Creating Waves of Awareness
The Gleanings-XVIII FEVER-CHILL-PERSPIRATION
Dr. M. A. USMANI
[This chapter is about fever with all its kinds and descriptions. But this field has been appropriated by the practitioners of the dominant school. They have made fever an entity in itself: that is, in spite of knowing full well the real cause of it, as some infection in the system, they separate the two in practice: the infection, and the fever. With the anti-infection medicines, they deem it imperative to dispense anti-pyretic medicines also. So much so that they give preference to the anti-pyretics over the anti-infectious, (which is tantamount to the logical fallacy of putting the cart before the horse). Sometimes it is the sole anti-pyretic that they prescribe, leaving the anti-infectious, considering that the infection is self-limiting, and will go on itself. They have created such hype and scare about the fever that the patients don’t want anything from the doctor except the lowering and subsiding of the pyrexia. We homeopaths deal the infection first, considering the pyrexia as the immune response of the body against the infection. Cf. My article: worship and venerate the fever: Worship and Venerate Fever
But the matters have gone that far that to hearken or bring back the laity is well nigh impossible. Even the staunch believers in homeopathy when come to you for their child, who is suffering from fever since last night, will tell you that they have given some brand of paracetamol, before coming to you. In regard of the settled pathology, determined by laboratory tests of the case, as for example, typhoid or other infective fevers, most people prefer allopathic treatment, since they keep the fever in check.
Our great homeopaths have produced immensely elaborated works on different diseases,
As, for example, Dr. Bell’s great work on diarrhea. And Dr. Allen’s magnus opus entitled: Thetherapeutics of Fevers.
(The sub-title is: Continued, Bilious, Intermittent, Malarial, Remittent, Pernicious, Typhoid, Typhus, Septic, Yellow, Zymotic, etc.)
This is a voluminous book, spreading on 571 pages, with diligently prepared repertory, of which the authenticity is beyond question. I’ve routinely used it for some twenty years.
In those days malarial and intermittent fevers were the order of the day. We used to use the terms as anticipating or postponing chills, tertian, double-tertian, quartan, quotidian, etc. These terms were of daily use. Now, gone are the days. No more now we note prodromal or apyrexia symptoms. The diagnosis of the cases depended on these points. So it was the book that I used to consult every now and then; now months, and even year go by that I ever feel need to touch this book. As computer has generated tons of waste, in the form of books and hardwares, similarly advancement in science and medicine has rendered (in the words of Dr. James Bell) ‘whole medical library obsolete.’ This Dr. Bell’s book: ‘The Homeopathic Therapeutcs of Diarrhea’ once was my bible. Now for years I don’t feel any need to consult it. I’ve devised my own ‘Alvine Therapeutic’ of diarrhea and dysentery, purely extracted from my rich practice, in acute cases. In some 95% of cases of diarrhea I need no more than Croton tig., Aloe., Podo., Verat.alb., and China; and for dysentery from Nux., Merc.sol., Coloc., Merc.cor. to Sulphur. For the remaining 5% I usually prefer to consult a general repertory, than these books.
The therapeutic of fever should be kaleidoscopic, and all-inclusive in its range; and should take into account the tremendous changes and advancements in medicine. Most of the fevers are pathology based, as for example, owing to acute tonsillitis, pharyngitis, or rhinitis; or respiratory infections, as tracheitis, bronchitis, with various sorts of coughs, etc. These cases are treated for these complaints and not for fever. The fever would automatically go with the settlement and resolution of the causative pathology. Then there are cases of exposure, or change of weather; cases of over-exertion and trauma; they are accordingly dealt with, with the relevant medicines. In case of children’s fever, Dr. Hering’s advice is time-tested. He says that when no definite remedy comes out, give Ipecac.
A continuous fever should always be treated, according to my mind, on the basis of typhoid fever. And when no medicine is indicated I always begin with Bryonia 3o, preferably 200; and never abandon it, unless Bry. paves the way for another remedy. I have cured continuous fevers of years’ standing with this single remedy. If Bry. does not cure, and no other remedy is indicated, give Upas Tiente. And again resume Bry., if Upas does not prove to be all-sufficient.
Dr. Allen’s Therapeutic of Fevers should be read by all serious homeopathic practitioners.-MAU]
INTERMITTENTS (Malaria, Ague..)
Quinine Cachexia: Chelone-gl.
Also for Dumb ague, that is ill-defined paroxysms of aching with fever and general distress, following severe malarial attacks. Dose: 1-5 drops of Ө. (Blackwood)
Boericke says: Malaise following intermittents. It is an enemy to every kind of worm infesting the human gut; esp. round and thread worms.
Chronic Intermittents: Aranea Diadema
Aggravation in every spell of damp weather. Chilliness in bones (as if made of ice). Marked periodicity. Spleen enlarged. Compare: Chin., Chin.s., Cedron(for hot climes).
Intermittents after the Abuse of Quinine: Ferrum
Distension of blood vessels during the heat, particularly about the temples and face. Throbbing headache. Enlargement of spleen; dropsy. (CMM 643)
Intermittent Fever: Ipec.
“Unless there are specific indications for some other drug, I begin all cases of intermittent fever with Ipec. Thus curing many cases with the first prescription, and saving myself much seeking and comparing.” (T.K.Moor:Homeopathic mag.)
NATRUM MUR. IN INTERMITTENTS
‘It shares the honor long accorded to Cinchona and Arsenicum. Natrum mur. is to be considered when the chills come characteristically between 10 and 11a.m. the chill begins in the small of back or in the feet. It is accompanied sometimes by thirst, and by aching pains all over the body. Sometimes urticaria complicates the case. Fever is usually violent. Thirst increases with the heat. The headache becomes more and more throbbing. So severe is the cerebral congestion that the patient becomes delirious or unconscious. By and by the sweat breaks out quite copiously, and it relieves the headache and also other symptoms. During apyrexia you will find a marked cachexia, canine hunger, obstinate constipation, and enlargement and induration of both liver and spleen. This is the type of intermittent fever curable by Nat.m. [when however chill occurs at 10 a.m. as a result of hectic fever or phthisis, Stannum is to be used, and not Nat.m.]’ (CMM 706)
Preventive and Curative of Chronic Malaria, Intermittent: Helienthus (Boericke)
Typhoid: Vaccinum Myrtyllus
Keeps intestines aseptic, and prevent absorption and re-infection. (Boericke)
Typhoid with Sensorial Depression:
Nitri Spiritus Dulcis: Recommended by Hahnemann in those cases of typhoid when the key-note to the whole case is sensorial apathy. There being, of course, no other symptom present to indicate any other remedy. The patient seems to be in a state of torpor, from which he may be aroused, but falls back immediately into the same state of indifference. Hahnemann’s method was to dissolve few drops of the crude drug in a half-glass full of water, and administer it every two or three hours, until reaction was manifested or some other drug indicated.
Helleborus Nig.: Diminished power of mind over the body. Slow to answer questions, as though he did not comprehend, by seeing, by hearing, and also cannot tell the taste of things. The muscles do not obey the will readily, unless mind is strongly exerted. If the attention is diverted he may drop the thing holding in his hands. The heart is slow; the face is expressive of stupidity. Dark soot about the nostril. Tongue yellow and dry, with red edges. Breath horribly offensive. Drinks roll audibly into the stomach. Fever < 4-8 p.m. face at times pale and cold, and the pulse faint and weak, almost imperceptible. There is also meaningless picking at lips or clothing.
Phosphoric acid: Perfect indifference, cares not whether he lives or dies. Under Ph.Ac. the patient is easily aroused from drowsiness and then is perfectly conscious; this is not the case with Helleborus, which is closer to Opium. It also lacks the complete relaxation belonging to Helleb. Nor does it has black soot of nostrils.
Opium: Cerebral congestion more profound. Breathing loud and stertorous, (a symptom not marked in Hell. Face dark brownish red, or often blue. Pulse full and slow; small and weak as in Helleb.
Arnica: Stupid drowsy state, from which the patient may be temporarily aroused.
[In the intensity of apathy Sweet Spirit stands the lowest, after which Ph.ac. and then Helleb.]
Continuous fever with Tympanitis: Kalm.
Relapse of Typhoid from Indiscretion in Diet: Pulsatilla
Relapsing fever: Cuprum
Indicated in fevers with a marked tendency to frequent relapses. It is not a specific relapsing fever, but rather a fever in which the relapses are the result of defective reaction. (CMM 633)
Typhoid: (Related Medicines) A tip: when a case resembles Arsenic or China, keep in view Colchicum. It much resembles them and stands between the two. It combines the restlessness and debility of Ars. and tympani of China. It will be noticed that Colch. symptoms are particularly abdominal; some of them suggest Verat. Alb. So keep the latter remedy also in mind and make distinction. (CMM 250)
Non-action of Hyoscyamus in Typhoid: in some instances although a case for Hyoscyamus is clearly made out by the symptoms, yet does not always act. It can’t be told why, except the drug might not be working deep enough for the case at hand. In such cases look up for Lachesis, Lyco., Mur-ac., and Arsenicum. (CMM 338)
Hectic Fever: Corallorhiza
Hectic fever coming on 9-10 a.m. and lasting till midnight. Intensely nervous and restless; burning of palms and soles. No thirst, chill or perspiration. Can bear only slightest covering. (Boericke)
Hectic Fever from Long-Lasting Suppuration: Carbo.v.
E.g. Abscesses in Lungs, or in the Hip-joint, or about the Vertebrae.
Abscesses accompanying diseases of the spine, may have to be opened. Sometimes surgeons are afraid to do this, before they have prepared the system for it, because reaction is so slow that the patient may not survive. The danger of opening the abscesses may be greatly lessened by the use of Carbo-v. or Cinchona, according to the particular indications. (CMM 483f)
Puerperal Fever: When the Best-selected Remedies Fail: Pyrogenum.
Child-Bed Fever: (not puerperal fever, which is septic fever): Aconite
The cause may be the exposure during or immediately after labor; or the nurse has washed her with cold water or has thoughtlessly changed her clothing without necessary precautions, and the following symptoms result: high fever, thirst, eyes glaring and wild, anxious expression, abdomen distended, mammae lax and without milk. When you have this symptom picture, Aconite is the only remedy. (CMM 325)
The fever is not very marked, tension of the breasts, headache, tearing in limbs, and patient is weary, wants to keep still. Bry. is more often indicated here.
ACONITE: when the mammary glands are hot and swollen, skin hot and dry with Aconite anxiety. (CMM 325)
Rheumatic Fever: Aconite
Hughes says: “The rheumatic being a toxic fever, and not departing in its characteristic perspiration, cannot be expected to disappear under Aconite in a few hours, but it will yield in good time_ say five to six days. The supervention of any of the common complications of acute rheumatism would not render it less truly indicated; for we have seen it acting similarly on heart and the serous membranes. It may, however be sometimes aided by medicines acting more powerfully upon the tissues affected, as Bry., in pleurisy, Colch. in peri-carditis, Spig. in endo-carditis.” (Pharmacodynamics)
Inflammatory Rheumatism, or Rheumatic Fever: China
Indicated not in the beginning of the disease, but later when the fever has become intermittent. The joints still remain swollen. The characteristic pains in these joints are jerking, pressing. The patient would not let you touch the joint. Chin.s. or Quinine sulphate is also useful in similar conditions. (CMM 374)
Catarrhal or Gastric Fever: Merc. Vivus
The face is puffed, when the throat is swollen, both internally and externally, from involvement of both glands and cellular tissues, when there are aching pains in the jopints, which are made worse by the warmth of bed, and are not relieved by the sweat.
In addition there is tendency to catarrh of the bowels. With slimy and bloody stools, accompanied by great tenesmus. (CMM 593)
A specific remedy to the pathology of small-pox; especially useful in cases where the respiratory mucous membrane is most affected.
Small-Pox with Paucity of Symptoms: Variolin.
High Fever with Dry Skin (to promote perspiration): Pilocarpin. (Jaborandi)
Frequent Calls to Urinate as Fever Comes on: Pyrogen.
Also Rhus-tox. the latter proved time and again.
Chill Begins with Dry Cough: Rhus-Tox
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