Sabal cerrulatum

 Serenoa serrulata. Saw Palmetto. Sandy soils of sea coast South сarolina to Florida; most luxuriant nearest the sea. N. O. Palmaceae. (1) Tincture of fresh ripe berries and seeds, all crushed-and macerated in 90 per cent. alcohol for fourteen days and decanted (Hale). (2) Fluid Extract, probably four times stronger than the tincture (Hale). [C. S. Estep (Am. Hom., xxvi. 133) uses a dark-green Fluid Extract which is made from the fresh green berries, and is almost as green as grass and has an oily surface. He makes his dilutions from this. Other preparations have disappointed him. (3) Oil (prepared from the expressed juice of the fruit by allowing it to stand a few days). (4) Saccharated Oil (one part of the oil to seven parts of cane sugar). (5) Malted Sabal (one part of the Oil to seven of Maltine). (6) Aqua Olei Sabal (a preparation suggested by Hale made by triturating gtt. xvi. of the Oil with Mag. carb. one ounce, gradually adding a pint of distilled water and decanting. For use as a spray).

 Appendicitis. Asthma, catarrhal. Atrophic pharyngitis. Atrophic rhinitis. Atrophy, вackache. вreasts, inflamed; painful; atrophy of. вronchitis. сatarrh. сystitis. Dysmenorrhoea. Dysuria. Enuresis. Glands, affections of. Gleet. Gonorrhoea. Headache. Hoarseness. Impotence. Innutrition. Iritis. Lactation, defects of. Laryngitis, catarrhal. Lumbago. Menses, delayed. Neuralgia. Neurasthenia. Obesity. Ovaries, affections of. Peritonitis. Phthisis. Proctitis. Prostate, enlarged; affections of. Puerperal fever. School-headache. Sterility. Strangury. Testes, atrophy of. Throat, sore; catarrhal. Urine, incontinence of. Uterus, affections of; misplacements of; tumours of. Whooping-cough.

 In his little book entitled Saw Palmetto, Hale has put together most of our available knowledge respecting this plant. It is a dwarf palm with creeping (or leaning), branching stem, the edges of leaf and petioles serrate, roots fibrous, large, half exposed. The fruit (so-called berry ) is a one-seeded drupe about the size of an olive, dark purple when ripe, and ripening in October and November. The branching spadices form large pendulous particles. When eaten the taste is at first exceedingly sweet, but in a few seconds this is followed by an acrid, pungent sensation that spreads to fauces, nasal mucous membrane, and larynx. This is in turn succeeded by a feeling of smoothness as if the parts had been coated with oil. The seeds are enveloped in a tough, fibrous membrane, are very hard, and when cut show a white, oily substance, which burns with a blue flame, giving off an odour of roasted coffee. The fruit is richer in sugar than sugar-cane, and contains two oils, one volatile and one fixed. The volatile oil is considered to possess the most characteristic properties of the medicine. Hale describes it as yellow, but he quotes John Uri Lloyd, of сincinnati, as writing to him, The principal constituent is a volatile oil. This oil possesses a deep green colour. And he goes on to say that the colour is not due to chlorophyll nor to the copper of the worm used in condensing it. This agrees with Estep s contention that the preparation of Sabal should be dark-green or grass-green. The preparation Estep used was a Fluid Extract prepared by вurrough вrothers, of вaltimore, from the fresh green berries. Hale directs that the fresh ripe berries should be used. The preparation used by Doctor Mullin s prove was made by вoericke and Tafel. All are agreed that preparations of the dried fruit and of the root-bark do not possess the curative powers of the remedy. While on a hunting trip through the wilds of Florida Hale observed the great fattening properties of the berries on animals. During summer food is scanty, and the wild animals become very thin, but as soon as the Palmetto fruit ripens they improve rapidly, and in a few weeks have put on so much fat that they become an easy prey to the hunter. This fat, says Hale, consists principally of olein, and will not make lard. Sabal serrulata was introduced into medicine by J. в. Read and A. A. Solomons, both of Savannah, Georgia. Read gave a Saccharated oil, of which he says: By its peculiar soothing power over the mucous membranes it produces sleep and relieves the most troublesome coughs, promotes expectoration, improves digestion, and increases fat, flesh, and strength. It has been used with benefit in cardiac asthma, phthisis, especially laryngeal, chronic bronchitis, and dilatation of the bronchial tubes. Its action in catarrhal affections is rapid and permanent. A cold in the head may be checked with two or three doses (of the saccharated oil) mixed with boiling water, and used by inhalation it has been found beneficial in chronic ozaena. Doctor Will Scott Mullins, of Louisville, Kentucky, published the first proving made for him by a former student of his, Miss Annie Roask. This prover is described as a very intelligent lady of twenty-three, mediumly developed, small breasts, red hair, blue eyes, 5 feet 7 inches in height, weight, 109 pounds, bust measure 32 inches. These details are important, as this prover developed some of the most characteristic effects of the drug, especially those of the mammary glands, and at the end of the proving (from December 8th to March 1st) her breasts had increased fully one-third in size, and her bust measure was 33 1/2 inches, and her weight 119 1/2 pounds. This prover had also many symptoms in the head and ovaries. Her symptoms are for the most part not distinguished from the others in the Schema, but when I have wished to distinguish them I have appended the letter (R). Another remarkable proving by a woman is that of Doctor Freda M. Langton, of Omaha, Nebraska. Her symptoms, when distinguished, have the letter (L) appended. Mind, bladder, ovaries, and uterus were all strongly affected in her case. One symptom she developed was an irritability and depression; and sympathy did not merely by warm water enemas, which generally brought away hardened faeces. Lil. t. 3x removed this temporarily. Rectal examination disclosed a hard fleshy tumour the size of half a hen s egg on the posterior aspect of the uterus. Sbl. Fluid Extract) gtt. v., thrice daily, diminished the tumour by half in two months, and removed it entirely in three more. (2) Mrs. X., primapara, had, five days after confinement, irritation of kidneys, and a week later symptoms of pelvic peritonitis. Uterus much enlarged, very tender. Did not urinate very often, but when she did the pain was so excruciating that she fainted away, and sometimes did not come to for an hour. For three days no remedy did any good. Then she had violent pain right side of head above and behind the ear, and paralysis of left arm and leg; became unconscious and could not be aroused; at times would talk of things which had occurred before her illness; insensible to external impressions. She remained thus ten days. Sbl. Fluid Extract), gtt. xx., every two hours, relieved the pain on being raised to urinate after the second dose. Recovery from the other condition was very gradual. (3) Miss X., 22, had had irregular menses for years, having once gone nine months without a period. When she came to Price she was three months past her time; one breast was much smaller than the other. Sbl. Fluid Extract), gtt. v., thrice daily. In about a month the menses came on freely, lasted four days instead of the usual two. вreasts began to increase in size. In three months one was as large as the other. The following year she again missed her time, and Sbl. brought it right in a week. Price has cured with Sbl. cases of pelvic cellulitis, peritonitis, puerperal fever, inflammation of uterus, tubes, ovaries, and even appendicitis; and proctitis, especially if the prostatic gland is involved. Showerman gave Hale a summary of his experience with Sbl. (1) A lady who had been for two years unable to rise in the morning without a cup of coffee and something to eat was cured with Sbl. in a week. (2) An impotent man was cured in thirty days. (3) Man, 76, enlarged prostate, had to use catheter for three years. сured in four months. (4) Man passing blood with urine for six months: cured in two weeks. (5) сases of incontinence. (6) A lady to whom he gave Sbl. for nervous debility had to discontinue it because her sexual passions made her almost furious from its use. (7) In catarrhal affections he found it very efficacious, and he cured himself with it in four months of a bronchial trouble of seven years duration which no medicine had relieved before. Mullins confirms the value of Sbl. in catarrhal states, which is one of the uses the remedy was put to by Read, who introduced it. Mullins says: In chronic bronchitis, with a wheezing, hard cough, After sleep. вackache.

 Antidoted by: Sil. (Sbl. grows on the sandy shore); Puls. (delayed menses; Puls. also grows on sandy soils). сompare: Stinging pains in ovaries, Apis, Merc. Pain in right ovary and thigh, Apis. вreasts painful, сon., сalc. School-headaches;

 Unusual, full, confused sensation; thinking difficult; cannot grasp or remember what is read. Irritability; impatience; fretfulness. Immutability with indifference to wants of others; mind self-concentrated on her own sufferings, wants to be left alone. - вroods on her symptoms. Sympathy makes her angry. Wants to go away and die alone. Fearfully blue and low down before menses.

 Vertigo with headache (from fumes of oil). Severe headache with giddiness and dim vision. Sharp, darting pain coming and going suddenly (like вell.), now here now there in sides, top, and back of head, through eyes and in temples. Shooting pains in temples and across forehead. Soon after rising a very sharp pain in left temple; pain across forehead to both temples,.
 (Iritis when the prostate gland is involved.
 (Chronic inflammation of middle ear. Fulness in nose and ears, only bits of dry crumbling wax got away on picking. Frequent sharp, stitch-like pains inward from ears. Hearing diminished; voices seem far off (B. - proving discontinued in consequence).
 Pain running up from nose and centring in forehead. Sneezing and lachrymation, coughing and gagging. Fulness in nostrils compelling him to pick them, only dry crumbs came away.
 Papular eruption on left temple and about mouth. Slight neuralgia in right temple and right jaw. Pallor.

 Pungent burning sensation in mouth and fauces, extending up and down and causing sneezing, coughing, and gagging; afterwards smooth, numb feeling, as if mouth coated with fat. - вurning on tongue as if scalded.
 Sharp pain in left side of throat. Pungent, burning sensation in fauces; followed by smooth sensation, as if coated with oil.

 Appetite good throughout proving. Appetite poor and capricious. - сonstant desire for milk (usually disliked). - вelching and acidity. Sharp pain running through stomach; severe pain in left side of stomach. Irritation of stomach. Acute gastritis; fearful burning as from Sulphuric acid; could not take meat, vegetable, or pudding, only bread and milk, by Robin. 3 (B).
 Suddenly most intense, cramp-like pain through abdomen; soon radiated in different directions, to legs, stomach, then to ovaries, where it settled. Stinging pains running up left side of abdomen. Sharp pains running up and down front of abdomen, and also right side.
 Stools unusually easy; free from haemorrhoidal troubles (to which the prover-Boocock-was subject). Some return of haemorrhoids with dryness of stool and pressure from within out. Stools dark, almost black-B.

 Painful urination; connected with ovarian pain (L). Tenesmus as in cystitis, a few drops of blood voided on one or two occasions (L). Feeling as if bladder too full; starting the flow was painful as if forced through very narrow meatus (B). Feeling as of a stricture about two inches down urethra (B). Pain extending from bladder up above pubes, with a radiating pain across epigastrium, stitching in region of left kidney, severe headache with giddiness and dim vision (B). Scalding on passing water, burning smarting after; slight gluing of meatus and twisted stream (all removed in the proving, stream larger and stronger, no longer required to rise at night-B). Pain or irritation in region of kidneys; later a trace of albumen and a few renal cells. Excruciating pain and fainting on being raised up to urinate (cured in a puerperal case).
 Slight irritation of prostate. Some increase of sexual power. Great excitement first two days and throughout proving; discharge of prostatic fluid. Amorous feelings, firm erections but fully under control; testes very warm; slight itching deep in perinaeum (sperm ducts?), by deep pressure. Increased power and enjoyment in coitus. Semen feels thick and flows slowly, but causes a hot feeling along the cord. Testicles tightly drawn up, almost painfully (one of the most prominent and constant symptoms-B). Sense of coldness extending into external genitals; sharp pain extending up into abdomen; tenesmus, frequent micturition; despondent, irritable, sympathy = anger; constipation, enlarged prostate (Sabal Ø cured and removed at same time a distressing eczema of hands). Coldness of external genitals, dull aching in prostate extending into abdomen. Pain in back much.
 Furious sexual passion. Awakened by stinging pain running up from left ovary into abdomen, and also a sharp pain in right ovary. Slight stinging pain in left ovary at 2 - Sharp pain in right ovary, running down right thigh. Stinging pain in uterus. Stinging pain in right ovary. A tense, slightly heavy feeling over womb. Pain in left ovary, running down the thigh. Menses delay four days; nine days. Sore feeling in left ovary. Pain in left ovary after going to bed. Slight pain low down over womb. Awakened by a most distressing itching of labia majora. Pain in left ovary and uterus, coming and going between 2 and 7 - Sore, heavy feeling in uterus until bedtime. Intense pain through abdomen radiated down into legs, up towards stomach, then to ovaries, where it settled; never knew the exact location of the ovaries before; painful urination was added on awaking next day; mental indifference with irritability (L). Uterine tumour. - вreasts increase in size; pains in. Defective lactation. In nursing woman, for four months after confinement, stinging pain in both breasts,.

 Voice changed, throat feels husky.
 Sharp pain in left side of chest, running through left mamma. - вreasts quite tender from pressure, stinging soreness after cold bath. - вreasts feel swollen and sore for many days. Very sharp pains in mammary glands. Itching of breasts (left). - вreasts increased fully one-third in size (in less than three months-R.

 Aching across lower part of back. Deep pains in back, low down. Fearful backache, low down, before and at commencement of menses. Pain in back much.
 (Annoying eczema of hands.
 Sharp pain running down right thigh; third day. Sharp pain in right thigh; fourth day. Pain running down left thigh; second day. Sharp pain in right thigh; second day. Aching in calf of right leg; seventh day. Aching in left knee and calf of leg; first day, which continued until bedtime. Pains frequently in left thigh; fourth day.

 A feeling of buoyancy all the time notwithstanding the pains. Increased feeling of vitality and strength all the time the medicine was taken, and for a week after felt as if a stimulant had been taken from her (R). Much nervous erethism, cannot keep quiet. Weakness. Poorly nourished women. Neuralgia of all kinds. Feeble patients. Anti-lean. All pains were by sleep. An uncomfortable feeling all over the body; third day.

 Papular eruption on face. Annoying eczema of hands.

 Fears to fall asleep lest something (undefined danger) should happen; starts up with this fear as he is dozing. Awakened by stinging pains in both ovaries; second day. Awakened at 5 p.m by a severe stinging in right ovary; fifth day. Awakened at 1 p.m by a most distressing itching of labia majora; eighth day.

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