Characteristic – Especially adapted women persons of nervous, excitable temperament, of a voluptuous disposition.
Nervous depression, and choreic attacks after coitus, more pronounced in women (debility after, more marked in male).
Sick headache every other day at 11 A.M. (Every day, Nat.).
Pains, tearing and twitching in limbs.
Menses: during, mouth and tongue very dry, great thirst, epilepsy, premonitory symptoms appear precisely same day that flow begins. Convulsions occur regularly at every menstrual period.
Before: leucorrhea every mouth regularly, five or six days previous to catamenia (kali c.), leucorrhea instead of the menses (Cocculus indicus).
After: profuse ptyalism.
Removes roaring in ears, produced by Quinine.
Aggravation: Movement renews chill, before a storm
Amelioration: Warm drinks, warm room.
Type: Quotidian, tertian, tropical miasmatic, periodicity marked, attacks occur with clock – like regularity (Aranea). Intermittent headache, neuralgia, prosopalgia. At same period of pregnancy, tendency to miscarry.
Time: Evening at 6 or 6.30 P.M., 4 A.M. and 4 P.M. (3 A.M., Thuja), 3 P.M. till evening (Apis).
Prodrome: At noon, preceding feverish paroxysm, depressed spirits, dullness of senses, and pressive headache. For 20 to 40 minutes mental excitement, exaltation of vital energy, florid, animated face and a sensation of general heat.
Chill: With thirst. Regular paroxysms, commencing by chills in the back and limbs, coldness in the feet and hands. Chill severe, shakes the whole body. Mouth dry, great thirst for cold water. General coldness, shivering in the back, ice – cold feet, burning hands, sensation in the eyes as after much weeping. Shivering all over at 3 A.M., with malaise and inclination to lie down (Thuja), shiverings are renewed by every movement (Nux vomica, Cinchona)., coldness of the hands, feet and nose, flushes of heat in the face, toward 6 p.m. face constantly hot, with smarting in the eyes, especially when closing them. Chilliness of the back and legs, unusual paleness of the hands, red face, heaviness of the head, chilliness followed by severe frontal headache, red eyes, and itching of the eyelids internally and externally, icy – coldness of the hands and of the tip of the nose, rest of the face hot and burning hot. During chill, hands, feet and nose cold, with congestion of the head, palpitation and hurried respiration. Cramps and painful feeling, with tearing, twitching pains in upper extremities, feet and hands icy – cold. Chills and shivering of whole body. Chill predominates (Petroleum).
Heat: With thirst for warm drinks (Cas., Chel, Sabina). “Cannot drink anything but hot drinks during fever.” Dry heat during the night, dry heat of entire body, animated face and profuse perspiration, chattering of the teeth and shaking of the whole body: great desire and longing for warm drinks (rarely wants cold drinks), and emission of large quantities of pale urine. Desire to sleep as heat passes off (Apis.). “Numb, dead feeling in the legs, they feel enlarged. Entire body feels numb” (hands and feet dead, Cimex – fingers feel dead, Sepia
Sweat: With thirst. Dry heat, followed by profuse perspiration (Cinchona), preceded by cramps, these followed by contracting, tearing pins in upper and lower extremities, with a cold sensation in the hands and feet, mouth dry, great thirst and desire for cold water, chills and shivering, sometimes very strong shivering of the whole body, palpitation and hurried respiration, urine scanty and high colored.
Tongue: coated yellow even to the tip, on rising in the morning. At 5 p.m. intolerable pricking – itching of the tongue, she had to keep rubbing it against the palate. At 5.30 p.m. pricking of the tongue, half an hour later chilliness, with heat of the face, pale hands, feet and tip of the nose cold. Pricking of the tongue early in the morning, goes off after eating.
Pulse: Weak and depressed during chill quick and full, with animated red face, in heat.
Apyrexia: Lasted from 15 to 17 hours, after which, and at about the same time as previous day, the paroxysm was repeated, restless, very nervous, cold and pale, weakness, yet return of appetite, transient pains are felt in the joints, principally in right elbow, which seems to perspire, general malaise, great debility, body heavy, mind depressed. roaring in ears, deafness at night.
The debility is almost as marked as in Cinchona, but appears to be due more to the action of the brain and nervous system than to the effect of the profuse perspiration which is so characteristic of the later. Said to be adapted to the intermittent fevers, occurring in low, marshy regions, particularly in warm seasons and in tropical countries. Ought to be the first remedy thought of in “Panama” fever.
The chill or chilliness predominates, but no stage of the paroxysm is “clear cut” or well marked, as in cinchona, Eupatorium and some other remedies. With the chill there is chilliness and heat, or hot flushes, or hot hands, or red face and congestion of the head, particularly of the meninges. During heat, shivering, shaking, cold hand and nose. During sweat, coldness and heat, and heat and sweat irregularly intermingled.
Were it not for “its clock – like periodicity” Cedron would be much better adapted to remittent than intermittent fevers, if we were treating a name alone. Has been used with more success in Southern States and tropical climates than in higher latitudes, where it has fallen into disuse of late years from frequent failures, though apparently indicated.
Analysis – Clock – like regularity of paroxysm (Aranea).
Craves warm drinks.
Miasmatic fevers of the low marshy regions in tropical countries. “Panama” or fevers of the Isthmus, in persons from tropical countries.