Ptelea Trifoliata ptel.

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.

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.

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.

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

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

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

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

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

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

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

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.

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

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

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.

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.

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.

Continual urging, with pressure on the rectum; with scanty or absent stool; rectal torpidity.
Diarrhœa: 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.
Diarrhœa and constipation alternately.

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.

Sexual desires increased; later, lost.

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

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

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.

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

Motion: 2, 3. Turning: 2. Rising: 2, 3. Stooping: 3. Walking: 3.
Lying right side: 18. Lying on left: 18. Bending: 19.

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

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

Morning: 3, 11. 4 A.M.: 31, 37.

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

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.

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.

Pressure: 17, 18.

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.

Related to other Rutaceæ, 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.