Typhoid Fever Enteric Fever
OBSTINATE AUTUMNAL FEVER, WITH SWOLLEN SPLEEN AND LIVER; sleeplessness from congestion at the base of the brain; wants to walk about, seeing all sorts of visions.
Fever with violent delirium, incoherent talking, with distended and obstinate constipation or with rumbling of bowels, colic and diarrhoea, followed by stupor, interrupted by delirious talking; SLOW, PUTRID FEVER WITH NIGHT-SWEATS. Intense thirst for water with passing large quantities of urine; vomiting of all nourishment with sensation as if there were a sore spot or ulcer in stomach; profuse, very weakening diarrhoea in later stages of fever; febrile heat with dry, hot skin and oppressed breathing during first stage; great debility and prostration.
Constant delirium with attempts to get out of bed, talks continually tremulous propulsion of dry tongue; general tremor of whole body, small, quick pulse; alcoholic stimulants are well borne.
Slow convalescence, great prostration and debility, low fever, diarrhoea.
Ichorous diarrhoea, mixed with blood of an offensive odor, or passes large QUANTITIES OF COAGULATED BLOOD; very weakening colliquative diarrhoea, discharge of coagula rectum and uterus; metrorrhagia from atony (Acid nitricum, bright-red flooding).
Alvine discharges frequent, foul, large quantities of black blood with each stool; cannot urinate without straining hard to stool; DIARRHOEA WHENEVER HE URINATES; unpleasant want of animal heat.
ADYNAMIA; high colored and foetid urine; glandular swellings, bleeding from nose, gums and bowels; sense of oppressive fulness in head, as if brain wanted to burst through, debility with soreness of whole body, has to lie down; great chilliness with the headache; haemorrhagic diathesis from fluidity of blood and dissolution of the red blood-corpuscles; tendency to decubitus and gangrenous ulcerations.
Intellect remains weak and impaired after having passed through a severe and exhausting attack of fever, with weakness of all the senses.
Muttering delirium; trembling tongue, which is blistered, can hardly protrude it, dry, cracked or ulcerated; muscles relaxed so that patient slides down in bed; nervous, restless and fidgety; sleepy, but can not sleep, shrill outcries, finally stupor as deep as under Opium, but happy, strange expression of face during muttering delirium; great soreness and bloatedness of abdomen; head and whole surface of body hot and dry; SKIN BURNING HOT IN SOME PLACES AND UNNATURALLY COOL IN OTHERS; skin mostly dry or only transient sweat; bruised, sore feeling of skin; face puffed and dark-red, lips dry, covered with a brown crust; tongue feels as if wooden, studded around the edges with blisters and catches between teeth; PRICKLING SENSATION IN TONGUE AND FAUCES AND VERY TENACIOUS, TOUGH MUCUS IN THROAT; anorexia, but much thirst; considerable swelling of spleen, abdomen sunken in, on pressing ileo-caecal region gurgling as from fluid; great soreness and bloatedness of abdomen, so that the walls become tense; watery, foul-smelling diarrhoea or constipation; incontinence of urine; moist cough but raise sputa only to the tongue, whence it must be wiped away; pulse weak, full and soft; roseola well developed.
At an early stage diarrhoea of offensive gushing stools and apathy and stupefaction, with foul-smelling breath and ecchymotic black or yellowish-green spots on skin; weakness, weariness and bruised sensation, general sinking of vitality, compelling the patient to lie down, and still he asserts that he feels perfectly well; forgets the words while speaking and goes to sleep while answering questions; desires constantly, on account of general soreness, to move or to be moved about, as everything upon which he lies seems too hard; irritable and angry, wants to be left alone; fear of being touched; brown streak through middle of tongue; restlessness attending the soreness of abdomen; involuntary stool and urine, brown or white diarrhoea, with distension of abdomen before and rumbling in abdomen during stool; sore, bruised feeling in walls of chest and cough with expectoration of mucus and blood; loud blowing inspirations and expirations; head hot, rest of body cool, or at least not hot; head confused and cloudy, sitting as if in thought, yet thinks of nothing, like a waking dream; sleep unrefreshing and full of dreams, with whimpering and loud talking during sleep; STUPOR AND PETECHIAE.
Must not be given too early and it follows Rhus. Restlessness and anxiety, with fear of death, from the start to the end; EXTREME RESTLESSNESS WITH EXTREME EXHAUSTION, patient thinks himself still able to move, but when he tries, finds out how weak he is, and may faint away with cold sweat all over; picking at bedclothes; delirium, fever and anxiety (<) about and after midnight; face distorted, sunken, anxious, hippocratic; BURNING HEAT, AS IF HOT WATER WERE FLOWING THROUGH THE VEINS, with throbbing in head and desire to throw off covering; excessive thirst and drinks large quantities more frequently than mere sipping of fluid at a time; craves hot drinks; fluids roll audibly down the stomach; intellect enfeebled, but coma rare; eyes staring, glistening or sunken, dull, watery, or closed with sticky matter; hard of hearing; lips dry, cracked; LIPS, GUMS AND TEETH COVERED WITH BLACK SORDES; tongue red, cracked or black and stiff; hence speaks unintelligibly; papillae raised around dorsum and tip of tongue; APHTHAE IN MOUTH BLEED READILY; vomiting and retching; burning in stomach and bowels, sensitive to pressure; swollen abdomen full, but soft (China, hard, meteoristic), and from the decomposition of the fluids the flatus are putrid and offensive and the diarrhoeic stools scanty, brownish, watery, foul as from rotten ulcers, (<) from food and drink, after midnight, containing blood, mucus or pus; haemorrhages from different orifices; pulse weak, rapid or filiform and intermittent; breathing short and anxious; oppressed, rattling, dry cough; foetid breath, white miliary eruption, even petechiae; cold, clammy perspiration or hot, pungent, dry skin (calor mordax); restless and disturbed sleep, anxious and frightful dreams, (<) at 3 A.M. on account of great heat; decubitus; general and rapid sinking of life’s forces and excessive prostration. Erethistic typhoid fever, follows well after Rhus, and many authors raise their voices against giving it too early, considering it more indicated in the second and third week.
During delirium boring in nose, picking at one spot or at the dry lips; quivering of upper lids; picking ends of fingers and dry lips till they bleed; restless tossing about the bed, wants to escape; unconscious of what he is doing or of what is said to him; urine suppressed; putrid odor from mouth; buccal cavity raw and bleeding; diarrhoea dark yellow, fluid or mushy, each succeeding discharge more watery; sleepy, but on falling asleep sensation of smothering; great weakness; last stage, probably with uraemic poisoning.
FIRST STAGE OF TYPHOID OR SEPTIC FEVERS with predominance of nervous symptoms; face flushed, dusky-red or hot with a BESOTTED EXPRESSION, dulness and confusion of mind; chilliness and soreness of body with intolerance of pressure on lying; chilly all day and hot at night; nightly deliria with stupor, heavy sleep with frightful dreams; dark sordes on lips and teeth; tongue dry and brown down centre; pulse full and rapid, but soft and easily compressed; high temperature; restless, tossing about the bed with the illusion that he is double, or that he is scattered about and tries to get himself together again, or sensation as if his upper or lower extremities were enormously enlarged; slight sensitiveness in ileo-caecal region and yellow, putrescent stools. During second or third week prostration profound, stupor, patient falls asleep while answering questions; heavy, dark, besotted look of face; aphthae in mouth; ALL EXHALATIONS AND DISCHARGES EXCEEDINGLY OFFENSIVE; stools horribly putrid; urine and sweat offensive. Blood is decomposed from high temperature and sepsis.
In the beginning, during the stage of irritation by the typhoid poison, furious delirium with screaming out and violent efforts to escape from the bed and house; face more often bright than deep red; pupils dilated, eyes injected; full of fear; intense headache, with lancinations in back part or top of head; vertigo with staggering on attempting to walk; frightful visions and dreams disturb sleep; heavy, snoring sleep with jerking of muscles, twitching of limbs and screaming out; tongue red, hot, dry, papillae inflamed and much swollen; speech difficult and stammering; reddish spots like flea-bites on chest, abdomen, face and neck; constipation or watery, profuse diarrhoea; urine scanty, with or without sediment; sense of weariness and heaviness in limbs, with marked debility and weakness, cold feet.
In early stages confusion of mind and mild delirium, on closing eyes for sleep he sees persons who are not present, but rectifies his mistake when opening them; delirium at night of the business of the day; desire to get out of bed and go home; sensation in bed as if sinking down and in the morning dizziness, as if the head were whirling in a circle; SPLITTING HEADACHE AND SENSATION OF WEIGHT PRESSING ON VERTEX, (>) in rest and from external pressure; dryness of lips and tongue, with thirst, drinking much at a time but not often; accumulation of frothy, soaplike saliva in mouth and throat, sometimes nearly choking the patient; constant nausea; tongue coated more in middle; gastric affections; rumbling and gurgling in abdomen, especially inguinal region; CONSTIPATION (Baptisia has early diarrhoea); pulmonary congestion, with dry, irritative cough, stitching pains in chest; pressure as of a weight in middle of sternum, with anxious and difficult breathing. During second or third week stupor, frontal headache, face flushed, of a deep red color, (<) by motion, (>) by nosebleed, unusually towards morning; dryness of mucous membranes, but drinking causes nausea and vomiting, with sensation of heavy pressure in stomach, as if a stone were there; GREAT LASSITUDE AND WEAKNESS; WANTS TO BE QUIET; pains in all limbs when moving; tongue dry, rough, cracked, dark brown’ sighing, groaning, moaning, makes motions with his hands, it is too much exertion to talk; constipation or diarrhoea, sudden and almost involuntary discharges, very offensive, every three hours; involuntary defaecation and urination; peculiar sour smell of body, with or without sweat; heat intense and almost continuous; wants to sleep all the time; coma with anxious delirium, cold sweat on forehead, followed by weakness; suffocating snoring with the inspiration; somnolence during day, agitated at night; disposition subdued, but easily excited to anger.
Coma and unconsciousness; delirious, unintelligible, murmuring, extremely sensitive to noise, the slightest startles him from sleep; during coma lying with mouth half open; dryness and burning in throat, no sweet odor of sweat with prostration.
At the very onset, in children or in persons inclined to grow fat, after great anxiety and worriment of mind; UTTER SLEEPLESSNESS FROM OVERACTIVITY OF MIND, where the same disagreeable idea always rouses the patient as often as he falls into a slight slumber; visions of faces and persons when eyes are closed, sees and plays with cats and dogs during delirium; constant tickling under middle of sternum, causing a hacking cough, (<) from talking or moving; during coughing painful shocks in head, the brain feeling hot and burning, but circulation deficient in extremities; RASH FAILS TO APPEAR. Or during second or third stage excessive diarrhoea with intestinal ulceration; palpitation, tremulous pulse; anxiety, sleeplessness and restlessness; redness of face, delirium; jerkings, especially in children; great weakness and exhaustion, chiefly in the morning. EASY RELAPSES, ONE DOES NOT CONTINUE TO CONVALESENCE. It brings out the miliary rash, the meteorism and sensitiveness of abdomen diminish, and with it the anxiety and agitation; stools less frequent and more consistent.
Sudden sinking spells; icy coldness all over, with deathlike paleness of face, cold and clammy sweat, yet covering in unbearable; rattling in throat; hot breath; sleeplessness alternating with coma; diminished circulation to parts more distant from the heart.
Our last resort in critical cases, inclining to dissolution. Extreme collapse, sopor, rattling, cold sweat; hippocratic face; small, filiform pulse; tongue moist, sticky, forepart cracked, heavy and scarcely movable; eyes dull and sunken, with no reaction of pupils to light; face and lips partially cyanosed; haemorrhages from mouth and nose; bloody foetid stools; abdomen distended, with copious escape of putrid flatus; heart’s action fails rapidly, congestion of lungs sets in with threatening pulmonary paralysis; BREATH COLD AND LOUD RATTLING BREATHING FROM THE START; bedsores and ecchymoses from decomposition of the blood; stupor, from which the patient can only be roused for a moment, with loss of vision and meaning; internal burning up with icy coldness of feet and legs up to knees. Such a collapse sets in sometimes early with perfect asthenia in typhoid fevers of drunkards, who complain of itching of skin day and night; they want to be fanned and must have windows open to inhale the fresh air.
Want of nervous reaction unduly prolongs convalescence, spasmodic affections, twitching of muscles, extreme exhaustion; patient irritable, weak and exhausting sweat.
TYPHO-MALARIAL FEVER; excessive prostration, with great mental and bodily weakness, so that the least exertion is hateful; heavy sweats during motion or in sleep, with excessive sinking of the vital forces; uneasiness and sleepiness; frightful fancies on closing the eyes to sleep; vertigo and heaviness of head, dimness of sight, dulness of hearing, pale face, dry mouth, yellow-coated, tongue, with slimy, bitter taste and great thirst; abdomen meteoristic and tender with pains in bowels, watery lienteric stools, scanty urine; bowels move in daytime only after nourishment, but at night frequent, dark; fluid diarrhoea; coldness, especially of hands and feet; breathing oppressed, especially in the evening; swelling and hardness of spleen; tardy convalescence in consequence of serious haemorrhages, exhausting diarrhoea and night-sweats, with progressive loss of flesh and strength; indifference and apathy.
INDIFFERENCE AND APATHY (the very reverse of Arsenicum) stupid expression; vacant stare, averse to answering questions; dim vision as from a veil before the eyes; buzzing in ears; face emaciated, stupid; tongue and mouth dry, bitter taste; abdomen distended, caecal region gurgling on pressure; involuntary diarrhoea and urination; rattling of phlegm through entire right side of chest; subsultus tendinum; debilitating sweats produce great prostration.
Quiet delirium in alternation with the greatest restlessness and desire to run away; intoxicated feeling with sopor and great nervous irritation; dry mouth and diarrhoea; disposition to faint, cold sticky sweat; nose full of soot lips, tongue and teeth brown, black and sooty; dry tongue ashy face; diarrhoea with dryness of mouth after appearance of eruption; haemorrhage from bowels, blood black, coagulated or not, smelling like carrion; burning dry heat of skin with anxiety and raving; excessive prostration, subsultus tendinum; diarrhoea (<) morning.
Debility during convalescence from low fevers with fainting fits, anguish (<) from failure to strive against this weakness, (<) with perfect rest; want of will-power, longing for liquors and tobacco; constipation from inactivity of rectum.
Great vertigo (<) sitting or when attempting to change from a reclining to a sitting position, with nausea, inclination to vomit, fainting; bewildered, heavy state of mind, does not speak plainly; patient lies quietly wrapped in thought, eyelids heavy, can hardly be lifted; abdomen tympanitic; CEREBRO-SPINAL OF TYPHOID.
Cloudiness of intellect, but still answers questions correctly, does not consider his condition dangerous and feels nearly well; no anxiety of fear; pupils dilated and imperfectly sensitive to light; with every attempt to raise his head from pillow, it falls back again and the mouth opens wide, COLD SWEAT ON FOREHEAD; COLD BREATH; cadaverous face; features sharp and pointed, nose pinched, nostrils dry and black; tongue heavy and stiff, is protruded with difficulty, sometimes bluish; almost complete loss of speech and cold breath; nausea and vomiting with considerable retching, the thought or smell of food or even the mere mention of food makes the patient gag; sickness, nausea, horrible aversion to eat; restlessness and cramps in legs; TYMPANITIS WELL MARKED (China), ABDOMEN HOT WITH COLD EXTREMITIES; stools watery, frequent, involuntary, offensive, with fragments of whitish mucus, discharges mostly preceded by colic; urine involuntary and copious or suppressed; pulse small, quick, hardly perceptible; feet oedematous, respiration irregular or intermittent.
OPPRESSION OF NERVOUS CENTRES; eyes congested; features heavy, dull, bloated, besotted (Baptisia); eruption dark purple, copious; during second week heart becomes markedly weak, systolic sound can hardly be made out; pulse soft, flagging, tremulous; great and distressing restlessness; twitching, jerking, tremulousness, sinking down towards foot of bed (Acid Muriaticum), deafness; HAEMORRHAGIC TENDENCY FROM ALL ORIFICES, epistaxis, foetid breath, gums bleeding and gangrenous; stools black, thin, like coffee-grounds, offensive or dark; fluid haemorrhage from bowels; sudden and great prostration of vital forces.
(Cuprum arsen.)–Deep sopor with twitching and jerking of limbs, violent dull headache over glabella; lustreless sunken eyes, with blue rings; difficult hearing; expression of face sad, depressed; tongue red, dry, rough, papillae enlarged; white, yellow of brown coating; gurgling noise of drink passing down to stomach; pressure in stomach and abdomen as from a stone; involuntary, thin, watery, blood stools, profuse and squirting out; quick, rattling breathing; restless tossing about and great prostration; nosebleed and petechiae; debilitating, exhausting, internal heat; cold sweat at night. MENTAL ALIENATION DURING AND AFTER TYPHOID FEVER.
Pulse rapid, or slow and irregular, or slow or very feeble, accelerated by motion, especially by rising up from bed; pupils dilated, tongue white, bluish, or clean; constant disgust, nausea and vomiting, faintness or sinking at stomach; swelling and fulness of hepatic region; diarrhoea of watery, ash-gray stools, or, although there is no diarrhoea, strength and flesh waste away very rapidly; sleep uneasy and unrefreshing; INTERNAL COLDNESS OF WHOLE BODY, OFTEN WITH EXTERNAL HEAT.
During first stage weariness, sleeplessness, nervous erethism, vomiting, diarrhoea of watery, undigested and offensive matters; dull heavy aching in body and extremities; headache, dry mouth; offensive breath and sweat; during later stages signs of degeneration of blood haemorrhages, ecchymoses and sordes, colliquative diarrhoea, tympanitis, great prostration, even collapse. TYPHO-MALARIAL FEVER.
BILIOUS AND REMITTENT MALARIAL FEVER, while severe gastric and intestinal irritation, passing over into typhoid state. Despondency with the fever; throbbing headache, from forehead to occiput; soreness and pulsation in back part of head; sickly, sallow face; tongue yellow or covered with white fur; copious perspiration with nausea and vomiting; frequent heat with the night-sweat; alternate chilliness and flushes of heat, fulness an tenderness in hepatic region; profuse bilious, watery stools, with nausea severe colic and prostration or constipation; bones ache as if broken, with much backache and headache; jaundice; petechiae.
GREAT PROSTRATION OF ALL THE VITAL FORCES already in the initial stage, with strange sensation in head and continued jactitation of muscles; sleeplessness, wide awake all night; patient feels sore and bruised all over, as if he had been pounded, dreads to move, on account of weakness; suffused red face; trembling from weakness; slow pulse, which becomes accelerated by lifting or turning the patient; chills and crawls which go down the back; feeling of expansion, as though the head or some part of the body were enormously enlarged; severe pains in head, back and limbs, with extreme lassitude, chilliness and fever (afternoon), sticky clammy, feverish state; tongue red and raw, painful in centre, can hardly protrude it; distension of abdomen, with pain and nausea; diarrhoea, bilious, fermented, with much flatus and great nervous weakness, more than the stools could cause. Post-typhoid intermittents. Baptisia follows well.
SENSORY DEPRESSION: sensation as if the contents of the head were bulging out of the forehead and eyes; dark soot and nostrils which are dry; tongue yellow, dry, with red edges, breath horribly offensive; drinks roll audibly into the stomach; face at times pale and almost cold; pulse faint, weak, almost imperceptible, meaningless picking at the lips of bedclothes; heart’s beat slow; skin only moderately warm; sudden bulimy after total loss of appetite; bowels inactive; urination involuntary; difficult swallowing; fever (<) from 4 to 8 P.M.; complete muscular relaxation.
Typhoid fever with the prevailing gastric and bilious symptoms; icterus followed by great debility; physical prostration; faintness and goneness in pit of stomach; torpid liver; foetid flatus, stools light-colored, soft, acrid.
Advanced stages of typhoid fever; profound stupor, but when aroused answers correctly; patient, as it were, LIVES AND INWARD LIFE, FULL OF DELUSIONS AND HALLUCINATIONS; unconscious of the outside world; delirium continues while awake and sees and converses with persons who are not and were not present; indistinct and muttering loquacity; hyperaesthesia of skin, patient will not remain covered; thirst only wanting during chill; high fever, thermometer 104, with cool face and cold extremities; muttering with picking at bedclothes and subsultus tendinum; eyes red, sparkling; staring, rolling about, squinting; deafness; distorted face, stupid expression; sordes on lips, tongue and teeth; tongue red brown, dry, cracked, paralyzed; indistinct speech; foul breath; involuntary micturition, urine leaves large streaks on the sheet; suppressed secretion or retention of urine, paralysis of sphincter ani et vesicae, involuntary and unnoticed defaecation; pulse quick, rapid irregular; hypostasis of lungs with impending paralysis pulmonum and snoring, rattling breathing, (<) in the evening; grating of teeth; trembling and convulsive motions; sleeplessness or constant sleep with muttering; roseola spots on chest and abdomen; painless paralysis and torpor of organism.
Great impatience and despair about pains and bad feelings, which he cannot describe; gets easily frightened and feels as though he were swung to and fro in a swing. Yawning stretching, followed by frontal headache, which does not allow opening the eyes; hard hearing except for speech; convulsive twitching of facial muscles; lips dry, cracked, bleeding; choking sensation from stomach of facial muscles; lips dry, cracked, bleeding; choking sensation from stomach up into throat, with oppression of chest, better from belching; swelling of spleen; painless diarrhoea with rumbling of wind; sinking weak feeling in pit of stomach; convulsive motions of limbs; palpitation of heart; jerking of tendons; sleeplessness on account of various as soon as he falls in a doze; troublesome dreams.