Ailanthus

Ailanthus glanclulosus, Desf. Nat. order, Simarubeae, Common navies, Tree of Heaven ; (Germ.), Gotterbaum ; (Fr.), Ailante. Preparation, Tincture from the flowers beginning to open.

Authorities.-f 1 , Hering ; 2, Lippe ; 3, J. T. Alley ; 4, Mrs. F. ; 5, Mr. M. ; 6, H. Milton ; 7, Male prover, aged 28 ; 8, Male prover, aged 21 ; 9, P. P. Wells ; 10, Wells's girl, aged 15 ; 11, Wells's boy (young) ; 12, W. Williamson ; 13, Hale, New Remedies, 3d ed. ; 14, Poisoning from drinking water impregnated from Ailanthus roots; Meshter. (See N. Y. J. of Horn., 2, 99.)

Mind

Low-spirited

Continual sighing

Depression of spirits

Recklessness in regard to present or future events

Stoical indifference to whatever happens

Restlessness

Great anxiety

Inability to concentrate mental effort; compelled to read a subject several times to get even a misty understanding of it,l

Confusion of intellect; found it almost impossible to add a column of figures correctly ; had to go over it several times to get it right

Loss of memory

Mental alienation,l

(*Stupor, delirium, and insensibility, after suppressed scarlatina eruption,".)

Head

Vertigo, especially when stoo[)ing,l

Dizziness

Dizziness and confusion of the head

Staggering dizziness when rising or moving

A sensation of giddiness with nausea and sickness at the stomach,l

Tottering gait, with an inclination to stagger; requires extra effort to walk straight

Giddiness ; nausea, with retching and some vomiting

Slight headache, accompanied with nausea and giddiness

The figures on the ledger began to dance up and down the columns ; my head grew dizzy

Pain in the occiput, with dizziness and ringing pain in the forehead,l

A fulness and somewhat of an intoxicated sensation in the brain

A fulness and burning on the brain

Apoplectic fulness of the head,l

Thick heavy feeling in the head, figures and letters look blurred

Electrical thrill starting from the brain and extending to the extremities

Feeling as if an electrical current were passing through the left side of the head,l

Dull headache

Severe headache

Headache with confusion of intellect

Dull headache, with burning in eyes (immediately)

Dull headache, with great oppression of bronchia

Dull heavy headache, with heavy feeling in the sternal region

Heaviness of the head, with pain over the eyes, ameliorated by pressure

Dull compressed feeling, with confusion and pain in the forehead

Severe pains in the head with chills, followed by flushings of heat

Tingling sensation of left arm and hand, with dull headache; no appetite; tongue coated ; pasty taste (on waking in A.M.)

Pain in back, head, neck, and numbness extending trom under the left scapula, in a band down to the left hip

Pain in centre of forehead, more to left (in five minutes)

A peculiar, heavy dull pressing pain in the forehead, of no great severity, but which indisposed to or even incapacitates for intellectual labor. This is always relieved by Aloes 200th

Between one and two p.m., a heavy frontal headache, with drowsiness ; slept two hour-s

Severe darting pain through the temples and back part of head, with confusion of ideas

Severe pain through the temples on waking

Tender, bruised feeling over pariet-frontal sutures

Darting pain in the back part of the head

Pain in the occiput, with dizziness and ringing pain in the forehead, and swelling in the left side of the face, below the eye, and upon the cheek

Beating in the occipital arteries.s

Eyes p. 134

Eyes feel rough and irritated, as from wixid and dust

Smarting and aching, as from powerful astringents

Burning in the eyes,l

Sneezed, and experienced a sensation of cold about the eyes, and a gnawing in the chest

Light affects the eyes

-Lachrymation in the open air, or by brilliant light,l

Purulent discharge, with agglutinated lids in the morning

Conjunctivitis, with redness and inflammation, extending around the external canthus,l

Falling out of the eyebrows

(Eyes suffused and congested ; startled look when roused ; pupils dilated and 'sluggish ; in scarlet fever,''. Dr. Chalmers.)

{* Pupils iddehj diluted °.)

* Photophobia

Intolerance of light

Figures and letters look blurred

Nose p. 134

Itching and uneasy feeling around the nose

Soreness and pain on the left side of the nose

Dryness and suppressed secretion

Catarrhal obstruction, as from cold in the head

Difficult breathing through the nose

Loss of smell

Chronic catarrh

(Copious thin ichorous discharge without fetor ; discharge of blood and pus. In scarlet fever,°. Dr. Chalmers.)

Face p. 134

Face pale

i)(fs% bilious complexion

-Complexion sallow and inactive

Jaundiced

Dark-blue circle around the eyes

Irregular spots of capillary congestion, as in the face of a drunkard after a debauch

Hot, red face

Miliary rash, more profuse on the face and forehead, especially the forehead, than upon the rest of the body

Pain in the occiput, with dizziness and ringing pain in the forehead, and swelling in the left side of the face ; soreness and pain on the left side of the nose ; puffed erysipelatous face ; feels heavy and sleepy ; nausea coming on at intervals

On the second evening, tearing in the upper and lower teeth of the left side, also in the face and head, aggravated by lying down and forcing him to walk about ; external pressure relieves. Improvement only toward morning,l

(*Face and forehead dark mahogany; suppressed scarlatina, °.)

Mouth p. 134

Tongue coated

Tongue coated; pasty taste in morning

Tongue thickly covered with a whitish coat, brown in centre

Tongue dry, parched, and cracked; triost, and covered with white fur; tip and edges livid. Under the favorable action of Ailanthus, the clearing-off of the coating revealed prominent papilke,°. In scarlet fever. Dr. Chalmers.)

Throat p. 134

Sensation as after applying an astringent to the pharynx

* Thick, oedematous, and dnj choky feeling \n the throat, continuing in the acute form only a short time, and then becoming chronic

A fulness in the throat just above the sternum, and a desire to hawk up something

* Throat dry, rough, and scrapy, myg so in the morning

Irritability of the throat and hawking up of mucus

Hawking of mucus from the throat

Constant hawking, and efforts to raise lumps of whitish matter

Raising of mucus and yellow matter from throat

Great accumulation of matter, part of which is easily expectorated, while a portion is with much exertion detached in small flakes

Croupy choking

* Throat tender and sore on swallowing, or on admission of air

When deglutition is painful, the pain always extends to the ears

Redness of the throat with or without pain during deglutition

The fauces and tonsils are inflamed, with spots of incipient ulceration

Spreading ulcer-s, feeling as after the application of nitrate of silver

Tenderness and enlargement of the parotid and thyroid glands

Thickened and swollen feeling of the muscles of the neck

(*The throat is livid and swollen, the tonsils studded with numerous deep, angry-looking ulcerations, from which a scanty fetid discharge exudes; the neck is very tender and swollen; the tonsils are prominent and studded with ulcerated points. In scarlet fever,°. Dr. Chalmers.)

Appetite p. 135

No feeling of hunger, but eats his usual quantity

No appetite lor breakfast ; tongue coated ; pasty taste

No appetite lor dinner, everything tasting flat and insipid

She could take no food, the sight of it made her feel worse

Appetite capricious

Loss of appetite; slight nausea ; disgust at food

Loathing of food

[HO.] Daring the chill there was great hunger, with a distressing sense of general emptiness

Stomach p. 135

Ji,very morning nausea, and during the day a febrile heat with this nausea (but frequently without it) ; a diarrhoea set in; four or five stools daily, with pains in the abdomen ; sometimes vomiting with the diarrhoea

With the nausea are oppression and pain below the hypochondria, in some like a stricture below the short ribs. Some find this symptom very debilitating

Excessive nausea, but no vomiting, during the headache

In women, nausea similar to that of pregnancy

Nausea and sickness at the stomach, with sour eructations

Nausea and vomiting,'-.

Any food taken was speedily vomited

Vomited repeatedly

Peculiar feeling of emptiness in the stomach

Inactive condition of the stomach, as though its contractive power was impaired

Constant, violent increasing pain in the stomach

Water tastes brackish and flat ; no desire for drinks except when eating

Took a teaspoonful of the tincture. In half an hour began to feel queer and somewhat frightened; a sensation of giddiness with nausea and sickness at the stomach came over me ; cold perspiration stood out upon the skin ; my fingers, in fact my whole body, began to tingle and prick ; my limbs felt as if they were asleep ; the figures on the ledger began to dance up and down ; my head grew dizzy; I staggered back and fell into my chair almost unconscious. Drank half a tumbler of Bourbon ; soon began to vomit and purge, and was very ill for two hours. Two days after was as well as common, excepting some headache, and a sort of numbness of the left arm

Abdomen and Stool p. 135

Tenderness over the hepatic region

Tympanitis

Burning in the stomach and bowels

Weak, burning, uneasy feeling in the bowels, as of approaching diarrhoea

Slight rumbling 'in the bowels

A feeling of "insecurity as if he would be attacked with diarrhoea any minute

Bowels moved easier than natural, two or three times a day

Looseness of the bow^els, appearing more in the large intestines

Colicky and griping pains in the bowels, 'I

Frequent watery dejections, which are expelled with great force

Pains in hypogastrium and hips

Morning, nausea with diarrhoea, which is sometimes attended with vomiting

Dysentery ; frequent painful stool, little fecal matter, much bloody nuicus, with very little fever

Constipation,'*. .

Urinary Organs p. 135

Urine suppressed

Sexual Organs p. 135

A sore appeared on the prepuce of the prover, which had the exact appearance of an incipient chancre ; it dried up and disappeared in a few days after ceasing Ailanthus. (This sore and the rash are similar to those which characterize primary syphilis,".)

Respiratory Organs p. 135

Cough somewhat oppressed ; expectoration muco-purulent, free in the morning, sticky and scanty during the day

Deep exhausting cough, with asthmatic expansion of the lungs

* Cough deep and painful

* Violent fits of coughing before retiring, and on rising; she coughs continually, until expectoration becomes free; afterwards is comfortable during the day

Chest p. 136

Oppression of breathing

Equable oppression, as though chest was strapped,l

Asthmatic oppression in the larger bronchi

On the second day after suspending the drug, wheezing asthmatic respiration,l

Feeling as though the air-cells were stuck together ; inability to completely expand the lungs ; can hear the air-cells open (?) as the lungs expand,l

Tired feeling in the lungs, rendering it almost an exertion to breathe

Pain with constriction or tightness of the chest

Excessive tenderness all over the lungs

Excessive soreness and tenderness of the lungs, compelling a suspension of the drug,l

Soreness of the internal chest with pain and aching of the lungs

Soreness and pain of the lungs increased ; severe pains in the head, with chills, followed by flushes of heat

Pain and contracted feeling, especially through the centre of the left lung, sternal edge,l

Aching in the anterior portion of the left lung, extending to the posterior,l

Pain as from a small blade two inches at the left of the lower portion of the sternum,l

Heated, burning feeling, as from breathing hot steam or air,l

Burning in the right lung,l

Burning pain under the left shoulder,l

Stitching and aching in the chest,l

Aching pain directly under the clavicle, sometimes extending to the sternum

Respiration quickened

Crepitant ronchus/.

Heart and Pulse p. 136

Pulse accelerated

Back p. 136

Soreness in the glands of the neck with pain under the left shoulder-blade

Intolerable pain in the back of the neck, upper part of the back, and in the right hip-joint

Pain in the head, neck, back, and numbness under left scapula, extending as a band down to left hip

Constant aching between the shoulders

Aching, pressed feeling of the dorsal vertebra

Shooting, aching pains in the shoulders and hips

Constant sharp pain through the small of the back and hips

Superior Extremities p. 136

Pain in the right scapula, deep inside (in six minutes )

The pain in right scapula prevents motion of the arm ; a similar pain in the right foot prevents walking (in one hour)

Numbness of the left arm, and a sensation as though the fingers were asleep

Tingling sensation of left arm and hand on waking, in a.m.,®.

The numbness of left arm and hand, with pain in the shoulder, back, and hips, lasting four or five days after ceasing to take the drug

A sort of numbness of the left arm

Fingers tingle and prick

Electrical thrill, extending to the ends of the fingers

Inferior Extremities p. 136

Limbs felt as though they were asleep

Numbness of the left leg, with tingling, pricking pain in the foot and toes

Feeling of uneasiness and aching restlessness in the limbs

Heaviness of the extremities

Pain in the right foot prevents walking

Severe pain in left foot, a kind of tension in walking

Sleep disturbed and-unrefreshing

Heavy sleep during the night

Great sleepiness in the morning or forenoon ; sleepiness the whole day, but this is not refreshing

After drinking a glass of wine great sleepiness, with fulness of the head

Fever p. 136

Dry, hot skin, especially in the morning, lasting until the middle of the day.

Skin dry

Cold perspiration stood out upon the skin,l

Felt slightly ill on rising in the a.m. ; could take no food ; sight of it made her feel worse ; was suddenly seized with vomiting ; severe headache, dizziness; hot, red face; inability to sit up; rapid small pulse; drowsy, at the same time very restless ; great anxiety. lu two hours drow sinews had become insensibility}% with constant muttering delirium ; did not recognize the members of the family. She was now covered in patches with an eruption of miliary rash, all of a dark, almost of a livid color. The patches between the points of the eruption were of a dingy, dull opaque appearance. The eruption was more profuse on the forehead and face than elsewhere, and especially on the forehead. The pulse was now small, and so rapid as hardly to be counted; the surface had become cold and dry; the livid color of the skin when pressed out returned very slowly; the whole was a most complete picture of torpor

The chill was always preceded by a miliary eruption, most copiously developed on the forehead and face. During the chill there was great hunger, with a distressing sense of general emptiness. Any food taken was speedily vomited. Intolerable pain was felt in the back of the neck, the upper part of the back, and the right hip-joint. During the hot stage there was urgent thirst, with delirium, and a strong desire for brandy

(This group represents the quasi secondary action It supervened upon the poisoning depicted in S. 193, and the girl was subject to this role for a fortnight.)

The eruption is slow to make its appearance, and never takes on the genuine scarlet color ; it remains livid

Ailanthus produces an eruption which has an exact resemblance to ordinary measles, but it is attended by no catarrhal symptoms, or other concomitants of that exanthem

Conditions p. 137

Immediately after taking one drop, a dulness over the whole body.

Languor and lassitude on making exertions

Incapability of standing long at a time

Tottering gait, with an inclination to stagger; requires extra effort to walk straight

All asthmatics who are exposed to the odor feel worse during the blossoming period

The odor affects women and children ^lore than men, and old people least of all

If odor gives any indication, Ailanthus should prove a good remedy in malignant puerperal fever

Affects the organism in the following order: throat, lungs, eyes, head

(In prover M., this order of evolution is exactly reversed. J.)

After discontinuing the drug the head, throat, and chest symptoms lasted for about twenty-four hours, and gradually died away

The numbness of (left) arm and leg, with pain in shoulder, back, and hips, continued four or five days

Two days after taking a teaspoon f 111 of the mother tincture, as well as ever, with the exception of some headache, and a sort of numbness of the left arm

The neuralgic pains (facial) force him to walk about

Conditions p. 137

Aggravation.

(Morning), Purulent discharge from eyes, etc. ; coated tongue, etc. ; throat dry, etc. ; nausea ; nausea with diarrhoea ; dry, hot skin.

(Morning on itching), Tingling in arm, etc.

(Morning or forenoon), Great sleepiness.

(On admission of air). Throat tender.

(ill open air), Lachrymation.

(During chill), Great hunger.

( On exerting body), Languor and lassitude.

(During heat), Urgent thirst, etc.

(Lying down). Tearing in teeth, etc.

(Brilliant light), Lachrymation.

(Risuig or moving), Staggering dizziness.

(Stooping), Vertigo.

(Swallowing), Throat tender.

(After taking ivine). Great sleepiness, etc.

Amelioration p. 137

( Toward morning). Improvement.

(Pressure), Heaviness of head, etc.

(External pressure), Tearing in teeth.

Footnotes

† The following symptomatology is mainly copied from Dr. Jones's arrangement in Am. Horn. Observer, vol. 11.