Characteristic – For the lymphatic temperament.
Great prostration, with disposition to decomposition of fluids (Pyrogen), ulceration of mucous membranes.
All exhalations and discharges fetid, especially in typhoid or other acute diseases, breath, stool, urine, perspiration, ulcers (Psorinum, Pyrogen).
Aversion to mental exertion, indisposed, or want of power, to think.
Perfect indifference, does not care to do anything, inability to fix mind on work.
Stupor, falls asleep while being spoken to or in the midst of his answer (when spoken to, answers correctly, but delirium returns at once, Arnica).
Face flushed, dusky, dark – red, with a stupid, besotted, drunken expression (Gelsemium).
Can swallow liquids only (Barytac.), least solid food gags (can swallow liquids only, but has aversion to them. Silicea).
Painless sore throat, tonsils, soft palate and parotids dark red, swollen, putrid, offensive discharge (Diphtherinum).
Dysentery of old people, diarrhea of children, especially when very offensive (Carbo vegetabilis, Podophyllum, Psorinum).
Cannot go to sleep because she cannot get herself together, head or body feels scattered about the bed, tosses about to get the pieces together, thought she was three persons, could not keep them covered (Petroleum).
In whatever position the patient lies, the parts rested upon feel sore and bruised (compare, Arnica, Pyrogen).
Decubitus in typhoid (Arnica, Carb.ac., Pyrogen).
Relation: Similar: to Arnica, Arsenicum, Bryonia, Gelsemium, in the early stages of fever with malaise, nervousness, flushed face, drowsiness, and muscular soreness.
When Arsenicum has been improperly give or too often repeated in typhoid, typhus, or yellow fever.
After Baptisia: Crot., Hamamelis, Nit.ac., Pyrogen and Terebintha, act well in hemorrhage.
Type: Quotidian, double quotidian, intermittent or remittent, during epidemic typhoid, hot weather in autumn. Prone to become low typhoid. In typhus and yellow fever.
Time: Every A.M. at 11. Chill, fever, and sweat every afternoon.
Prodrome: Great languor, wants to lie down. General malaise, feels weak, tremulous, as after severe illness, sore, bruised (Arnica, Pyrogen).
Chill: Chilly all day, whole body feels sore, bruised (Arnica). Chills, up and down the back (Gelsemium), over the back, and limbs, over the back while sitting by the fire, on going into the open air, with severe aching in muscles of while body.
Heat: Whole surface hot and dry, with occasional chills, mostly up and down the back (Arsenicum). Flushes of heat, from small of back in all directions (Gelsemium), over the face, over the whole body, 3 A.M. with feeling as if sweat would break out. Uncomfortable burning all over surface, especially face, as if sweat would break out, had to move to a cool part of the bed. Heat at night, burning in legs prevents sleep, limbs hot, but feel cold to touch.
Sweat: Fetid, frequent, but not profuse.
Tongue: White at first, with red edges and papillae, brown streak down center, later, dry, cracked, ulcerated. Taste flat or bitter, cannot digest food.
Pulse: Small, thready, weak, variable, 120 – 160, temperature, rises rapidly to 103 – 106.
Apyrexia: Indescribable sick feeling all over. Generally weak, restless, uneasy, can confine himself to nothing, wants to be continually moving from place to place.
Analysis. – Dark red, flushed face, with stupid, besotted expression.
The peculiar delirium and stupor.
The bruised soreness of parts lain upon.
The marked early prostration, and tendency to a low type of fever with decomposition.