I love this 1921 patent granted to Zenith for a couple of reasons.
First, the drawings are just a wonderfully straightforward depiction of a stem and crown that could be used for setting the hands (pushed in) or winding (pulled out). Second, it's always interesting to see an early version of something that's become such an integral part of watches today, and mores to see it in a slightly different light.
In the drawing above you can see the stem in the winding position, meshing with the top gear which would go to the power train. When pushed in, another set of gears on the stem mesh the hand setting mechanism. The leaf shapes help hold the gears together, and maintain the stem in a particular position.