Chill: With thirst ( no thirst in regular chill.) Febrile chill over the whole body from time to time during the day, especially upon forehead, which has old sweat upon it, violent thirst a quarter of an hour after the first chill. (No thirst during chill or heat_ which is long – lasting – in first paroxysm.) Cold hands in the evening, with hot cheeks, one hand is icy cold, the other warm, ice – cold feet, with warmth of rest of body. (This alternate heat of one part and coldness of another at same time belongs only to this paroxysm.)
Heat: With thirst (no thirst in previous heat ). Heat over the whole body, with fine, needle – like stitches in the skin, especially of the throat, together with great thirst for cold water Heat alternating with the chill, some thirst for cold water with the chill, heat follows half an hour or an hour after the chill. A very transient sensation of heat over the whole body, with thirst for cold water. Sensation of flushes of heat, with thirst for cold drinks. Warmth and redness of the face, while the rest of the body was cold. The right hand is warm, the left cold, the hands are now warm, now cold, heat, with burning lips and thirst, followed by sweat, chill, with thirst, then heat, with thirst, the thirst continues even during the apyrexia. Violent desire for cold drinks, accompanied with stinging in various parts of the skin.
” The fever heat, accompanied with stinging over the whole body, seems to form an exception. ” – Hahnemann.
The symptoms occurring before the chill and during the sweat and apyrexia are alike in both paroxysms. The thirst during the chill, with alternate warmth and coldness of different parts at same time, the thirst during heat, with stinging or fine, needle – like stitches in skin, with heat of one part and coldness of another, are the characteristics of this paroxysm.
Analysis: The paroxysm anticipates from two to three hours each attack (Chinas.), returns every seven or fourteen days, never at night, sweats profusely all over on being covered, or during sleep.
The thirst of Cinchona is guiding.
Prodrome, with thirst, intense, long before the chill (Caps., Eup.).
Chill, no thirst, or it disappears as chill increases.
Heat no thirst, as chill passes into fever thirst begins, as fever increases thirst decreases, when fever declines the thirst begins.
Sweat, with great thirst. No thirst during the nervous tension of chill and heat, great thirst during relaxation of sweat and before chill begins.
Marsh intermittents, with pains in region of liver, vomiting of bile and great anguish.
During apyrexia: exhausting sweats, anemic and cachectic appearance, sensitiveness in hypochondria, scanty urine, loss of appetite, bloated abdomen.
