Anona triloba, L.

Nat. order , Anonaceæ.

Common name , Pawpaw.

Preparation , (?)

Authority.

Edward H. Eisenboeg (Thesis, Hahnemann Medical College, 1870, MSS.); 1 , 2d potency, repeated doses for six days; 2 , 4th potency, repeated doses, three days.

MIND

Did not care to hold conversation with any one, even his best friends, 1.

HEAD

Headache unceasing for several days, 1.
Headache on awaking in the morning, 1.
After exercising by walking in open air, the headache became general throughout the frontal region, and somewhat relieved, 1.
Slight headache through temples, 2.
On rising in the morning, unusual headache in the temporal region, involving the eye, with an occasional sharp pain over it, which was increased by a single cough, 1.

THROAT

Throat only slightly sore; not so much so as the hoarseness would indicate, 2.

STOMACH

Soreness in region of stomach on pressure, 1.
Stomach felt increased in size, 1.

ABDOMEN. [10.]

Pain in left hypochondrium, 1.
Slight pain, resembling colic pain, 1.
Soreness in abdomen, worse on pressure, 1.
In evening, rumbling pain in abdomen, with desire for stool, which resulted in the passage of a soft, pappy, insufficient stool, 1.

STOOL AND ANUS

Inactivity of bowels and rectum, 1.
Soft, pappy, insufficient stool, preceded by rumbling pain in abdomen, 1.
Insufficiency of stool, 1.

RESPIRATORY APPARATUS

Quite hoarse, 1.
Hoarseness; throat did not feel very sore, 1.
Hoarseness, attended with unusual difficulty in talking, 2. [20.]
Hoarseness increased, requiring much effort to talk, and seeming as if the mucous membrane was thickened, and the organs slow to respond to the efforts of speech, 2.
Slight, dry cough, 2.

CHEST

Dull, aching pain in upper portion of left lung, 1.
Dull, aching pains in upper part of chest, more on left side than on the right, 2.
Soreness on pressure at the lower end of the sternum, 1.

UPPER EXTREMITIES

Pain in left shoulder, apparently involving the pectoral muscles, 1.

LOWER EXTREMITIES

At 10.30 A.M., sharp pain in left hip-joint, lasting about half an hour; felt the same pain again at 1.30 P.M., and in the evening, 1.
In the evening, felt other pains more mild than the former, lasting but a short time, 1.

GENERALITIES

Felt uncomfortable all day, 1.

SLEEP AND DREAMS

Did not rest well the night previous, 1. [30.]
Did not rest well at night; kept turning and moving all night; could not dismiss from my mind what had occurred during the day; got up feeling unrefreshed, 1.
Awoke about daylight, unrefreshed, with headache, 1.

CONDITIONS

Aggravation.
( Morning, on waking ), Headache.
( Morning, on rising ), Temporal headache, etc.
( Evening ), Pain in abdomen, etc.; pains in hip-joint.
( 10.30 A.M., 1.30 P.M., and in evening ), Pain in left hip-joint, etc.
( Coughing ), Pain over eye.
( Pressure ), Soreness in abdomen; soreness in lower end of sternum.
Amelioration.
( After walking in open air ), Headache.

SUPPLEMENT: ASIMINA TRILOBA. Authority.

3 , H. W. Taylor, M.D., Cincin. Med. Advance, vol. vi, p. 1878, p. 25.

Five children ate freely of the pawpaw, without being fastidiously nice as to the ripeness of greenness. Next morning they seemed a little languid and pale, but the pawpaw eating went on. About 10 P.M. I found my only boy æt two years and six months, with a violent fever. He had vomited awhile before I arrived, and I found that he was covered with a bright scarlet eruption. His pulse was 130, full and steady, and at 10.30 the thermometer, remaining in the axilla ten minutes, showed a temperature of 105°. Among the vomited ingesta were many small pieces of unripe pawpaw. The next day the eruption remained in full blush, the temperature dropped to 104°, the fauces were red and swollen, the tonsils and submaxillary submaxillary glands were considerably enlarged, and a diarrhœa of yellowish discharges set in. Each day the temperature dropped until it was normal; a general desquamation of the cuticle took place, and a carbuncle formed on the anterior aspect of the left thigh, and was two weeks finishing the process of suppuration. The diarrhœa continued more than four weeks, although many remedies were given to check it or control it.

He complained of frontal headache, soreness of the throat, and nausea. The eruption in all its phases, the fever, the diarrhœa, were much like some cases of scarlet fever. All the other children had the eruption on the neck and upper extremities; all had diarrhœa, lasting a long time after the other symptoms had disappeared, 3.

Asimina Triloba