repertify.ai
Materia Medica

Ptelea Trifoliata

Wafer-ash
34 sectionsBoericke · 10Clarke · 24

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • greatly aggravated by lying
  • Atonic states of stomach

Essence

Prologue
Boericke

Wafer-ash (PTELEA)

  • Is a remarkable remedy in stomach and liver affections.
  • The aching and heaviness in the region of the liver is greatly aggravated by lying on the left side.
  • Atonic states of stomach.
  • Asthma.
Want to know if Ptelea fits your case? Repertify reads the case as the patient speaks, scores every rubric against the Kentian hierarchy, and cross-validates Ptelea against Boericke, Kent and Clarke in parallel. Open the workspace · 30 days free, no card.

Keynotes

Characteristics
Clarke

Recent discoveries in the uses of tissues and organs as remedies have thrown

light on many curiosities of ancient medicine. As the fox is probably the longest-winded of all

animals, the doctrine of signatures pointed to his lungs as a likely remedy for short breath.

Grauvogl has put on record this case (quoted Hom. News, xxv. 490): Woman, 65, much reduced

in flesh by a persistent condition of humid asthma. It commenced with, chronic catarrh and

symptoms of cedema of the lungs. Strong, sonorous bubbling, now rattling, now whistling sounds

over whole chest, and at some distance away; perceptible also to hand laid on chest. Accelerated

short breath amounting to suffocation, even without corresponding heaving of the chest,

frequently with cough and inability to expectorate. [Sometimes, in light cases, there is no catarrh

present, and only persistent shortness of breath, becoming a paroxysm of asthma on the least

bodily exertion.] The patient could only live sitting up, bent forward; constant lividity of face,

lips, and extremities, and dropsy of legs. Heart's pulsations irregular, and death seemed

  • imminent.
  • Pulmo vulpis 1x gr.
  • i.
  • was given, and repeated in an hour.
  • Visible improvement set in

but without increased expectoration. After a third powder the patient was able to lie down, and

fell into a refreshing sleep lasting several hours. In eight days she engaged in her domestic

duties.

Mentals

Symptoms — Mind
Clarke

Liveliness after eating, followed by depression an hour later—Depression, anxiety,

and tendency to worry.—Irritable; nervous, sudden noise startles and = headache.—Unusual

energy with disposition to hurry.—Thoughts chase each other through the mind, impossible to fix

attention.—Dull, stupid, dazed, confused, muddled feeling in head.—Malaise of mind and body;

indisposed to physical or mental exertion.—Sudden shrinking from mental work, with sickness

and faintness—Memory weak: for things; and names.

Modalities

Modalities
Boericke
Worse
lying on left side; early morning
Better
eating sour things

Head

Head
Boericke

Feels dull and stupid. Pain from forehead to root of nose; pressing-outward pain. Frontal headache; worse, noise, motion, night, rubbing eyes, with acidity. Temples as if pressed together.

Symptoms — Head
Clarke

Head confused, giddy, weak.—Vertigo: with rumbling and swelling in umbilical

region; < straining at stool; > slow motion, < sudden motion; < turning head; < walking; on

rising; with piercing pain through brain.—Fits of vertigo, > bending head down and closing

eyes.—Head light; or heavy and full—Severe dull headache, < motion; < warm room.—Pressive

feeling at base of brain.—Stunning, splitting, bursting, throbbing headache; < by mental exertion;

by coughing. —Headache with hunger on waking, > after breakfast —Dull, heavy, frontal

  • headache, < moving eyes.
  • —Head feels enlarged.
  • —Darting pain through I.
  • superciliary ridge,

extending deep into brain.—Pressive and piercing pain through temples; < by chewing.—Hot

flushes and pain in vertex.—Pains alternate between r. temple and between front and back of

head.

Eyes

Symptoms — Eyes
Clarke
  • Pressure over eyes, < lifting eyebrows.
  • —Eyes heavy.
  • —Pains over eyes.
  • —Sensitiveness

to light.

Ears

Symptoms — Ears
Clarke
  • Swelling of gland under r.
  • ear sharp pain behind ear.
  • —Shooting pains from |.
  • ear down

spine.—Intolerance of loud talking; a pleasant voice sounds coarse; thought it would produce

spasms if obliged to listen; impression produced by the sound lasts long.—Roaring and singing in

ears.

Face

Symptoms — Face
Clarke
  • Face pale, esp.
  • round eyes; sickly, yellow.
  • —Burning in face.
  • —Pain in r.

zygoma.—Nervous twitching of upper lip, extending to 1. eye —Lips cracked; and sore; dry.

Mouth

Mouth
Boericke
  • Excess of saliva, with dry bitter taste.
  • Tongue coated white or yellow; feels rough, swollen.
  • Papillae red and prominent (Arg n).
  • Coating may be brownish-yellow.
Symptoms — Mouth
Clarke

Teeth (esp. r. molars) all ache; feel sore and elongated Tongue: swollen; coated

Yellow; papill¢ red and prominent, rough at back; dry; feels scalded.—Soft palate and uvula

inflamed, breath hot.—Mouth dry.—Profuse salivation, drivelling whilst lying on face; tastes

salt.—Taste: in morning everything tastes and smells sour; bitter; of medicine returning in gusts;

nothing tastes natural—Unable to speak for some time on waking.

Throat

Symptoms — Throat
Clarke

Throat sore; ulcerated; < r. side; < after noon.—Burning and pricking pains before

  • rising, esp.
  • in tonsils.
  • —Dryness; roughness; heat; constriction in throat.
  • —Heat, dryness, and

distressing feeling of emptiness in Ssophagus.

Stomach

Stomach
Boericke
  • Weight and fullness.
  • Griping in epigastric region, with dryness of mouth.
  • Eructations, nausea, vomiting.
  • Constant sensation of corrosion, heat and burning in stomach.
  • Stomach feels empty after eating.
  • Stomach and liver symptoms associated with pain in limbs.
Symptoms — Stomach
Clarke

Appetite: voracious; at supper followed by pain in epigastrium; awoke with

hunger and headache.—Tired before finishing eating —Desire for acid food.—Aversion to meat,

butter, and rich food.—Thirsty; drank much water.—Absence of thirst; with bitter

  • taste.
  • —Eructations: tasting bitter; of bad eggs; sour—Hiccough, 3 p.
  • m.
  • —Severe, persistent

nausea; with fever; with headache; < lying down; < speaking or singing —Efforts to

vomit.—Vomiting without >.—Stomach: sour; burning distress at; faint feeling —Weight at

stomach with bloating; wakening him 1 a.m.—Pressure as of a stone at pit of stomach, < by light

meal.—Cutting, griping, squeezing, throbbing aching in epigastric region, < by cheese.—Feeling

as of sand in stomach.—Aching and sticking in diaphragm < by speaking.—All gastric symptoms

< towards morning; = awakening.

Abdomen

Abdomen
Boericke

Much weight and pain in right side; heavy, aching feeling, relieved by lying on right side. Liver sore, swollen, sensitive to pressure. Retraction of abdomen.

Symptoms — Abdomen
Clarke

Weight and dragging in hypochondria on walking; standing; sitting erect; >

stooping forward.—Liver swollen; tender to light touch; clothes feel too tight; < lying 1. side, =

  • dragging pain; > lying r.
  • side —Pains shoot from r.
  • hypochondrium downwards.
  • —Throbbing;

stitches; distress in r. hypochondrium.—Cutting, soreness, distress in spleen; with pressure in

  • forehead.
  • —Pulsation and tenderness in umbilical region.
  • —Borborygmi and colic.
  • —Involuntary

discharge of flatus.—Flushes of heat in abdomen.—Abdomen feels hollowed; empty; caved in;

soft as if front walls drawn in to spine.—Distress and griping in hypogastrium and groins.

Stool

Symptoms — Stool and Anus
Clarke

Pressure in rectum; urging to stool—Smarting in anus: after hard stool;

with diarrhsic stool —Stool followed by tenesmus and succeeded by itching and smarting at

  • anus.
  • —DiarrhSa, stools dark, sulphurous odour.
  • —Cadaverous smelling stools.
  • —Stools with
  • shivering.
  • —Féces coated with slime.
  • —Copious expulsion of ascarides.
  • —Black, lumpy

stool.—Constipation; with continued urging.—Hard, difficult stool, with straining and smarting.

Urinary

Symptoms — Urinary Organs
Clarke

Strange uneasiness in bladder and prostate.—Heat in prostate.—Tickling,

smarting, burning, and sensitiveness of urethra——Urine increased; copious white sediment;

phosphatic; high coloured; yellowish red; scalding slightly; muddy sediment.

Male

Symptoms — Male Sexual Organs
Clarke

Throbbing in glans and pubic region on lying down at night.—Sexual

desire greatly increased at first; later abolished.

Respiratory

Respiratory
Boericke

Feeling of pressure on lungs and of suffocation, when lying on back. Asthma; dyspnoea; cramp-like pain in cardiac region.

Symptoms — Respiratory Organs
Clarke

Hoarseness; inability to speak aloud.—Sensation of foreign body in

larynx, morning before rising.—When coughing head feels as if it would burst.

Chest

Symptoms — Chest
Clarke

Uneasiness and difficulty of breathing came on as gastric and hepatic symptoms

  • declined.
  • —Stitching pains in lungs.
  • —Tenderness of sternum.
  • —Pain in back of |.
  • breast near

axilla.—Darting under r. breast.

Symptoms — Heart
Clarke

Awoke from afternoon nap with slight pain near heart, and afterwards shooting from

  • under r.
  • breast.
  • —Severe, cramp-like pains in region of heart.
  • —Pulse quick, full, hard, tense.

Neck & Back

Symptoms — Neck and Back
Clarke

Pain in neck; feels swollen; cords lame.—Nape stiff, moving = painful

tension.—Awoke with headache.—Lameness of small of back —Cramp-like pains in sacrum when

walking.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Rheumatic pain in shoulders and arms.—Nervous pain alternating from 1.

  • arm to 1.
  • eye.
  • —< Nervous trembling of hands.
  • —Prickling numbness of hands, feet cold, enlarged,

clumsy, stiffi—Fine pains in fingers and region of spleen.

Lower Limbs

Symptoms — Lower Limbs
Clarke
  • Weakness of lower limbs.
  • —Pain in r.
  • hip.
  • —Darting pains in r.
  • thigh —Throbbing in gluteal region.
  • —Sticking in |.
  • knee.
  • —Drawing pains in 1.
  • heel.

Skin

Symptoms — Skin
Clarke

Skin: reddish; dry; parched.—Intense itching all over body.—Eruptions: vesicles; red

spots; boil on r. forehead; desquamation.

Sleep

Sleep
Boericke

Restless, with frightful dreams; nightmare, awakes languid and unrefreshed.

Symptoms — Sleep
Clarke

Constant yawning; drowsy.—Sound sleep but haunted by frightful dreams.—Dreams:

vivid, of armies; of dead animals of fighting; of food and awoke hungry.

Fever

Symptoms — Fever
Clarke

Shivering: by warm stove; with hot head from hips down; with chattering teeth; with

sensitiveness to cold air.—A cold streak runs up and down spine.—Feverish heat; with pains in all

  • limbs and nausea.
  • —Dry heat over whole body, esp.
  • palms.
  • —Burning cheeks and hot

flushes.—Sweat: all night; profuse on waking; on forehead.

Pulmo Vulpis.

Fox's Lung. A Sarcode. Trituration.

Relations

Relations
Clarke

Compare: Xanthox. Headache at base of brain, Ipec. Congestion of brain with

  • feeling of weight in right hypochondrium and liver enlarged, Mag.
  • m.
  • (Pte.
  • > lying right side).

Weak mind, peevish, irritable, sensitive, tenesmus, must lie down, Nux, Bry. (Bry. has large

  • stool, Pte.
  • small, hard balls; both have > lying right side; Bry.
  • < least attempt to breathe, Pte.
  • on

deep inspiration only; Nux has < lying on painful (r.) side and large stool). Eructations like rotten

  • eggs, aversion to meat, longing for acids, Arn.
  • (with Arn.
  • eating = fulness; with Pte.
  • it =
  • epigastric pain and goneness).
  • Periodic < of gastric symptoms 3 to 4 a.
  • m.
  • , Nux (Nux desires fat,
  • Pte.
  • loathes it; Pte.
  • predominating bitter taste, Nux sour; Pte.
  • feels effect of food at once, Nux

two hours after; Pte. dysenteric tenesmus before and after stool, Nux tenesmus ceases after

  • stool).
  • Head symptoms < straining at stool, Indm.
  • Headache with cough, Caps.
  • , Bry.
  • , Nat.
  • m.

Noise almost = spasms, Asar. Impressions of sounds remain long in ears (images of objects seen

  • remain long, Lac c.
  • , Nic.
  • ).
  • Pain like a stone at epigastrium, Ab.
  • n.
  • , Bry.
  • Sensation as if abdomen
  • retracted, Pb.
  • (Pb.
  • abdomen “ard, Pte.
  • soft).
  • < After sleep.
  • Lach.
  • Dreams of fighting, Nat.
  • s.
  • Scalded tongue, Sang.
  • , Pod.
  • Clumsy fingers, Bovist.
  • Liver, &c.
  • , Hydrast.
  • ; Berb.
Relationship
Boericke

Compare: Mercur; Magn mur; Nux; Chelid.

Posology

Dose
Boericke

First to thirtieth potency.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.

Additional notes

Symptoms — Limbs
Clarke

Aching distress; weary feeling; rheumatic pain in all limbs.—Stitches in shoulder

and hip.

For practising licensed homeopaths

You've read the picture. Now run it against your case.

Open the workspace. Type a real case from this week — one you're still chewing on. Watch Repertify rank Ptelea against the totality, cite the rubrics, and surface the §246-correct posology with the rule inline. You'll know by the third turn.

Open workspace →
30 days free · no card required · cancel anytime
Ptelea Trifoliata — Materia Medica, Keynotes, Symptoms | Repertify.ai