Characteristic – Adapted to persons of dark complexion, bilious temperament, cachectic, weakened from loss of blood.
Whirling in the head like a windmill.
Ringing in the ears, especially the left (especially the right, Cinchona).
Intermittent neuralgia, pains return with great regularity.
Weak and nervous, a little exercise produces palpitation.
Spine extremely sensitive and painful to pressure, especially in the cervico – dorsal region.
Great weakness, especially of lower extremities.
“It will change in intermittent or remittent into a continued fever, and I have known it to cause typhoid and pneumonia (by suppressing the original disease).” – Hale.
Aggravation: Contact (dorsal vertebrae), when covered (sweats profusely).
Type: Tertian, rarely quotidian. Every fourteen days. Each attack anticipating from one to three hours ( Arsenicum, Bryonia, Cinchona, Nat., Nux. ). A perfect regularity both in the invasion and progress of the paroxysm, is always guiding.
Time: 10 or 11 A.M., 3 and 10 P.M.
Cause: Marsh miasm, malaria. Acute intermittents of supposed malarial origin.
Chill: With thirst Decided shaking chill at 3 P.M. (Apis, Ced. ), chilliness, with paleness of the face, pain in the forehead and temples, and ringing in the ears at 11 A.M. Violent shaking chill followed by heat, then sweat for several hours. Violent chill with trembling in the limbs, so that she could scarcely walk, after going to bed she had violent heat with frequent yawning and sneezing, which was followed by a copious sweat. Violent paroxysm with shaking chill and severe pain in left hypochondrium, chilliness for an hour, with blue lips and nails. ( Cinchona Nux), paleness of the face and pain in the middle dorsal vertebrae, increased hunger and constipation.
Heat: With excessive thirst. Intense heat over the whole skin, with redness of the face. External heat, with dryness of the mouth and fauces, obstinate constipation. Heat which passes over into sweat, over whole body, which gradually breaks into sweat, while perfectly quiet (Staphysagria). Delirium during heat. Flushes of heat in the face, with thirst at 4 P.M. “Great enlargement of veins of arms and legs. ”
Sweat: With thirst. Sweat breaks out over the whole body from time to time, even during perfect quiet. Profuse sweat on the least motion ( Bryonia ). Sweat during the morning sleep, so profuse that the bed was soaked with it. Profuse, exhausting sweats, nightly diarrhea (nightly diarrhea before the paroxysm, Pulsatilla ) Sweat often begins in latter part of hot stage, and relieves all symptoms of head and chest. ( Nat.- sweat relieves all symptoms but headache, which is increased, Eup. ). Drinking is grateful and affords relief. Most perspiration on parts pressed by clothing, back, axillary and perineal regions.
Tongue: Flabby, white or yellow coating in the center, pale on the margin (reverse of Ant.t. ) Taste bitter, with clean tongue.
Pulse: Large, full during chill and heat. Weak and trembling at close of paroxysm, ranging from 50 to 60 per minute.
Apyrexia: Constant excessive thirst during the entire apyrexia, which in daily fever is short, the paroxysm closely resembling a remittent or continuous fever. But whether it be short or long, always distinguished by great debility and prostration ( Arsenicum ), the perspiration is exhausting (all the discharges are debilitating and weakening, Carbo a. ). Canine hunger more marked, if possible, than in Cinchona, even in nervous enfeebled patients. Light exercise readily produces palpitation. Obstructions of the portal system are especially marked, and the spleen swollen and painful. Ringing and burning in the ears, accompanied with vertigo and a sensation of enlargement of head. Hiccup may become a troublesome symptom in any stage, but especially in apyrexia. Urine fatty and deposits a straw-yellow, brick – dust sediment, urates in large quantities. Spine painful on pressure in all stages of paroxysm. The sensitiveness of the spinous processes of the dorsal vertebrae should be borne in mind, for Quinine acts specifically upon the spinal cord and the nerves proceeding from it.
Difference between Cinchona and Chininum sulph.
Time: 10 A.M., 3 and 10 P.M. Regular paroxysms, tertian type. Anticipates two and a half hours every day. Prodrome: Premonitory symptoms are wanting. Chill: With thirst, paleness of face, lips and nails blue. Dorsal vertebra painful on pressure. Sweat: With great thirst. Sweats profusely during perfect quiet, morning sweat. Pain in lumbar vertebrae and sacrum on pressure. Apyrexia: With great thirst. Apyrexia short, sweat hardly ceases before chill begins again. Pain all down the spinal column on pressure. Spleen swollen and painful. Cold stage may be long, light, irregular, or wanting in acute cases. Contraindicated where there is no thirst during cold or hot stages. Perspiration must succeed the heat, or will be contra – indicated.
Time. – 10 A.M.3 and 10 P.M.Regular paroxysms, tertian type. Anticipates two and a half hours every day. Prodrome. – Premonitory symptoms are wanting. Chill. – With thirst, paleness of face, lips and nails blue. Dorsal vertebra painful on pressure. Heat. – With thirst, hot, dry skin, dry mouth and fauces, flushed face, delirium. Pain in spine on pressure. Apyrexia. – With great thirst. Apyrexia short, sweat hardly ceases before chill begins again. Pain all down the spinal column on pressure. Spleen swollen and painful.
Cold stage may be long, light irregular, or wanting in acute cases.
Contra-indicated where there i no thirst during cold or hot stages. Perspiration must succeed the heat, or will be contra- indicated.
Analysis – Where the indications for any remedy are not very clear, the paroxysm incomplete but regular, Chin-sul. 30th or 200th may clear up or cure the case. The highest potencies are often antidotal when the symptoms are similar.
“In recent intermittents, there may or may not be a chill, but there must be fever, and it must be followed by sweat – and it generally is profuse and exhausting-or Quinine will be utterly useless. ” “As a rule, chronic, long – lasting intermittents are only aggravated by Quinine.” – Burt.
The cachexia produced by long continued massive doses of Chinasul., such as rheumatism of the extremities, chronic diarrhea, ascites and organic disease of the liver and spleen, although now a constitutional malady, requires antidotal treatment. This may be most speedily removed by Arm., Arsenicum, Carbo vegetabilis, Ferrum, Lachesis, Nat., Pulsatilla, as indicated by symptoms of each individual case.
Samuel Swan, M.D., of New York, has reported some bad cases of quinine cachexia, cured with chin.s. 10 m. and cm. potencies – See last paragraph Hahnemann’s Chronic Diseases, Vol. I, p. 195-196, as authority.
Chinas. is often indicated in intermittent fever, and when indicated will cure more promptly and more safely in the potencies than in the crude form. There is little doubt that it is oftener prescribed than indicated, and that it will, in a majority of cases, suppress the paroxysm – without reference to time of appearance, whether with or without chill, heat, sweat, thirst, etc., etc. – there is as little doubt. But Morphine will also suppress pain and diarrhea, quite as effectually as Quinine will the fever paroxysm, and the homoeopathic physician, half – read or not read at all, in his Materia medica, “borrows both the theory and the Quinine from his allopathic brother, for the same reason that the borrows his hypodermic syringe and Morphine, ” with which to relieve the pain and diarrhea, viz., it is a “short cut” to palliate the pain, relieve and thus retain his patient, and avoid the necessity of studying the case. There is a wide difference between suppressing and curing a fever paroxysm, or any other disease. The homoeopath can and ought to cure, not ” break up the chill, ” “suppress” or “cover up” the disease. Leave the “breaking up of the paroxysm” to the allopath who invented the phrase, “rational (?) medicine ” can do it “scientifically.”
John Ellis, M.D., when Professor of Practice in Cleveland College, in treatment of “congestive chill,” advised: “That 25 or 30 grs of Chinas. given during the intermission, will rarely fail to prevent a return, or to rescue the patient from death.” “not that Quinine may be given in such cases, but that it must be given. Also, “That in recent cases of ‘pernicious’ fever, two – thirds of our patients will die in spite of any known homoeopathic remedy or remedies in the ordinary doses.” – College Note Book.
L.M. Jones, M.D., of Michigan, who has had an extensive experience in the treatment of “congestive chill, ” on the other hand says: “It has fallen to my lot to treat a number of cases of ‘congestive chills,’ first and last. In my early practice I treated a few cases with Quinine, but it was not satisfactory, and since then I have relied on the attenuated homoeopathic remedy, and never lost a case. Nux has been more frequently indicated in the cases I have met with than any other remedy. ” – Private Letter.
Dr. Lippe says: ” I lived for ten years in the country, where ague prevailed, and never resorted to Quinine. I cured my cases. I have always been of the opinion that a physician who professes to be a homoeopath must cure all his cases of intermittent fever with homoeopathic potentized remedies, under the law of the similars.”
I am convinced that every case of ” congestive chill,” like Asiatic cholera, can be cured more safely and speedily by the potentized remedy than in any other way, if it can be cured at all, and the mortality under homoeopathic treatment will never approach 66 per cent, the record of the dominant school.
” I have recently made several satisfactory cures with Chinas. Two or three of them with one dose each of the 200th, and as many others with the 6th. I think this is an important remedy with us, and that it succeeds better in attenuation than in the crude form. The crude drug never gave me such satisfaction. Some of the indications in a number of recent cases were clear intermissions, regular paroxysms, clean or tolerably clean tongue, and profuse sweats,” – H.V. Miller
Analysis: Regular paroxysm, clear apyrexia, anticipating from 1-3 hours, clean tongue, painful congestion of spine, thirst in all stages, profuse exhausting sweat.
As in Natrum and Arsenic the potencies will always cure when the remedy is indicated. We must not overlook the fact that it is in the psoric and tubercular patient that we find the obstinate and chronic types of fevers, and no amount of crude quinine or any other drug, will cure such cases, though it may suppress the paroxysm and irretrievably injure the patient.