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SPECIAL INDICATIONS
FOR
TWENTY-FIVE REMEDIES
INTERMITTENT FEVER,
BY
     T. P. WILSON, M.D.,

PROFESSOR OF THEORY AND PRACTICE, AND OPHTHALMIC AND AURAL
      SURGERY, UNIVERSITY OF MICHIGAN.
   PHILADELPHIA:

BOERICKE & TAFEL.
       1880. 
Copyrighted,  13 SO.
vN!-'-
SHERMAN <fc CO., PRS.,
   Philadelphia. Pa. 
PREFACE.
   Prof. H. C. Allen's  recent work on  Intermittent
 Fever, of which this is an abridgment, is, without doubt,
 the most valuable work of the kind ever published.
   The gauntlet has been fairly thrown by him into the
 teeth of that wide-spread and popular error  that quinine
 is the grand specific for fever and ague.
   And when quinine is  abandoned, the question arises,
 how  can we use the  Homoeopathic Materia Medica so
 as to make it available in such cases?   Clearly we must
 simplify our understanding of it.
   The following twenty-five remedies cover the ground
 in a large majority of cases.  It does not seem a hopeless
 task for  the student to master the  indications for these
 drugs.
   In order that cases may be cured  promptly, we insist:
   1.  The right remedy must be chosen.
   2.  It must not be given too  frequently.
   3.  It  must  not  be  changed  because  the paroxysm
 returns.
   4.  Only one remedy must be given at a time.
   5.  It must be given in the higher attenuations.

  Note.—The spaces left are for the insertion of additional charac-
teristics as may please the student or practitioner.

                                         T.  P. W.
  Ann Arbor, Mich.,  1880. 
NOTE.
  The name of the drug is printed on the back
of the page  containing  the symptoms, in  order
that  the  student  may  the  better  exercise  his
memory. 
Time.  3 p.m., and 3 to 4 p.m.
Prodrome.
Chill.   Thirst.  Begins in front of chest and abdomen.
    Worse  from warmth.   Oppression  of chest.
     Warm room intolerable, cannot bear heed of stove.
Fever.   Smothering  sensation.  Great oppression
    of chest.   Urticaria.
Sweat.   Characteristically deficient or wanting in old
    cases.
Apyrexia.   Great  soreness  of joints and muscles.
    Scanty urine.   Swelling of hands, feet, or face. 
APIS.
L 
7
Time.
Prodrome.   Pulmonary hemorrhage.
Chill.  Back and shoulders.   Worse after eating, and
    in warm room.
Fever.   Skin very dry, not hot.
Sweat.  Profuse, like beads on the skin.   Cough,
    with stitches in the side.
Apyrexia.  Sensation of a  splinter (mucous  mem-
    brane).  Dyspepsia. 
ARGENT. NIT. 
9
Time.  Early morning, or evening.
Prodrome.  Sore  aching pains as  from  a  bruise.
     Thirst for large quantities of water, which refreshes.
     Drawing pains as if in the periosteum.
Chill.   To the  extent of shivering only; most severe in
    pit of stomach.   Crawling as if cold water were run-
    ning down the back.  Pain in muscles of back and
    extremities as if bruised.
Fever.  Heat;  thirst less.  Weak, faintness on sitting
    up.   Complains of the bed feeling so hard,  must
    change position often.
Sweat.   Sour, fetid, offensive.   Sometimes cold.
Apyrexia.   Bruised feeling continues;  yellow face.
    Aversion to meat.   Eructations tasting like rotten
    eggs. 
ARNICA MONT. 
11
Time.   All  times;  mostly 1 to 2 p.m.   Anticipating.
Prodrome.   Inclination  to lie down;  weak.   Somnia
     night before.   Diarrhoea.
Chill.   Undefined; mingled with heat.   Alternation of
     chill with heat.   Amelioration from warmth; little
     thirst.  Xausea from drink ; vomiting.
Fever.  Long lasting.   Restlessness;  wants water to
    cool the mouth.   Unquenchable thirst; drinks little.
    Burning like hot water in blood-vessels.  Oppressed
    breathing.
Sweat.   Cold and clammy, exhausting.   No  relief.
     Thirst for large quantities.   Prostration ;  buzzing
     in ears.
Apyrexia.    Prostration;  pale;  sallow;   bloated.
    Diarrhoea. 
ARSENICUM ALB. 
13
Time.   Not very characteristic.  Anticipating.
Prodrome.   Thirst; headache, as if it would burst.
     Morose, irritable, easily vexed.   Stretching  and
     drawing in limbs.
Chill.  Predominates;  frequently  only on  right side.
     Violent dry cough, stitches in chest.   Better in open
     air;  begins in extremities; stitching in spleen.
Fever.  Dry burning, internal; blood  seems to burn
     in  veins.  Sufferings greatly aggravated; hurts  to
     move.   Thirst.  Pulse full, hard, quick.
Sweat.  Intermitting; may be only on single parts ;
     sometimes profuse on side on which he lies.   Night
     sweats—sour; oily.
Apyrexia.  Nausea and faintness  from sitting up.
    Exercise easily excites sweat.  Constipation;  dry,
    hard stools.
2 
BRYONIA, ALB. 
15
Time.   Not limited.
Prodrome.   Extreme paleness of face,  with fixed
     and stupid look.   Weak, slow, or  frequent pulse.
     Suffocative oppression.
Chill.  Icy coldness all over the body, with pallor of the
    face.  Though cold to the touch, he will not remain
    covered.   Lividity of the skin; cold, clammy per-
    spiration on  forehead.   Unconsciousness.   Clonic
    spasms.


Fever.  Transient,  with vertigo.   Excessive burning,
    insatiable, or continued thirst.  Full pulse; sup-
    pression of urine.  Distension  of veins increased by
    every motion.
Sweat.   Excessive, cold, clammy, exhausting.
Apyrexia.   Feels weak, relaxed.  No sexual desire.
     Complete loss of appetite and thirst, though drink
     pleases. 
CAMPHOR. 
17
Time.  Irregular.
Prodrome.   Toothache, headache,  pain in  limbs;
    sweat.
Chill.  With icy coldness of body, and cold breath.  Cold
    feet, toothache, coldness of knees in bed.  Con-
    tracted, cold cadaverous tongue and face.  Left-
    sided chill.
Fever.  Without thirst; headache;  nausea;  vertigo.
     Wants to be fanned.   Oppressed, respiration.
Sweat.   Profuse;  sour at night;  when eating.  Easy
    to sweat and easy to chill.
Apyrexia.   Paleness  of face;  prostration,  melan-
    cholia.  Weak  memory;  belching;  fetid  breath.
    Abuse of quinine.   Indigestion. 
CARBO VEG. 
19
Time.   Afternoon.   Quotidians or tertians.
Prodrome.   Depressed spirits.  Cerebral congestions.
     Thirst.  Fevers  of low  marshy  regions in warm
     seasons.
Chill.   Congestion of head, ice-cold feet, burning hands.
     Coldness of hands, feet, and nose.   Clock-like regu-
     larity of paroxysms.   Contracted and tearing pains
     in upper and lower extremities.
Fever.  Dry;  heat.   Full  quick pulse;  red  face.
     Thirst for warm drinks.
Sweat.   Profuse,  with thirst.   Contracting pains in
    extremities.
Apyrexia.   Cold  and pale.  Thirst and  desire for
    warm drinks. 
CEDRON. 
21
Time.  Any  time of day.  Never  at night.   Antici-
     pating.  Every fourteen days.
Prodrome.  Thirst, nausea, pain, and hunger.  Head-
     ache.  Swamp miasm.
Chill.   Violent.   No thirst.   Aggravated by drinking.
    Swelling  in liver and spleen; painful on motion or
    pressure.
Fever.  Thirst rare ; hot outside, cold inside.   Canine
    hunger;  congested  headache.   Wants to  uncover,
    but is chilly when uncovered.
Sweat.   When  sleeping and covered.  Thirst.  De-
    bilitated.
Apyrexia.   Sweats easily.  Ringing in the ears.  De-
     bility.   Cachexia. 
CHINA. 
23
Time.   10 a.m., 3 and 10 p.m., every other day.
Prodrome.  Nothing special.
Chill.   Violent shaking chill; decided; thirst.  Pain
    in back (dorsal region).   Pain in left hypochondrium.
    Appetite.
Fever.  Thirst.  Delirium; easily sweating when per-
    fectly quiet.   Spine painful on pressure.   Enlarge-
    ment of veins in arms and legs.
Sweat.   Most when quiet.   Headache worse.   Pro-
    fuse.   Pain in back on pressure (lumbar and dorsal).
Apyrexia.   Thirst.   Cachectic debility.   Short; de-
    bility ;  exhausting perspirations. 
CHININ SUL. 
25
Time.   All times.   No regularitv.
Prodrome.  Thirst.   Heaviness in legs.
Chill.   Commences with  clenching of the hands and
     violent raging.  Pain in all the joints, as if tendons
     were too short.  Thirst; but drinking aggravates all
     the symptoms.
Fever.  No thirst; dry throat; frequent  gagging,
     during entire hot stage.   Headache;  dry cough;
     oppression of  breathing;  anxiety;  heaviness  in
     middle of chest; pressure in oesophagus as if con-
     stricted.
Sweat.   Mostly on head and chest;  musty smelling;
    offensive odor to him; ravenous hunger.
Apyrexia.   Thirst; drinking satisfies without aggra-
    vating.
3 
CIMEX LECT. 
Time.   Is characteristic.  7 to 9 a.m., severe; 12 m.,
     next day, light.
Prodrome.   Thirst for  water, which causes nausea
    and vomiting.  Cannot drink enough.   Pains  in
    bones of extremities ; aching.
Chill.   Thirst, vomiting, bone pains.  Bitter vomit-
    ing  at close  of chill, worse from  drinking.   More
    shivering than coldness warrants.
Fever.  Thirst, vomiting,  bone  pains.   Less nausea,
    but still vomits bitter fluids.
Sweat.   General relief except headache.  Inverse in
    amount to severity of chill.
Apyrexia.  Imperfect,  bilious,  yellowness  of skin.
    Slight bone pains.   Threatening intermittent. 
EUPATORIUM PERFOL. 
Time.  Day or evening.
Prodrome.  *Itching  stinging  nettlerash.*  Pre-
    vious abuse of mercury ; diarrhoea occasionally.
Chill.   *Itching  stinging nettlerash.*   Worse in open
    air.   Aggravation of  all the symptoms.   Cannot
    bear drafts of air.
Fever.  Dry burning ; red face.   Great thirst for acid
    drinks.
Sweat.   Day and night without relief.  From slightest
    motion;  sweat, with  flushes of heat.   Offensive.
    Sour.
Apyrexia.   Eruption of sore pimples on skin.   Boils.
    Very sensitive to cold air; wants to be covered. 
HEP. SULPHUR. 
31
Time.  Irregularity of hour characteristic.   Postpon-
    ing or anteponing.
Prodrome.  Yawning, stretching, shuddering.
Chill.   Thirst forjarge  quantities of water^ only in
    chillT KelievedHbyTieatof^overohaking; goose-
    UelhY
Fever.  Intolerence  of external warmth;  must be  un-
    covered.   No  thirst; external  heat and redness of
    face.   Tendencv to faint.   Nettle-rash.
Sweat.   Sensation as if sweat would break out all over
    body, which does so very slightly or not at all, ex-
    cept on face.   Warm sweat; most on the face; deep
    sleep.
Apyrexia.   Complete. 
J
IGNATIA. 
33
Time.  11a.m.   Every other day.  Type quotidian.
Prodrome.   Gastric  disturbances;   yawning  and
    stretching.  Back and headache.  Nausea.
Chill.   Worse from warmth;  internal; short.  Cold-
    ness of upper parts of  body.   Hands and feet cold.
    Chill lessened by drinking.  Nausea.
Fever.  External; thirst; nausea, and vomiting long
    continued; alternate coldness and  paleness of face.
    Dyspnoea and cough.
Sweat.   Worse during.  Sour.  Stains yellow.
Apyrexia.   Gastric disturbances.  Irregular diet may
    induce a relapse. 
IPECACUANHA. 
35
Time.  Afternoon, 2 p.m., or at night.  Aggravations
    at night and after sleeping.  Return annually
    every spring.
Prodrome.
Chill.   Chattering of teeth; shaking chill, with warm
    sweat.   Rigors running up  the back; flushes of
    heat.  Spasms in young children during chill.   Re-
    lieved by weight or holding down.
Fever.  Generally irregular; in flashes; tendency of
    fever fits to return every night, lasting until morn-
    ing.  * Throat sensitive to touch or pressure.
Sweat.   Copious  toward  morning.   Warm during
    chill; cold after fever.
Apyrexia.   Unrefreshing sleep; worse after sleep.
    Weak; faint, with pale face;  or yellow complexion,
    with vermillion red cheeks; melancholy. 
LACHESIS TRIGON. 
37
Time.  Irregular.
Prodrome.
Chill.   Cold to  the knees; fingers and toes cold;
    body  warm.  Coldness of abdomen (internal), in-
    creased by pressure.
Fever.   No thirst.  Flashes of heat.
Sweat.  Continuing all night.
Apyrexia.  Hunger.   Desire for meat.
4 
MENYANTHES. 
39
Time.  All hours (morning and evening).
Prodrome.
Chill.   On going into the open air.
Fever.   Alternate heat and cold.  Heat in bed ; chilly
    when not in bed.
Sweat.  Profuse at night while sleeping.   Without
    relief.  Offensive.
Apyrexia.  Tongue  heavily coated.  Skin  sallow.
    Mucous diarrhoea.   No appetite. 
MERCURIUS (Cor. and Sol.) 
41
Time.  Characteristic in the morning; 10 to 11 a.m.
    Every day.*  Rarely in the evening.
Prodrome.   Dreads the chill.  Thirst for large drinks
    of water.
Chill.   Violent; beginning in hands  and feet,  which
    are icy cold.  Blue lips and nails.   Chattering of
    teeth; long-lasting chill.
Fever.  Thirst; hammering headache.   Long, severe
     heat.  Excessive weakness compels him to lie down.
Sweat.   Profuse, aggravated by motion.   Pains grad-
     ually relieved, except headache.
Apyrexia.   Never  clear;   feels  weak,  debilitated;
    livid, sickly complexion.   Emaciation; loss of taste
    and appetite; fever blisters around mouth.
4* 
NATRUM, MUR. 
43
Time.  Evening, lasting until morning.   Early morn-
     ing.  Anticipating.
Prodrome.  Painful  drawing  in  legs.   Paralytic
     weakness in  legs.  Sometimes heat; or sweat occa-
     sionally.
Chill.   Severe and long;  four  hours evening chill.
    Shaking morning  chill, one  hour.  Blue  hands
    and nails.   Warmth does not relieve; worse from
    drinking.
Fever.  Thirst; Long-lasting heat; whole body burn-
    ing hot; must be covered up, notwithstanding great
    heat of body.
Sweat.    Usually light.   Relieves pain  in limbs.
    Sensitive to cold air.
Apyrexia.   Gastric and bilious symptoms.   Morning,
    headache.  Paralytic weakness of legs; constipation. 
NUX VOMICA. 
45
Time.   Morning or evening.  Old  quotidians.   Acta
     poorly in autumn.   Tertians.
Prodrome.
Chill.   Light, or severe and short; commences in back
     between shoulder blades.  Cold, pinched  sensation;
     unable to  get  warm.   Slight thirst;   headache;
     nausea.
Fever.   Of long duration,  but  not  very high.  Dull,
     numb sensation; no desire to stir.   Headache, flushed
     face.  Very little thirst.
Sweat.   Slight, lasting  until  morning.   No  thirst.
     (One or two observers give the sweat as profuse, but
     this I know is not the case from actual observation;
     the sweat is slight, and  is attested by a  great ma-
    jority of observers—Utter.)
Apyrexia.  Short; variable.   Disorder of liver  and
    abdominal viscera.  Jaundiced skin ;  constipation ;
    dull headache. 
POLYPORUS OFF. 
47
Time.  4 p.m. ; recurring every 14 days.
Prodrome.  Diarrhoea (at night);  nausea.  Thirst;
    drowsiness.
Chill.   No  thirst;  one-sided;  over abdomen  and
    around sacrum and back.  Hands and feet cold, and
    seem dead.  Room seems too hot.
Fever.   Violent.   Thirst.  Aggravated by  warmth,
    feels for cool places in the bed.   Wants to be uncov-
    ered, which relieves.
Sweat.   One-sided ;  pains continue.
Apyrexia.   Gastric uneasiness; no appetite.  Mucous
    diarrhoea.  Constant chilliness. 
PULSATILLA NIG. 
49
Time.  Evening, 7 p.m.
Prodrome.  Burning  in  the eyes;  slimy mouth;
    thirst; dry teasing cough.  Exposure to wet and
    wearing wet clothes.  Sprained feeling in maxillary
    joint.  Fever occasionally.
Chill.   Constant, as if cold water was poured over
    him.  Feeling as  if the blood was running  cold
    through the veins.  Increased by drinking; chill
    in single parts, simultaneous heat in  others.
Fever.  May either precede or succeed the chill.  Nettle
    rash worse from scratching.  Heat,  as if hot water
    were running through the veins.   Restlessness; must
    move about.
Sweat.   Profuse; sour.  Sweat relieves.  Thirst; rest-
    lessness.   Urticaria is relieved.
Apyrexia.   Skin  symptoms may mntinuc in very
    modified form.  Not characteristic.
5 
RHUS TOX. 
                         51

Time.   Mostly in evening, or may be any time of day.
Prodrome.   Chronic malarial cachexia;  abuse of
     quinine.  Venous congestion without reaction; stupid.
   '  Morning, diarrhaa.
Chill.  'Internal, without thirst.  External, with simul-
    taneous internal heat; red face.   Commencing in
    toes or sacrum, and running up the back; thirst late
    in chill.
Fever.  Skin dry;  thirst;  internal " sick " feeling.
     Heat in soles of feet, or cold feet with burning soles.
     Wants to put feet out of bed to cool them.
Sweat.   At  night profuse,  or early morning after
    waking.  Profuse;  sour;  whole night; slight mo-
    tion excites.  Sleeplessness.   Morning, diarrhoea.
Apyrexia.   Prostration; thirst for beer.  Dry chok-
     ing  cough, or short dry  cough on  lying  down in
     evening.  Sleeplessness;  itching of skin. 
SULPHUR. 
53
Time.  6 a.m.  [Characteristic.)
Prodrome.
Chill.   Severe; long-lasting (internal);  increased by
    drinking; not relieved by external warmth.  Thirst.
    Collapsed.
Fever.  Heat  ascends from feet and  limbs  to  head.
    Cold sweat on face.  Cold feet.
Sweat.   Profuse;  cold  on face.  Deathly  paleness.
     Vomiting and diarrhoea.
Apyrexia.  Exhaustion. Cold sweat on face. Craves
    cold food and drinks. 
VERAT. ALB. 
 
 
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