Fever is a burning problem in medical practice, more so for Homoeopaths.
It is an experience that every homoeopath passes through tremendous psychological pressure of disease condition, patient’s agony and relatives’ anxiety some or other time.
‘Quick Response’ is the demand of time! Main point of worry is hyperpyrexia than the patient or underlying disease process!!
Homoeopathy is considered to be a therapy to remove the disease in TOTAL, from its roots, ‘slowly but permanently’ …hence is mainly considered for chronic cases. It has yet to establish its domain for treatment of ‘Acute conditions’ in the society.
Convulsions, fever etc. are such conditions, which make others panic. Homoeopath usually gets concession in chronic cases under the pretext that ‘Homoeopathy is slow acting, is long therapy’, and in the bargain homoeopaths gets adequate time to find CORRECT medicine. In acute situations we are really confronted if our judgment is not right.
Various aspects of Fever discussed here are based on practical experiences. These experiences are not far from Homoeopathic Principles and Philosophy found in basic books. Most of the time these literature have provided guidelines in critical situations. Can we afford to neglect them under the pretext that they are theoretical? Hopefully the following sharing would be useful to you…
Your comments and sharing of experiences regarding topic will be highly useful. Waiting for the same....
"Homoeopathy is considered to be a therapy to remove the disease in TOTAL, from its roots, ‘slowly but permanently’ …hence is mainly considered for chronic cases. It has yet to establish its domain for treatment of ‘Acute conditions’ in the society."
ref: Organon of Medicine $ 2 -- The highest ideal of cure is rapid, gentle and permanent restoration of the health, or removal and annihilation of the disease in its whole extent, in the shortest, most reliable, and most harmless way, on easily comprehensible principles.
rapid, gentle and permanent -- this is given for acute diseases according to Hahnemann, he never mentions slowly, he says shortest, i.e. for chronic diseases.
And there are many examples of use of homoeopathic medicines in acute emergency cases.
If there is similimum, the recovery will be quick. And you have so elaborately given in your article the pros and cons of dealing with a case of fever!
It is our prejudice, delusion, anxiety as homoeopath about 'acute' conditions. Every intense conditions we start considering as Acute Disease, which is not so.
Homoeopathic principles are equally efficient for all the situations, we homoeopaths do not!
A very nice article explaining various aspects of fever. A small article in Science Reporter in May 1978 also conveys the same feeling -
Why are you afraid of Fever ?
Mathew j. Kluger has published detailed research studies which confirm that in febrile affections, rise of temperature is necessarily a host defense mechanism and that suppression of fever can have harmful effects.
He writes “if after careful investigation moderate fever is also shown to have increase survival rates for birds and mammals, then the use of anti-pyretic drugs would be contraindicated. Perhaps drugs which are analgesic but not antipyretic, reducing pain rather than the fever itself, could be substituted for the commonly used drugs, which reduce both. It appears that we may be on the verge of verifying Sydenham`s hunch that ‘ fever is a mighty engine which Nature brings into the world for the conquest of her enemies’.
Dr. Kamlesh P. Mehta
Fever is controlled hyperthermia. Most often it results from an infection somewhere in the body but may be caused by other conditions as well (cancer, allergic reactions, central nervous system reactions). White blood cells, injured tissues and macrophages release pyrogens that act directly on the hypothalamus causing it to release prostaglandins. The prostaglandins in turn cause the hypothalmic thermostat to reset to a higher temperature initiating heat-promoting mechanisms of the body. As a result vasoconstriction (blood vessel constriction) occurs and restricts blood flow to the surface of the body. As the surface heat declines and the skin becomes cool to touch shivering occurs to raise the body temperature. These are the chills during fever.This is a sure sign that the body temperature is rising.
The temperature rises until the body reaches the new temperature setting. The body will maintain this new temperature setting until it is either suppressed by drugs or the disease resolves itself. The body’s need for fever will end and the temperature will return to normal. Once the feedback is given for the body to lower the temperature, the heat loss mechanisms swing into action and cause sweating to release the body heat. This is when we know the fever has “broke”.
As the body has increased it’s metabolic rate it reduces the environment for most bacterias and virus to grow. Bacteria require large amounts of iron and zinc to proliferate, but during a fever the liver and spleen sequester these minerals and they become less available. Fever also increases the cellular metabolic rate and speeds up the cellular reparation and immune response.
Normal body temperature is 98.6 degrees F. (37 degrees C.) but can vary greatly in normal conditions. Some people have lower baseline body temperature and others higher. Any temperature less than 100.3 F. is considered normal for most children. Therefore most low temperature response that do not distress the child do not require a medical evaluation. Temperatures in excess of 100.4F. are considered abnormal and deserve attention especially in infants younger than 3 months.
Common causes of fever are colds, flu and other infections. Most often the illness is self resolving and the fever is the body’s normal healthy response. I usually do not worry about any fever that is less than 104.5F. (40.3C.). Fever over 104.5F. are dangerous because excess heat denatures (inactivates) enzymes and brain damage may occur. If the fever is related to a known illness, then monitoring the fever over time is necessary. Some illness do not resolve so quickly and the body will still have need for fever. If the nature of the illness is unknown then any fever lasting more than 3 days or higher than 104.5F should be thoroughly investigated.
Yes Dr Ravindra, thanks for sharing physiological aspects of fever.
Attempt is made in this article to share that we are victim of the statistics given by scientists. This statistical norms have made standards for us and we, rather than looking to individual standards and reactions, rather than deciding on homoeopathic definition of health and disease, judge non-homoeopathically.
Humbly I would like to put across to all my friends and colleagues in the homoeopathic fraternity that in this 'modern times' as we are impressed by various developments in medical science, we need to redefine our definition of health and disease and understand Hahnemannian classification of disease so that all INTENSE conditions should not be defined by us as ACUTE the way other school of medicines do. We are taught homoeopathy from allopathic view point. We need to apply homoeopathic principles homoeopathically and integrate medical knowledge with it without compromising our fundamentals.
I am thankful to the group for interacting and making this article more interesting. Its application in the practice and its results would makre this article more matured. Please share results of application of it in the practice and report failures or difficulties of application if any.
Thanks for contributing your experience. In addition to fever due to disease, hyperpyrexia is an abnormally high fever that can be a dangerous side effect of some psychiatric medications, including Elavil (amitriptyline), Mellaril (thioridazine), Nardil (phenelzine), and Orap (pimozide). Hyperpyrexia can be fatal if not treated promptly.
We are familiar with Pyrogen for sepsis, extremely high fever, with chill, heat and perspiration; and its similarity to baptisia.