Arum Triphyllum

• ▸Ar.
• ▸tri.
• ▸is the most important of the Arums.
• ▸Its irritating properties are well

marked; excitable and irritable in mind and body. It is especially irritating to the nose and throat.

This with its scarlet rash suggested its appropriateness in cases of scarlatina of malignant type, in

which it has met with great success. An indication of its curative action in scarlatina is the urine

becoming more abundant and watery. Raw, bloody surfaces appear on lips, on mouth, on nose,

&c. With the rawness there is itching. "Picks lips till they bleed, corners of mouth sore, cracked,

and bleeding "is a characteristic indication; also, "picking ends of fingers" and "boring nose"

• ▸(especially side of nose).
• ▸Tongue cracked and bleeding.
• ▸Urine scanty or suppressed.
• ▸Patient

passes into unconsciousness and slides down in bed. Dr. Lippe, who is one of the greatest

authorities on this remedy, said it should not be given low or repeated often. "Bores head in

pillow" is an indication when the brain is involved. Kent points out that almost all the discharges

are acrid and cause irritation of orifices. He defines the hoarseness as that of public speakers

who, after long exertion, get cold (as from a draught), and suddenly are unable to finish. (With

• ▸Rhus the hoarseness is at the beginning and passes off by using the voice.
• ▸) Ar.
• ▸¢.
• ▸prominently

affects the |. side. It has a headache < from hot coffee and has cured headache < from too hot

clothing.

Restlessness or irritability —In delirium bores in nose; picks at one spot or at dry

lips.—Great delirium.—Absence of mind; giddy.

Burning in many parts—ear, lips, tongue, palate, throat, anus, lungs, upper

arms.

Worse, northwest wind; lying down.

Bores head in pillow. Headache from too warm clothing, from hot coffee.

Child has headache, puts hand on back of head and cries; a raw spot appears on lip,

corners of mouth, or on nose, emitting one drop of blood; urine scanty; this raw spot may occur

on the hand when the child bores and digs at it.—Dull headache; upper part feels cold, as if open

and without covering.—Violent headache; pressing on r. or both sides; < from hot coffee; > after

dinner, and after breakfast—(Headache from too warm clothing, from becoming hot.).—Head

burning hot.—Tinea capitis.

Quivering of upper eyelids, especially left.

Aversion to light.—Quivering of 1. upper lid—Catarrh of lachrymal sac; bores into side

of nose.

• ▸Soreness of nostrils.
• ▸Acrid, excoriating discharge, producing raw sores.
• ▸Nose obstructed; must breathe through mouth. Boring in the nose.
• ▸Coryza; discharge blood-streaked, watery.
• ▸Nose completely stopped, with fluent, acrid discharge.
• ▸Hay-fever, with pain over root of nose.
• ▸Large scabs high up on right side of nose.
• ▸Face feels chapped, as if from cold wind; feels hot.
• ▸Constant picking at nose until it bleeds.

Sore, discharge of burning ichorous fluid from nose, excoriating nostrils and upper

• ▸lip.
• ▸—Nose stopped; can only breathe with mouth open; dry coryza.
• ▸—R.
• ▸nostril open, |.
• ▸blocked.

Tongue sore, red papillz elevated; cracked and bleeding (strawberry tongue).—Lips

dry; swollen, cracked; corners of mouth sore, bleeding, cracked; picks them.—Face

swollen.—Swelling of submaxillary glands.

• ▸Raw feeling at roof and palate.
• ▸Lips and soft palate sore and burning.
• ▸Lips chapped and burning.
• ▸Corners of mouth sore and cracked.
• ▸Tongue red, sore; whole mouth raw.
• ▸Picking lips until they bleed.
• ▸Saliva profuse, acrid, corroding.

Mouth burns and is so sore that he requires drink and cries when anything is

offered —Extreme salivation, saliva acrid.

Throat sore, feels excoriated; cannot swallow.—Clergyman's sore throat, or sore

throat of one who speaks a great deal.

• ▸Swelling of sub-maxillary glands.
• ▸Constricted and swollen; burns; raw.
• ▸Constant hawking.
• ▸Hoarseness.
• ▸Expectoration of much mucus.
• ▸Lungs feel sore.
• ▸Clergyman's sore throat.
• ▸Voice uncertain, uncontrollable.
• ▸Worse, talking, singing.

Sensation of emptiness after breakfast in the abdomen, as after vomiting; with

contraction in the abdomen, as from anxiety and fear—Severe aching between the navel and the

hip, esp. when standing upright, or lying on the side, or drawing a deep inspiration, with great

sensitiveness of the part affected to external pressure.

Diarrheea, typhoid-like.—Stool like cornmeal mush.—Stool dark brown,

watery, thin, acrid.—Thin feces escape from anus, and keep the parts raw and burning.

Frequent discharge of abundant pale urine.—Clear, watery urine and

smelling like burnt horn, and depositing a cloudy sediment.—Very scanty secretion of urine,

sometimes passing none for a day.

Cutting pain in either ovary.—Menstrual blood darker —Menses

checked for two months, returned.

Tearing pain in r. testicle, sometimes extending to abdomen; comes

and goes suddenly.—Smarting at end of penis.

Hoarseness (clergyman's sore throat), < from talking.—Voice

uncertain, constantly changing (goes off into a squeak on attempting to speak or

sing).—Accumulation of mucus in trachea.—Cough hurts the throat and annoys the patient.

Stiff-neck; with intolerable pressing headache.—Pain in region of atlas

vertebra, extending to r. side.—Sore, moist places on coccyx.

Scarlet rash; raw, bloody surfaces anywhere. Impetigo contagiosa.

Erythema of scarlet rash, skin peels afterwards.—Itching of scarlet eruption —One of

the first indications for this drug is the appearance of raw, bloody surfaces, which may be on the

lips, buccal cavity, nose, back of ear, &c.

• ▸Brain, inflammation of.
• ▸Clergyman's sore throat.
• ▸Delirtum.
• ▸Diphtheria.
• ▸Glandular

• ▸swellings.
• ▸Headache.
• ▸Jaw-joint painful.
• ▸Mouth, sore.
• ▸Scarlatina.
• ▸Tongue, cracked.
• ▸Typhoid

fever. Voice, hoarse.

• ▸/t is antidoted by: Butter-milk, Lac.
• ▸ac.
• ▸, Acet.
• ▸ac.
• ▸, Puls.
• ▸Compare: The other Arums

• ▸and Calad.
• ▸; Ailanth.
• ▸(scarlatina; depressing, stupid, drowsy sleep); Cina (boring nose); Am.
• ▸c.

(acrid discharge from nose in scarlatina, but right parotid more decidedly affected in Am. c., and

• ▸drowsiness is marked); Am.
• ▸m.
• ▸(scarlatina); Arg.
• ▸n.
• ▸(scarlatina, painful red blotches left side of

• ▸tongue); Ars.
• ▸, Canth.
• ▸, Caps.
• ▸; Castor.
• ▸(nasal discharge watery and acrid but with violent tearing

pain at root of nose); Caust., Cepa, Crocus (elevated papillee, but tongue white); Hepar, Hydr.

• ▸ac.
• ▸, Iod.
• ▸, Kali iod.
• ▸, Lach.
• ▸, Lyc.
• ▸, Merc.
• ▸, Mez.
• ▸, Mur.
• ▸ac.
• ▸, Nit.
• ▸ac.
• ▸, Phytol.
• ▸, Sang.
• ▸, Silic.
• ▸, Sul.
• ▸Useful

• ▸after: Hep.
• ▸, Nit.
• ▸ac.
• ▸, Caust.
• ▸, Seneg.
• ▸Incompatible: Calad.

Compare: Ammon carb; Ailanthus; Cepa.

Antidotes: Buttermilk; Acet ac; Puls.

Third to thirtieth potency.

Inflammation of the tongue, with acrid discharge from the nose.

Inflammaiion of the root of the tongue, of the throat and soft palate,

of the tonsils, llic glands of the neck art swollen. This inflammatory condition is followed l)y ])aialytic weakness, making it impossible

for him to swallow liquids or food, and when the mouth forces food

into the pharynx the ersophagus refuses to operate, and then fluids and

li(|uid3 arc forced up into the nose and run out of the nose. This has

been clinically observed many times in diphtheria and sore throats.

The sneezing is like an ordinary coryza, with repeated chills over the

body, and aching in the holies as if the bones would break, like Nux,

Eupator,, Arn.y Rhus, Bry^ and Ars., that Jiavc aching all over during

“cold.'' This is one of tine most striking medicines as an illustration

of the keynote system, that is, with those who prescribe on one symptom and give this medicine whenever the patient bores his nose or pieks

his lips, notwithstanding that Cina bores the nose and picks the lips.

Cina has more of the congestive and nerve symptoms. The nostrils

are really so sore from the acridity of the fluids inside of the nose

that it feels as if the nostrils were filled with fire. This is the language

of the patients who narrate their symptoms in an Arum triphyllum

case. They conic into the office with a sore, raw nose, and it tingles

and tickles and he cannot let it alone. Fluids run down over the lip

and excoriate. The glands of the neck are often enlarged. When

he takes cold in the nose there is soreness of the neck and parotid

gland. Desire to bore into the nose. This boring into the side of

the nose is another symptom and differs from the one “boring the

nose." You will see children boring in the nose, inside of nose. It is

an inflammation of the nasal duct, the duct that leads from the eye to

the nose, and accompanied by a discharge of tears over the cheeks,

with the tickling that extends up there which they cannot reach, but

they undertake to reach it. Can hardly talk on account of phlegm in

the back part of the nose. He talks through the nose. The nose is

filled with mucus and there is great tumefaction of all the mucous

arum tKtPHYIitJM

^56

membranes, which gives him a nasal tone. ''Swollen, bloated face/^

If you observe the nose and face you will be surprised to see that so

much of the trouble is on the left side of the face, left nostril, left

lachrymal duct, etc. There is bleeding of the lips, upper and lower.

The under lip especially is denuded and drops of blood stand upon it,

and the patient is constantly picking and pinching the lips, and when

you request of the little one to stop it or take his hands away he yells

with a sort of sepulchral yell. “Children will often pick and bore into

raw surfaces, though it gives them pain and they scream with it, but

they keep on boring.” That is a striking symptom. Fluids make the

lips raw and then this tickling comes on and he cannot let it alone, he

must keep at it. “Appearance of raw bleeding surfaces on the lips,

buccal cavity, nose, etc.” Great itching tingling describes it. In typhoid, where you would hardly expect much swelling of the parotid,

these glands are enlarged. In diphtheria, scarlet fever and sore throat

enlargement of the salivary glands. This inflammatory condition with

soreness and swelling of these glands ; the glands arc hard and tender

to the touch. The tongue is red, the papilUe elevated ; the tongue

appears to l)c almost denuded. It is raw and bleeding, sometimes does

bleed in a few places, and sometimes, after this has gone on for a

few days, when the tongue is projected it looks like a big red strawberry, and for that reason has been called “Strawberry tongue.”

"Tongue cracked, bleeding, burning, painful ; smarting on tongue and

fauces.” Putrid odor from the mouth. Mouth foul, so sore that he

was unwilling lo drink. All this points to tingling and raw condition

of the buccal cavity far back into the throat. It you look into the

• ▸buccal cavity you will see the parts raw, denuded and bleeding.
• ▸Excessive flow of saliva, which is acrid.
• ▸Mouth burns and is sore.
• ▸Cries

when anything is offered. Buccal ^cavity covered with diphtheritic

ulcers, also with aphthous patches, which cover the whole mouth and

tongue. It says “stinging,” but it is a painful tingling, stinging like

the sting of a bee, stinging pains in the throat, and the parts arc ulcerated, raw and bleed.

It has a diarrhoea, such as occurs in idiopathic typhoid. If you

have ever seen the yellow corn-meal mush when it is dropped on a

plate, it has the appearance of the typhoid yellow stools. When this

medicine is suitable diarrhoea is yellow like corn-meal ; frequent, faecal,

thin, mushy, yellow, is the description of this typhoid stool. There

are other times that the stool is dark brown, watery, thin. As is usual,

the faeces are acrid. The thin faeces escape from the anus and keep

the parts raw and burning. With other complaints, in typhoid especially, in the groin where the thigh bends upon the abdomen an excoriation takes place with acrid moisture. Again, we notice rawness

over the coccyx. A moisture and rawness from acrid fluid in the posterior part of the fissure back of the anus so that over the coccyx and

back of the anus there is rawness and acrid moisture.

The voice comes in for an extensive part of the trouble. It has

been found especially to relate to singers and public speakers. At

times when a lawyer has had a long case and lie is making a final effort,

and has been speaking three or four hours, and while in a sweat has

got into a draft or gone out, he finds himself hoarse and cannot finish

his speech, a dose af Arum triph. will enable him to go on with his

speech in a clear voice. If clears up the hoarseness. In public speakers and singers who have been compelled to strain the \oicc and have

taken a little cold and the voice is hoarse after prolonged exercise ; this

is the most striking feature of the Arum triph. voice. “Voice hoarse ;

from over-exertion of the voice is speaking or singing.” “Voice uncertain, uncontrollable, changing continually, now deep, now hoarse,

etc.” It manifests itself in this way. A person starts in a certain

pitch and he cannot talk to you, but he tries another pitch and can talk.

It is a cjuecr thing that on certain notes they are voiceless, which sho\ws

that there is an irregular and patchy inflammation of the vocal cords ;

it is not a uniform inflammation or the voice would be uniformly

affected. “Clergyman’s sore throat,’' is not a good expression, because

it is clergyman's hoarseness that is meant ; hoarseness and rawness of

the throat of public speakers when talking. Qf course you would say

any voice that is hoarse is aggravated when talking, but it is not always so. The Rhus hoarseiless carries with it its characteristic relief

from motion, and the use of the voice is motion of the larynx.

When the Rhus patient commences to use the voice he finds that

he is hoarse, but after using the voice a little it loosens up, becomes

freer, or, in other words, it is better from motion. This may be so

either in acute or chronic hoarseness. Now, in this remedy as in

Phosphorus, the voice is ameliorated from clearing the vocal cords of

a little mucus. It is not so in Rhus tox,, for it is a weakness and

paralysis from cold. It is well known under Rhus tox, tliat the tendons and muscles that are rheumatic become weak, they are stiff on

beginning to move and are ameliorated when they are warmed up ; so

it is with the voice.

Now, in the chest there is burning and rawness when coughing ; this

extends to the pit of the stomach. “Raw feeling in chest.” “Lungs

• ▸feel sore.
• ▸” “Soreness in 1.
• ▸lung.
• ▸” You will notice that many times

patients and provers state sufferings arc in the lungs, w'hich may not

really be the region affected. Most likely from what is known of other

symptoms this burning is in the trachea, although it says in the lungs.

This remedy does have burning in the trachea, the whole length of it,

during an attack of coughing, and burning in the larger branches of

the bronchial tubes. The catarrhal state is largely confined to these

• asapcetida

parts, the trachea and bronchi, but this medicine has crued pneumonia.

It has been found useful as a palliative in phthisis. It is used in crude

form among the farmers as a domestic medicine for coughs and colds

and as a palliative in consumption. In many of the farm houses you

will find the wild turnip hung up in strings like beads to be dried and

grated and used with sugar and cream.

I mentioned the fact that it seems to favor the left side of the head,

the left nostril, the left side of the face. It also prefers the left chest

and the left lung. It has soreness in the left side of the chest and left

arm. It has a sensation of fullness in the thorax and soreness extending down and invohing the left lung.

Here is a clinical picture of fever : “Typhoid forms of fever ; picking ends of fingers and dry lips till they bleed, ere.”

In most of these complaints the urine is very scanty and is sometimes suppressed. You will very commonly note a good action of

this medicine in these complaints by its immediately starting up a

copious flow of urine. It is a sign of relief.

It has upon the skin all the scarlet rash that you would expect to

find in scarlet fever, and it has also the typoid patechia*.