Characteristic – In the septic fever of carbuncle, malignant ulcer and complaints with ulceration, sloughing and intolerable burning.When Arsenicum or the best selected remedy fails to relieve the burning pain of carbuncle or malignant ulceration.Hemorrhages: blood oozes from mouth, nose, anus or sexual organs, black, thick, tar – like, rapidly decomposing (Crot.).
Gangrenous ulcers, felon, carbuncle, erysipelas of a malignant type.
Felon, the worst cases, with sloughing and terrible burning pain (Arsenicum, Carb-ac., Lachesis).
Malignant pustule, black or blisters: often fatal in twenty-four or forty – eight hours (Lachesis, Pyrogen).
Carbuncle, with horrible burning pains, discharge of ichorous offensive pus.
Dissecting wounds, especially if tendency is to become gangrenous, septic fever, marked prostration (Arsenicum, Pyrogen).
Suspicious insect stings. If the swelling changes color and red streaks from the wound map out the course of lymphatics (Lachesis, Pyrogen).
Septic inflammation from absorption of pus or other deleterious substances, with burning pain and great prostration (Arsenicum, Pyrogen).
Bad effects from inhaling foul odors of putrid fever or dissecting room, poisoning by foul breath (Pyrogen).
Type: Continued fevers, septic, typhoid or typhus, with rapidly sinking pulse, loss of strength, fainting and delirium.
Prodrome: Restless sleep, great debility and depression for many days.
Chill: With debility, headache followed by loss of appetite and general malaise.
Cause: Septic infection, sewer gas, odors of the post mortem or dissecting room, absorption of pus or decayed animal tissue.
Fever: With thirst, with diarrhea, with sweat.
Sweat: General, debilitating, sticky. In severe cases copious, cold sweats.
Tongue: Dry, thickly coated with a brown fur, taste sweetish, or lost.
Pulse: Frequent, small, soft, almost imperceptible, red or discolored lines over the veins or lymphatics.
Analysis – The septic cause first. The tendency to produce malignancy.
The marked prostration with subnormal temperature.
The intense burning pain which the best selected remedy fails to relieve.
Chilliness, with great prostration, pain in back and limbs, increased fever and weakness, anxiety, restlessness, vertigo, dull headache and delirium, skin dry, later covered with cold sweat.
Pronounced chill, followed by colic, nausea, vomiting, and in two or three days with collapse, cyanosis and death.
Generally subnormal temperature.