Chill, heat with sleep, then sweat; thirst in all stages; OBSTINATE AUTUMNAL FEVERS, with swollen liver and spleen; attacks antepone.
Recent cases in young plethoric persons with anguish of mind and body and restlessness during the attack; PERIODICITY NOT VERY MARKED AND APYREXIA NEVER CLEAR; chill from feet to chest, (<) by motion or uncovering; dry burning heat, with chilly shiverings running up back and great thirst for large quantities of water, everything else tastes bitter; profuse warm sweat over whole body or only on side on which he lies; (<) evening and night, in warm room.
CHRONIC MIASMATIC INTERMITTENTS, often suppressed by quinine; general debility and great prostration; rigors; cold sweat. diarrhoea.
Tertian; CHILL 4 A.M. to evening, or from 5 to 8 P.M.; great thirst and nausea, no relief from heat, (<) from warm drinks and by slightest motion; HEAT without thirst, with anxiety at night, often only on right side of body, (<) by motion; SWEAT at night, in bed, most profuse on right side of face or no sweat at all. During apyrexia continual empty eructations which relieve; UNCONQUERABLE DISPOSITION TO LIE DOWN.
FEVER PAROXYSM EVERY SEVEN DAYS; chill running up back; chill and heat alternating, ending with copious sweat, (<) from every motion.
Fevers maltreated with quinine or having a quinine, cachexia engrafted upon a malarial one. Periodical headaches nervous, bilious, gastric, recurring every four, seven, fourteen days or once a month, in women just before or after menses.
MUCH GASTRIC DISTURBANCE; the greatest sadness and woeful mood; CHILLINESS predominates, not relieved in a warm room; violent shaking chill towards noon, with thirst (for beer), or thirstlessness; aching in forehead, bitter taste, and eructations of food taken; pain in chest, with heat and drawing in sacrum, sweat breaks out during the heat, but soon disappears and is again followed by dry heat; great desire for sleep; during apyrexia tongue thick and white; sore feeling and redness on border of tongue; constipation or diarrhoea; disgust for drink and food, desire for pickles; quotidian or tertian fever with loathing nausea, vomiting, cutting in bowels and diarrhoea or constipation.
Intermittents from exposure in damp cellars or basements; nausea, vomiting and anorexia; great sleepiness or irresistible inclination to sleep; (<) in damp cold weather, motion, lying down at night; EPIDEMICS OF WINTER OR EARLY SPRING, quotidian, tertian and quartan type; tertians anteponing. CHILL AND HEAT alternating during the day without thirst; cold skin, trembling and chilliness always from within outward; short chill and long-lasting heat, with somnolency and profuse sweat on forehead; intense thirst and delirium during heat in tertian. Profuse sweat all over, (<) while sweating, but (>) after. Weariness, lassitude, exhaustion, with great depression of spirits, neither appetite not thirst during apyrexia.
Intermittents in seasons when thee flies sting with unusual vigor. Type: quotidian, double quotidian, tertian. CHILL WITH THIRST, or none, about 3 P.M., begins in front of chest, abdomen, knees; OPPRESSION OF CHEST AS IF HE WOULD SMOTHER; (<) from warmth or in a hot room; sleep and urticaria as chill passes off. HEAT WITHOUT THIRST, with inclination to uncover, burning hot, dry skin all over, especially in spots and abdomen, chest and hands, which felt as if dead during chill, oppression and burning in chest with sensation of smothering; intense headache with sleepiness; itching, burning nettlerash, heat of room unbearable, lips swell and are painful; sleep. SWEAT IMPERFECT OR ABSENT or of a very light grade, it often breaks out, dries up again, no thirst; weak, trembling and sleepy. Old, protracted, mismanaged cases, no appetite, craves milk which relieves. During apyrexia great prostration, soreness and pain under left ribs, in spleen, in all limbs and joints; skin sallow or waxen, feet oedematous; urine scanty; sleepless; urticaria.
Remarkable periodicity. At precisely same hour quotidian or tertian fever. CHILL LONG-LASTING, often twenty-four hours, (<) on rainy, cold days, from bathing in cold water, from damp dwellings, (>) in fresh air, when walking or smoking; HEAT SLIGHT OR WANTING, NO SWEAT, no thirst. Chilliness hardly relieved by anything, even in midsummer. Annual return of intermittents, first contracted in cold and wet localities. APYREXIA clear, spleen enlarged; anteponing menses, too much and lasting too long; patient subject to haemorrhages; (<) AT EVERY COLD OR DAMP CHANGE OF THE WEATHER.
CONGESTIVE MALARIAL INTERMITTENTS, tertian or quartan, with hyperaesthesia of spinal cord; thirst for large quantities of water, with gaping and stretching before the attack, drinking refreshes. CHILL, usually afternoon or evening, WITH THIRST, vomits afterwards; chill with pain in muscles of back and extremities and sensation as if cold water were poured over him; chill in pit of stomach, chill with burning of face, rest of body cold; chilly from slightest movement of bedclothes. HEAT WITH THIRST; with indifference, stupor and weakness; great internal heat, with coldness of hands and feet and still cannot bear the slightest uncovering as it makes him feel chilly. SWEAT sour, offensive, (<) when sweating; breath sour, foetid; taste bitter, putrid, of rotten eggs; longing for liquors. APYREXIA; headaches, bruised feeling all over, debility and aversion to exercise; yellow face, no appetite; great weakness, must lie down, yet bed feels too hard, changes position often for relief. IT ANTIDOTES QUININE MALTREATMENT.
Intermittents contracted in the salt marshes near the seashore; intermittent neuralgia affecting one side of face, almost maddening pain, driving sufferer from place to place, at its acne nausea and vomiting, buzzing in ears; intermittent, semilateral headache; periodical complaints when the year comes round. Before the attacks faintness, inclination to lie down, sleepy, pain in abdomen and chest. IRREGULAR IN TYPE AND STAGE AND PERIODS, anticipating. CHILL irregular, mingling of heat and chilliness; and often; desires warm drinks. HEAT INTENSE, long-lasting, dry, burning, pungent to touch, with inclination to uncover and insatiable thirst for hot drinks; cold water he ejects and it makes him feel chilly; oppressed breathing; great restlessness, burning pain in spleen and bowels. SWEAT with cessation of former symptoms, sour and offensive, with excessive thirst or no sweat at all, the dry heat continuing all night. Drinks large quantities during sweat, or little and often in chill and sweat. APYREXIA; great weakness and prostration with desire for stimulants, wine and coffee; pale, sunken face; abdomen bloated; foetid watery diarrhoea, great desire to lie down, great praecordial anguish; violent pains or lameness of extremities; hungry after paroxysms; tendency to degenerate into remittent fever; dropsy as the result of enlarged spleen and liver. The paroxysm is generally not complete. One (ESPECIALLY THE COLD) STAGE IS GENERALLY WANTING.
TENDENCY TO BECOME TYPHOID. Quotidian type, chill, fever and sweat afternoons. CHILL all day, up and down the back, whole body feels sore; HEAT in flushes, burning in parts, especially face, as if sweat would break out, moves to a cool part of the bed; limbs hot but feet cold. APYREXIA: feels sick all over, restless and uneasy. AUTUMNAL FEVERS.
GREAT SENSITIVENESS TO ATMOSPHERIC CHANGES. CHILL daily afternoons, followed by alternating chilliness and flushes of heat, WITH ICY-COLD FEET. HEAT dry and burning; chilly when undressing, must wrap up in blanket to get warm, although her skin is burning hot to the touch of others; soles of feet burn, yet she cannot put hands or feet from under the bedclothes because it makes her chilly, towards morning she falls into an uneasy sleep with slight perspiration. No THIRST IN ANY STAGE. Prostration after paroxysms. APYREXIA: white tongue, bitter taste, appetite capricious; constantly weak and weary, wishes to lean on something to sit or lie down.
Periodicity not marked. Anteponing quotidian or tertian. CHILL begins in both arms, thence over body, WITHOUT THIRST. Chill with violent, bursting headache, dilated pupils; dread of light and noise; pale face when lying down, red when sitting up, and icy-cold feet; chill after eating. HEAT INTENSE, WITH GREAT THIRST, within and without, averse to uncovering. SWEAT on covered parts only, stains linen yellow, disposition to perspire. Irritable, whining mood, mouth and fauces dry, food tastes salty, bread sour.
CHILL 5 to 8 A. M. or 7 to 10 P. M., no thirst; CHILL PREDOMINATES, even when sitting near warm stove, without heat or sweat, or heat with thirst and restlessness, (>) by uncovering; SWEAT, especially upon chest, profuse in axilla, smelling like onions. APYREXIA: great weakness in all joints, drops things from hands as from weakness.
When warm weather sets in after cold days; from cold drinks or ices in hot weather; after taking cold in summer. Anteponing or postponing quotidian, tertian and quartan. CHILL AND GREAT THIRST for large quantities of water which relieve; shaking chill all over with stitching pains in chest and spleen and violent, dry, racking cough; chill begins on lips, tips of fingers and toes, (<) in warm room, from motion. HEAT WITH INCREASED THIRST and pleuritic pains, wants to be quite; paleness of face. SWEAT profuse, sour, oily, especially on side on which he lies, APYREXIA : gastric and rheumatic symptoms.
PERIODICITY WELL MARKED. Quotidian fever at same hour each day, at 11 A.M. or P.M. CHILL WITHOUT THIRST, not relieved by heat or covering; coldness in back and icy-cold hands. HEAT WITH SOME THIRST AT CLOSE OF HEAT, flushes in face, unbearable heat in abdomen, horrible anxiety about heart. SWEAT WITH GREAT THIRST, but it does not appear after exposure to the sun; where we meet congestion to head, flushed face, dyspnoea, violent vomiting, suppressed micturition.
From working while standing in cold water, causing drawing in joints and great heaviness in head and body. CHILL WITH THIRST, begins in scrobiculus cordis, with spasms or fixed, cold, agonizing weight, increasing with the chill and disappearing with it; external coldness and internal heat; coldness of single parts. HEAT WITHOUT THIRST, followed by chill and cold hands; frequent attacks of sudden universal heat, as if she had been drenched with hot water, with inclination to uncover, and despair of life. SWEAT AND NO THIRST; profuse sweat on moderate exertion; clammy sweat only on the limbs;
sweat after sleep. APYREXIA never clear, constitutional symptoms crop out everywhere.
Periodicity not marked. CHILLS long-lasting, icy coldness all over, but hot internally, so that he throws off all covering; face deathly pale, limbs blue. CONGESTIVE STATE OF PERNICIOUS INTERMITTENTS, severe chill, with chattering of teeth, whole surface of body icy-cold, with anxiety, hot breath, spasms; or, if conscious, voice altered, sleep after chill. HEAT, no thirst during chill or heat, distended veins, increased by motion; body hot and sweating, but averse to uncovering. SWEAT cold over whole body, very weakening, profuse and exhausting tongue trembling, flabby, spongy, APYREXIA : terrible sinking and exhaustion.
SPRING INTERMITTENTS. CHILL severe, with chattering of teeth and shuddering over whole body; extreme paleness of face, lips and hands; soreness and bruised sensation all over, head feels as if bound, nausea, retching, vomiting of mucus tinged with bile; chill repeatedly down the spine and then spreading all over; followed by HEAT all over body; APYREXIA clear with good appetite.
Periodicity not marked. CHILL WITHOUT THIRST, not relieved by external warmth or covering, feeling of coldness in spine, immediately on getting out of bed; icy coldness of hands and feet, with fearful pains in urethra; children urinate often during chill. HEAT WITH THIRST; burning in palms and soles or burning on soles while hands are icy-cold; burning heat at night, which she does not feel, especially on abdomen. SWEAT SMELLS URINOUS, profuse on exertion, on waking at night, cold on hands and feet. APYREXIA; difficult frequent and painful urination; very thirsty, but disgust for all drinks and desire for meat; heaviness of feet; must lie in bed.
Quotidian 10 A.M., 5 P.M.; tertian more rarely; thirst some time before chill. CHILL WITH GREAT THIRST, yet drinking causes shuddering; chill begins between shoulder-blades, (<) after drinking. (>) BY HEAT TO BACK, lessened by walking out of doors; inward burning and external chill. HEAT AND SWEAT COINCIDE, instead of following one another; face alternately pale and red; glowing hot cheeks, hot ears and hot tip of nose with cold hands and feet; heat and sweat without thirst, acrid sweat. APYREXIA more or less clear; painful enlargement of spleen and torpor of the abdominal nervous centres.
Periodicity not marked; YEARLY RETURN OF PAROXYSMS; from getting overheated, from living in damp places. CHILL WITH THIRST, unusual lassitude, icy coldness of body and cold breath; shivering and chills in the evening, mostly on left side, especially from the knees down, even in bed. Irregular PAROXYSM, sometimes sweat before chill; one-sided chill, generally left side. HEAT WITHOUT THIRST, with great anxiety and loquacity; oppressed breathing; though cold to objective touch, patient wishes to be constantly fanned. SWEAT, profuse, of a sour or putrid odor, at night and when eating. APYREXIA: great prostration and exhaustion; great flatulency after eating or drinking, with foulness of all excretions. After abuse of quinine.
MIASMATIC FEVERS, WITH ENLARGEMENT OF SPLEEN, in fall, of a low, intractable form, with tendency to typhoid. CHILL WITHOUT THIRST, even near the stove, from flushed face downward. HEAT severe, alternating with shivers of short duration. SWEAT copious at night.
CHILL WITH THIRST FOR WARM DRINKS, slight when walking in open air. HEAT WITH THIRST FOR WARM DRINKS; SWEAT profuse at night, but not debilitating.
CHILL WITHOUT THIRST, lessened in bed and by drinking of whole LEFT SIDE, beginning in face and moving downward, at about 4 P.M.; shivering and coldness of single parts; he is always chilly or in sweat. HEAT WITHOUT THIRST, alternating with chilliness, towards morning. SWEAT WITHOUT THIRST, often immediately after chill, without intervening heat; profuse sweat from motion, in open air, at 4 A.M.; viscid sweat of strong urinous odor. APYREXIA: chronic constitutional cachexia, desire for smoked meat, for beer, aversion to sweet things; paralysis of single parts.
PERIODICITY VERY MARKED, quotidian, tertian; at same period of pregnancy, tendency to miscarry. CHILL WITH THIRST, 4 A.M., 4 to 6 P.M.; general coldness all over, beginning in back, with icy-cold feet, (<) from least motion; hands, feet and icy-cold, followed by severe frontal headache, palpitation and hurried respiration. HEAT WITH THIRST FOR WARM DRINKS (Cascar.) and emission of large quantities of pale urine; numb, dead feelings in legs; desire to sleep as heat passes off. SWEAT WITH THIRST. Dry heat followed by profuse perspiration, palpitation and hurried respiration; urine scanty and high-colored. APYREXIA: great debility. No stage is well marked, but all three run one into another; paroxysm may be ushered in by severe supra or infra-orbital neuralgia.
ANTEPONING QUOTIDIANS; SPRING FEVERS. CHILL WITHOUT THIRST,
when uncovering or undressing. Shivering and heat intermingled, mostly with one red and one pale cheek; chill on posterior, heat on anterior part of body or vice versa; coldness of body with burning heat in face and hot breath. LONG-LASTING HEAT WITH VIOLENT THIRST and frequent startings in sleep, great agitation, anxiety. HOT SWEAT, especially of face and head; profuse sweat on covered parts, relief of pains after sweat. APYREXIA never clear, patients suffer from bad digestion, are very ill-mannered.
CHILL WITHOUT THIRST, beginning in hands and feet, when walking in open air, passes off in room; shaking chill, with shivering, as if dashed with ice-cold water, with nausea, running down the back. HEAT dry on face, without thirst; burning heat in hands, spreading thence over whole body; burning cheeks of a dark- red, circumscribed color. SWEAT during sleep towards morning, with relief of pains. APYREXIA never clear; stitching pains in liver, shooting towards back; slow pulse; pains in stomach, (>) by eating and desire for milk which is now relished.
PALUDAL FEVERS. ANTEPONING FEVERS OF ANY TYPE; paroxysms tertian, quartan or every seventh day. (Ammonium m.). BEFORE GREAT ATTACK THIRST, canine hunger, anguish, headache, restless sleep. CHILL WITHOUT THIRST; thirst ceases as soon as chill begins, (<) by every drink; internal and violent chill, with icy- cold hands and feet and congestion to head, even in a warm room, with pains in hepatic region. HEAT WITHOUT THIRST, with distended veins, congested headache, desire to uncover, but chilly when uncovered; long-lasting heat with sleep; canine hunger, and sleepy after eating; sensation of heat in abdomen, as of hot water running down. SWEAT WITH GREAT THIRST, on being covered profuse sweating which weakens, but he is so sleepy he cannot get up; profuse sweat when walking in open air; profuse sweat on neck and back when he sleeps. APYREXIA: anaemic and cachectic appearance, swelling of hypochondria, enlarged spleen, profuse sweating and great debility.
CHILL always in forenoon, not at a regular hour, sometimes once every day, again every other day, ending in perspiration or without it; before the attack headache, yawning and stretching. HEAT without thirst towards midnight, pulse full and strong, with inclination to throw off cover and open windows, NO SWEAT; left hypochondriacal region enlarged, abdomen bloated. No thirst or appetite for breakfast after fever in the night, foetid diarrhoea with pain in bowels.
Time 10 A.M., 3 and 10 P.M., tertian, anteponing. CHILL WITH THIRST, pale face, lips and nails blue; dorsal vertebrae painful on pressure, trembling in limbs. HEAT WITH EXCESSIVE THIRST, hot dry skin, dry mouth and fauces; flushed face, delirium; distension of veins of arms and legs; pain in spine on pressure. SWEAT WITH GREAT THIRST, which gradually breaks out while perfectly quiet and becomes profuse; morning sweat; pain in lumbar vertebrae and sacrum on pressure. APYREXIA with great thirst, in short when chill begins again; spleen swollen and
painful; haematuria; icterus. CLEAR INTERMISSIONS, REGULAR PAROXYSMS, NEARLY CLEAN TONGUE AND PROFUSE SWEATS ARE THE KEY- NOTES FOR QUININE.
Periodicity not marked. Quotidian afternoon. CHILL begins in chest and extends to arms and legs, with disposition to stare at one point; icy coldness of body, especially abdomen, with desire for warmth and to be near the hot stove. HEAT WITHOUT THIRST, sensation of hot water in chest, arms, legs and ears, burning and redness of face, constant desire for fresh air. SWEAT on abdomen, towards morning hours and feels better after it.
Tertian and quartan at any time of day or night. Before attack: thirst with pain in bones of limbs several hours before chill begins. CHILL WITHOUT THIRST, commencing in parts which first become cold; cold shuddering as if cold water were poured over her; great drowsiness; hands and feet feel dead; pain in joints, as if tendons were too short, contracted, especially knees; oppression of chest, takes often a long breath. After chill thirst, but drinking causes headache and inability to think. HEAT WITHOUT THIRST, but desire to drink on account of dryness of throat with feeling of pressure and gagging in oesophagus, followed by ravenous hunger. Musty- smelling SOUR SWEAT, WITHOUT THIRST, which relieves. APYREXIA: much thirst, and drinks easily.
PERIODICITY WELL MARKED, AT SAME HOUR EVERY DAY, evening; tertian, quartan. Ravenous hunger before and during paroxysm. CHILL WITHOUT THIRST, with hot cheeks; shivering creeping over trunk, not relieved by external warmth; cold, pale face, cold sweat on forehead, nose and hands; vomiting during chill. HEAT WITH THIRST; face puffed, pale around mouth and nose, with redness of cheeks and thirst for cold drinks, and very short breath. SWEAT WITHOUT THIRST, light, followed by vomiting of food and canine hunger, tongue always clean. APYREXIA: warm symptoms; irritable, peevish and obstinate; breath foul; may be the epidemic remedy for children, when adults need other drugs.
CHILL WITHOUT THIRST, with severe colic, not relieved by warmth, more in back and legs, towards evening; cold stage predominant. HEAT WITHOUT THIRST, intolerance of cold and warm air; head heavy and aching, on rising vertigo; glowing hot with coldness of body. SWEAT from evening to morning, during slightest motion. APYREXIA not clear, paralytic weakness in back; nervous sensation of seasickness.
Oversensitiveness. CHILL WITHOUT THIRST ascends from periphery to head and runs down the back. HEAT WITH THIRST and shivering down the back when lying down at night; dry warmth of face and body, yet dreads uncovering. MORNING SWEAT WITH THIRST. Quartan fevers.
EPIDEMIC OR AUTUMNAL INTERMITTENTS on a rheumatic or gouty basis. CHILLS running down back, even in a warm room, extremities cold, (<) on motion. HEAT WITH GREAT THIRST the whole night, especially on face and extremities. SWEAT-sour- smelling or absent. APYREXIA; gastric symptoms, cannot bear the smell of cooking food, nausea.
Intermittents with chill and sweat predominating; diarrhoea with profuse sweats and general physical and mental prostration; great disposition to sleep, countenance to sleep, countenance sunken, yellow, indicative of suffering and debility.
Miasmatic fevers; paroxysms preceded by SLEEPINESS, headache and dulness; CHILL severe, with clammy skin, or feels warm to the touch, nausea, vomiting and violent pains in abdomen. HEAT WITH THIRST and drowsiness; burning throbbing headache, stupor followed by PROFUSE SWEAT or absent. APYREXIA: gastric irritation, jaundice and painful diarrhoea; debility.
PERNICIOUS FEVERS WITH CONTINUOUS CHILLINESS; quotidian, 2 to 3 P.M. and continuing well into the night. HEAT BURNING, accompanied by partial or transient chills; incoherent speech; great prostration; paralysis of extremities. SWEAT cold and bloody, especially at night; (>) by dampness, cold weather and motion; (>) after first mouthful of food.
CHILL WITHOUT THIRST, (<) by drinking cold water; chill and heat alternating, icy coldness in chest and abdomen after drinking; arms cold by putting them in water. HEAT WITH THIRST, alternating with chilliness, vertigo with tendency to fall forward; heat at night, he must uncover; dyspnoea and flushes of heat at night. SWEAT COLD and profuse. Quotidian.