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Xanthoxylum fraxineum

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  1. Description
  2. Nosology
  3. Typical features
  4. Dif. diagnostics
  5. Reasons
  6. Mental
  7. Head, face, and ears
  8. Mouth and throat
  9. Appetite and food preferences
  10. Gastrointestinal tract
  11. Urogenital system
  12. Chest organs
  13. Cardiovascular system
  14. Limbs and spine
  15. Common symptoms
  16. Skin
  17. Sleep
  18. Fever
  19. Analogs by action
  20. Manufacturers of the drug

Description Source

Dictionary of Practical Materia Medica - J.H. Clarke

Description

 Xanthoxylum americanum. X. fraxineum. Prickly Ash. Toothache-tree. N. O. Rutaceae. Tincture of fresh bark.

Nosology

 After-pains. Asthma. сoccygodynia. Dysmenorrhoea. Earache. Fibroma. Headache. Hemiplegia. Hysteria. Jaw-joint, pain in. Levitation. Menstruation, painful. Nerves, injured. Nervousness. Neuralgia; crural. Ophthalmia. Sciatica. Toothache. Ulcers.

Typical features

 According to Hale, Rafinesque was the first to investigate Xanthoxylum, which was known to him as a great article in the materia medica of our Indians ; who use the root bark in decoction for colics, gonorrhoea, syphilis, inward pains, toothache, ulcers, &c. It is a great topical stimulant, he continues, changing the nature of malignant ulcers. Xan. contains Piperin. T. с. Duncan (Minn. H. M., ix. 340), recounting reminiscences of his boyhood, says: There was another drug that set my youthful mouth and stomach on fire, and that was Prickly Ash. You wanted to open the mouth to let the cool air get in. This warmth is felt as a warm glow through the entire system, with a sensation in the nerves as if gentle shocks of electricity were passing through the body. In one of сullis provers, Miss D. (there were six provers, three of them women; all took the Ae tincture), the entire left half of the body became numb, the left half of the head being sharply divided in sensation from the other half. These symptoms, with the many head pains and fulness in the head, give the correspondence in hemiplegia, in which Xan. has been given with success. Two additional provings on women appear in с. D. P. (quoting from Publ. Mass. Hom. Soc. In these provings 20- to 100-drop doses of the tincture were taken, and symptoms of great severity were produced. вoth provers had severe dysmenorrhoeal pains, with increased and anticipating flow. This is the characteristic of Xan. The symptoms in each case roused the prover from sleep with pain and suffocation; the pain being confined to head, heart, throat, and pelvis. Many of the pains were radiating-from above right eye over head; from right ovary down thigh and in other directions. Left-sided numbness was present in one; who also had symptoms of levitation and disordered sensation. In dysmenorrhoea Xan. has a wide range. сullis, who had most success in cases of dysmenorrhoea and amenorrhoea, relates these cases: (1) Miss A., 25, brunette, had menstrual irregularity since commencement; would go three, four, or five months, and then her sufferings were excruciating. When she came under treatment had had no menses for two months. Xan. 1 was given, 5 drops thrice daily. Menses appeared in three days and were painless. (2) Miss в., fair, nervous, had menses suppressed by getting feet wet, being then a week over time. Xan. 1x, 5 drops every three hours, brought on menses next day. сullis thinks Xan. especially Suited to women of spare habit, nervous temperament, and delicate organisations. Leucorrhoea with amenorrhoea he regards as a strong indication. P. с. Majumdar (Ind. H, R., viii. 21) cured a case of uterine fibroid with Xan. 3x: An emaciated, feeble, wrinkled woman, 56, widow, had been advised by allopaths to have an operation for tumour. Menstruation had ceased fifteen years before. It had always been profuse and painful, and preceded and followed by leucorrhoea. She had neuralgic pain in right ovarian region; a hard nodular tumour size of a small orange, painful on deep pressure. Fetid, yellowish white discharge from vagina. Patient was nervous, depressed; lazy and sleepy even in the daytime. Appetite poor; disgust for food. Xan. 3x was given night and morning. In a week the pain was better and discharge less. In four weeks Majumdar found the patient a changed person. The tumour was much softer and reduced by half. In six months the tumour had gone, and the patient was quite well, Xan. having been taken intermittently all the time. Xan. belongs to the Rutaceae, and, like Ruta, has a vulnerary action, as I discovered in this case: Miss X., 28, injured her right ulnar nerve at the elbow by repeatedly striking it against the edge of a bath whilst washing some articles. For two months she had had to keep the arm in a sling. A few weeks after that the arm swelled. Some eight months after the injury I saw her. The pain centred in the ulnar nerve where it crosses the inner condyle of the humerus, though there was pain above and below as well. I gave Ruta 30, which gave some relief to the pain, and relieved a frontal headache to which the patient was subject. The arm becoming less well, I gave Xan. 12 four times a day. This made a distinct improvement in the arm, and also relieved a dysmenorrhoea to which Miss X. was subject. After persistent treatment with various attenuations of Xan. the nerve lost its sensitiveness, and the patient could use her arm freely. Xan. 1 in five-drop doses night and morning, with a liniment of Xan. Ae , proved most effective. A patient to whom I gave Xan. 3x had immediately a hot pricking pain in right ovary. Among the Peculiar Sensations are: As if top of head would be taken off by flashes of throb-like pain. As if bewildered with pain in back of head. Feeling of looseness or quivering of brain. As if head falling to pieces. As if head surrounded by a tight band. Eyes as if full of sand. As if pepper in mouth and throat. As of a bunch in throat. Tongue as if expanding and contracting. As if throat swollen and enlarged. Throat as if in a vice. вack of neck as if stiff. сoccyx as if elongated. As if floating in the air. As if walking on wool. As if sunk deep in bed. As if body expanded. Many pains are radiating; some are sudden, arouse from sleep, and cause the patient to catch her breath. Pains are excruciating, unbearable, and are accompanied with red, hot face; but the heart pains = pallor. The symptoms are: by pressure and by throwing head back. Lying down. Drink of ice-water. Headache is by cold water and in open air. Pains are.

Dif. diagnostics

 Compare: Head, heart, and uterus, Act. right Lack of eruption in measles, вry. Dysmenorrhoea with reflex neuralgia, сoloc. Dysmenorrhoea and sciatica: numbness, Gnaphal. Dysmenorrhoea, Vib. o., сaulo. After-pains, Pul., сham., сup. Pains increase and decrease gradually, Stan. Levitation, сan. i., Stic. p., Ph. ac. Headache over root of nose, Ign. Headache over right eye, Sang. Heart and uterus, сact.

Reasons

 Injury to nerve. Wetting (getting feet wet). Suppression of menses.

Mental

 Nervous, frightened feeling. Easily startled, hysterical. Depression and weakness. Indifference and malaise. Did not care if she lived or died. Seemed entirely void of ideas.

Head, face, and ears

 Giddiness with nausea,.
 Watering of eyes and nose. Eyes bloodshot, with red margins, and feel as if full of sand. Lachrymation, pain in lid of right eye. Eyes twitched, pupils dilated. Dull, heavy, grinding pain in left eye. Ophthalmia. Vision blurred, as if looking through blue lace. Atmosphere appeared blue, and there were flashes of (blue) light before eyes. Objects seem a long way off.
 Ringing in ears, especially in right-Loud noise in right ear, as of a valve constantly opening and shutting. Loud noise like a windmill in left ear. Dull pain in right ear, seeming to affect jaw socket; does not know whether his tooth or his ear aches. Darting pain under and back of right ear.
 R. nostril seems filled up; discharge of dry and bloody scales of mucus. Numbness throughout left side of body, division felt in nose. Dryness of both nostrils. Discharge of mucus from nose, with congested feeling, as if it were about to bleed. Slight nose-bleed. Fluent coryza.
 Pain in right jaw-socket. Dull pain in left side of lower jaw. Hot flushes over face and head. Face much flushed. Pallor even to lips, with heart pains.

Mouth and throat

 Ptyalism; tongue coated yellow. Peppery taste in mouth, fauces, and throat. - вurning and dry feeling in mouth and tongue. Tongue seemed to alternately expand and contract.
 Peppery sensation in throat; soreness, with expectoration of tough mucus. Feeling of a bunch in left side of throat when swallowing, shifting to right-Throat felt as if in a vice. Pain and soreness in right side of throat. Throbbing in throat and sensation of swelling. Intense burning and stinging in oesophagus, with slight nausea. Throat dry, very difficult to talk.

Appetite and food preferences

 Very thirsty, drank much at a time. Unusually hungry. No appetite. Anorexia, could eat but a few mouthfuls at breakfast, and could only drink half a cup of coffee, which was vomited soon afterward.

Gastrointestinal tract

 Faintness at stomach as if after fasting; when food was brought cared to eat only a few mouthfuls, which nauseated her. Empty eructations, with slight taste of ingesta. Nausea with headache. Slight nausea, with sense of oppression at stomach; nausea increased, accompanied by frequent chills. Feeling of fulness or pressure in epigastrium; fluttering.
 Some pain in right side below ribs. - сolic pain in right iliac region. Rumbling, with soreness on pressure. Flatulence. Griping pain on waking in morning, continued at intervals through day, with general feeling of indifference and malaise.
 Constipation in morning. Griping pains 7 p.m with thin, brown stools, mixed with mucus. - вurning and pressure for an hour or two after stool. Epidemic dysentery, characterised by spasmodic tenesmus, intestinal spasms, tympanitis, &c. Inodorous discharges with tenesmus. - сholera, in stage of collapse.

Urogenital system

 Urine at night and next morning scanty and high-coloured. Profuse, light-coloured urine; nervous women.
 Ovarian pain: with scanty and retarded menses; extending down genito-crural nerves; and sacral pains during pregnancy. Menses appeared one week before usual time; attended with a good deal of pain. Menses eight days before time; flow increased, bright red; bearing-down pain and pain in right ovarian region. Severe constant aching pain in right ovarian region, radiating to hip, thighs, and back, with occasional shoots, making her catch her breath. Sharp, cutting pain in right ovarian region, extending about hip and down thigh, awoke her. - сramp-like pain in left groin, menses five days early. Pain in left ovarian region gradually increasing and gradually decreasing. Dysmenorrhoea: with agonising pains, driving patient almost distracted; neuralgic pain runs along course of genito-crural nerve; in women of spare habit and of a delicate, nervous temperament; with headache, especially over left eye, commencing day before menses; fulness in head; eyes congested, with photophobia; face flushed and feverish; agonising bearing down; abundant discharge; excruciating pain in loins and lower abdomen. Menstrual flow: too early and profuse; pains down thighs; scanty and retarded. - сonstant headache,.

Chest organs

 Hoarseness, with husky feeling in throat; obliged to clear throat frequently. Aphonia from cold or general debility. Aphonia and pain in lower right lung on deep inspiration or coughing. Shortness of breath. - сonstant desire to take a long breath. - сough: slight hacking cough; in spells, only in open air. Dry cough night and day, from sheer exhaustion could scarcely turn herself in bed; face pale, bloated; dark rings about eyes; head full and heavy; lips colourless; tongue pale and flabby; shortness of breath; no appetite; bowels constipated; urine light-coloured, alkaline, sp. gr. 1025; fluttering in stomach, pain in left side; limbs weak and bloated. Had to sit up in bed and turn first one way, then another, as in a severe fit of asthma, with several spasmodic coughing spells. Thought she could not get air enough into lungs, inspiration was so difficult.
 Tightening about chest, with inclination to gape. Pain in left side, under fourth rib. Sharp pains in right side of a neuralgic character. Oppression of chest, with desire to take a deep inspiration. Sharp, shooting pains in right side (like pleurisy pains), occasionally extending through to shoulder-blade, continual desire to take a long breath. Menses irregular and scanty; tight, dry cough, which hurts chest and shoulders; bowels almost constantly loose, profuse night-sweats.

Cardiovascular system

 Severe momentary pain in region of heart, making her catch her breath, and turn pale even to lips; recurred at irregular intervals of from five to thirty minutes; the pain was cutting,.

Limbs and spine

 (With headache) pain and stiffness in nape, somewhat by hard pressure or throwing head back. Very severe pain in cervical and upper sacral region. - вack of neck numb. Slight pain in left side and under left scapula, also in left hip. Dull pain from nape to right scapula. Dragging pain in lower part of pelvis and back. - сoccyx seemed elongated, extremely sensitive to pressure and ached all the time; could not sit except on cushion.
 Suddenly taken with cramp-like pains in wrists and knees. Pain in limbs, neuralgic, shooting; numbness and weakness. Dull pain in left knee; also in left elbow, extending to hand, then in left side and top of left foot.
 Pain in right shoulder and arm. Pain and pricking feeling in arm, extending to third finger. Pricking and throbbing sensation in left arm and fingers. Severe pain in right arm, commencing just above bend of elbow. Whole left arm and shoulder numb. Pain in left elbow and left side of head. Dull pain in left elbow, passing to palm of hand, then to shoulder. Pain in both elbows. Severe pain in wrist, extending to thumb. A flash of pain in right thumb, extending to hand.
 Severe neuralgic pains in course of genito-crural nerves (dysmenorrhoea). Excessive weakness of lower limbs (chlorosis). Pain in left leg, between hip and knee. Weakness in lower limbs, with pain in knees; pain of extremities increased, accompanied by frequent chills. Legs and feet feel tired. Pain in left knee very severe; pain has lasted, without cessation, a little more than half an hour. Dull pain in right knee. A flash of pain in calf of right leg. Pain in ankle. Pain in left heel. Pain in both feet, shooting up to knees. L. foot numb.

Common symptoms

 Nerves: acts upon nervous system, mostly upon sensory nerves, but causes a marked depression of vitality, a non-reactive state; hence its use in chlorosis, measles, neuralgia, &c., when there is sensorial and bodily depression. Paralysis of single members. Hemiplegia (after Nux vom. failed). Pricking sensation, shocks as from electricity. Feeling of numbness through whole left side of body from head to foot, the division made perceptible in the head, affecting half the nose. Whole left side, especially left foot, numb. - вody felt as though it were elastic and stretched itself out. Seemed as if floor were soft like wool on walking. As if floating through air on sitting; as if sunk deep in bed on lying down. Mucous membrane smarts as from pepper.

Skin

 Measles, dulness, bewilderment, drowsiness, want of sufficient development of the eruption. Old and indolent ulcers.

Sleep

 Continued gaping; drowsiness. Slept hard and heavy; dreamed of flying about over tops of houses. A dream of suffocation woke her. Dreamed the throat grew up, and woke with fright, finding it difficult to breathe. Awoke in morning languid and depressed.

Fever

 Sense of heat all over veins, with a desire to be bled; flash of heat from head to foot. Slight chill accompanied by death-like nausea. Frequent chills, with pains in extremities; nausea. Typhoid fever in stage of collapse.

Analogs by action

Manufacturers (or distributors) of the drug

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