Carya alba

Natural History.
      Shell bark, or Shag bark Hickory. N.O. Juglandaceae. Tincture of nuts.

Clinical.
      Purpura.
      Scurvy.

Characteristics.
      Like Juglans Regia and Juglans Cinerea, Carya alba appears to posses antiscorbutic properties.
      An exclusive diet of the nuts for three or four weeks, in a girl seven years old, produced pronounced symptoms of scurvy, hemorrhages from all surfaces, on the least excoriation of skin very dark blood gushed out.
      Blood gushed from gums, nose, ears, and other parts.

Relations.
      Compare: Arn., Carbo v., Phos., Merc. Ham., Bry., Rhus., Cit-l., and Juglandaceae.

Face.
      Face clay-colored, swollen.

Mouth.
      Gums swelled, began to bleed and turn black, could not move lips without causing profuse discharge.

Abdomen.
      Swollen abdomen.

Stool.
      Discharge of black blood by stool.

Respiratory Organs.
      Breath short, difficult, pulse quick.

Limbs.
      Extremely swollen.

Generalities.
      Whole body, including face, covered with livid spots from one inch in diameter to size of pine’s head, largest like a bruise, smaller sometimes red like flea-bites.