Alstonia Scholaris [Alst-s]
Clinically it has been used in chills and fevers, in Diarrhoea of Malarial origin [China] and for chronic Intermittent Fevers suppressed by Quinine.
Ammonium Mur [Amm-m]
It is indicated when the paroxysms of chills and fever return every seven days.
It is suited to old or maltreated cases [Lachesis]. It is of service when the following type is found in the sick. Chill occurs in the afternoon, characteristically at 3 P.M. and is accompanied by thirst (not before), and an oppression of the chest, with smothering, (<) in warmth. It is followed by burning heat all over (particularly felt in the abdomen) or heat in some places, coolness in others, with increased oppressive feeling in the chest, drowsiness, fluttering pulse, nose cold, the skin hot and dry or alternately dry and moist and the hands and arms blue, usually no thirst, and there is the general appearance of collapse [Lachesis]. The warmth of the room during heat becomes intolerable. Then comes the sweat, which may however, be imperfect, breaking out only in spells, soon drying off or it may be absent; there is never any thirst during the sweat- characteristic. The tongue is rd and covered on tip and borders with vesicles. Urticaria.
Aranea Diadema [Aran]
It is of service in patients whose constitution has been so developed by marsh miasm, that they suffer at every cold or damp change in the weather, and it stands foremost among those remedies capable of removing the constitutional taint which is at the bottom of their whole trouble, and it will not only remove the fever, but also change the type of the constitution, so that the patient will escape any further injury when exposed to dampness [malaria Off.]. Its symptoms seem to be ill-defined.
It is the remedy for chronic Intermittent Fever, esp. contracted in low, marshy lands [Ced.] when the symptoms are aggravated during every spell of damp weather-the patient complains of chilliness, as if the bones are made of ice and bone-pains followed by little or no fever. The chill is apt to be critical, occurring at the same hour every other day, every week or at some regular intervals. The spleen is also enlarged and the patient is subject to haemorrhages. he may or may not have been previously treated with Quinine.
It is often indicated in intermitting type of fever and is unrivalled when almost any form of disease assumes Malarial type. It has cured many cases, when the Fever has been contracted in salt marshes along the sea-shore; or those, esp. after the failure of Quinine or after the abuse of that drug and also for the bad effects arising from it. It often succeeds Cinchona in the treatment of chills and fever. It is called for when the paroxysms occur more or less periodically. Its chill is not well- defined, in fact irregular. Intense heat, with anxious restlessness despite great debility, burning thirst esp. for hot drinks-cold drinks make him feel chilly, weak or thready pulse [Lachesis], suffocative attacks of breathing, blue face, cold mouth and tongue, coldness or blueness of the skin or single parts blue and great prostration; eternal heat relieves. The sweat is cold and clammy, sometimes it appears very tardily, and does not always relieve. The spleen is enlarged.
The symptoms indicating it are : Icy-cold surface, but not internally, so he throws off the clothing; face deathly pale; limbs blue; breath generally hot. Weak or thready pulse. Spasms. If conscious, voice altered. Great prostration. Sopor.
It is indicated in Spring Ague, with severe chill; the hands are puckered up, like washer-woman’s.
The symptoms indicating it are : The chill commences in the back and spreads thence, being (>) by applying hot water bottle. Thirst before chill, continues into the chill, but drinking causes shivering. Desire for warmth; the patient is (>) is by hot applications, as by a hot water bottle applied to the back and from wrapping up [Ignatia]. Irregular and intermittent puls [lach.].
Carbo Veg [Carb-v]
The intermittent type of fever in which it may be employed is of a low grade. It is remedy for severe and long-standing cases, and is esp. of service after the abuse of Quinine, and where there is lack of reaction, when the following symptoms are present. You will be surprised to see how nicely an apparently hopeless case will rally under it.
The symptoms indicating it are : The chill with thirst (not before), often accompanied by cold breath and coldness of the body, esp. the feet are icy-cold upto the knees-a very characteristic symptom of Carbo Veg.; one-sided chills-of left side generally. Heat comes in burning flashed, with loquacity [Lachesis], but without any thirst. The sweat is either sour or else exceedingly offensive. Flatulency. Collapse. Annual return of the paroxysms [Lachesis]. The patient is very weak form protracted disease and abuse of Quinine.
It is used in Ague contracted mainly in hot climates, in which it has won favor or in low, marshy lands [Aranea], with congestion of the head, flying heat in the face alternating with chill, and dry heat, with full quick pulse. Neuralgia, returning precisely at the same hour each day.
Chininum Sulph [Chin-s]
It is indicated in Ague from living in damp places [Cinchona] and has the same symptoms as under Cinchona, with these in addition : The chills recur with clock-like regularity [Aranea], usually at 3 A.M., with blue nails and pain in the the dorsal vertebrae. Periodical attacks of neuralgia, relieved by hard pressure.
It is not often used, but sometimes indicated by : Thirst during the chill and occasionally during the heat also. Pale face even during the hot stage. Also, vomiting, canine hunger and clean tongue.
It is a valuable remedy in the treatment of Intermittent Fever. It is indicated in Ague from living in damp places and is useful in fevers of either tertian or of the quartan type. The symptoms indicating it are : Chill, not relieved by any kind of warmth; with thirst before or after, but not during the chill; a dry, teasing cough during the chill [Bryonia, Rhus Tox., Sabad., and Sul.]. Long-lasting heat, usually without thirst-the patient desires to uncover; with fiery-red face and often delirium. The sweat which follows is profuse and debilitating, with intense thirst. Swollen spleen. Neuralgia, occurring mostly in the face and recurring quite periodically [Arsenicum, China Sulph. and Sul.]. Periodical return of the symptoms.
Cornus Florida [Corn-f]
This drug has sleepiness long before the chill; the patient feels chilly, but is warm to the touch. The heat is associated with drowsiness, and is followed by profuse sweat.
Icy-coldness of the whole body. Severe cramps in extremities, with cold sweat, blue surface; also collapse. Great prostration. Weak or thready pulse.
Weakness of the heat. Very cold skin. Copious sweat, but the heart symptoms are not relieved. Pulse very slow; intermits every 3rd, 5th or 7th beat. Great prostration.
It is a remedy highly recommended in Malarial fevers, but I know little or nothing about it.
Eupatorium Perfoliatum [Eup-per]
It is a popular remedy in the Malarial districts for chills and fever. It is indicated by the following symptoms : The chill begins in the small of the back [Nat. Mur.] form 7 to 9 A.M. and is preceded by headache, insatiable thirst and bitter vomiting, which rarely continue into the fever, and is accompanied by aching in the limbs, as though every bone in the body were being broken; in some cases, there is double periodicity-the chill comes in the morning of one day and in the evening of the next. The chill is followed by high fever, with increase of the aching; drinking of water makes the patient chilly. The sweat is usually very slight or it may be profuse.
Eupatorium Purpureum [Eup-pur]
It has been used for chill beginning in the back. I do not know of any special symptom to distinguish it from Eupatorium Perfoliatum.
It is indicated particularly after the abuse of Quinine, esp. when there is masked Anaemia. During the heat, the face is flushed and the blood-vessels throb and throbbing headache. The spleen is enlarged and dropsical symptoms, manifested mostly about the feet.
It is indicated in the beginning, and esp. in fevers of non- malarial origin. The symptoms indicating it are : Partial chill, starts from the spine running up and down or in the hands or from
the feet extending upwards, with tremor o the whole body; it is sometimes associated with copious urination and bruised aching all over the body; during it is-very characteristic. Then comes the fever, with general heat, but most decided about the head and fauces, during the exacerbation of which, the patient is very nervous and restless, tossing about continually and he can bear neither noise nor light. The sweat is gradual and moderate or partial, but always gives relief. The accompaniments are : Tongue, coated white or yellow. Thick speech. Bowels constipated, the stools yellow.
It is indicated, when the chill spreads from feet to the spine and thence to the neck and is worse at night. Weak or thready pulse. Great prostration. The lowering of the temperature is accompanied by slow arterial action, drowsiness or by delirious and excited talk; picks at the bed-clothing, feats of being poisoned, hallucinations, fibrillar twitchings, etc.
It may be used, when there is thirst during the chill and when the warmth of the stove or other artificial heat or wrapping up the body relieves the chill.
It is useful, when the type has been spoilt by Quinine. It is one of the best drugs to give when the case is mixed up and there is no clearly-defined picture of the case and everything is confused. It seems to have the property of developing the symptoms and of curing the case, or it provides sufficient data enabling to select the appropriate remedy. it is particularly indicated, when there is short chill, followed by long-lasting fever-the characteristic symptom during the paroxysm, usually with gastric symptoms, with a preponderance of nausea.
It is useful in Intermittent Fever, which recurs in the Spring- time, in spite of the use of Quinine in the Fall. It is indicated by the following symptoms : The chill up the back [Lycopodium], comes on at 1 or 2 in afternoon, with glistening eyes and icy-coldness of the body [Lachnan.]; during the chill the patient feels that he must have clothing piled on him, not so much to keep him warm, as to keep him still and he wants to be held down firmly (a characteristic symptom) to relieve the shaking and the pains in the chest and head. The fever is characterized by burning pungency. During the hot stage-thirstlessness and oppressed breathing [Carbo Veg.]; oppression of the chest, with cold feet, which when becomes warmer lessen the oppression; oppression of the heart; drowsiness; loquacity, when he often makes speeches; delirium and convulsions [Hyoscyamus]; weak, thready pulse; great prostration. Copious sweat.
It is also indicated in irregular cases, with cold nose, etc., livid skin, great weakness and filiform pulse.
During chill icy-coldness of the body, relieved by warmth. Brilliant eyes and circumscribed red cheeks with fever and delirium.
It follows Lachesis and is needed when the patient becomes drowsy and stupid. The chill begins in the back at 3 or 4 o’clock every
or every other afternoon and is worse from 4 to 8 P.M. or at 9 P.M.; during the chill the hands and feet are numb and icy-cold and the chill is followed by sour eructations or sour vomiting, particularly the latter, with or without heat and then passes into the sweating stage or the chill is followed by sweat without intervening heat. Thirst, mostly after sweat, and the patient desires hot drinks only.
Malaria Officinalis [Malar]
it is almost similar to Aranea.
It is remedy for quartan type of fevers, when the extremities, and esp. the legs below the knees are icy-cold or the hands and feet icy-cold, rest of the body warm. It is particularly useful where coldness predominates and the disease manifests itself in the coldness of the tip of nose, ear-lobes, and tips of the fingers and toes. The patient often exhibits a strong liking for meat.
Natrum muriaticum [Nat-m]
In Intermittent Fever it shares the honour long accorded to Cinchona and Arsenicum and is almost similar to Apis. IT is to be considered when : The chill comes characteristically between 10 and 11 A.M. and begins in the small of the back or in the feet; it is accompanied sometimes by thirst and by aching pains all over the body and throbbing headache; sometimes urticaria complicates the case. The fever is usually violent; during the hot stage-thirst increases with the heat, the headache becomes more and more throbbing, and at times so severe that the patient becomes delirious or unconscious. By and by sweat breaks out most copiously and it relieves the headache and all other symptoms. This is the type of Intermittent Fever curable by Nat. Mur.
Nux Vomica [Nux-v]
It is used in Intermittent type of fevers, when : The chill is preceded or accompanied by blueness of the finger-nails and well- marked gaping and yawning; during the chill always aching in the limbs and in the back; the chill is not usually relieved from covering up or from the heat of the stove, and is followed by fever, and that by sweat.
It may be used in Intermittent Fever after the abuse of Quinine, when thirst appears at 2 or 3 o’clock in the afternoon; then comes the chill without thirst, with anxiety and oppression of the chest-the patient is sleepy, yet he cannot sleep. There may be moaning or lachrymation during the hot stage; sometimes one hand is hot and the other cold. General or partial sweat at the end of fever.
Rhus Tox [Rhus-t]
It is suitable for Intermittent Fever, when the chill begins in one leg, usually in the thigh or between the shoulders or over one scapula and is relieved by warmth; during the chill a dry, teasing cough [Bryonia, Cinchona, Sabad., Sul.]; along with external chill there is an internal heat. Thirst is absent is very general, excepting about the face.
It is to be thought of, in cases-spoiled by Quinine or by bungling administration of Homoeopathic remedies. In it, during the fever both the upper and lower limbs remain cold and the face looks yellow.
Though it is not a specific in these fevers, yet it has periodicity in its symptoms and it must be selected from its well-known symptoms-torpor with slowness in answering question, chills that will not stop despite well-selected remedies, particularly if the intermittent assumes the remittent type, or, more frequently, if the remittent type commences and runs into the intermittent. It may also be called in Malarial Neuralgia mostly in the face and recurring quite periodically and resisting other remedies [Arsenicum, China Sulph. and Cinchona].
Tarantula Cubensis [Tarent c]
IT may be used effectually when there are : Intermitting fever of evening exacerbation, with great prostration and Diarrhoea.
Veratrum Album [Verat]
It is indicated when the chill is associated with thirst, and (if internal) runs downward, not upward; face, mouth and tongue cold; breathing oppressed and labored; heart weak; weak, thready pulse; skin blue, cold, inelastic; hands blue; heat has no palliative effect; great prostration. Cold, clammy sweat, worse on forehead.
Besides the above remedies Bryonia, Cimex Helleborus, Hydrocyanic Acid, Nux Moschata, Robinia or Sabadilla may be indicated infrequently.
See also the Chapter on : MALARIAL CACHEXIA; REMOTE EFFECTS OF MALARIA; TREATMENT.