Asimina Triloba

f Paw Paw, or Custard Apple. ' Anonacece.

A valuable proving of the late Dr. George Bute on himself, his daughter, and his 15 year old grandson, from 1864 to 1868 ; afterwards also proved b}"^ E. H. Eisenbrey in 1869-70, in the 1st, 2d and 4th centesimal potencies. Bute used alcoholic extracts from all parts of the plant, ripe and unripe fruit, the green leaves, the bark, and the root. The tree grew in his garden. Dr. Eisenbrey proved the same preparation.

H. W. Taylor communicated in Cincinnati Medical Advance, 1878, a kind of poisoning of five children after eating freely of the fruit. The symptoms are marked t.

Mind

Did not care to hold conversation with any one, even his best friends ; with aching in lung.

Could not dismiss from his mind what occurred through the day previous ; at night. See 37.

Inner Head

Frontal headache, with pain in the chest.

Frontal headache, with nausea,, t.

Did not rest well the night previous, arose with an unusual headache in left temporal region, involving the eye, with an occasional sharp pain over it, increased by a single cough.

On morning of 4th day headache increased ; felt uncomfortable all day ; stomach felt increased in size ; insufficiency of stool ; inactivity of the bowels and rectum.

Headache, with chill, nausea and belching.

Smell and Nose

Discharge from the nose altered in character from yellow, thick, and at times, especially in the morning, hard, flakey, dark-gray consistency, at times offensive, to a natural mucous secretion.

^ Face. Face turns blue, with spasmodic interruption of breathing. See 26.

Inner Mouth

Corroding sensation in mouth.

▌ Aphthae of children.

Palate and Throat

Soreness of throat ; t.

Fauces red, swollen ; tonsils and submaxillary glands enlarged next day ; t.

Thirst, Desires

Thirst, with heat ; drinks much ; desire for ice-cold things.

Eating and Drinking

Soon after eating, a loose stool.

Nausea, Vomiting and Belching

Nausea and belching.

Constant belching.

Vomiting.

Scrobiculum and Stomach p. 221

Stomach felt increased in size, with headache.

Soreness on pressure in region of stomach.

Hypochondria p. 221

Exercised a good deal through the day ; experienced a pain in the left hypochondrium, and a soreness in region of stomach on pressure.

Abdomen, Loins and Groins p. 221

Soreness in abdomen on pressure ; slight pain resembling colic.

Colic.

Sensation of distension by wind.

Rumbling and pain.

Scrobiculum and Stomach p. 221

Insufficiency of stool ; inactivity of bowels and rectum. See 3.

Diarrhoea after eating.

Rumbling pain in abdomen, with desire for stool, which resulted in the passage of a soft pappy insufficient stool ; in the evening.

» Soreness of anus when wiping it.

Sudden urging to stool, with a sensation as if a stick the thickness of a thumb, passed down the rectum ; followed by a sudden diarrhoeic stool, repeating every 10, 15 minutes, with chilliness, drowsiness, and a weak voice.

Diarrhoea of yellowish discharges next day ; t.

Diarrhoea lasting more than four weeks ; t.

All the children had diarrhoea a long time after other symptoms had disappeared ; t.

Urinary Organs p. 221

Urine clear as water.

• Diuretic.

Urging to urinate, and burning when urinating.

Voice and Larynx p. 221

Weak voice. See 20.

Quite hoarse in the morning.

▌▌ Hoarseness, requiring much effort to talk, and seeming as though the mucous membrane was thickened and the organs slow to respond to the effort of speech.

Throat not very sore, not so much so as the hoarseness seemed to indicate ; slight cough, which is dry.

Respiration p. 221

Talking difficult. See 25.

▌ Cramp in the chest lasting three hours, with blueness of face.

Cough p. 221

A single cough increased the pain over the eye.

A slight, dry cough.

Inner Chest and Lungs p. 221

Dull, aching pain in upper left lung ; headache continuing.

Outer Chest p. 221

Lower end of sternum sore on pressure.

Neck and Back p. 221

Chill over the whole back.

All children had scarlet eruption on neck and upper limbs ; t.

Upper Limbs p. 221

Pain in left shoulder, seeming to involve the pectoral muscles.

Lower Limbs p. 221

Sharp pain in left hip-joint, lasting about half an hour, 11| a.m., returned half-past 1 p.m.; in the evening other pains in the joint more mild than the former, lasting but a short time.

Eruption in front, below the knee, like nettles ; itching when uncovering.

Carbuncle on anterior aspect of 1. thigh ; suppuration lasting two weeks ; t.

Sleep p. 222

Fever, heat with sleepiness. See 40.

Did not rest well night previous, kept turning and moving all night; could not dismiss from his mind what had occurred through the day.

Got up feeling unrefreshed ; headache no better ; quite hoarse ; pain in left shoulder. See 32.

Drowsiness and sleeplessness alternating.

Time p. 222

Morning : headache < ; hard discharge from nose ; hoarseness ; languid and pale.

11.30 A.M. and 1.30 p.m. : pain in left hip-joint.

Evening : diarrhoeic stool ; pain in left hip-joint slight.

Temperature and Weather p. 222

Uncovering knee : itching worse.

Open air : exercise in open air is followed by relief of headache.

Chill. Fever. Sweat p. 222

Chill. See 3 and 31.

Chilliness. See 20.

Heat with thirst.

Fever heat : with desire for something icy cold ; with drowsiness ; with much thirst.

Chill over the back.

Locality and Direction p. 222

Aching in chest more on left than on right side.

Left : headache temporal region ; pain in hypochondrium ; pain in upper lung ; pain in shoulder ; pain in hip-joint ; carbuncle on thigh.

Left to right : eruptions appeared in provers first left then right.

Sensations p. 222

As of a stick in rectum.

Sharp pain : over 1. eye ; in 1. hip-joint.

Corroding : in mouth.

Soreness : in throat ; in stomach ; in abdomen ; of anus.

Dull aching : in upper 1. lung.

Cramp : in chest.

Undefined pain : in chest; in 1. hypochondrium ; in 1. shoulder.

Touch. Passive Motion. Injuries p. 222

Pressure : soreness in epigastrium and abdomen ; lower end of sternum sore.

Wiping : anus sore.

Skin p. 222

Itching red pimples.

Pustules like small-pox, with a red halo, itching, and after scratching forming thick crusts, lasting from six to eight weeks ; t.

Itching when undressing in the evening.

Abscesses ripening.

Eruption first on left then on right side.

Nettle-rash.

10 P.M. : violent fever; had vomited, and was covered with a bright scarlet eruption ; pulse 130, full and steady ; temperature 105 ; t.

General desquamation followed ; t.

Relations p. 223

Collateral relations : the Anonacese, of which the Asim. fr. is the only one proved, although a very important family.

Compare : lllic. anis. (colic) ; Liriodendron.

The skin of the fruit and the seeds are fetid, somewhat similar to Stramon.