Juglans cinerea, Linn.

Natural order , Juglandaceæ.

Common name , Butternut.

Preparation , Tincture of the bark of the root.

Authorities.

1 , Dr. J. P. Paine, Inaug. Thesis, Hom. Med. Coll., Phil., 1852 (from Hale's New Remedies, 2d ed.), effects of 1st dil., 9 drops at night; 2 drops next morning; 1 a , same, proving with tincture, 10 drops first day, 15 drops second day, 25 drops third day, 30 drops eighth day, 60 drops twelfth day; 1 b , same, with 7th dil., repeated doses; 1 c , same, with 1st dil., 10 drops at night; 1 d , same, 5 drops of tincture (one dose); 2 , L. Arthur Clark, Hale's N. R., 2d ed., proving with tinct., repeated doses of 5 and 10 drops, and afterwards 20 drops three times a day; 3 , same, in Amer. Obs., 1871, p. 175, took tincture, beginning with 10 drops, increased a drop each dose, three times a day for twenty-five days, also 36 drops on twenty-seventh day; 4 , Dr. C. C. Cressor; Note: The symptoms recorded by this "most honest and conscientious prover" cannot be admitted as belonging to the drug; "there is no doubt that he would not have had them if his constitution had not been diseased in that particular way." C. Neidhard, M.D., in letter to editor, October, 1876; 5 , Dr. P. H. Hale, Hale's New Rem., 2d ed., effects of 45 grains of solid extract daily for three weeks, in an old lady.

MIND

Want to be alone; do not want to do anything but eat and sleep; cannot think of concentrating my mind upon any one subject (twenty-first, twenty-second, and twenty-third days), 3.
Feet dull, and cannot remember anything I read (tenth day), 3.
Mind confused, so much so I could not study (third, fourth, and fifth days), 2.
Absent-minded, forget what I am about (eleventh and twelfth days), 3.

HEAD

Vertigo.
Vertigo with slight nausea, at 11 A.M. (second day), 1.
Slight vertigo, with a sinking, faint feeling in the stomach, extending to the abdomen (after half an hour, first day), 1.
General Head.
Headache (third, fourth, and fifth days), 2 ; (twenty-ninth day), 3.
Awoke in the morning with headache and heavy yellow coating of the tongue (second morning), 2.
Headache in the evening (third day), 3. [10.]
Constant headache; considerable burning and smarting on passing urine, which I am obliged to do frequently, as often as every hour or two (twenty-fourth and twenty-fifth days), 3.
Severe headache; can hardly see (eighteenth and nineteenth days), 3.
Heavy headache (third morning), 2.
Dull headache, more on the right side, which lasted three hours, in the forenoon (seventh day), 1b.
Severe dull headache all the forenoon, but somewhat relieved during the afternoon (thirteenth day), 3.
Head feels as large as a barrel (twenty-sixth day); more aggravating (twenty-seventh day), 3.
Forehead.
Slight feeling of fulness in frontal regions (second and third day), 3.
Dull frontal headache (fifth and sixth days), 3.
Severe frontal headache (fourteenth and fifteenth days), 3.
Temples.
Aching pain in the right temple , which lasted three or four hours, in the forenoon (eighth day), 1b.
Occiput. [20.]
Aching pain in the occiput, in the morning, in bed, passing off on getting up (fifth day), 1a.
External Head.
Head itches constantly (seventh day), 3.
Scalp itches intensely; have to scratch continually (twenty-fourth and twenty-fifth days), 3.

EYE

Eyes red and swollen (fifth day), 3.
Burning in the eyes, in the afternoon (seventh day), 1b.
Eyes feel drawn together (twenty-third day), 3.
Every sudden motion causes everything to turn dark so I cannot see; feel giddy as though I should faint away (twentieth day), 3.

NOSE

Discharge of thin watery mucus from nose (twenty-fourth, twenty-fifth, and twenty-sixth days); more aggravating (twenty-seventh day), 3.
Dryness of the nose (seventh day), 1a.
Numb sensation at root of nose (fourth day), 3. [30.]
Intense numbness in bridge of nose; have to rub it, which relieves (fifth day), 3.

FACE

All through this day, dry burning sensation of face, with intense erythematous redness (third day); the redness and heat seemed aggravated (fourth and fifth days), 2.

MOUTH

Tongue coated white (fourth day), 3.
Tongue coated with a heavy whitish fur (twenty-fourth and twenty-fifth days), 3.
Heavy yellow coating of the tongue (second morning), 2.
Each dose produced a burning and pricking sensation of the mouth and throat, lasting an hour or two (first day), 2.
Coppery taste in mouth (twenty-third day), 3.

THROAT

Soreness of the throat (first day), 1d.
Throat feels sore and swollen (sixth day), 3.
Throat feels sore, hurts to swallow even water (twenty-fourth, twenty-fifth, and twenty-sixth days); more aggravating (twenty-seventh day), 3. [40.]
Roughness and soreness of the throat, in the forenoon (seventh day), 1b.
Dryness of the fauces and a sensation as if the throat were swollen (second day), 1a.
Pain in the right side of the fauces (fourth day), 1a.
Burning in the pharynx (first day), 1c.
Swelling in both submaxillary glands, more in the right gland (after a week), 1d.

STOMACH

Appetite.
Appetite ferocious, want to eat all the time (sixth day), 3.
Thirst.
Thirsty, wants to drink all the time; first day I have felt feverish during the proving (twenty-eighth day), 3.
Nausea.
Nausea in the morning (second day), 1a.
Nausea was more severe through the night (eighteenth night), but is relieved to day so that I can eat quite heartily (nineteenth day), 3.
Slight nausea with vertigo, at 11 A.M. (second day), 1. [50.]
Terrible nausea commencing soon after retiring (eighteenth day), 3.
Stomach.
Sinking faint feeling in the stomach, extending to the abdomen, with slight vertigo (after half an hour, first day), 1.
Burning in the stomach (first day), 1b.

ABDOMEN

Hypochondria.
Pain in each hypochondria region (third day), 1b.
Stitching pains in right side region of liver (tenth day), 3.
Umbilical.
Slight pain in umbilical region (third day), 3.
Dull heavy pain in umbilical region (eleventh and twelfth days), 3.
General Abdomen.
Burning in the abdomen after stool (first day), 1d.
Pains in different parts of the abdomen, caused by flatus (fifth day), 1b.
Aching pains in the abdomen at intervals, with flatulence (thirteenth day), 1a. [60.]
Aching pain in the abdomen after dinner; soon after diarrhœa, with burning in the anus (fourth day), 1a.
Iliac Region.
Aching pain in the region of the inguinal rings, and great soreness felt on rising from a recumbent position (ninth day), 1b.

STOOL

Diarrhœa.
Diarrhœa with cutting in the abdomen (first day), 1d.
Diarrhœa without pain, in the forenoon (sixth day), 1b.
Diarrhœa with burning in the anus, soon after the aching pain in the abdomen (fourth day), 1a.
Diarrhœa with burning in the anus before and after stool (after three hours, first day), 1.
Yellow frothy diarrhœa, with tenesmus and burning in the anus after stool, at 3 P.M. (second day), 1.
Full cathartic action, producing four or five large bilious discharges, in twenty-four hours, without pain or griping; at this point, as the diarrhœa was becoming unpleasant, the proving was discontinued, after which the diarrhœa speedily subsided, 2.
Soft stool, with pain and flatulence in the abdomen (fourteenth day), 1a.
Stool again soft and brown (eighteenth and nineteenth days), 3. [70.]
Stool soft, and sticky, dark (twenty-third day), 3.
Stool dark-brown (third day), 3.
Stool small and brown (fourth day), 3.
Stool hard and dark-brown (twenty-ninth day), 3.
Stool first part hard and brown, latter part diarrhœic and of a greenish-yellow color (ninth day), 3.
Stools hard and in balls (twenty-sixth day); more aggravating (twenty-seventh day), 3.
Constipation.
Constipation (seventh, ninth, and tenth days), 1a ; (tenth, eleventh, and twelfth days), 3.
Bowels constipated, with considerable griping in the umbilical region (twenty-eighth day), 3.
Bowels moved this morning with a great effort, stool hard and brown (thirteenth day), 3.
No movement of the bowels (twenty-fifth day), 3.

URINARY ORGANS. [80.]

Inclination to void urine more frequently and more copiously than usual (fifth day), 3.
Considerable burning and smarting on passing urine, which I am obliged to do frequently, as often as every hour or two (twenty-fourth and twenty-fifth days), 3.

RESPIRATORY ORGANS

Raising a quantity of dark-colored blood (first day), 1c.

CHEST

Pain in the left chest (second day), 1.
Oppression of the chest (first day), 1c.
Can hardly get a long breath, from a sense of oppression of chest (twenty-ninth day), 3.

HEART AND PULSE

Accelerated pulse (fourteenth day), 1a.
Pulse accelerated 15 beats, 75 being natural (twenty-eighth day), 3.

NECK AND BACK

Neck.
Rigid state of the muscles of the neck (first day), 1d.
Back of neck feels lame (twenty-third day), 3.
Back. [90.]
Pricking sensation up and down the spine (eighth and ninth days), 3.
Dorsal.
Pain between the shoulders (fifth day), 1b.
Pain under the right scapula , making breathing painful (sixth day); pain continues (seventh and eighth days), slight (ninth day), 1a.
Pain under the vertical border, of the right scapula , increased by moving the part, and by drawing a long breath (fifth day), 1a.
Pain under the left scapula (fourth day), 1b.
Aching in the right scapula (fourth day), 1b.
Stitchlike pain under the right scapula , when stooping (fourth day), 1a.
Lumbar.
Pain in the lumbar and dorsal vertebræ, at night (thirteenth day), 1a.
Violent pain in the region of the lumbar vertebræ and sacro-iliac symphysis, worse when sitting down, in the forenoon (seventh day), 1b.
Aching pain in the lumbar vertebræ, extending through the lumbar region and up the spine (fourth day), 1a. [100.]
Aching pain in the region of the lumbar vertebræ and right sacro-iliac symphysis (third day), 1b.
Aching pain in the region of the lumbar vertebræ, with restlessness, in the afternoon (fifth day), 1b.
Occasional shooting pains in the lumbar region (fourth day), 1b.
Sacral.
Aching pain in the region of the sacro-iliac symphysis, worse while sitting (fifth day), 1b.

EXTREMITIES IN GENERAL

Aching pains in the limbs (fourteenth day), 1a.

SUPERIOR EXTREMITIES

Shoulder.
Pain in the left shoulder (first day), 1c.
Pain in the left shoulder , in the elbows, and in the knees (first day), 1d.
Aching pain in the right shoulder (third day), 1b.
Dull aching pain in the right shoulder (fifth day), 1b.
Sharp rheumatic pain in both shoulders and wrists (fourth day), 3. [110.]
Numb pain in the right axilla , extending down the arms along the course of the nerves (fifth and sixth days), 1a.
Aching pain in the right axilla, in the afternoon (seventh day), 1b.
Dull, aching pain in the right axilla, extending down the arms (third day), 1b.
Arm.
Dull pain in the left arm (fourth day), 1b.
Aching pains in the arms and wrists, as if sprained by hard work (fourth day), 1a.
Wrist.
Numb pain in the wrists and arms, in the forenoon (seventh day), 1b.
Aching pains in the wrists, extending up the arms (seventh day), 1a.

INFERIOR EXTREMITIES

Cramplike pain in the hip, at night (second day), 1.
Pain in the left knee and thighs, in the forenoon (seventh day), 1b.
Pain in the right knee, felt on going up stairs (sixth day), 1a. [120.]
Occasionally sharp pains in the calves of the legs (third day), 1b.
Aching pain in both ankles (fourth day), 1a.
Left foot numb every time I sit still (second day), 3.

GENERAL SYMPTOMS

Objective.
Weight 136 1/2 pounds (before the proving); 132 1/2 pounds (thirty-fourth day), 3.
Restlessness, with aching pain in the region of the lumbar vertebra, in the afternoon (fifth day), 1b.
Subjective.
Feeling of lassitude (fourth day), 1a.
Feeling of weakness and debility (second day), 1.
Felt so faint I did not want to get up, but was relieved of faintness after getting up and moving about (twenty-sixth day); more aggravating (twenty-seventh day), 3.
Deathlike feeling, with chills and shuddering all over the body (seventeenth night), 3.
Feel sick and weary (twenty-eighth day), 3. [130.]
Aching pains in various parts of the body (fourth day), 1a.

SKIN

Objective.
From the time of the subsidence of the diarrhœa until now, I have had an eruption upon the upper front of the chest, the size of the hand, resembling very much the eruption of the eczema simplex, which I feel confident is the effect of the Juglans, always having been free from eruptions of any kind; the eruption is not troublesome, except when heated from overexertion, when it had the same itching pricking sensation that occurred during the proving, 2.
Pustular eruption appears on the thighs, hips, and nates, with intolerable itching and burning; a few pustules appeared on the body, face, and arms; the eruption remained for three weeks after the drug was discontinued, 5.
Subjective.
Violent itching over the whole body, in spots, changing about first one place then another (twenty-sixth day), more aggravating (twenty-seventh day), 3.
Arms burn and itch, scratching relieves (twenty-fourth and twenty-fifth days), 3.
Arms itch and burn, with redness of skin, also redness and flushed appearance of face (twenty-third day), 3.
Itching and pricking sensation of head, neck, and shoulders (third, fourth, and fifth days), 2.

SLEEP AND DREAMS

Sleepiness.
Constant yawning but not sleepy (fourth day), 3.
Drowsy (twenty-fifth day), 3.
Great tendency to sleep (first day), 1c. [140.]
Feel unusually sleepy, want to sleep all the while (sixteenth and seventeenth days), 3.
Sleeplessness.
Sleep light and uneasy; very troublesome dreams (fifth day), 3.
Restless sleep (fifth and seventh night), 1b.
Very restless in the night (eighth night), 1b.
Very restless at night; tossing about a great deal while asleep (fourth night), 1b.
Great wakefulness (first day), 1d.
Awoke at 3 o'clock in the morning and could not get to sleep again (third day), 3.
Felt weary and unrefreshed, which is very unusual for me, my sleep being generally good, seldom dreaming any (third morning), 2.
Dreams.
Vivid dreams (third day), 1a.
Ridiculous dreams all the night (seventh night), 3. [150.]
Very troublesome dreams (sixth day), 3.
Fearful dreams all night, waking from sleep covered with sweat (twenty-eighth night), 3.
Frightful dreams (first day), 1c.
Very restless frightful dreams all night (first night); same restless condition all night; dreamed of being among Indians (second night), 2.

FEVER

Some chilliness alternating with flashes of heat, yet feel refreshed (twenty-ninth day), 3.
Cold chills along the spine (twenty-first and twenty-second days), 3.
Severe ague chill when sitting near warm fire, commencing in back, but no coldness of the flesh (seventh day), 3.

CONDITIONS

Aggravation.
( Morning ), Headache.
( Forenoon ), Dull headache; roughness, etc., of throat; diarrhœa; worse when sitting down, pain in region of lumbar vertebræ, etc.; numb pain in wrists, etc.; pain in knee, etc.
( Afternoon ), Burning in eyes; restlessness.
( Night ), Pain in vertebræ; pain in hip; restlessness.
( Ascending stairs ), Pain in knee.
( After dinner ), Pain in abdomen.
( While sitting ), Pain in region of sacro-iliac symphysis.
( After stool ), Burning in abdomen.
( When stooping ), Pain under scapula.

SUPPLEMENT: JUGLANS CINEREA. Authorities. (J. C. Burnett, M.D., Month. Hom. Rev., vol. xxii, 1878, p. 205).

6 , Paine, the eclectic, effects of doses of 1 to 2 grains Juglandin; 7 , Dr. Burnett prescribed Juglandin for acne of the face in an otherwise healthy young man, who took 1-grain doses three times in one day; 8 , a healthy lady, æt. forty years, took 1st for eczema of the hands; afterwards the 30th produced all the same symptoms, except the chest pain.

Very pale complexion, 8.
Very slight nosebleed daily, for five or six days, 8.
Feeling as if all the internal organs were too large, especially those of the left side, 8. [160.]
It acts as a drastic purge, producing irritation and inflammation of the mucous membrane of the bowels, 6.
Pain in centre of chest at various times, by day and night, with a foreboding feeling at night; walking about did not aggravate the pain, 8.
At 6 P.M. felt whilst walking, a sharp wrenching pain in the left side, a suffocating sensation in the chest, which compelled him to stand still for some minutes for breath, which, however, did not alleviate the pain. Immediate relief from 5 drops of Bryonia θ . When describing the suffocating sensation in the chest, he placed his hand on his sternum, and gave a vivid picture of an attack of angina pectoris, 7.
Feels very ill, all-overish, as if a bad illness were coming on, 8.
If continued, it is followed by a peculiar exanthematous eruption, very much resembling the flush of scarlatina, 6.

Juglans Cinerea