagus.

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 diarrhœic stool. ─ Stool followed by tenesmus and succeeded by itching and smarting at anus. ─ Diarrhœa, stools dark, sulphurous odour. ─ Cadaverous smelling stools. ─ Stools with shivering. ─ Fæces 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.

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Marked forgetfulness.
Memory weak ; intellect slow ; by collecting thoughts could recall things read many years ago.
Dull and stupid feeling.
Inability to concentrate thoughts, they seem to be chasing each other through the brain.
Disinclined to mental work, with languor rather than inability.
Malaise of body and mind.
Aversion to society ; a wish to be alone.
Fretful and irritable at very slight causes.
Annoyed and irritated by ordinary conversation ; intolerance of noise.
Nervous, irritable ; starts at the sound of a voice.
General depression of spirits.
Sad, irritable ; hurried manner, but dazed and confused, with muddled feeling in head.

Sensorium

Dazed, confused, as in a bilious attack ; raises a bitter fluid.
Feels sick and faint.
Vertigo, < turning head or from sudden motions ; with dulness and languor, rumbling about navel ; nausea, griping, aching in stomach ; < when writing, rising or in a warm room.
Giddiness of head, and when walking reeling as if intoxicated.

Inner head

Dull aching in forehead, with depression and sour stomach ; racking pain, with hurried manner and red face.
Pain from forehead to root of nose ; sensation of nail driven into brain ; < in morning on rising.
Racking frontal headache, with heat of face and head, and great desire to hurry his business.
Frontal headache all day ; pressing from within outward.
Headache over eyes.
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 right.
Sudden, pressive pains in temples, < in right.
Piercing pains shooting through temples, with increased headache and nausea.
Frontal and occipital headache.
Headache in occipital region, passing to frontal over eyes.
Pressive feeling at base of brain, compared to the bruised headache of Ipec.
Shooting pains in head, before rising in morning.
Constant dull headache, < by going up-stairs and by walking.
Headache while reading.
Headaches < from mental exertion, moving eyes, stooping, walking, noise, warmth and on waking.
Headache in bones of skull.
Bilious headache.

Sight and eyes

Heavy feeling over eyes.
Pain in eyes.

Hearing and ears

Sensitiveness to sounds ; impression of sounds last heard continues for a long time.
Intolerance of loud talking.
Ringing in ears ; slight giddiness.

Smell and nose

Breath seems so hot that it burns nostrils.
Nasal passages sore.
Sneezing.

Upper face

Expression sickly, pale, especially around eyes ; color yellow, skin dry and hard.
Burning heat of cheeks and face.
Heat of head and face, especially of forehead.
Yellowish face, with dry hot skin.
Sickly paleness of face, especially around eyes.
Pressure at root of nose.

Teeth and gums

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

Taste, speech, tongue

Taste : sour, mornings ; bitter.
Frequent bitter taste in mouth, with dryness.
Food seems tasteless.
Fine prickling sensation over whole surface of tongue.
Coating : white fur, tongue swollen ; yellow, feels rough ; papillæ red and prominent ; brown, yellow, dry.

Inner mouth

Dry, with bitter taste.
Great dryness of mouth and throat.
Saliva profuse ; drooling at night.

Palate and throat

Hawking of mucus from pharynx ; lips and tongue dry.
Roughness of fauces with nausea.
Soreness and inflammation of fauces ; soft palate and uvula (< right side).

Appetite, thirst. desires, aversions

Voracious appetite ; food had not its natural taste ; pain in epigastrium following every meal ; despondency.
Appetite poor, with muddled feeling or pains in liver.
Thirst ; or no thirst, with bitter taste.
Craves acid food.
Repugnance to animal food and rich puddings, of which he is ordinarily fond ; to butter and fatty foods ; even a small quantity aggravated epigastric pain.

Eating and drinking

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

Hiccough, belching, nausea and vomiting

Eructations : sour, bitter : tasting of rotten eggs.
Nausea : rising of a bitter fluid, confused head, dizzy, sweat on forehead, bilious ; with distress in umbilical region and headache ; with heat of skin and profuse perspiration on forehead after dinner ; and vomiting, without relief from frontal headache.
Persistent nausea and vomiting, with giddiness and unsteadiness of legs ; > by walking.

Scrobiculum and stomach

Pressure as of a stone at pit of stomach, < by a light meal.
Sense of weight and fulness even after a moderate meal.
Distress in epigastrium and right hypochondrium, with drawing pains in fingers and ankles.
Stomach feels empty after eating ; a sensation of goneness.
Empty feeling ; faint feeling in stomach ; sour risings.
Pain in epigastrium, with nausea.
Burning distress ; oppression ; vomiting ; chronic gastric catarrh.
Griping, cutting pains in epigastrium ; pressure causes nausea.
Griping in epigastric region, with dryness of mouth, yellow-coated tongue and a bitter taste.
Griping, contractive pain in stomach, moving downward.
Gastralgia.
Obstinate chronic dyspepsia.
Chronic gastritis ; a constant sensation of corrosion, heat and burning in stomach, with vomiting of ingesta, constipation and afternoon fever.
Gastric symptoms < after meals.

Hypochondria

Constant feeling of weight in both hypochondria when walking ; a dragging pain.
Occasional pains in right hypochondrium, shooting downward.
Sharp pain in right hypochondrium.
Awoke with hard, aching distress in base of liver.
Weight, aching distress on right side ; turning to left causes a dragging sensation.
Sharp, cutting pain in liver, < from deep inspiration.
Liver swollen and tender to a light touch.
Live swollen, sore on pressure, causing dull and aching pain or stitches ; griping in bowels ; clothes feel too tight.
Jaundice with hyperemia of liver ; stools generally brown or grey, with considerable odor.
Congestion of liver ; chronic hepatitis.
Hepatic and gastric symptoms, < toward morning, awaking at 4 o'clock.
Severe aching distress in left hypochondrium.
Tenderness of splenic region, with soreness on pressure.

Abdomen and loins

Bloating with weight on stomach.
Abdomen swollen and tender with severe splenic pain.
Rumbling in bowels and bloating, with tenderness on pressure.
Feeling of warmth in abdomen.
Aching distress in bowels, back and legs.
Aching of bowels while walking.
Pulsation in umbilical region, synchronous with heart.
Soreness of abdomen, < by motion, > supporting it with hands.
Pain and soreness across abdomen and in epigastrium, < by standing and sitting erect and > by stooping forward.
Severe abdominal pain near umbilicus ; < on motion.
Stitches in abdomen, > by pressure.
Frequent drawing pains in epigastric and umbilical regions.
Griping, colicky pains ; heavy aching ; throbbing ; about navel.
Colic, bitter taste ; rumbling and discharge of wind from bowels.
Pain in hypogastrium and bladder, with headache, intermitting during paroxysms.
Retraction of abdomen with pulsations isochronous with heart.
Chronic intestinal catarrh.
Ascites, probably from hepatic disease.

Stools and rectum

Sudden and unexpected urging to go to stool, which was diarrheic with slight tenesmus, accompanied by sweat on forehead and head.
Diarrhœa : bilious, thin, fecal, dark, offensive, even cadaverous in smell, or sulphuric ; with tenesmus ; preceded by griping pain and rumbling ; smarting in anus.
Chronic diarrhœa.
Constipation with a continual urging in rectum.
Constant ineffectual urging to stool ; a continual pressure in rectum.
Continual urging, with pressure on rectum ; with scanty or absent stool ; rectal torpidity.
Constant urging to stool, with rumbling in bowels all day.
Small, hard stool, with much straining.
Hard and difficult stool, followed by smarting in anus.
Constipation ; passes balls of hardened feces.
Constipation and diarrhœa alternately.

Urinary organs

Urine : high-colored ; yellowish-red ; of a deep color and scalding slightly on its passage ; clear of deep reddish-yellow, scanty ; deposit of epithelia, phosphates and urates ; scalding, scanty and difficult of retention ;
smarting in urethra during and after micturition.

Male sexual organs

Sexual desire increased ; later lost.

Voice and larynx. trachea and bronchia

Great hoarseness ; inability to speak aloud.

Respiration

Uneasiness and difficulty in breathing.
Feeling of pressure on lungs and of suffocation when lying on back ; on awaking 1 A. M.
Pressure on lungs with a sense of suffocation.
Dyspnœa ; walls of chest feel as if they would sink in.
Asthma (from retrocession of erysipelas).

Inner chest and lungs

Uneasiness, difficulty in breathing, dull pain in right infraclavicular region, hacking cough ; dulness on percussion (following gastric and hepatic symptoms).
Phthisis with purulent expectoration of sweetish taste and hectic form (probably a bronchial catarrh).
Hectic fever with purulent expectoration of a sweetish taste, but without any other chest symptoms than a slight mucous rhonchus and sibilant rale.

Heart, pulse and circulation

Cramplike pain in cardiac region.
Pulse accelerated and intermittent.

Neck and back

Drawing aching pains in left scapula and shoulder joint.
Dull backache every morning on waking.
Hard aching distress in dorsal region, for an hour in morning.
Aching distress in back, bowels and legs ; rumbling of wind.
Severe aching in lumbar and sacral regions.
Lumbar pains ; severe aching distress, soreness on awaking, or awakes him at 4 A. M.

Upper limbs

Hands and fingers cold, numb, clumsy and stiff.
A tickling prickling in fingers and hands, like that produced by electricity.
A prickling numbness in hands, which seem larger than usual and clumsy.

Lower limbs

Great weariness of lower limbs with trembling.
Aching pains in back part of thighs.
Constant aching distress in calves of legs.

Limbs in general

Aching bruised feeling in muscles and joints on waking ; drawing pains in gastro-hepatic region.
Hands and feet hot, dry and feverish.

Rest. position. motion

Supporting abdomen with hands : soreness >.
Sitting erect : soreness of abdomen >.
Lying on back : suffocation.
Lying on right side : liver >.
Standing : soreness of abdomen <.
Stooping : headache < ; soreness of abdomen >.
Motion : sudden, causes vertigo ; of eyes, headache < ; soreness of abdomen < ; abdominal pains <.
Rising : vertigo <.
Turning head : vertigo <.
Walking : giddiness < ; constant dull headache < ; nausea, vomiting and giddiness, weight in both hypochondria ; aching of bowels.
Going up stairs : dull headache <.
Writing : vertigo <.

Nerves

Restless, uneasy ; malaise.
Great languor and indifference to duties.
Loss of energy ; languor and depression of spirits.
Feeling of weakness, languid, irritable ; sick, faint sensations, as in bilious patients.
Very languid and faint, with flushed face and feverish.
Aching distress in all the joints, with great languor.
Great lassitude and weariness, with a disposition to hurry through duties.
Extreme weakness of limbs, brain, memory, thought and will as if from a powerful and all pervading disease.

Sleep

Heavy sleep.
Awoke 2 A. M., restless ; headache, etc.
At 4 A. M. ; aroused by gastric and hepatic symptoms.
Sleep broken and restless and disturbed by frightful or annoying dreams ; awaking in a profuse perspiration.
Nightmare.
Languid on awaking and unrefreshed.

Time

At 1 A. M. : suffocation.
At 2 A. M. : awoke restless, headache.
At 4 A. M. : aroused by gastric and hepatic symptoms.
Morning : pain from forehead to root of nose < ; before rising shooting pains in head ; hepatic and gastric symptoms <, awaking at 4 A. M.
Afternoon : fever.
All day : frontal headache ; urging to stool and rumbling in bowels ; feverish heat.
Night : drooling.

Temperature and weather

Wants to be near fire : chilliness.
Warmth : headache < ; spots on limbs <.
Warm room : vertigo <.
Generally > in open air (except lung) ; < in warm room.

Fever

Chilliness : shivering ; with stool ; wants to be near fire.
Dry, general heat ; < face hands ; irritable, intolerant of noise.
Hot, dry feeling on body, with cold feet.
Hot flushes and slight headache ; feverish hot head, dull frontal headache.
Feverish heat, lasting all day, with pains in limbs and nausea.
Sweat profuse on awaking ; on forehead during stool or with raising of a bitter fluid.
Tertian ague, with profuse vomiting of bilious matter.
Attacks of quartan ague, continuing for two years, resisting many remedies.

Locality and direction

Right : pressive pain in temple < ; soreness of uvula < ; fauces < ; distress in hypochondrium ; occasional pains hypochondrium ; sharp pains in hypogastrium ; dull pain in hepatic region > lying on side ; pain in infraclavicular
region ; white blisters on red base on ear.
Left : darting pains over eye ; pain in temple ; turning to side causes a dragging sensation ; aching distress in hypochondrium ; pain in left scapula and shoulder joint.
From within outward : pressing frontal headache.

Sensations

Reeling as if intoxicated ; as of a nail driven into brain ; teeth as if elongated ; as of a stone at pit of stomach ; as if walls of chest would sink in.
Pain : from forehead to root of nose ; in top of head and eyes ; from left temple to right ; in eyes ; in epigastrium ; in liver ; in right hypochondrium ; in hypogastrium and bladder.
Racking pain : in brain.
Severe pain : near umbilicus.
Sharp pains : in right hypochondrium.
Cutting : in epigastrium ; in liver.
Darting : over left eye, deep into head.
Piercing : through temples.
Shooting : in head.
Stitches : in abdomen.
Pricking pain : in throat.
Pricking : all over tongue ; in fingers and hands.
Drawing : in epigastric and umbilical region ; in gastro-hepatic region.
Dragging : in hypochondria.
Cramplike pain : in cardiac region.
Griping : in epigastric region ; in stomach ; in bowels.
Burning : in stomach.
Smarting : in anus ; in urethra.
Soreness : of fauces ; in epigastrium ; of abdomen.
Tenderness : of splenic region.
Dull pain in head ; in hepatic region ; in liver ; in right infra-clavicular region ; in back.
Aching : in stomach ; in forehead ; in frontal and occipital regions ; in hepatic region ; of bowels ; about navel ; in lumbar and sacral regions ; in back of thighs ; in muscles and joints.
Drawing, aching pains : in left scapula and shoulder joint.
Aching distress : in umbilical region ; in hepatic region ; in left hypochondrium ; in bowels, back and legs ; in dorsal region ; in calves ; in all joints.
Pressive pains : in temples.
Pressure : in forehead ; at base of brain ; at root of nose ; at pit of stomach ; in rectum ; on lungs.
Heavy feeling : over eyes.
Fulness : in stomach.
Weight : in stomach ; in both hypochondria.
Goneness : in stomach.
Empty feeling : in stomach.
Faint feeling : in stomach.
Throbbing : over one eye ; about navel.
Weariness : of lower limbs.
Heat : of face and head ; of skin ; in stomach.
Itching : all over.
Roughness : of fauces.
Dryness : in mouth ; of throat ; of lips.

Tissues

Mucous membranes are congested and irritated, with sense of roughness, smarting or prickling ; causes congestion of liver, stomach and bowels and secondarily of lungs ; is indicated briefly when there are irritability, and 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.

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 ; < when warm or excited ; annoying itching ; on disappearing they leave yellowish marks like bruises.
A peculiar reddish, clouded appearance of entire surface of skin, lasting two days.
Erysipelas ; quinia and iron had been used in large doses without success.
Pityriasis versicolor ; eruption on all parts of body except hands and face.

Stage of life, constitution

Erysipelas ; two cases.
A middle-aged man ; pityriasis versicolor.

Relations

Compare : Other Rutaceæ, Arnic., Bryon., Chelid., Nux vom., Berber., Podoph., Hydrast., Mercur .