Ailanthus Glandulosa

Corresponds to conditions characterised by certain livid or purpled

appearances of the skin. Rash coming out in patches. Eruptions which are slow in appearing.

Low adynamic forms of disease with extreme prostration, torpor, vomiting. Prostration at the

outset of a disease is a leading indication for it. The patient is stupid, dull, delirious, weak. It has

proved of signal service in cases of malignant and suppressed scarlatina. The head is burning hot,

with piercing pains. The parotid glands are sensitive and enlarged. The attacks are characterised

by fulness of head with heat; pains burning, darting in temples and occiput; vertigo and nausea.

The rash of Ai/anth. often returns annually. A feeling of fulness everywhere, and a sensation of

passage of electric current from head into limbs are prominent in the provings. With the low

fever of Ai/anth. there is stupor or indifference with sighing. There is constant frontal headache

of a neuralgic character. Paroxysmal headache with drowsiness during day, confused mind,

depression. The throat is severely affected: thick, Sdematous, dry, choky feeling. Dry, rough,

scrapy, < morning. Livid, swollen, with ulcers oozing a fetid discharge.

The symptoms are > lying on right side (bronchial affections). Sitting up = vomiting, dizziness.

Motion = staggering. Walking about > toothache.

It is suited to nervous, sensitive persons. Bilious temperament. Stout and robust.

Anxiety and restlesness.—Low-spirited; continually sighing. —Extreme

irritability—Semi-conscious, cannot comprehend what is said to him.—Stupor, delirtum, and

insensibility——Constant muttering delirium, with sleeplessness and restlessness.—Since the

poisoning all antecedents are forgotten; or remembered as matters belonging to another, or read

about.—Raging delirium with brilliant eyes.

In low adynamic forms of disease, with extreme prostration, torpor, vomiting,

pulse small and rapid, purplish appearance of the skin.—Prostration at very onset of the

disease.—Stupid, dull, delirious, weak.—Puerperal fever characterised as above.

• ▸General stupor, with sighing.
• ▸Confused mind, mental depression.
• ▸Headache, frontal, with drowsiness.
• ▸Passive congestion headaches.
• ▸Suffused, dilated eyes; photophobia.
• ▸Face dusky.
• ▸Thin, copious, ichorous, bloody nasal discharge.

Severe headache, delirium, with fever and anxiety.—Severe headache, with dizziness,

and red, hot face; cannot sit up.—Dizzy when rising up.—Dull, heavy pressing in forehead;

disinclined to think or act.—Darting through temples and occiput, with confusion of ideas.—Head

burning hot with piercing pains.

Eyes suffused and congested; startled look when aroused; pupils dilated and

sluggish.—Photophobia.—Conjunctivitis; smarting, aching, lachrymation, purulent discharge.

Copious, thin, ichorous, and bloody discharge from the nose.—Nostrils

• ▸congested.
• ▸—Nose dry; secretion suppressed.
• ▸—Coryza, with rawness in nostrils; sneezing.
• ▸—Loss

of smell.

Face sallow, jaundiced; blue circles round eyes.—Face red and hot, covered with a

rash.—Face mahogany-coloured.—Great prostration, and countenance indicative of much

distress —Purplish face.—Irregular spots.—Lips swollen, cracked; ulcers near commissures.

Teeth covered with sordes.—Tearing in teeth (1.) and face < lying down, > walking

about, and by external pressure.—Tongue dry, parched, cracked.—Tongue moist; furred white; tip

and edges livid.

Throat tender and sore on swallowing, or on admission of air.—Throat sore on

swallowing, hawks up a greenish purulent matter.—Diphtheria, with extreme prostration.—Throat

livid, almost purple; swollen; tonsils prominent, and studded with many deep, angry-looking

ulcers, oozing a scanty, fetid discharge; external neck swollen and sensitive.—Irritability of the

throat, and hawking up of mucus; puruloid; hard white lumps.—Thick, Sdematous and dry choky

feeling in throat —Throat dry, rough and scrapy; < in morning.

• ▸Inflamed, oedematous, dusky red.
• ▸Much swelling, internal and external.
• ▸Dry, rough, scraping, choking feeling.
• ▸Neck tender and swollen.
• ▸Hoarse, croupy voice.
• ▸Tongue dry and brown. Teeth covered with sordes. Pain in swallowing extends to the ears.

Vomits food speedily during the chill; suddenly and violently when sitting up;

with stupor.—Thirst for cold drinks; for brandy.—Peculiar feeling of emptiness in stomach.

Thin, watery, offensive diarrhsa, passing involuntarily with the urine.—Stools

frequent, watery, forcibly expelled.—Tapeworm.

Hurried breathing; irregular. Dry, hacking cough. Lungs sore and tired.

Breathing hurried, irregular, heavy.—Cough deep, exhausting, dry,

hacking: in violent fits, before retiring or on rising, until sputum is raised.—Sputa: blood-mixed;

yellow; bitter; < morning —Aphonia.—Croupy choking.

Stitching and aching in chest.—Lungs sore and tender.—Tired feeling in lungs,

• ▸almost too much exertion to breathe.
• ▸—Burning in r.
• ▸lung; contracted feeling in 1.
• ▸—Chest feels

strapped; or as if air-cells stuck together.

Rapid, small pulse, weak, frequent, and irregular—Dull pain and contracted feeling

in region of base of heart and through centre of I. lung.

Neck tender, and very much swollen.—Constant sharp pains through small

of back and hips.

• ▸Miliary, livid rash, returns annually.
• ▸Large blisters filled with dark serum.
• ▸Irregular, patchy, livid eruption, disappearing on pressure.
• ▸Cold.
• ▸Raynaud's disease.

Skin cold, dry, livid—Eruption scanty with sore throat; of a bluish tint; livid; forehead

and face of a purplish colour.—Body and limbs covered with an irregular patchy eruption of a

livid colour disappearing on pressure, returning very slowly.—Large blisters filled with dark

serum.—Eruptions of miliary rash in patches of dark, almost livid colour; most on forehead and

face.

Drowsy, restless. Heavy, disturbed, unrefreshing.

• ▸Acne.
• ▸Cerebro-spinal meningitis.
• ▸Chancre.
• ▸Coryza.
• ▸Diphtheria.
• ▸Headache.
• ▸Mumps.

• ▸Puerperal fever.
• ▸Rheumatic fever.
• ▸Scarlatina.
• ▸Syphilis.
• ▸Typhoid fever.
• ▸Typhus fever.

Ailanth. is related botanically to: Ptelea and the Xanthoxylec. It is antidoted by:

• ▸Alcohol, Rhus t.
• ▸, Nux.
• ▸Compare: Am.
• ▸c.
• ▸, Arn.
• ▸, Arum tr.
• ▸, Aloe (dull frontal headache), Bap.
• ▸,

• ▸Bry.
• ▸, Gels.
• ▸, Hyo.
• ▸, Lach.
• ▸, Nit.
• ▸ac.
• ▸, Nux v.
• ▸, Phytol.
• ▸, Hydrocy.
• ▸ac.
• ▸, Rhus t.
• ▸, Stram.
• ▸, Echin.
• ▸a.

Antidotes: Rhus; Nux.

Compare: Ammon carb; Bapt; Arn; Mur ac; Lach; Rhus.

First to sixth potency.

young women with a history. The vagina is much relaxed, there is

often prolapsus, and there is a copious white-o£-egg-like leucorrhoea.

But the pitiful, woebegone young man, heart-broken over his early

life, now finds himself newly married, and impotent. He has had

gonorrhoea ; he has lived in excesses, and now suffers from relaxed

and cold genitalia, emissions, prostatic discharge at stool. His young

and beautiful wife excites no erection, though only recently he had a

clandestine success, and he has morning erections but no more.

Out of the above cause and condition come many distressing symptoms. Loss of memory, despair, suicidal thoughts, anxiety, fear and

peevishness. These patients suffer from headaches, photophobia and

nervous symptoms too numerous to mention. Formication of the

skin. Tearing pains of head, face and teeth. All but the simplest

food disorders the stomach, and he complains much of nausea. Ilis

• ▸muscles arc flabl)y.
• ▸He is anaemic, and his glands arc enlarged, especially the spleen.
• ▸He is growing increasingly flatulent.
• ▸The abdominal

viscera hang down as a weight. There is a growing weakness of the

rectum and constipation, and he presses hard at stool, which often

fails and slips back, like Silica, Sank and Thuja, llie stool is large

and hard. Itching, smarting at the anus, noisy flatus of a urinous odor.

Excoriated anus. He soon takes on a hacking cough and night sweats.

The limbs arc tired and cold. He is sensitive to cold, and wants to

remain quiet. Exertion and motion intensify his complaints. He has

been to many advisers, and they have told him he has Neurasthenia.

He must have Agnus castus.

This medicine is especially suitable in the low zymotic forms of sickness, such as we find in diphtheria and scarlet fever, in blood poisoning

and in symptomatic typhoids, especially those cases that are characterized by capillary congestion in spots, red mottled spots. Perhaps the

most striking manifestation of such a low type of sickness is malignant scarlet fever. The regular rash does not come out, but in its

place red spots, roseola-like, make their appearance ; the usual uniform

spread of the eruption has failed, or has been suppressed, and there

is bleeding from the gums and nose, and dreadful tumefaction in the

throat. The countenance is purple and besotted, the eyes are congested

and there is even bleeding from the eyes. There is an appearance of

great prostration, but it is really stupefaction ; he seems stupid and

benumbed. If you look at the throat you see it is covered with little

purple patches, intermingled with an oedematous appearance similar to

• ▸that found in Baptisia.
• ▸It is a low depressed type of sickness.
• ▸Decomposition of the blood is going on rapidly.
• ▸The blood that oozes is

black. The child is going into a state of stupor and it is with difficulty that he can be aroused. Sometimes blisters are formed on the

ends of fingers, or here and tliere over the. body. From the mouth and

nose come foetid odors. The child is going as rapidly as possible into

a form of malignant disease. Sometimes the disease comes on as a

light febrile attack, but from taking cold and suppressing some of the

natural manifestations the case takes on a low typhoid form and

whereas you had at first only a simple remittent, the case has now

assumed a state of prostration with a very rapid heart, foctor, purpleness or blueness, a passive congestion with purple blotches of the skin,

causing a mottled appearance. When a disease turns so suddenly

blood poisoning is going on and a symptomatic typhoid state appears.

A remittent that turns into a sharp zymotic state in the course of

twenty-four hours, a diphtheria that takes on this form wdth stupidity

and mottled skin are examples of such a type of sickness.

The mental symptoms accompanying this state are interesting. I

read from some notes I have made. A continued dreamy state of

mind though awake. Child cries all the time. Sees little animals like

rats running around. Feels a rat or something small crawling up the

limb and over the body. There seems to be constant loss of memory,

even the things spoken of a moment ago go right out of the mind.

Constant forgetfulness. All past events are forgotten. Past events

arc forgotten or remembered .ias belonging to someone else, or as matters

read. That is in keeping with the dreamy state, it seems as though

those things that arc past appear as in a dream, as if he had dreamed

them. Cannot concentrate the mind in any mental effort ; cannot

answer questions correctly ; is as if in a semi-conscious state, and

finally he goes into complete unconsciousness. There is in the earlier

stages of this zymotic state great anxiety and restlessness, later there

is stupor and indifference to everything. Continual sighing with depression of spirits ; extremely irritable, scmi-conscious, finally unconsciousness, stupor, delirium and insensibility ; muttering delirium with sleeplessness and restlessness. This mental state is such as occurs in zymotic

sickness ; the chronic illness has not been well brought out. Dr. Wells

used this remedy in a number of cases, as it was at that time an

epidemic remedy for scarlet fever, in Brooklyn, and many patients were

saved by it. It seemed to be able to change the character of the

malignant forms of scarlet fever into a mild type.

In addition to the symptoms of the text it has been observed that

the hair falls out and flashes of light play before the eyes on closing

the lids at night. ‘Tupils widely dilated ; copious, thin, ichorous and

bloody discharge from the nose.” That is in the zymotic states in

• ▸scarlet fever, ‘‘Nostrils congested.
• ▸Great prostration and a countenance indicating much distress.
• ▸Face dark as mahogany.
• ▸'^ That is in

suppressed scarlet fever. Purple, bloated and puffed, besotted face.

This remedy is one not very much used, and it is not very often indicated, but it is very useful when indicated. You will not very often

sec this particular type even in malignant scarlet fever. You will often

see such a scarlet fever running to a number of other remedies, but

this remedy corresponds to one of the most malignant types, and its

commonest use will be in an epidemic in which the cases largely run

to the malignant type. There are three common types of scarlet fever.

In one season you find the cases arc mild and simple, the typical eruption is present and comes on speedily without any great amount of

fever. Such cases will often run their course with good nursing, a

warm room and plenty of clothing without much medicine. The skin

is bright red, smooth and shiny. The case is not serious. In other

epidemics you will find only an isolated case of this kind, while the

majority of cases present marked trouble in the throat ; the rash is

scanty when present, and congestion of the head and spinal symptoms

come on with pain in the hack of the neck. The throat is dreadfully

swollen and inflamed, bright red and very painful. Then there is a

third type in which the throat is severely swollen, all the mucous membranes are swollen, and the whole tendency is toward blood poisoning

or zymosis with enlargement of the glands, puffincss of the skin and a

great deal of ioetor ; the skin is dusky and the eruption is scanty, sometimes hardly visible from beginning to end. These cases will almost

all die if let alone; they arc very serious. The old authors call these

three forms scarlatina simplex,’' “scarlatina anginosa,” and “scarlatina

maligna.” In some epidemics you will see all three of the appearances, m some families you will see two forms. One child will have

a mild type, and another will have it more severely with zymotic blisters

here and there, on the ends of the fingers, and these will be attended

.T! ulceration will take place if

e c 1 ivc ong enough ; hut these arc the deadly cases, the maligdoes not come out in the low forms

of carlet fever, the impression of the finger makes a white mark which

® 'Uarked that is, the lower the type.

circulation, and

o t when there is no rash, a passive congesSo^

or me veins. Quite a number of medicines have that, but Veratrum

W. ,„ch a va,o-™.„, p„a,y* a line S

made by pressure will remain a Ion? time In all ^

‘Throat much swollen, dark red, almost purple in color. Diphtheria

with extreme prostration. Throat livid, swollen ; tonsils prominent

and studded with deep ulcers.*' The throat and tonsils very often

appear as if they would pit upon pressure like a dropsical state. In

some of these zymotic cases where a reaction ought to take place a

diarrhoea sets in that is horribly offensive ; a critical diarrhoea. With

these zymotic states there is pain in the back of the neck and head no

matter what the name of the disease is.

“Breathing hurried, irregular, heavy. Burning in the palms and

soles, hunts to find a cool place to put them. Feels a rat running up

the leg. Feeling as if a snake crawled up the leg.” These mental

symptoms occurred in one of my provers. In low, adynamic forms of

disease characterized by sudden and extreme prostration, “vomiting,

pulse small and rapid purplish appearance of skin.'* “Electric thrill

• ▸from brain to extremities.
• ▸” “Chill at 8 a.
• ▸m.
• ▸with chill, heat and

sweat ** During the chill vomiting of food and piercing pain over the

hip. Chill is preceded by malignant eruption, especially on the face

and forehead. “During chill hunger, empty feeling, intolerable pain

in back of neck, upper part of back and hip joint.” That pain in the

back of the neck is a common forerunner of low types of fever. It

generally precedes a congestive attack of great violence characterized

by fulness of the head with heat.

This miliary rash spoken of in the text, looking like measles, is when

the scarlet fever rash or th^ measles rash does not come out in its uniform fashion, but in patches, little circles here and there and is dark.

“Irregular, patchy, livid eruption, disappearing on pressure and returning very slowly ; interspersed with small vesicles, worse on forehead,

head, neck and chest. Eruption appeared scantily for two days with

sore throat and mild fever,” This eruption is like the petechiae that

we see in typhoid forms of disease. The record of this remedy in

scarlet fever makes it worthy of further study ; it ought to be reproved

that we may have a fuller understanding of it. “Eruption plentiful,

of a bluish tint. Typhoid scarlatina.” “Eruption is slow to make its

appearance, remains livid.” “Body and limbs covered with an

irregular patchy eruption of a very livid color.” Here you see but

one type of scarlet fever. This low type of fever sometimes needs

Sulphur, or Phosphorus, or Belladonna, or Baptisia, or Lachesis,

That you may be able to distinguish one from the other and keep the

picture of each remedy clearly in mind requires a prolonged study of

the Materia Medica. It is an easy matter to compare remedies for

yourself after you have first studied each one separately. You can then

bring out many comparisons, and especially in this case at the bedside. If you go to the bedside with a good knowdedge of the generals

of Materia Medica you will be surprised at the number of symptom