Character: Variola or small-pox is a contagious eruptive fever. Infection may be conveyed by immediate contact with the patient or by various articles such as clothing and bedding, or by things which have been in the sick room. The poison can remain active for years if not exposed to great heat. It is also carried by air from one place to another.
Caution: The patient should be isolated in a separate room or if possible in a separate building. Disinfection should be strictly carried out both during the disease and afterwards. Attendants must avoid inhaling the breath of the patient. Everyone in the family or in the neighbourhood should be at once vaccinated for sake of safety. Those who do not like to be vaccinated may take Malandrinum 30 or Variolinum 200 either twice a week or twice a month according to circumstances.
Food and other articles of diet must be carefully covered and attendants or persons coming in contract with the patient should use some disinfectant before they meet friends. Files should not be allowed to sit on food.
Preventives: Vaccination: Internal use of Malandrinum or Variolinum or Vaccininum or Sarracenia or Thuja.
Varieties: 1. Discrete. 2. Confluent. 3. Hemorrhagic. 4. Varioloid. 5. Malignant. Complications:
5. Suppurative inflammation of joints
7. Abscess formations; boils.
8. Glandular swellings.
11. Repercussion of eruptions.
Duration: 4-5 weeks., Crisis about 21st day.
Sequelaes: 1. Pitting.
2. Boils, abscesses.
4. Middle ear disease.
6. Gangrene of scrotum (usually fatal).
7. Chronic diarrhoea.
Prognosis: (a) The very young and the very old rarely recover. Recovery rare after sixty.
(b) Prognosis is grave in case of confluent small-pox.
(c) Syphilitics, usually fatal.
(d) In the intemperate, usually fatal.
(e) In variola hemorrhagic, recovery rare.
(f) Dangerous when lung complications are present.
(g) Inflammations of skin between the pustules, unfavourable sign.
(h) Epistaxis and other hemorrhages, unfavourable sign.
(i) Scanty urine (early) unfavourable.
(j) Intense secondary fever between ninth and twelfth days (unfavourable symptom)
(k) Diarrhoea, unfavourable sign.
(l) Very severe cases are most apt to be fatal.
(m) Typhoid complications, a bad sign.
(n) Repercussion of eruptions (Danger)
(o) When the swelling suddenly sinks and the pustules suddenly dry up the case is dangerous.
(p) If on the fifth or sixth day the pimples do not change into vesicles with watery heads but remain hard, small and look parched, the case will be fatal. In such cases the eruptions are very small, looking like mustard seeds.
(q) Eruptions in nostrils, eyes, tongue, mouth and throat; swelling of hands and feet, profuse flow of Saliva (Severe case.) Stages: Incubation.
The symptoms: Incubation, the period from exposure to infection to the appearance of the disease is five to twenty days or ordinarily twelve days. Invasion takes place at the end of this period.
The disease begins with a shaking chill or repeated chilliness. The chill or chills may also be absent in some cases. The temperature rises to 103*F or higher. The fever is almost always marked by severe pain in the back and head, aching all over, nausea, often vomiting, occasionally sore throat. Convulsions or frequent startling in children. Soreness of body, delirium and marked prostration. In some epidemics the dreadful backache of small pox was entirely absent.
I have seen some fatal cases where the temperature was not high but the prostration was severe with dreadful dreams and delirium. The onset of small-pox is sudden with severe headache, backache and vomiting. If during the initial fever the finger is pressed on the forehead a shotty feeling may sometimes be noticed before the eruption is visible. In small pox the temperature falls with the onset of the rash. The papules have shotty feel. On the third or fourth day of the fever an eruption of raised red spots appears first on the forehead and face and about mouth.
Then the eruption extends to the scalp, arms and hands, over the body and down the legs. The whole process takes two or three days. The eruption have a granulated feel. This hard shotty feel of the eruptions does not last long. After some hours papules begin to change to vesicles. On the fifth day each pimple becomes a vesicle with watery head, round base, central depression and inflamed margin.
The fever and all other painful symptoms disappear or are markedly diminished with the appearance of the eruptions on the 3rd. or 4th. day of the fever. The patient now feels a sense of relief but this is only temporary and is followed by dangerous and alarming symptoms when the secondary fever commences.
Suppuration or secondary fever commences on the 7th, or on the 8th day. In severe cases, at this stage, the whole scene changes. The patient, usually with very high fever, becomes delirious, unconscious and swollen especially on the face and extremities. The swelling is sometimes so great that the features become almost obliterated, sore throat, diarrhoea, Pneumonia and other complications may now appear throwing the patients life into danger. In bad cases the patient becomes totally unconscious or highly delirious with attempts to escape from the bed. Due to sore throat he may fail to take any diet.
His eyes may close with swelling of face and he cannot see anything. The lips are often terribly swollen. The whole patient at this time is simply frightful to look at. I have watched some very bad cases of small-pox where the papules remained hard even on the 9th. or 10th. day and never developed into vesicles. Here the papules had parched and dark appearance with low fever and all the symptoms of malignancy. In all such cases there was no suppuration and no recovery. Patients generally died on the 9th. or 10th. day or sometimes earlier.
In all my cases a Typhoid condition was noticed. In mild cases the stage of suppuration lasts for 3 or 4 days and then the eruptions begin to dry up and the general symptoms subside. In fatal cases the fever and all other symptoms gradually increase and the scene closes in death usually on the 13th. or 14th. day and sometimes earlier or later. When recovery takes place the disease generally takes 21 days or a month for complete recovery. Small-pox occuring in young children or old persons or in the unvaccinated is almost always fatal.
Of course efficient homoeopathic treatment can save some of these unfortunate victims of small-pox from the very jaws of death. The confluent form of small-pox is very severe and the pustules run together. The hemorrhagic form of small-pox contain blood in the pustules. In purpuric form of small-pox the patient becomes dark purple in colour and the eruptions become purpuric and hemorrhages from stomach and lungs are frequently present. In hemorrhagic and purpuric forms of small-pox the patients almost invariably die.
Diet: In all severe cases the chief diet should be milk provided no diarrhoea is present. In cases complicated with diarrhoea barley water can be safely given. sago also can be given either alone or with milk. In any case the diet should always be liquid. During convalescence gruel or rice should be freely allowed with vegetable soup. Meat should not be used for sometime even after recovery. In India in mild cases some patients can tolerate rice diet or Loochi (preparation of flour in ghee) very well during the whole course of the disease. But it is often risky as it may create unpleasant complications.
Treatment: The Homoeopathic medicines, if carefully selected, can perform miracles in the treatment of small-pox. Our medicines are of undoubted value in the treatment of this dreadful disease. I have always obtained excellent results from the use of our drugs even in very severe cases of small-pox. Their power to abort the disease is unquestionable and wonderful. No other form of medicine can do what our drugs have done for small pox patients. I refuse to believe that any other school of medicine can claim to have cured small-pox of a violent character before the 9th or 10th day of the disease.
Our medicines have done this miracle and never allowed the secondary fever in the suppurative stage either to come or to advance. In all my cases where I had a chance to administer the appropriate drug on the 5th or 6th. or even on the 7th. day of the disease the suppuration never took place and the eruptions completely dried on the 9th. or 10th. day or in otherwords the patient was completely cured of all his troubles to the full satisfaction and joy of all concerned.
I am always proud of such wonderful cures which were and can be possible only under Homoeopathic treatment. All other forms of treatment carry the disease through all its stages but Hahnemanns Homoeopathy can cure this ugly disease in any of its stages within 72 hours or so of the administration of medicine, provided one can hit upon the right remedy. I do not like to conceal the fact that the small-pox patients have died even under the most efficient Homoeopathic treatment but such cases are not numerous.
When god wants to destroy life no earthly power can help. Moreover, often the patients may die because we can not make a right selection of remedy every time and because in such case if we commit a mistake in the first and second selections of medicine we generally do not get sufficient time for a third selection, as the time allowed in such dangerous cases, is very short and before we are ready with our third selection the patient may expire.
Hence in the treatment of small-pox where we can get hardly five or six days to demonstrate our ability, we must be extremely careful while selecting a remedy. Here our selection should be speedy but infallible or we lose our patient and our reputation and with the fall of our reputation we lower the dignity of our remedies.
In support of my statement made above I describe briefly some cases which I had to treat.
(1) Mr. Surendra Nath Guha, 50 years of age, got an attack of small-pox of a very severe type at New Delhi (1934-35, epidemic of the Punjab). Doctors T.N. Ghose M.B. and S.K. Sen, B.SC.M.B. were attending him but on the 5th day of the disease I was asked to examine the patient in the presence of the two allopathic doctors. It was a confluent form of small-pox and no part of body was free from eruptions.
The patient had nausea especially on motion and occasionally vomited, severe pain in chest marked drowsiness, temperature 102*F, scanty urine, itching, no sleep, constipation, extreme weakness, delirious at night, appearance anxious and frightful. Vesicular eruptions filled with whitish matter. Ant. tart 200 was given but failed to produce any favourable change within 24 hours.
On the 7th day I put him to Sarracenia P. 200 which to the astonishment of all, removed the fever within 24 hours and the eruptions then looked blackish and devoid of liquid substance. Doctors Ghose and Sen re-examined him on the 9th day and declared him perfectly cured. They they admired my medicine very much.
(2) Child, about 10 years of age, had an attack of small- pox. Vesicular eruptions, dark, oily, face very much swollen, sore throat, high fever, Pneumonia. I examined him first on the 4th day of the disease and put him to Ant.t 200. But the above symptoms developed inspite of it. I then gave him Apis without any effect. Dr. Sen M.B. (of New Delhi) was also called to examine him. The patients condition became serious on the 10th day when I gave him a few doses of Merc. Sol. 200 with which the temperature dropped to normal within 24 hours and he recovered fully before the 15th. day.
(3) Unvaccinated baby, about 11 months of age, (Katra Neel, Delhi) was brought to my dispensary with fully developed eruptions of small-pox, on the 6th. day of the disease. Fever was slight. Confluent type of small-pox. Sarracenia P. 1x was given every two hours for 4 days and the child recovered.
(4) Boy, 12 years of age, (Karal Bagh, Delhi), unvaccinated even at that age, got the disease. He was in high fever on the 3rd. day when I first saw him. On the 4th day blackish eruptions, size of mustard seeds, hard, were found on the forehead and face, the temperature remained steady with no inclination to fall or subside, look was not happy, anxious and distressed and extremely weak. I put him to Ant. t. but the eruptions did not develop into vesicles but on the other hand appeared parched and dark. Typhoid condition came even before the Seventh day. I tried Sarracenia P. Malandrinum, Ars. Alb. and Sulphur but nothing helped and the patient died.
(5) Old woman at Barakhamba Road. New Delhi, age about 60, had an attack of small-pox and was placed on Homoeopathic treatment with out relief. I was called to see her on the 9th. day, and noted these symptoms:
Eruptions did not develop into vesicles but remained hard, dark, parched, size of mustard seeds, some big but flat with no disposition to vesicle formation, temp. 100*F, Typhoid, eyes closed moving head and limbs in distress, not fully conscious, prostration very marked. Pulse weak. Before I arrived Bapt, Variol. Malandri. Sarr. P. Ant. t. were tried in vain. I gave her Sulph. 200 but she died next day.
(6) Mohan, a Pahari servant, age about 28 years, got the disease and was removed to the Hospital at New Delhi. On the 8th. day his eruptions all on a sudden disappeared and he was in a dying conditions. Great oppression of chest difficult breathing. bursting feeling in chest, body black. Says he will die, Sarracenia P. 200 was repeated very frequently and within half an hour he was completely relieved of his distress and smiled to his friends who sat around him at that time.
The eruptions in this case were not reestablished or returned to the surface but he made a complete recovery within two days of the medicine and he returned home when I found that black and depressed spots were visible all over his body. He remained in excellent health ever afterwards.
(7) Surajmal, Barabazar, Calcutta, age 25, got the disease in 1946, and was under allopathic treatment. As soon as the eruptions appeared and small-pox was recognized that treatment was discontinued and I was called to prescribe for him: He had diarrhoea with frequent watery stools, vesicular eruptions all over his body, worse on face chest and back. Ant. t. 200 stopped diarrhoea but eruptions did not dry up.
On the 6th day I put him to several doses of Sarracenia P. 200 and he recovered completely within three days of this medicine. His friends were astonished to see this action of our medicine. He is quite well and I often meet him in Barabazar.
(8) Chatterjee, 28 years old, (Daryagung, Delhi) had an attack of small-pox, and was placed under the treatment of Dr. J. K. Sen L.M.S. of Delhi. On the 11th day of the disease I was called in haste to see him and on arrival I recorded these symptoms:-Whole face very much swollen, it is impossible to open eyes, it is hard to recognize him, the face looked round like a ball with swelling. Cannot speak well. Temperature 104*F. Delirium, says, black persons are standing at the foot of his bed with clubs in hand and they are asking him to go with them without delay. Tears ran down his cheeks and in indistinct low voice he says that he is unwilling to follow them. Sore throat.
This patient was in very bad condition and the doctor declared that his life was trembling in the balance. The members of the house were actually weeping. I gave him 16 doses of Sarracenia P. 200 At first medicine was given every 30 minutes and afterwards at longer intervals. Next morning the temperature dropped to 100* and swelling of face was less and he could open his eyes. Within three days he had complete recovery.
(9) Kolays mother-in-law, Monirampur, H.B. chord. Had small-pox at the age of 52. She had diarrhoea, high fever, delirium. Ant. tart. 200 was given first and 48 hours after it she was put to Sarracenia P. 200. She was cured soon.
(10) A little girl about 12 years of age, got small-pox (Daryagung, Delhi). Two of her brothers died of the same disease. Her attack was severe and she was delirious at night. In delirium she always saw an old woman frequently coming to her and speaking to her in sweet words. Temperature 103*F loss of sleep, itching. Sarracenia P. 6, contributed for four days, cured.
In these case reports I have stated facts as I found them. There is no exaggeration in them and they are the results of honest endeavour. Any body can try homoeopathic drugs for the cure of small-pox and if his efforts be sincere he will obtain the same gratifying results. Routinism will always fail to the bitter disappointment of the prescriber and an honest homoeopath must avoid it by all means.
The following remedies are usually employed in the treatment of small-pox.
(1) Ant. T. Merc. S. Variol. Malandr. Vaccininum. Thuj.
(2) Apis Mel. Ars. A. Bapt. Camphor. Canth. Carbo. Ac. Carb. V. Ac. Mur. Macrotin. Crot. H. Hamamelis. Hydrast. Hydro-ac. Phos. Ph-ac. Rhus. T. Sil. Sul., Zinc. Met.
Confluent form: Sulph. Ars. A. Phos. Merc., Hippoz. Variol Sarrac. P. Ant. T. Rhus T.
Discrete: Bapt. Ant. T. Sul.
Haemorrhagic: Phos. Ars. A. Lach. Crot. Hor. Ham. Sec Sul. Chin. Am-c. Am-m. Canth. Solanum Nig.
Malignant: Am-c. Ant-t. Ars. A. Bapt. Carb. Ac. Crot. Hor. Lach. Mur. ac. Ph-ac. Phos. Rhus T. Sec. Sul. Variol. Sarrac. P.
Asthenic variola: Carb. V. Ars. A.
Bad cases of small-pox: Hydro-ac.
Pustules do not fill with matter: Phos. ac.
Severe cases: Sarrac. P.
Repercussion of eruption: Ant-t. Carb. V. Hyosc. Ars. A. Camph. Cupr. M. Sul. Zinc. Met. Sarrac. P.
When eruption recedes with great dyspnoea: Apis Mel. Ant-T.
Eruptions seem to recede: Carb.v.
Eruptions does not come out properly: Ant-T Bry.
Eruption slow in developing: Bry.
Swelling of skin suddenly sinks in, pustules. dry up: Camph.
Eructations livid, purple: Carb.V. Hydro-ac.
Areolae grow livid: Ars. A.
Eruptions black: Ars. A.
Pustules sink in : Ars. A.
Eruptions fail to appear at the proper time: Hyosc.
Rash fails to appear with haemorrhages from orifices: Crot Hor.
White pustules: Cimicifuga.
Pustules more on palatine arch, Tonsils, uvula and in nasal cavities but scanty on skin: Bapt.
Pustules contain blood: Phos. Rhus T.
Eruptions do not come out due to exhaustion: Zinc. Met.
Pustules milky: Thuj.
Pustules flat: Thuj.
Dark red areola: Thuj.
Eruption shrinks and becomes livid: Rhus T.
Eruptions more on trunk and upper extremities: Am-m.
Eruptions in Buccal cavity: Hydrast.
Vesicles in crops: Hyosc.
Prevents pitting: Sarra C. Variol. Maland. Thuj. Hydrast.
Vaccinimus. Ant-T. Merc. S.
Initial fever: Ant-T. Bapt. Variol.
Secondary fever: Sarrac. P. Merc. Rhus T.
Thuj. Ant-T. Bry. Phos. Sulph. Variol. Maland.
Stage of desiccation: Sulph. Variol. Melandr. Chin. Bell. Gels. Anac. Merc.
Lung complications: Bry. Ant. T. Phos. Sul. Merc. S.
Dropsical swellings: Apis. Ars. A. Canth. Sarrac. P.
Collapse: Ars A. Carb. V. Lach. Camph. Mur.ac. Ph-ac.
Adynamic: Am-c. Ars. A. Bapt. Camph. Carb. V. Crot. H. Phos. Zinc. Met. Hydro.ac.
Caries of bones: Sil.
Haemorrhages: Am-m. Ham. Crot. Hor. Phos. Solanum Nig.
Haemorrhages from lungs: Phos.
Loss of memory: Anac.
Typhoid condition: Ant. T. Ars. A. Bapt. Ham. Hyosc. Phos. Ph-ac. Rhus. T.
Profuse salivation: Merc. Sol., Bapt.
Sacral pains: Ant. T. Bapt Hydrast. Phos.
Itching: Bell (later stages). Malandr.
Excessive muscular soreness: Cimicifuga.
Tendency to convulsions: Bell. Gels.
Constant nausea: Ipec.
Diarrhoea, dysentery: Ant. T. Apis. Merc. S. Ph-ac. Ham. Rhus T. Malandr.
Diarrhoea during desiccation: Merc. Sulph.
Syphilitic taint: Merc. Syph.
Fear of death: Ph-ac. Ars. A.
Restlessness: Ph-ac. Ars. A.
Frequent faintings: Phos.
Debility and prostration after severe attack: Chin.
Painful bloody urine: Canth.
Patient cannot bear to be covered: Camph.
Metastasis to mouth and throat: Ars. A.
Metastasis to brain: Sulph.
Suppressed or scanty urine: Apis.
Hints: In the Treatment of small-pox as in the treatment of all other diseases, the subjective and objective symptoms, should be very carefully considered. In obstinate cases the family history should be examined. Mere name of the disease will never help the prescriber. Generally I have found, the doses of the indicated remedy can be repeated with advantage. Where complication develops, attention should be paid to it in an examination of the symptoms.
When a remedy is carefully selected taking all symptoms into consideration, it should be steadily given at least for 48 or 72 hours and grood results will be seen in the fall of temperature. With the fall of fever the eruptions dry up and the first indication for this drying up is the dark colour of eruptions which were whitish before the medicine. If there be swelling, it will commence to decrease within 24 hours of the exhibition of the indicated remedy.
In all my cases I have observed marked improvement within 24 hours and sometimes within 12 hours. If I notice improvement only in fever I never change remedy. Fall of temperature is the surest sign of improvement. After giving the medicine closely watch your patient whether any of the symptoms is showing any decrease. It is a very remarkable thing to know or recognise signs of amelioration in whatever quarter it may be.