Synonym. Ptele Viticifolia. Natural order. Rutaceae. Common names. Water Ash. Hop Tree. Swamp Dog wood. Habitat. An indigenous shrub growing west of the Alleghenies, in shady, moist hedges and in rocky places. Preparations. Tincture from the fresh bark of the root.
Acts especially upon the mucous membranes of he digestive tract, producing symptoms of indigestion and bilious disturbance, and causing congestion of liver, stomach and bowels; also,. secondarily., of the lungs. Its action is not violent, but slow and pervading, giving rise to many chronic abnormal conditions.
Mind. Disinclined of mental work, with languor rather than with inability. Great mental congestion, as in a bilious attack. Memory weak; forgetful, as if the intellect were slow to act; can remember by making a great effort.
Head. Confusion; vertigo; worse when turning the head or from sudden motion. Racking frontal headache, with red face and hurried manner. Constant dull headache; worse from walking. Headache in occipital region, passing to frontal, over the eyes. Perceive, bruised feeling at base of brain.
Ears. Intolerance of loud talking or noise. Ringing in ears; slight giddiness. White blisters on a red sore on right ear, discharging watery fluid; later, desquamation or pus and scabs form; boils.
Face. Sickly-pale expression, especially around the eyes. Face yellow; skin dry and hard.
Mouth. Carious teeth sensitive; gums sore.; teeth feel as if elongated (Mercurius, Nitr. ac.) Tongue coated with white fur. swollen;yellow; feels rough; papillae red and prominent; brown-yellow, dry. Taste sour, mornings; bitter; food tasteless. Saliva profuse , drooling at night.
Stomach. Voracious appetite; craves acid food (Ant. tart., Cinchona, Phosphorus ac., Veratrum alb.). Dislikes thighs formerly enjoyed. Repugnance to butter and fats (Hepar s., Pulsatilla); also to animal good (Alumina,Arm., Carb v.,)., Graphites, Pulsatilla); and rich puddings. Hepatic and gastric symptoms worse after meals and in mornings (Nux v.). Eructations sour or bitter.; tasting like rotten eggs (Arnica, Ant. tart., Psorinum, Sepia) Nausea rising of a bitter fluid; confused head; dizzy; sweat on forehead; bilious. Sense of weight and fullness, even after a moderate meal. Burning distress in epigastrium; oppressing vomiting; chronic gastric catarrh. Pressure at pit of stomach, as from a stone (Arsenicum, Bryonia, Nux f., Puls); worse from a light meal.
Abdomen. Liver swollen sore on pressure, causing dull and aching pains. Weight and aching distress in hepatic region; dull pain heaviness; better lying on the right side, turning to left causes a dragging sensation. Sharp, cutting pain in liver;worse from deep inspiration. soreness and aching distress in abdomen. Pulsation in umbilical region, synchronous with the the heart. Griping, colicky pains, with rumbling and discharge of wind from the bowels.
Stool. Small hard stool, with much straining, Diarrhoea bilious, thin, dark, offensive stools.
Urinary Organs. Smarting in urethra during and after micturition; urine scanty, scalding (Aconite, Apis, Arsenicum). Urine scanty, clear, or deep reddish-yellow;deposit of epithelia, phosphates and urates.
Respiratory Organs. Pressure on lungs, with sense of suffocation; walls of chest feel as if they would sink in.
Back. Severe aching distress in back.
Limbs. Aching, bruised feeling in muscles and joints on awaking drawing pains,especially with gastro-hepatic symptoms.
Generalities. Restless,uneasy; malaise, Feeling of weakness; languid, irritable; sick, faint sensations, as in bilious patients. Smarting and prickling in mucous membranes.
Fever. Chilliness, shivering; wants to be near the fire. Dry, general heat; worse in face and hands. Hot flushes and headache; feverish, ho head; dull, frontal aching. Sweat profuse on awaking; on forehead during stool.
Amelioration. In open air.
Compare. Berberis, Hydras, Mercurius, Nux v., Podophyllum
Ptelea has not been used clinically to any great extent, but has been found useful in bilious attacks; indigestion; gastralgia; congestion of liver; chronic hepatitis; diarrhoea; constipation, etc., the symptoms of the drug agreeing.