Fever
Characteristic – Adapted to persons of originally strong constitutions, who have become debilitated by loss of vital fluids, sexual excesses (Cinchona), violent, acute diseases, chagrin or a long succession of moral emotions, as grief, care, disappointed affection.
Mild, yielding disposition (Pulsatilla).
Pale, sickly complexion, eyes sunken and surrounded by blue margins.
Is listless, pathetic, indifferent to the affairs of life, to those things that used to be of most interest, prostrated with grief.
In children and young people who grow too rapidly (Calcarea, Cal-p.), pains in back and limbs as if beaten.
Delirium: muttering, unintelligible, lies in a stupor or a stupid sleep, unconscious of all that is going on around him, when aroused is fully conscious, answers slowly and correctly and relapses into stupor.
Patient trembles, legs weak, stumbles easily, or makes missteps.
Interstitial inflammation of bones, scrofulous, syphilitic, mercurial, periosteum inflamed, pains burning, tearing, as if scraped with a knife (Rhus), caries, rachitis, but not necrosis, growing pains.
Vertigo: head sinks forward and backward, on closing the eyes, in typhus, they fall when sitting up, when lying in bed, as if feet were up with head remaining still.
Headache: crushing weight on vertex, from long lasting grief of exhausted nerves: in occiput and nape, usually from behind forward, aggravated by motion, noise, especially music, ameliorated lying (Bryonia, Gelsemium, Silicea).
Headache of school girls from eye strain or over use of eyes (CalcareaP., Nat.), of students, who are growing too fast.
Diarrhea: painless not debilitating, white or yellow, involuntary with flatus (Aloe, Nat.), from acids, choleraic, from fear.
Urine, looks like milk mixed with jelly – like, bloody pieces, decomposes rapidly, profuse urination at night, of clear watery urine which forms a white cloud at once (excess of phosphates, nerve waste).
Onanism, when patient is greatly distressed by the culpability of the act (Dioscorea, Staphysagria).
Boring, drawing, digging pains in nerves of extremities, neurosis in stump after amputations (Cepa).
Emissions: frequent, profuse, debilitating, after coitus, most desire, after, several in one night, abashed, sad, despairs of cure (with irresistible tendency to masturbate, Ustilago).
Chest: weak from talking or coughing (Stannum), in phthisis, nervous, from loss of vital fluids, too rapid growth, depressing mental emotions.
Aggravation: From mental affections, loss of vital fluids, especially seminal, self abuse, sexual excesses, talking causes weakness in chest (Stannum).
Amelioration: Motion, warmth, wet weather, (Causticum, Nux).
Type: Periodicity not marked. Apt to become remittent or typhoid, with cerebral symptoms predominant, typhus.
Time: 9 to 10 A.M., 4, 6, 7, 8, 9, 10, afternoon till 10 p.m.
Chill: Without thirst. Shaking chill, with blue nails, coldness in tips of fingers, in abdomen, tearing in wrists, and paralytic weakness of the arms. Chilliness and palpitation (palpitation during sweat, Mercurius – see Baryta ). Violent shaking chill from afternoon till 10 p.m., followed by such great heat that he almost lost consciousness. Chilliness for an hour towards evening, without subsequent heat (Sul.). Chill 9 p.m. with great prostration which continues all through the paroxysms. Chill and heat, alternate frequently. Shaking chill over whole body, with ice cold fingers (Ced., Sepia). The evening chill predominates.
Heat: Without thirst, excessive, depriving one almost of consciousness, internal without being hot to the touch. Fever all night with frequent passing of large quantities of clear, watery urine, not much thirst, side on which she lies painful. Hot face, on the side on which he is not lying. Heat, yet cannot be uncovered ( Belladonna must be uncovered, Ignatia, Pulsatilla ). Hot head, cold feet.
Sweat: Thirst only during sweat ( Cinchona drinks often and in large quantities, Arsenicum thirst after sweating stage, Lycopodium ). Perspiration, with heavy dreams of dead people and of being pursued. Profuse morning sweat, clammy, exhausting, most on occiput and neck.
Tongue: Red streak in the middle of the tongue. Craves refreshing, juicy food.
Pulse: Weak, small, frequent, irregular, intermitting one or two beats.
Analysis: Cerebral typhoid or typhus, complete apathy and stupor, takes no notice, “lies like a log.” utterly regardless of surroundings, intestinal hemorrhage, blood dark, night sweats.
Chill: Shaking over whole body, fingers icy cold.
Heat, excessive, depriving of consciousness.
Sweat, profuse, exhausting. Thirst only in sweat.
