I find myself in Iraq again until mid-May. The principle is nearly identical to how the landing gear jack screws move the gear up and down. I'll try to remember the thread combinations but I could be mistaken without looking at it... There was a LH threaded insert on the tab held in place with a clevis. A RH threaded insert was fixed on the elevator just forward of the tab. The two inserts had opposite threads so they would work against each other. The actuating rod had to have LH threads on the tab end and I believe corresponding RH threads on the section that passed through the support insert on the elevator. When the rod turns for up trim for example - the rod moves forward in the support insert. The turning rod then causes the tab insert to move forward down the actuating rod, pulling the tab with it. The result is twice the net motion on the tab for the same number of cranks. The rod is moving forward and the tab's insert is moving down the rod pulling the tab with it. When you crank in down trim, the shaft moves aft through the support insert and the tab insert moves aft as well, pushing the tab further up. I happen to think this is a definite Giuseppe-ism and shows his genius in a small detail.
My actuating rod was worn to the point that it slipped through the threaded inserts allowing the tab to flutter. There was enough thread to move the tab but when the force on the tab was too strong, it would slip. I could feel the yoke cycle back and forth in my hand when it "let go" - alarming to say the least. At the time, I was working at an industrial maintenance shop and we had some machinists there that made me new hardware. The machinists recommended oilite bushing material (brass or bronze - I can't remember which) for the threaded inserts for long life and stainless steel for the actuating rod for corrosion resistance. They first made the inserts from the oilite rod stock lathed down to the correct size. Then they drilled and tapped the holes. Threading the new rod was a simple task once we got a LH threading insert. These are silly simple parts for even a rookie machinist and can be made in a matter of minutes. The new parts worked great with no slop and smooth action. If you bring the old parts to a machine shop, they can make you new pieces that will last another 60 years.... I recommend it.
Good Luck
Tim