HOMOEOPATHIC TREATMENT OF TYPHOID FEVER


Vital force nearly exhausted, cold surface, especially from knees down to feet, lies motionless, as if dead; breath cold; pulse intermittent, thready, cold sweat on limbs. Blueness, coldness and ecchymoses; wants to be constantly fanned; gasps. Fan me, Fan me; haemorrhage of dark decomposed, unclotted blood, blood oozing from gums, nostrils, indescribable paleness, not only of the hippocratic face, but also of the skin of the whole body.


CARBO-VEG.

Leaders.

1. Wants more air and to be fanned all the time.

2. Great foulness of all the secretions.

3. Last stages of abdominal and putrid typhus.

4. Face pale, sunken, hippocratic, cold (Ars. A. Colch.) eyes sunken, dull without lustre, and insensible to light.

5. Tongue dry, dark, tremulous, or moist and sticky.

6. Colliquative diarrhoea, brownish, grayish or bloody, of a cadaverous smell and involuntary.

7. Extremities cold and covered with cold perspiration.

8. Vital force nearly exhausted, cold surface, especially from knees down to feet, lies motionless, as if dead; breath cold; pulse intermittent, thready, cold sweat on limbs. Blueness, coldness and ecchymoses; wants to be constantly fanned; gasps. Fan me, Fan me; haemorrhage of dark decomposed, unclotted blood, blood oozing from gums, nostrils, indescribable paleness, not only of the hippocratic face, but also of the skin of the whole body.

“Complete collapse.”.

9. “Collapse; body blue, icy cold. Patient almost lifeless, but the head is hot; coldness, breath cool, pulse imperceptible, oppressed and quickened respiration, must have air, must be fanned hard, must have all the windows open. This is a typical state of Carb-veg.”.

Collapse: with hippocratic countenance; cadaverous stools; stagnant circulation; coldness of surface; breath absolutely cold, and still the patient wants to be fanned, though apparently dying; veins full of blood; frequent, scarcely perceptible pulse; loss of vision and heaving; sweat warm when it breaks out and slight warmth of surface (Verat. A. sweat cold in collapse).

Mind: Stupor, collapse.

Anxious, as if oppressed, with heat in the face.

Indifference.

Restless, anxious (4-6 P.M.).

Sensitiveness and irritability.

Stupor from which the patient can only be roused for a moment, with loss of vision and moaning.

Want to be fanned and must have windows open.

Head: Head feels heavy as lead.

Throbbing in head, during inspiration.

Head sensitive to pressure; to touch.

Eyes: Dull without lustre, pupils without reaction against light.

Eyes dull and sunken.

Burning in eyes.

Haemorrhages from eyes.

Eyes pain when moving them.

Ear: Heat and redness in the evening.

Ringing, buzzing.

The hearing is gone. Deafness.

Ears too dry.

Left ear hot and red every evening.

Nose: Haemorrhage; face pale before and after every attack.

Face: Face is pale, sunken, hippocratic, cold. Upper lip quiver.

Face and lips partially cyanosed. Face cold.

Greenish colour of the face.

Great paleness of the face. Lips brown, blackish, cracked.

Cold sweat on face.

Cheeks red and covered with cold sweat.

Mouth: Haemorrhages.

Tongue: Dry; heavy with difficult speech; white; coated with yellow-brown mucus; lead-coloured; blue, sticky; moist.

Dry, parched, fissured.

Tip of tongue raw and dry.

Tongue turns black.

Tongue moist and sticky.

Parched, cracked, heavy, scarcely movable, bluish or pale.

Mouth and breath cold.

Mouth hot, saliva bloody.

Haemorrhage from nose and mouth.

Stomach: Longing for coffee, acids, sweet and salt things.

Aversion to meat and fat things: to milk, which causes flatulence.

Burning in stomach.

Tense full feeling, flatulence.

Abdomen distended better from passing wind upwards or downwards.

Meteorism with loud rumbling, fetid or odorless flatus.

Cannot bear tight clothing.

Stool: Colliquative diarrhoea, brownish, grayish, or bloody, of a cadaverous smell.

Involuntary stools.

Flatus hot, moist, offensive.

Bloody fetid stools.

Acrid, corrosive moisture from rectum.

Chest: Hearts action fails rapidly.

Congestion of lungs sets in with threatening pulmonary paralysis.

Breath cold and loud rattling breathing from the start.

Desire to be fanned, must have air (Ars. A. Bapt).

Burning in chest.

The cough has ceased, loud rattling breathing with blueness of face, lips and tongue.

Pulse: Extremely weak, frequent, small, scarcely perceptible. Intermittent.

Thread-like pulse.

Limbs: Bed sores, ecchymoses.

Internal burning with icy coldness of feet, and legs upto knees. Drunkards who complain of itching of skin day and night. Decubitus.

Face and extremities grow cold and become covered with cold- perspiration.

Great debility and weakness as soon as he makes the least exertion.

Numbness and burning pains.

Icy cold hands.

The tips of the fingers are covered with cold sweat.

Putrid sweat; cold or sour sweat.

The great debility is worse at noon.

Sleep: Legs drawn up during sleep.

Sleepless from uneasiness of the body.

Aggravation: From butter, pork; fat food; Abuse of quinine. In warm damp weather. Morning before midnight.

Amelioration: From eructations; being fanned.

Compare: Ars-a., Calc-c., Lach., Lyc., Nux-v., Phos., Ph-ac., Verat-s.

Typhoid, the vital forces seem exhausted; the patient is almost pulseless; feet and legs below knees are cold; dark, brown, watery, horribly offensive stool.”.

“Typhoid, giving out of vital forces, lies pulseless and cold; feet and legs, esp. below the knees are cold; discharges horribly offensive and colliquative. Great prostration, desire for air; wants to be fanned all the time; cold extremities, which are covered with cold sweat; sunken hippocratic face, cyanosis, ecchymoses, bed sores.”.

“Vital forces nearly exhausted, body cold, skin bluish, breath cool, thready intermittent pulse, cold sweat on limbs.

“Ailments from putrid meat, fish or rancid fats, from salt or meats.”.

Collapse comes on gradually (rapid collapse Verat-A. Camphor)”.

“Lies cold and almost pulseless; the pulse feels much like a slight ripple beneath the examining finger; there is no decided pulsation. The feet and legs below the knees are cold, or there may be coldness of the knees and feet, the parts between them not being cold. A watery stool is not so characteristic of Carb-veg. the discharges being either absent or if present, dark brown and horribly offensive.”.

COLCHICUM.

Leaders.

1. When raised, the head falls back, mouth opens wide.

2. Nausea; aversion to food, and loathing when merely looking at it and still more when smelling at it, the smell of both nauseates and that of fish, eggs or fat meat almost makes him faint. Nausea with constant flow of saliva. Nausea in an erect position. Vomiting with trembling, worse motion.

3. Marked tympanitis.

4. Abdomen hot with cold extremities.

5. Involuntary stools.

6. Involuntary urination.

7. Does not consider his condition dangerous and feels nearly well.

8. No anxiety or fear.

9. Cold sweat on forehead, cold breath.

10. Loss of speech and cold breath.

11. Restlessness and cramps in legs.

12. Nostrils dry and black.

13. Tongue heavy, stiff, protruded with difficulty.

14. Stools offensive with fragments of white mucus mostly preceded by colic.

15. Effects of night watching and hard study.

16. Dryness of skin particularly when accompanied by dark and scanty urine.

17. Burning or icy coldness in stomach and abdomen.

Mind: Cloudiness of intellect but still answers questions correctly, does not consider his condition dangerous and feels nearly well.

No anxiety or fear.

Dissatisfied with everything.

Bright light, strong smell, contact, bad manners disturb his temper at once.

Absence of mind.

Forgetfulness.

Great desire for rest.

Perception entirely lost, unconscious.

If the patient be raised up the head falls constantly backwards, and the mouth opens to the widest extent. Can hardly speak or walk.

Cadaverous aspect and extreme prostration; emaciation; lying on back.

Comatose; eyes half open.

Delirium with cephalalgia; unless questioned he says nothing of his condition, which does not seem to him dangerous.

He is unconscious, carphologia.

Head: Head falls constantly backward and the mouth opens to the widest extent if the patient is raised up.

Forehead covered with cold sweat.

Headache better warmth.

Eyes: Eyes half open. Eyes hollow, staring, sunken; pupils much dilated and little sensitive to light; immovable and but slightly dilated; left pupil contracted while the right is dilated.

Ears: Dryness, feel stopped up.

Nose: Smell acute.

The odor of meat broth causes nausea and that of fresh eggs nearly fainting.

Nosebleed in the evening.

Nostrils dry and black.

Tingling in the nose.

Face: Sunken and hippocratic; risus sardonicus.

Lips, teeth, and tongue covered with a thick brown coating.

Lips cracked.

Face covered with perspiration.

Eyes half open.

Forehead covered with cold sweat.

Piteous, sad features, as if he were ill.

Very great paleness of the face.

Cheeks red and hot, afternoon.

Cadaverous looking face.

Pale: yellow-spotted.

Cheeks red and hot.

Cracked lips.

Mouth: Tongue covered with a thick brown coating.

Tongue protruded with difficulty.

Tongue bright-red.

Tongue heavy, stiff, and numb.

Loss of speech and cold breath.

Mouth opens to the widest extent when patient is raised.

Tongue insensible.

Profuse flow of saliva with dryness of throat.

Tongue bright-red.

Stomach: Inextinguishable thirst.

Epigastrium and stomach extremely sensitive to pressure.

Abdomen distended, tense, and hard; surface of abdomen hotter than the rest of the body.

Tympanitis with pain in back.

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 with horrible aversion to eat. Abdomen hot with cold extremities.

Stool: Watery,frequent, involuntary, offensive, with fragments of whitish mucus, discharges mostly preceded by colic.

Black offensive stools (Ars. A.) with severe pain.

Urine: Suppressed; copious; involuntary.

Breathing: Respiration irregular or intermittent.

Audible and accelerated.

Pulse: Small, quick, hardly perceptible.

Small, contracted.

Small, frequent.

Quick, thready.

Pulseless.

Limbs: Great weakness and sensibility of surface; weakness as if after exertion.

Sudden sinking of forces, can hardly speak or walk.

Extreme prostration.

Emaciation.

Lying on the back.

Hand and feet cold.

Trunk hot, extremities cold.

Skin dry.

Sweating.

Suppressed cutaneous transpiration.

Unconscious.

Perception entirely lost.

Feet oedematous.

Sleep: Comatose state.

Starting jerking in sleep.

Lying on the back.

Sleeplessness without entire consciousness.

“The position of colch in typhoid fever is between Ars. and cinchona. First we see that the patients intellect is beclouded. But although his mind is befogged he still answers your questions correctly showing you that he is not in complete stupor, unless questioned concerning it he says nothing about his condition. Which does not seem dangerous to him. There is not that fearfulness, that dread of death which characterizes some other drugs indicated in typhoid fevers.

The pupils are widely dilated and very imperfectly sensitive to light. There is cold sweat on forehead (Verat. A.) when the patient attempts to raise the head from the pillow, it falls back again, and the mouth opens wide. The face has a cadaverous appearance. The features are sharp and pointed, the nose looks as though it had been pinched or tightly squeezed, and the nostrils are dry and even black. The tongue is heavy and stiff and is protruded with difficulty. In extreme cases it is bluish, particularly at the base.

There is almost complete loss of speech and the breath is cold. There are often nausea and vomiting, the latter being attended with considerable retching. These symptoms are associated with restlessness and cramps in the legs. The body is hot, while the extremities are cold. Tympanitis exceedingly marked, stools are watery and frequent, and involuntary. (Ars., A. China., Verat.A.).

Aggravation: Mental emotion or exhaustion. Effects of hard study; odor of cooking food. Motion, Sundown to sunrise. Night.

Amelioration: Stooping, open air, repose.

Compare: Arn., Bell., Bry., Chin., Nux-v., Op., Puls., Rhus. t., Verat. A.

Dose: 30th. 200th.

MURIATIC ACID.

Leaders.

1. The patient cannot urinate without having the bowels moved at the same time; great prostration.

2. Slips down towards the foot of the bed, and must be lifted up every little while.

3. Cannot bear the sight or thought of meat, it is so distasteful.

4. Parched shrunken tongue.

5. Involuntary stools and urine.

6. Pulse intermits at every third beat.

7. Unconsciousness. Deep stupid sleep.

8. Muttering delirium, loud moaning.

9. Putrid conditions, offensiveness.

10. Muscular prostration, marked.

11. Mucous membranes dry, bleeding, cracked, ulcerated. Dry mouth and throat.

12. Sordes on teeth.

13. Lower jaw hangs down.

14. Tongue and sphincter ani paralyzed.

15. Anus sore, sensitive.

16. Has to press during urination so that anus protrudes.

17. Wants to lie down.

18. Bluish parts; tongue, ulcers, etc.

19. Bloody mucous membranes.

20. Vertigo on lying on right side.

21. Heaviness of occiput.

22. Brain feels bruised.

23. Dark or glowing red face with cold hands.

24. During heat aversion to covers.

25. Burning of palms and soles.

26. Anxiety with cold perspiration of the face.

27. Surely mood, very peevish.

28. Burning sensation in forehead.

29. Pupils dilated or contracted. Shuns light.

30. Very sensitive to noise.

31. All food tastes sweet.

32. Weakness of thighs.

33. Twitching in all limbs; restlessness; weakness of lower limbs; restless at night.

34. Sleeplessness after midnight; frequent awaking at night; always wakes at 4 A.M. and cannot again fall asleep; dreams about lice.

Mind: Unconsciousness.

Moaning, muttering.

Persistent loud moaning.

Sad, taciturn, loud moaning.

Irritable. Peevish, fretful.

Introverted and quiet, suffers in silence.

Restlessness, frequently changing position.

“There has been some restlessness but nothing like Arsenic or Rhus tox.”.

“Constant sliding down in bed, with groaning and moaning in sleep, and muttering and unconsciousness while awake.”.

“Continuous delirium, hindering sleep and rest; the patient is all the time occupied with things past and present; he forgets time, place and all he has said.”.

Vivid hallucinations.

Slight feeling of weakness and weariness.

“Continued delirium keeping the patient from rest and sleep, he is constantly occupied with changing pictures of the past and present, and thus forgets everything around him.”.

“The patient lies in a stupid, often unconscious condition and yet he is restless, rarely quiet.”.

“Low typhoid states, great muscular debility but with more or less restlessness.”

Muttering delirium.

Picking at flocks.

Picking at bed clothes.

Head: Distant talking causes headache.

Headache worse rising up in bed; from moving eyes; better by moving the body.

Heaviness in the back part of the head with obscure sight, aggravated by the effort to see.

Feeling as if brain were loose.

Vertigo: worse lying on right side or back.

Vertigo: with tottering gait.

Vertigo: worse moving the eyes.

Heat on top of head.

Headache as if the brain were bruised.

Eyes: Eyes shun the light. The eyes glisten; the pupils are contracted; turning up the whites of eyes.

The eyes full of lustre.

Ears: Sensitive to noise.

Complains of hearing sounds, such as falling of rain or music, which do not exist.

Hardness of hearing, deafness.

Acuteness of hearing with sensibility to noise.

Buzzing, whistling in ear.

Nose: Continuous bleeding from nose.

Sore nostrils obstruction of nose.

Dryness of nose. Dark putrid blood from nose.

Face: Circumscribed redness of face.

Whole face red. Heat; glowing red cheeks.

Sudden red face with coma.

Lower jaw hangs down.

Burning lips.

Bloated lower lip; feels heavy, burns.

Pimples around the lips.

Mouth: Gums swollen, bleeding, ulcerating.

Sordes on teeth.

Fetid breath.

Aphthous mouth. Aphthae putrid.

Small, bluish, deep ulcers in mouth.

Tongue: Great dryness of mouth and tongue, tongue heavy paralyzed, cannot move it: the patient cannot move it at will, even if conscious.

Nose, lips and tongue are dry.

The tongue is not or only slightly coated.

“The tongue is so dry that it rattles in the mouth.”

Dryness of mouth, paralysis of tongue.

Heaviness of the tongue when speaking, as if it were made of lead, which prevents him from talking.

Deep seated ulcers with black base, vesicles or pustules on tongue.

The tongue becomes sore and bluish.

The tongue dwindles (atrophy of tongue).

Tongue sore, bluish; contains deep ulcers with black bases and vesicles.

Tongue heavy as lead, hinders talking; feels lame, sore.

Tongue, pale, swollen, dry, leathery, paralyzed.

Hard lumps on tongue.

Tongue, heavy, stiff, shrunken or burnt looking.

Inability to protrude tongue which is very dry.

Mouth and tongue coated white.

Tongue dry, heavy, stiff and paralyzed.

Ulceration of mouth and tongue.

Red tongue.

Blueness of tongue.

Margin of lips dry, sore and cracked.

Teeth become loose.

Lips denuded.

Dryness of throat.

Everything tastes sweet.

Taste acrid, putrid with ptyalism.

Foul breath.

Mouth as if glued up with insipid mucus; much saliva.

Stomach: Excessive hunger and thirst.

Aversion to meat.

Empty sensation in stomach.

Rumbling and feeling of emptiness in abdomen.

Can not bear sight or thought of meat.

Very light affection of the intestinal canal.

Stool: Involuntary micturition and defecation.

Watery dark offensive diarrhoea.

Infrequent typhoid stools or none at all.

Involuntary discharge of thin watery stools while urinating.

Tendency to involuntary evacuations while urinating.

Prolapsus ani while urinating.

Involuntary stools and urine.

Bleeding from anus.

Diarrhoea is watery and often escapes while urinating.

Discharges from the bowels none or but seldom.

Urine: Urine clear or acid reaction.

Profuse discharge of watery urine.

Involuntary discharge of urine.

Cannot urinate without having bowels move at same time.

Slow emission of urine.

Frequent and scanty.

Frequent and profuse.

Slow, must wait a long time before urine will pass; has to press so that anus protrudes.

Urine red; milk-like.

Involuntary stools when passing urine.

Pulse: Intermits every third beat.

Weak and slow.

Beat of heart and pulse very frequent irritable, without energy (first stage of typhoid).

Limbs: Constant sliding down in bed.

Lower jaw hangs down.

Legs flexed, feet drawn up.

Skin hot and dry.

Muscular power not very much decreased or diminished (first stage).

Slight feeling of weakness and weariness.

Excessive prostration from muscular paresis (second and third stage).

Paralysis of tongue, of the sphincters, of the bladder and rectum.

Pressing pain in back. Pressing, drawing, tired feeling in small of back.

Burning in spine.

Heaviness of arms.

Numbness and coldness of fingers at night. Lower limbs dusky.

Putrid ulcers on legs with burning margins.

Feet cold and blue.

Burning of palms and soles.

Symptoms worse when perspiring.

Tearing pains in limbs during rest better from motion (Rhus. t.).

All joints feel as if bruised.

Excessive prostration.

Great debility, as soon as he sits down his eyes close (after typhoid).

Prostration and drowsiness all day; she wants to lie about.

Sleep: Delirious tossing, sliding down in bed. Sleeplessness before midnight.

Groaning, snoring, talking in sleep.

Frequent and early waking, caused by a coldness that is felt in bed.

Generalities: Aversion to open air; sensitive to cold, damp, stormy, windy weather. Wants to uncover. Cold sweat on the feet, evening in bed.

“Typhoid: stupid sleep, while awake unconscious; loud moaning; lower jaw dropped; tongue shrunken, dry, like leather; involuntary stools while passing urine; sliding down in bed; bleeding from anus; pulse intermits every third beat.”.

“Typhoid fever, lower jaw hangs down, atrophy of tongue, involuntary watery stools when passing urine, great debility, with sliding down in bed, loud moaning.”.

“Advanced typhus, patient stupid, unconscious, and extremely prostate; constant sliding down in bed (Apis. Zinc.), low muttering delirium; groaning in sleep. and picking at bed clothes. Inability to protrude tongue which is very dry. Depression of lower jaw, boring head into pillow, turning up whites of eyes, slavering. Involuntary stools and urine. Bleeding from anus.”.

“Low fevers with high temperature and great prostration. Patient becomes so weak she slides down in bed. Decomposition of fluids. Involuntary stools while passing urine.”.

“Atonic conditions, with extreme prostration and want of reaction; in typhoid states with great muscular debility but with more or less restlessness.”.

“Typhoid, fever is not very high, but muttering delirium, sordes on teeth, dry and burnt-looking tongue, aphthous and other ulcerations of the mouth offensive discharges or haemorrhages from any orifice of the body, bed sores, and great prostration with tendency to slide down in bed.”.

“The typhoid picture of Muriatic acid is a gloomy one. The patient lies in a stupid, often unconscious condition and yet he is restless, rarely quiet; the mouth is open, covered with aphthous patches, usually with a horrible foul discharge; the tongue is dark and dry; the discharges are involuntary, stools offensive, marked tendency to haemorrhage (Nit. ac. Chin.); the patient is constantly sliding down in bed; bed-sores come easily and are difficult to manage, with bad odor.”.

“Great debility following low fevers, as soon as he sits down his eyes close; lower jaw hangs down; slides down in bed.”.

“This remedy is found useful in cases of lower grade than in Phosphoric acid case. It comes nearer to Carbo-veg. than any other remedy.”.

“There is decomposition of fluids; the stools are involuntary while passing urine; stools dark, thin, or haemorrhage of dark liquid blood. Mouth full of dark bluish ulcers; unconscious. Moaning and sliding down in the bed from excessive weakness; lower jaw fallen, tongue dry, leathery and shrunken to a third of its natural size, and paralyzed; pulse weak and intermittent. It is hardly possible to draw a picture of a more desperate case of typhoid than this.”.

“Rectum prolapses easily, cannot urinate without it coming down, also when wind is passed or bowels move.”.

“Great weakness characterizes this remedy, great fetor of breath, and ulceration of the mucus membrane. Salivary glands tender and swollen, mouth very sore. It corresponds to the later stages where putridity is prominent and the weakness is expressed as being so marked that he slips down to the foot of the bed. The tongue is so dry that it rattles in the mouth. The diarrhoea is very watery and often escapes while urinating; the heart is feeble, irregular and intermits every third beat. Bed sores are prone to form; petechiae and oedema of ankles.”.

“Muriatic acid has many symptoms similar to Rhus. t.; but decomposition is much more evident under Rhus. t. and the acid rather follows than precedes Rhus.”.

“Trinks praises Mur. ac. in erethistic conditions too severe for Bryonia, too sthenic for Rhus, and not cerebral enough for Bell.”.

“Typhoid or typhus, deep stupid sleep; unconscious while awake; loud moaning or muttering; tongue coated at edges, shrunken, dry, leather-like, paralyzed; involuntary fetid stools while passing urine; sliding down in bed; pulse intermits every third beat. Haemorrhage of dark fluid blood; mouth full of bluish ulcers; great prostration.”.

“Low form of continued fever, extreme prostration (Ars.A., Ph. ac.)”.

“With Ars.A. there has been the anxious restlessness; with Phos. ac. there has been the mental prostration and then the muscular weakness; with Mur. ac. the muscular weakness comes first, and there has been history of restlessness and the mind has been stronger than could be expected with this muscular exhaustion with jaw hanging down and the patient sliding down in bed and soon the involuntary stool and urine, this remedy is forced upon our mind.”.

N C Das