HOMOEOPATHIC TREATMENT OF TYPHOID FEVER


HOMOEOPATHIC TREATMENT OF TYPHOID FEVER.
Das N C

 

GELSEMIUM.

Leaders.

(1) Fever without thirst.

(2) Chi…


GELSEMIUM.

Leaders.

(1) Fever without thirst.

(2) Chilliness. (Bapt).

(3) Great heaviness of eyelids, cannot keep them open.

(4) Pulse slow, accelerated by motion.

(5) First stage, comparatively mild cases.

(6) Patient feels sore and bruised all over as if pounded.

(7) Dread of motion, headache, drowsiness.

(8) Red face.

(9) Patient dull and apathetic.

(10) Trembling of limbs and tongue.

(11) Dizziness, Drowsiness and dullness.

(12) Muscular weakness, complete relaxation and prostration.

(13) Desire to be quiet, to be left alone.

(14) Delirious on falling asleep.

(15) Wants to have head raised on pillow.

(16) Pain in muscles of back, hips, and lower extremities, mostly deep-seated.

Mind: Confusion of mind; cannot collect his thoughts (Bapt.).

Great irritability, does not wish to be spoken to.

Liveliness, followed by depression of spirits (Lach.).

Confused, dazed, dull or indifferent, answers slowly.

Irritable, sensitive, excitable.

Desire to be quiet, to be left alone, does not wish to speak, nor have any one near her for company, even if the person be silent.

Fear of death.

Delirium in sleep, half waking, with incoherent talk.

Desires to be left alone.

Loquacity, brilliant eyes.

Solicitude about the present.

Bad effects from great fright or fear.

Delirium occurring soon as sleep comes on.

Drowsiness. Dizziness. Dullness.

Dullness, languor, listless.

Apathy regarding his illness.

Incapacity to think or fix attention.

Unconnected ideas.

Acts as if crazy.

Stupor, cannot open the eyes.

Confusion, when attempting to move, the muscles refuse to obey the will.

Dread of being alone.

Head: Vertigo spreading from occiput.

Staggering as if intoxicated when trying to move.

Light-headed and dizzy, worse by sudden movement and walking.

Giddiness as if intoxicated, as if he should fall down.

Dizziness and blurred vision.

Giddiness with loss sight, chilliness accelerated pulse, dullness of vision, double vision.

Head feels big as a bushel.

Severe pain in forehead and vertex, dim sight, roaring in ears.

Head feels enlarged. (Bapt.).

Wild feeling.

Fullness in the head, heat of face, chilliness, pulsation of the carotids (Bell.).

Thick speech.

Brain feels as if bruised (Bapt.).

Eyeballs feel raw when moving them. Double vision.

Heaviness of the head, relieved by shaking the head; better after profuse urination.

Dull dragging pain in occiput, mastoid, and upper cervical regions, extending to shoulders better quietly resting the head on a high pillow, with eyes half closed; eyes heavy, sleepy, red.

Scalp sore.

Sensation of a band around head above ears.

Sensation of contraction of skin in the middle of the forehead.

Wants to have head raised on a pillow.

Feeling of expansion (Bapt.).

Eyes: Eyes feel bruised. Double vision.

Pupils dilated. Eyeballs sore.

Eyes look heavy.

Eyelids heavy; can hardly open then or keep them open.

Aversion to light; more to candle light.

Blind spells.

Ears: Sudden loss of hearing, rushing and roaring.

Nose: Epistaxis.

Face: Red. Crimson flush of face. Suffused red face. Heat of the face with fullness of the head, and cold feet. Hot, heavy, flushed, besotted-looking (Bapt. Op.). Dusky hue of face with vertigo and dim vision. Facial muscles contracted especially around mouth.

Chin quivers.

Lower jaw dropped.

Hot to touch (Bapt. Bell. Op.).

Mouth: Lips dry, coated with dark mucus.

Lips dry, hot and coated.

Tongue: Coated yellowish-white with fetid breath.

Thick coating of the tongue.

Tongue red, raw, painful, Numbness of the tongue, feels so thick he can hardly speak.

Thick brown coated tongue.

Tongue red, raw, painful in centre, can hardly protrude it.

The tongue trembles if he attempts to protrude it.

Tongue yellowish-white or thick brown.

Tongue nearly clean.

Tongue, margin red, centre white.

Can hardly put tongue out, it trembles so.

Saliva: blood-coloured; coloured yellow.

Putrid taste and fetid breath.

Mouth dry.

Thirst: No thirst.

Abdomen: Tenderness in right iliac region.

Sensation of soreness of abdominal walls.

Distention of abdomen with pain and nausea.

Rumbling.

Stool: Diarrhoea, bilious, fermented with much flatus and great nervous weakness more than stools could cause.

Stools painless or involuntary.

Cream-coloured, tea-green.

Soft stool is passed with difficulty.

Stools loose, colour of tea, dark-yellow.

Clay-coloured stool. Yellow fecal.

Urine: Relieves headache.

Profuse, clear, watery with chilliness and tremulousness.

Limbs: Pains in head, back and limbs

Cold hands and feet with chilliness.

Legs and arms tremble when moving, with some chilliness.

Extreme prostration, trembling, weak and nervous.

Trembling from weakness.

Muscles refuse to obey the will.

Sore and bruised all over (Bapt.) as if he had been pounded, dreads to move, on account of weakness.

Feeling of expansion, as though the head or some part of body were enormously enlarged (Bapt.).

Dull pain in back part of head; pain in neck, in limbs. Drowsiness.

Sensation as though the skin at the middle of the forehead and about the face were contracted; contraction of the muscles of face, difficult to talk.

Bruised sensation all over the body as if resulting from severe bodily exertion.

Pulsations of carotid arteries. Powerless condition of lower extremities.

Putrid breath and fetid taste.

Coldness of wrists and hands.

Hands dry and hot, especially the palms.

Fevers where muscular power is affected, patient feels so utterly without power.

Muscles feel bruised and do not obey the will.

Trembling in all limbs.

Deep-seated, dull aching in the muscles of the limbs and in the joints.

Fatigue of the lower limbs after slight exercises. Loss of muscular power in legs; they will not obey the will; Staggering.

Palms hot and dry.

Coldness of extremities, especially of the feet with anguish and pain in legs.

Wants to lie still.

Resting on high pillow, head better.

Pains in legs better motion.

Trembling of hands when lifting them up.

Loss of voluntary motion.

Calves of legs feel bruised.

Sleep: Delirious as soon as he falls asleep.

Awakened by headache and colic.

Drowsy, dim sight; a kind of drunken stupor.

Stupor in beginning of fever.

Languid, drowsy, but cannot compose the mind for sleep.

Wakeful or lies in a half awake state, with incoherent talk.

Fever heat, with drowsiness, languid, wants to lie still (Bry. Nux-v).

Pulse: Slow, but greatly accelerated by lifting or turning the patient. Chilliness, full and flowing pulse.

Aggravation: From any movement or touch. From fluids. Damp weather: fog; before thunderstorm. When thinking of his ailment. 10 A.M.

Smoking tobacco (Headache). Fright.

Bad news. When spoken to of his loss.

Summer heat. 4 to 8 P.M.

Spring. Lifting arms.

From sudden change from hot or dry to damp air.

Amelioration: Stimulants. Cool open air; Heat (Headache). Urination. Bending forward. Continued motion. Sweating. Mental effort. Shaking head (heaviness of head). Covering (during fever) Rest.

Quotations: “Heat principally on head and face.”.

“Profuse perspiration relieving the pains.”.

“The mind is sluggish, the whole muscular system is relaxed; the limbs feel so heavy he can hardly move them. This condition exists in the cases of typhoid that call for it; the lassitude is expressed by the patient; with Mur. ac. there is the lassitude, but the patient does not express it.”.

“Trembling of the tongue, which is one indication for Gels., in typhoid, in which it is a leading remedy. The tongue is only thinly coated, and has not the dark streak of the Bapt. tongue. The Gels. face is flushed crimson but not quite as besotted as that of Bapt. there is excessive weakness and trembling but the consciousness is not so clouded.”.

“Typhoid, sore bruised sensation all over the body; early stages, dread of motion, drowsy, red face.”.

“In Typhoid the early and great prostration; the mental confusion, soft feeble pulse; trembling and great weakness with lack of thirst call for Gels.”.

“Typhoid; stage of invasion with sense of extreme prostration; trembling from weakness, muscles refuse to obey the will.”.

Gels. usually precedes Bapt. when there are malaise and muscular soreness, and the patient suffers from chills and creeps, which go down back. This is on the first day, remember, In the afternoon comes the fever with accelerated pulse, this being full and flowing, not tense and resisting as under Aco.

The fever is usually associated with drowsiness; the face is red in colour, uniformly suffused: and even as early in the case as this there may be prostration. Weakness of muscles. By the next afternoon, if the fever rises, despite Gels, you may change to Bapt; provided the above mentioned symptoms develop.

Both (Bapt and Gels.) have this intense muscular soreness and prostration; both have drowsiness and nervous excitement, with prostration; both have this feeling of expansion, as though head or some part of the body were enormously enlarged; and both have afternoon exacerbation of the fever. The relation between the two drugs is one of degree or intensity. Gels. is the milder acting drug of the two.”.

“In typhoid fever Gels. is indicated, particularly in the initial stages; when, during the first week, the patient feels sore and bruised all over as if he had been pounded. He dreads to move. He has headache. More than that he has loss of muscular power. He is drowsy, and has suffused red face.”.

“Its complaints are more insidious and come on with a degree of slowness.”

“Slow in its beginning.”

“The extremities become cold and the head and back become hot.”

“The head cannot be lifted from the pillow, so tired and so heavy is it, and there is such a great weight in limbs.”

“The patient is thirstless.”

“He is unable to move, he is too weak to move.”

“During marked febrile conditions he has a profound sleep or coma.”.

“Extreme muscular and nervous prostration, general trembling, feels weak, wants to lie down, legs or hands tremble if he attempts to lift them, tongue trembles when he attempts to protrude it; pulse weak and slow but quick on motion; chilliness, hands and feet cool, crimson flushing of face, drowsy or sleeps frequently, incoherent muttering; head feels very big; vertigo, dimness of vision; tongue slightly coated or not at all; speech thick; little or no thirst; no constipation or diarrhoea, Drooping of eyelids.”.

“The offensive sweat, stool and urine of Bapt. (also, falls asleep when answering a question), are not found under Gels.”.

“For the nervous prostration just preceding typhoid there is nothing like Gels.”.

“Gelsem usually precedes Bapt. its symptoms being similar but milder.”.

“Bapt. leads when soreness is most prominent and Gels. when prostration is most marked.”.

“Heat in the face, sleep or sleepy, stupid, besotted; with half waking, muttering delirium, tired, wants to lie still (Bry, Nux- v) or great nervous restlessness. Semi-stupor, cannot open his eyes or think correctly, vertigo, staggers as if intoxicated. Sensitive to light and noise. Loquacity. Patient is nervous, irritable, easily angered. Sleep throughout heat; muttering delirium when half-awake. Must be covered in all stages. Tendency to typhoid.”.

Compare: Bry., Bapt., Nux-v., Bell.

Potency: 30th 200th.

BAPTISIA.

Leaders:.

(1) Great nervousness, chilliness, aching pains all over, in head, back limbs.

(2) Sensation of soreness all over, feels as if bruised.

(3) Prostrated, drowsy, confused.

(4) Besotted appearance of face and eyes.

(5) Falls asleep even before he can answer a question or in the midst of an answer.

(6) Tongue brown in a streak down the middle.

(7) Mutters, reaches about the bed, tosses to and fro.

(8) Feels scattered around the bed and tries to get the pieces together.

(9) Bowels rumble in ileo-caecal region which is sensitive to touch.

(10) All the discharges, stool, urine, sweat, are extremely offensive.

(11) Fetid odor of body, breath.

(12) In whatever position the patient lies the parts rested upon feel sore and bruised.

(13) Decubitus.

(14) After abuse of Arsenic.

(15) Perfect indifference.

(16) Distention and rumbling in abdomen.

(17) Rapid and early prostration.

(18) A wild, wandering feeling.

(19) Sudden invasion, very rapid progress.

(20) Feeling of expansion of parts. Restlessness.

Mind: Body feels scattered about, tosses around to get pieces together; can not sleep because he can not get pieces together.

Stupor; falls asleep while being spoken to or answering. Gives slow answers or falls asleep while answering, questions.

Sensation as if the patient were double or as if second self were outside.

Head feels scattered about and tosses about to get pieces together, confusion of ideas; confused as if drunk.

Cannot confine his mind, a sort of wild wandering feeling.

Indisposed to think, want of power, mind seems weak.

Delirium especially at night or constant.

Mentally restless but too lifeless to move.

Illusion that the body is double, limbs separated and conversing with each other.

A certainly of death. Despair of cure.

Restless and disturbed.

Feeling of expansion as if head and body were large.

Wants to be continually moving from place to place.

Indescribable sick feeling all over, weak, restless, uneasy.

Mind wanders as soon as his eyes are closed.

Heavy sleep till aroused; awakes only to again fall asleep in the midst of his answer, which he vainly endeavours to finish.

When aroused he takes on delirium.

He gives you the impression that he has been on a big drunk.

He does not know what he is talking about.

He is in confusion, and when aroused he attempts to say something and utters a word or two and it all flits away, and he is back in his state of stupor again.

Mental confusion.

Inability to think.

Low delirium during which the patient is trying to get himself or his tools together.

Ideas confused.

Illusion of divided personality.

Thinks he is broken or double and tosses about the bed trying to get pieces together.

Delirium, wandering, muttering.

Picking the bed clothes.

Gloomy unhappy state of mind.

Imagines he is in pieces.

Perfect indifference.

Head: Soreness of brain, worse stooping.

Head feels large and heavy.

Numb feeling of head and face.

Heavy pain at base of brain.

Top of head feels as if it would fly off.

Great tightness of the skin of forehead.

Scalp feels sore.

Confused swimming feeling.

Feels too large, heavy, numb.

Vertigo, and weak feeling of entire system; especially lower limbs and legs.

Bruised feeling in occiput.

Neck feels so tired she cannot hold her head easy in any position.

Eyes: Cannot bear light; eyes burn but do not water. Eyeballs feel sore. Eyes half-closed. Eyelids heavy.

Ears: Dullness of hearing. Roaring in ears with mental confusion.

Delirium with almost complete deafness.

Early deafness in typhoid.

Face: Heat of face with dark redness.

Face congested and dusky.

Face sallow, cheeks yellow, with central deep flush; dark red, with besotted expression; flushed, dusky; hot and perceptibly flushed.

Face and whole head feel numb.

Muscles of jaw rigid. Pain in articulation of lower jaw.

Anxious frightened look. On rousing from sleep looks as if he had a horrible dream.

Face flushed, dusky-red or hot with besotted expression. Injected eyes.

Epistaxis of dark blood. Illusion of smell.

Tongue: Swollen, painful, offensive. Covered with black blood.

Raw, denuded. Stiff and dry as leather; as if made of wood, or burnt leather; ulcerated.

Tongue red, and dry in the middle.

Tongue of a dark hue.

Tongue dry, brown down centre.

Tongue covered with a thick, brown crust.

Tongue yellowish white, deeply furred.

Tongue feels burned; yellowish brown; edges red and shining.

Tongue dry and brown in centre, with dry and glistening edges; surface cracked and sore.

Centre of tongue coated yellow, with bitter taste. Dryness of mouth and tongue.

Coated tongue brown and dry, particularly in the centre, or dry and red.

Tongue dry and brown down centre.

Tongue coated white at first, then yellow, then brown with red edges.

Tongue dry on waking and feeling burnt.

Tongue, when it is put out is tremulous.

Tongue yellow along the centre; first white, with reddish papillae, followed by yellow brown coating in centre; cracked, sore, ulcerated.

Mouth and tongue very dry in fevers.

White tongue with red edges or brown with yellow stripe down centre.

Tongue has a brown streak down the centre.

Black or brownish coated tongue.

Tongue dry, cracked, ulcerated.

Mouth: Sordes on the teeth and lips.

Putrid ulcers with salivation.

Putrid offensive fetid breath.

Flat bitter taste in mouth.

Abdomen: Abdomen distended. Stomach; distended. Tympanitic abdomen. Great soreness in the right iliac fossa.

Right iliac region sensitive.

Abdominal muscles sore on pressure.

Slight sensitiveness in ileo-caecal region. Distention and rumbling in abdomen. Pain in the region of gall bladder.

Gurgling and slight sensitiveness in right iliac region. Tenderness in ileo-caecal region. Soreness of abdomen in region of liver.

Stool: Diarrhoea, thin, faecal, watery, yellow. Stool like yellow corn-meal mush, soft, pappy, consistency of soft mush. Stool black, brown, dark.

Stool like ground up slate, Slate coloured, brownish. Penetrating odor, horribly putrid like decomposed meat. Prostrating.

Fetid discharges from the bowels.

Yellow, putrescent stools. Stools horribly putrid.

Stools very offensive, thin, dark, bloody.

Stool of pure blood or bloody mucus.

Stools dark, thin, fecal, offensive.

Soft; papescent, with large quantities of mucus.

Fetid exhausting diarrhoea causing excoriations.

Offensive diarrhoea day and night.

Dark brown mucus and bloody.

Stools with brown tongue.

Papescent painless stools. Diarrhoea in morning.

Involuntary diarrhoea.

Involuntary urine and stool.

Urine: Fetid urine.

Involuntary urine.

Pulse: Pulse full and rapid, but soft and easily compressed.

High temperature and pulse.

First accelerated afterwards slow and faint.

Limbs: Neck so tired he can not hold it easy in any position; sore down the neck.

Cervical muscles stiff, lame.

Back and hips very stiff, ache severely.

Dull lumbar back worse walking, sacral pain.

Feels as if lying on a board; changes position often, bed feels so hard, worst part is the region of sacrum.

Sore and stiff about shoulders and chest.

Numbness of left hand and forearm.

Hands feel large, tremulous.

Lower limbs weak.

Soreness in thigh.

Drawing in hips and calves.

Cramp in calves whenever he moves them.

Left foot numb.

All parts of body feel sore, feet painful even from resting them on the floor.

Restlessness.

Fetor of breath, body and stool.

Chilliness with bruised pains and soreness over entire body.

Rapid prostration.

Great debility and nervous prostration.

Chilliness all day, heat at night.

Chilliness with soreness of the whole body.

Hand tremulous when raised.

Limbs tremulous.

Quivering all over body.

Jaw drops and lies upon back unconscious with mouth wide open.

Slides down toward the foot of the bed.

Prostration and trembling.

Huddles down in bed, feels as if sinking away.

Lies in semiconscious condition.

Excessive drowsiness.

Delirious stupor.

Semi-comatose state.

“Lying upon one side curled like a dog and does not want to be disturbed.”

Intolerance of pressure on lying.

Restless tossing about the bed with the illusion that he is double or that he is scattered about and tires to get himself together again.

Sensation as if his upper or lower extremities were enormously large.

Sensation as if though there were a second self beside the patient in bed.

Great weakness and exhaustion.

Sick all over.

Rheumatic pains and soreness all over body.

Livid spots all over body and limbs.

Limbs feel hot except the feet, which are cold.

Burning in the legs preventing sleep.

Nerves: Restless, uneasy,could confine himself to nothing, wanted to be moving from place to place, evening.

General weak feeling; but worse of lower limbs.

Great languor; wants to lie down.

Slides down in bed, feels as if sinking away.

Indescribable sick feeling all over.

Sleep: Delirious stupor; falls asleep while answering a question or while being talked to. Afraid to go to sleep, fears nightmare and suffocation.

Drowsy, stupid, tired feeling, disposition to half close eyes.

Slept well until about 3 a.m. then restless until morning; tosses about.

Restless, does not sleep quietly.

Cannot sleep, head or body feels scattered about the bed.

Restless with frightful dreams.

Quiet but persistent wakefulness.

Wants to get out of bed.

Cannot sleep, limber seem scattered about so.

Sweat: Fetid, relieves, on forehead and face.

Generalities: Restless; does not sleep quietly; wants to be on the move.

Great languor; wants to lie down.

Tired, bruised, sick feeling in all parts of the body.

Weak and tremulous.

Great weakness, especially in lower limbs.

Prostration, with disposition of fluids to decompose.

Discharges and exhalations fetid.

Sensation all over body as if bruised or beaten.

Feels as if lying on a board; changes position; bed feels so hard makes him feel sore and bruised.

Wandering pains in all the limbs.

Quotations from eminent authors.

Typhoid and cerebral forms of fever; beginning of typhus when so called nervous symptoms predominate.”.

“Typhoid, early stages, white tongue, red edges; or brown or yellow brown down centre; bitter or flat taste; cannot digest food; stools frequent, yellow; gurgling and slight sensitiveness of right iliac region; pulse high; fever tends to increase; parts rested on are sore.”

“Typhoid, sensation as if there was a second self out side of him.”.

“In Typhoid fever, Baptisia is most useful in the first week, during the stage of general hyperaemia, before ulceration of Peyers glands has taken place. If properly indicated and given at this time, it will, undoubtedly, abort the disease. The chief indications are: confusion of mind; muttering delirium; restlessness; dusky-red face; slight sensitiveness in right iliac region; tongue white, with red papillae and red edges; yellow offensive stools, weary bruised feeling all over.

In the second or third week of typhoid fever Baptisia may be indicated when the patient is in a stupor; face besotted; sordes on lips and tongue; tongue dry and brown in center, edges red; stools thin, dark and very offensive, putrid breath, profound breath, profound prostration. Diarrhoea, stools being dark, thin and extremely offensive.”.

“During second on 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.”.

N C Das