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	SURGEON GENERAL'S OFFICE	
	LIBRARY	
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	Form 113c No. .A.S.JAj..^ W.D..S.G.O.	
	U. 8. GOVERNMENT PRINTING OFFICE; 1928	
NLM001019178 
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HOMEOPATHIC THERAPEUTICS
Intermittent  Fever.
     H. C. ALLKX, M. D., M. C. P. S., Ont.

Late Professor of Anatomy and Clinical Medicine in Cleveland
 Hospital Medical College; and late Professor of Anatomy in
  Hahnemann Medical College, Chicago; Member of tht;
   American Institute of Homoeopathy; Member of the
    Homoeopathic Medical Society of Michigan; Member
     of College of P. and S. of Michigan: Member of
  ^-~ - Hi<-" rTorrrw^athi'.- Medical Society of Ohio;
   \-*\£.'Z> — «-'. L.  , "Hr . etc.. etc.
aq/*?fi  'HI   '
                      ;!' ]no.ja::[1SJ(
"-■LiA^1
         PUBLISHED BY
DRAKES HOMOEOPATHIC PHARMACY.
DETROIT, MICH. 
         VYCF

           1876
/r.-A»  a/o .-?,/£.  «  -
 Entered according to Act of Congress, in the year 1879, by H. C.
Allen, M.D., in the office of the Librarian of Congress, at Washington.
                 All rights reserved.
Post & Tribune Joh Co., Printer*, Detroit. 
                      TO H¥

            HoMftx>rATHrc Colleagues

                      THIS

                   Monograph

                       is

            Respectfully Dedicated:

and the hope  ts fondly cherished, that from its

careful study, they may obtain as much practical

knowledge as the  labor of its compilation  ha8

given the
                                      AUTHOR. 
 
PHEFAOE.
      XEED long felt in my own practice was sup-
       plied by Dr. Bell's admirable Monograph on
       " Diarrhoea and Dysentery," and a desire for
some better guide in the treatment of intermittent
fever has been the inspiration which  has induced
me to undertake the labor of the present compila-
tion.   I have culled from  the  literature  of  our
school ; there is nothing original in it—excepting
original errors—and the indulgence of my  profes-
sional colleagues  is asked for the many omissions
and imperfections.  At the same time, I also  ask
their earnest co-operation in perfecting the work,
so that  should a future edition be found necessary
il may be made worthy the  demands  of the times
and the possibilities of our school.  This can only
be accomplished by united action, as the experience
of anyone, no matter how extensive, will alone be
insufficient.   A somewhat extended  personal  ac- 
quaintance has convinced me that  but compara-
tively few of our practitioners use  a repertory in
selecting the remedy; hence, a bracketed compar-
ison  has been  substituted in its place, as  more
likely to meet the wants of the majority.
  I cannot too strongly urge  that marginal notes
of omissions, corrections  and  clinical verifications
may be made, that the future may produce a more
perfect work on  The Therapeutics  of Inter-
mittent Fever.
                          H. C. ALLEN, M D
 Detroit. November. 1879. 
INTERMITTENT  FEVER.
                 THE  CAUSE.
        y
         PHYSICIAN is rarely to be met with
         who cannot at once and  with  apparent
         certainty, formulate  a theory  for  the
         cause of intermittent  fever.   This uni-
 versal knowledge is only equaled  by the variety
 of  theories entertained, and the failures  insepar-
 able from the attempt to treat the theory of the
 cause, and the name of the disease, instead of the
 totality of the symptoms—subjective and objec-
 tive—presented by the patient.  The natural result
 of  this attempt to follow the teachings and prac-
 tice of Allopathy, is the charge, so often made by
 our medical brethren of the opposite school, that
 " Homoeopaths are not  honest in their practice ;"
 and this  charge  has been  more frequently based
 upon what they have seen of our treatment of this
 disease, than of all others combined.
  Allopathy affirms  that it  cannot be cured  with-
out Quinine, because Quinine is the antidote of
" Marsh Miasm,"  which  is the <-anse of intermit-
 
INTRODUCTORY.
tent fever;  and  many  Homoeopaths—departing
from the  Law  of  Cure,  and  neglecting  their
Materia  Medica—honestly cherish a similar  delu-
sion.   The object of  this  work  is to  deal with
Therapeutic facts, not with speculative Theories.
The author has no theory to advance; and none to
disprove that does not interfere with the success-
ful homoeopathic treatment  of this bete noir of our
profession.   As yet we are  unable to offer an in-
telligent explanation of  the cause of Sporadic or
Epidemic  intermittent fever,  that will bear  the
tests of the Scientists'  scrutiny. Hahnemann's one
fact is worth more at  the bedside  than all  the
theories  that have ever been broached.
   The following is a brief notice of  some of  the
prevailing theories and the treatment based  upon —
them:
  "Intermittent fever is  a neurosis.  Its phenomena as
chill and heat  are distinct; their origin must also be dis-
tinct.  The  heat is due to the action on the  sympathetic
system; the chill to the  spinal system."
                                  —Lord,  on Int. Fever.
  "We believe  intermittent fever  is  a  neurosis,  whose
seat is especially in the ganglionic system, and therefore
only nerve remedies, and  particularly  such as act  on the
vaso-motor part, can cure."
                       —Wurmb and Caspar on Int. Fever.
  " Acute cases must always be treated by cerebro-spinal
remedies; chronic cases by organic remedies."
                                —Burt's Characteristics.
  "Ague remedies  may be  divided into two classes,  viz.:
Quinine, Gelsemium, Eucalyptus, Nux Vomica.  Arsenic. 
INTRODUCTORY.
XI
and Cedron, which have the power of destroying protozoa,
infusoria, and cryptogamic  fungi; and Eupatorium,  Cor-
nus, Salicine, Arnica, Natrum Mur.  and Hydrastis which
have not, yet correspond to the  periodicity of the  par-
oxysm."
                           —Hale's Therapeutics, p. 609.
  Bartlett, Salisberry, and others who maintain the
crypt ogamic theory, have many  followers in our
school; and here   Carbolic Acid, Salicylic Acid,
Sulphite  of Soda, etc., must be used to destroy
the germs.
  Grauvogl's theory  of  splenic congestion  and
constitutional divisions, has many advocates.  But
it requires a Grauvogl to detect  the constitution,
and splenic congestion; or a Lord, or Wurmb and
Caspar, to select the cerebro-spinal or sympathetic
remedy;  or a Hughes,  Hale,  or Kafka to classify
the remedies.

             THE  MALARIAL
                  (MARSH MIASM),
  Is, however, the most generally accepted theory.
The evidence advanced in its support is the prevail-
ing occurrence of  epidemics,  where  this  poison
presumably exists.  It is supposed to be the result
of  decaying vegetable and  other organic matter,
and is  found  along  rivers  with  low,  swampy,
alluvial shores, subject to frequent overflow;  near
bodies of stagnant water; in the neighborhood of
recently  dug   canals, or cellars ; freshly plowed 
Xii            INTRODUCTORY.
virgin  soil;  near  marshes,  particularly  on wind-
ward side  of prevailing winds.   It is confined
near the earth, seems to spread in a  horizontal
direction; and its  progress  may  be cut off by
walls, hedges, high banks, and dense forests.  Un-
like the poison of Diphtheria, Rubeola, Scarlatina,
Variola, and Typhus, it is neither  contagious nor
infectious;  but also unlike them, each attack only
renders the  system  more liable to  a subsequent
one.
  But, on the other hand, it  has long been known
that the fever may  exist on a dry, or  even  on a
sandy  soil,  and  in  rocky,  mountainous regions
where it is often more extensive lind severe than
in the  adjoining  low country.   Ziemssen  says
" On the Tuscan Appenines fevers are found at
the height of 1,100 feet; on  the  slopes of moun-
tains of Ceylon at 6,500  feet; on the Pyrenees at
5,000 feet; and on the Andes, in Peru, at  10,000 and
11,000 feet;  while at the same time the neighbor-
ing plains are entirely free, or are  only visited in
a very mild form."   There are  large tracts of
lands  where all the conditions of  malaria  exist,
and yet no intermittent fever;  and  other districts
where no conditions of miasma are to be found,
and yet ague is endemic  every  season.    The
fever  occurs in a  sporadic  form  where miasma
never prevails, and the patients had never been in
a malarial region.    Moreover, the  inhabitants of 
              INTRODDCT ORY.           xiii
a valley where the disease prevails removing to a
mountainous region  where  it  is  unknown  are
attacked  with  intermittent fever.  The micro-
scopist, with his most powerful lens, has never yet
been able to detect the miasm; and chemical and
spectral  analysis are alike powerless to solve  the
problem.   On  such  evidence—quite  as  strong
against as in favor of the malarial theory—we may
be pardoned if we doubt the existence of such an
agent as a factor in the production of intermittent
fever.   And when we are asked to abandon the
certainties of our Law of Cure,  and subslitute a
treatment based upon the  antidoting of an  un-
known  poison;  as Homoeopaths, we  should re-
spectfully decline.  We know quite as much of
the nature of the poison which  produces Scarla-
tina, Diphtheria and Typhus as  we do of malaria.
Yet the success of antidotal treatment is not such
as would  warrant any Homoeopath in  abandoning
the teaching of  his  Materia Medica for it.  This
search after a hypothetical cause, and the adop-
tion of a treatment based upon its supposed dis-
covery, has  been  the fatal " Scylla"  which  has
stranded  many a homoeopathic  success.   The  ele-
ment of accuracy  once removed, our practice de-
generates into empiricism.
  It would  be a  great  satisfaction, no  doubt, to
know the  cause of intermittent fever; and it would
be equally gratifying to be able to tell  why all 
XIV
INTRODUCTORY.
persons are not attacked, although subject-
ed to the same exposure, just as it would be a
satisfaction  to  be able to explain the cause of
many phenomena in physical science  existing all
about us.  Such knowledge might  aid us in a san-
itary way in preventing or modifying the disease;
but it could never be of the slightest benefit in its
homoeopathic treatment.   When once we depart
from  Hahnemann's  method  of   individualizing
each case, we  enter upon the sea of doubt and
uncertainty upon which  our allopathic brethren,
without a compass, have ever sailed.
   Hale—in condemning  the indiscriminate use of
Quinine—says:   "Unless the physician is  abso-
lutely certain that the  attack is due to miasmatic
poisoning, he should wait until the disease shows
its true character."   How is it  possible for the
physician to be  " absolutely  certain"  that  he is
dealing with miasmatic poisoning ? How can that
knowledge  change the  symptoms presented by
the patient, or  enable us with more ease, or greater
certainty, to select the remedy ?   There is a very
nice distinction between certain and  sure.    I am
certain the sun will rise;  I  am sure it has risen.
 The  successful treatment of  intermittent  fever
 requires that the Homoeopath should not only be
 certain, but sure.  I am sure I have a sick man to
 treat who presents  certain symptoms; but I am
 not certain that he has  been poisoned with mias- 
INTRODUCTORY.            XV
 ma, or has been within a hundred miles of it; and
 I  am  quite  uncertain whether  the  " cerebro-
 spinal " or "sympathetic" is affected; or whether
 to select, or how  to select, a cerebro-spinal or  or-
 ganic remedy.
   There are many remedies which affect one or
 both nervous systems; my  patient requires but
 one.   But of this, I am sure, that the objective
 and subjective symptoms of which he complains are
 in  every respect similar to  those produced on the
 healthy subject by China. For me and my patient
 this simple fact is all-sufficient.   It approximates
 a  mathematical  demonstration.   There  are  no
 doubts or uncertainties about it.  My patient does
 not have to wait until I can demonstrate or refute
 a favorite  theory, which, whether right or wrong,
 could never change the characteristics of his case.
       EXAMINATION  OF THE PATIENT.
  The  first step  in  individualization—the  key-
 stone of the homoeopathic arch—begins with  an
 examination of the patient.   It is impossible  to
 examine a patient in general; and  prescribe for
him in particular.   Before we can select a remedy
for a given case we must first  ascertain the par-
ticular symptoms of which the  patient complains,
which form the picture of the disease; and this is
often  a most difficult task.  Hahnemann  says:
"The totality of the symptoms which characterize 
XVI            INTRODUCTORY.
a given case, being once committed  to  writing,
the most difficult part is accomplished."  " Make
haste slowly" never had a better illustration in
medical science than in this advice;  as no disease
demands a closer observance of instructions, or a
more strict adherence to principle for its  success-
ful  treatment, than intermittent fever.
  The symptoms occurring before and during the
chill, heat, sweat and apyrexia; the time of occur-
rence; where the chill first begins; the regularity
of its stages; the degree or  absence  of thirst, and
time of its  appearance; as  well as  the constitu-
tional ailments aroused by the fever, are all to be
carefully noted.
  The " rational" (?) school only search for gen-
eral conditions.  To be able to diagnose ague and
its  quotidian, tertian, or quartan form is enough
for  him;  it satisfies  the supposed demands of'
science, and enables him to prescribe some prepa-
ration  of Cinchona  (see Organon, p.  195.)   Either
the  ready  facility  of  this  generalizing  practice
with the entire absence of consistency in its appli-
cation,  or  a praiseworthy,  yet  unsuccessful,  at-
tempt to utilize the pathological  theories  of  Allo-
pathy, have induced many very excellent men of
our school  to abandon  (if  they ever possessed)
Hahnemann's methods for this "short  cut" to
success.  This can be better illustrated by the fol-
lowing comparison  of 
INTRODUCTORY.           XVli
GENERALIZING.
INDIVIDUALIZING.
       Arsenicum.
  If the paroxysm  varies
widely  from  the  typical
form; if there is no chill or
no  sweat; if there are un-
usual gastric, hepatic, intes-
tinal or  cerebral  disturb-
ances;  well marked  capil-
lary congestion, and the pa-
tient is half sick during the
apyrexia; we may be sure
that the malarial poison has
made a profound impression
on the sympathetic ganglia.
Arsenic,  not Quinine, the
typical remedy for this state.
—YV. H. Holcombe,  U. S.
M. &S. J.,  Jan., 1872.
                                    China.
                             The paroxysm is preceded
                           by headache, nausea, hun-
                           ger, anguish and palpitation
                           of the heart.  Thirst before
                           the chill and during  the
                           sweating  stage.   Chills al-
                           ternating* with  heat,  skin
                           cold  and  blue,  headache,
                           nausea,  and  absence  of
                           thirst.  During  hot stage,
                           dryness of the mouth and
                           lips, red face and headache,
                           After  the  heat,  thirst  and
                           profuse  sweat.  Ringing in
                           the ears, with  dizziness and
                           a feeling as if the head was
                           enlarged.  Pain in the region
                           of the liver and spleen when
                           bending or coughing.  Sal-
                           low complexion.—Johnson's
                           Key.

  There are  many remedies that would fulfill the
requirements  of  Dr.  Holcombe's Arsenic  case.
Each  one of Dr. Burt's  organic  remedies is ap-
parently well indicated.   On the other hand, there
is but a single remedy that will meet  the  require-
ments of  Dr. Johnson's 
xviii          INTRODUCTORY.
       Chin. Sulf.               Arsenicum.
  A simple, fresh,  uncom-   Tertian intermittent fever ■
 plicated case of intermittent  first'chill,then heat,then per-
 fever,  with distinct  cold,  spiration. Thirst during the
 hot, and  sweating stages,  whole paroxysm, drinks of ten,
 and perfect  apyrexia,  is  but little  at a  time; during
 promptly cured by moderate  cold stage, pain in the small
 doses of Quinine.—W. H.  of the back and lower limbs;
 Holcombe, U. S. M. and  S.  tongue blue;  great prostra-
 J., January, 1872.        -  tion and debility after the
                          paroxysm.   Arsenic cured.
                          —B. F. Joslin, Horn. News.

   "A  simple, fresh, uncomplicated case of inter-
 mittent fever," etc.,  may be promptly cured by 25
 or  30 other remedies as well  as  Chin. Sulf.; but
 Arsenic,  alone, will cure that of Dr. Joslin's.   To
 know  that Chin. Sulf., or any other  remedy, has
 cured   intermittent  fever is of  no value to  the
 Homoeopath; unless  he be given the particulars in
 which  this fever, cured  by Chin.  Sulf., differed
from other similar fevers; and generalization can
 never  give him this knowledge.
     WHEN TO ADMINISTER THE REMEDY ?
  Although this has  never been a  question of
 much  controversy,  yet the  prevailing  practice
 has  been  to administer Aconite, Gelsemium, Ver-
 atrum  Viride, or some  other favorite, during the
 paroxysm,  for   the  double  purpose  of  " doing
 something" and " controlling the fever."  Every 
                INTRODUCTORY.             xix

observing physician who has had much experience
in the treatment of intermittent fever will  testify
that  this plan rarely has any perceptible  effect
upon the paroxysm, unless it be to render it more
obscure.  This " doing something" can be success-
fully accomplished with Sac. Lac, if  it  be abso-
lutely  necessary to  do anything.  The easiest,
safest, most satisfactory and  scientific method is
that of  Hahnemann,  and  no cause for regret  will
ever follow its adoption.
   Hahnemann says. Organon,  "236 :
  " The best, most appropriate, and servicable  method in
these diseases, is to administer (he  remedy immediately,
or very shortly after the termination of the  paroxysm, as
soon as the patient has in some measure, recovered from
it.  Administered in this manner, it has suificient time to
produce  in the organism all its various  effects to restore
health without violence  or  commotion; whereas,  if taken
immediately before the  paroxysm  (even  though  it were
homoeopathic or specific in the highest degree) its effect
would  coincide  with  the renewal of the natural disease,
and excite such a strife in the organism, so powerful a re-
action, that the patient would lose at least a great portion of
his strength, and even life would be endangered, f But when
the medicine is administered imm diately after the termin-
ation of the paroxysm, and long before there are any prep-
arations for the next fit, the organism is in the best possi-

  t There are proofs of  this, unfortunately, in the  too frequent
cases of where a moderate allopathic dose of Opium, administered
to the patient during the cold stage of the fever, has quickly de-
prived him of life.—Note to Hahnemann's Organon, p. 105. 
XX
INTRODUCTORY.
 ble condition to allow itself to be gently modified by the
 remedy, and by these means return to a state of health."
   If, after the exhibition of  the  proper  remedy,
 the next paroxysm be earlier and more severe, or
 later and milder than preceding one, the  action of
 the remedy should  not be  interfered with; wait
 for succeeding paroxysm, which  may be lighter
 still or not return at all.

               THE SIMILIMUM.
   The selection of the remedy is the question of
 questions—the one of vital import to the Homoe-
 opath  and his patient.  Once unmistakably found,
 a cure will as certainly result.   The potency ques-
 tion, in comparison, sinks into insignificance. The
 more  perfect  the  similimum, the higher the  po-
 tency, the  quicker and  surer the cure.   On  the
 other hand, if the  remedy be  not the proper one,
 no  matter  how low the potency, how crude  the
 drug, or how  massive the  dose, we will utterly
 fail; or, at most, only partially cure  by suppress-
 ing the attack.  We  are slow to  learn the great
 lesson  inculcated by Hahnemann from  the first to
 the last page of the Organon,  that it is quality,
 not quantity, that cures.   That disease is  not
 an entity, and cannot be expelled from the system
by quantity;  nor  can quantity ever take the place
 of, or atone for, an improper  or imperfect  selec-
tion of the  remedy.  The following 
INTRODUCTORY.            XXI
                   ANALYSIS

  Of Case VI, page 129, is the comparative or cancellation
method of selecting the remedy:
  Time:—Paroxysm every other  day,   Common to many
in the afternoon.                      remedies.
  Before Chill: —Violent yawning and   Ant. t. Am.
stretching                            Ign. Ipec. Rhus.
  Chill :—Especially along the back and  Arn. Caps
arms, for an hour, with thirst, followed   Carbo v. Ign.
by
  Heat:—(Without thirst) Over whole   Caps.  China,
body,  with cold feet;  accompanied   Ign. Led.
with internal shuddering, not disap-
pearing until the
  Sweat :—Has broken out,  the sweat   Ign. Ipec.  Puis.
lasting several hours (without thirst).
  Dull, aching pain  in the  pit of the  Bry. Ign. Rhus.
stomach;  heaviness in the limbs, with
pain in the joints.
  During apyrexia, great weariness and  Ign.
bending  of the  knees.
  Sleep sound,  with snoring breathing.   Ign. Nux. m. Op.
  Tongue coated white;  lips chapped   Ars. Ign. Nat. m.
and dry.  Taciturn, indifferent, starting.
  Countenance pale.                   Fer. Ign. Sec.

                 THE  POTENCY.

  The greatest calamity that in practice can befall
a homoeopathic physician, is  to acquire a routine
habit  of thinking that a remedy  can cure  only 
xxn
INTRODUCTORY.
certain conditions or diseases, and no others.  This
usually is the first step in a  routine habit of pre-
scribing, and keeps  time and pace with that  other
habit of  thinking that, " the potency I use is the
only successful one."  The objections that " there
is  no power in  potentized  drugs, hence I  have
never used them;" or, "I do not believe  they can
possibly cure, or I would use them;" or, "I can-
not understand how they are made,"  are offered
daily by the  allopath to  our low dilutions and
even  drop  doses of the tincture.  The  potency,
whether high or low, will never be affected in the
slightest degree  by  such objections.   The  ques-
tion of potency can only be settled by  the test of
experience; and each individual  member  must
make the  experiment for  himself.  Those who
never use but one potency can never have any ex-
perimental knowledge of any other.  Hahnemann
asked to  have his great discovery, under the  rules
he laid down, subjected to  the  test of  practice,
and the failures published to the world.   Submit
the potency question to  the  same test, write out
the case, in extenso,  with the remedy and potency,
and publish the failures; the profession  can  then
decide whether it was in the selection of the rem-
edy used, or in the potency.  Columbus had  no
difficulty in making the egg stand.  The calling
of hard names can never decide the question, nor
reconcile the conflicting views.   In the  interests 
INTRODUCTORY.           xxiii
of science, published facts, which bear on their face
the stamp of reliability, should, both in justice to
ourselves  and others, be accepted as  such,  irre-
spective  of potency;  instead of  being met  with
the  weapons used by the cotemporaries of Hahne-
mann and Jenner. Hahnemann decreased the dose
as he increased his knowledge of materia medica.
Can we adopt a better rule ?
  '' Boastful  homoeopathic
physicians   often   claim
that they can cure any case
of ague with the  high  po-'
tencies.    But  those  who
have practiced many years
in malarious districts know
that such  assertions  are
false  I need only refer you
to the writings and  experi-
ence of such men as Hol-
combe,    Ellis,   Douglas,
Marcy, Pulte, and hundreds
of  others in this country;
also Hughes, Baehr, Roth,
Kafka, and  others, in Eng-
land and on  the continent."
-Hale's Therap., p. 610.
  "Every case of  intermit-
tent  fever,   can,  has,  and
must  be cured, with the po-
tentized  remedies,  under
the law  of  the   similars
homaeopethically."—Lippe.
  This statement  is  en-
dorsed by the writings  and
experience  of such men as
Hering,   Raue,  Guernsey,
McManus,  Pearson,  Mor-
gan,  Wells, Dunham, Bay-
ard,  Joslin,  Swan, A. O.
Blair, Bell, Gallupe, H. V.
Miller, Baer, Temple, Pom-
eroy,  Wilson,  and many
others in  this country; also
Hahnemann,  Skinner,  Ber-
ridge, Bcenninghausen,  Mai-
ler, Firmat, Hartman, Mey-
hofer, and  others, in Eng-
land and on  the continent. 
XX1V           INTRODUCTORY.

  A homoeopathic cure is as  beneficial to our pa-
tient as an allopathic one; and if it be quicker,
surer, safer, and more pleasant, why not cure him
homoeopathically.

             THE  CLINICAL CASES
  Are taken from the periodical literature of our
school, wherever found, or have been kindly fur-
nished by  professional colleagues to whom  the
author is under many obligations.  They are in-
tended to illustrate the sphere  of action, as  well
as the potency  of the  remedy, and at  the  same
time dispel the delusion honestly entertained by
many,  " That patients will not wait for the  hom-
oeopathic  remedy  to act, hence, must  resort  to
Quinine."  Patients wait for the prompt action of
the homoeopathic remedy in Croup, Cholera, Diph-
theria, Dysentery, Pneumonia and Yellow Fever!
The re/iudy is not at fault; it acts just as prompt-
ly in intermittent fever as in  any other disease;
but the homoeopathic physician may fail to  select
the proper remedy.   A more intimate personal ac-
quaintance with our  remedies  is needed; general
knowledge will not suffice.  *   *   *  "Here hom-
eopath v is rich in resources, and  the greatest tri-
umphs  will always  be achieved by the  closest
study of the Materia Medica."— \V. H. Holcombe. 
                   THE

       THERAPEUTICS
                   OF

INTERMITTENT   FEVER
         ACONITUM NAPELLUS.
   Time:—Usually in the evening; no regularity;
 no periodicity.
   Cause :—Dry, cold winds;  hot days and cool
 nights; getting wet (Rhus); suppressed perspira-
 tion by uncovering or sitting in a draft; by fright;
 rheumatic exposure.
   Chill I—Ascends from feet to chest, with internal
 heat and sensation of hot water in the head; chilly
 when uncovered or even  touched; chilliness on the
 slightest movement, even by lifting of bed clothes (Nux).
   Coldness, with redness and heat  of one, cold-
 ness and paleness of the other cheek,  (Cham.
 Ipec.)  Chill with one hot cheek; contracted pupils;
 anxiety;  or body chilly, with red face, hot cheeks, hot
forehead and ear  lobules; face  hot, hands and feet
 cold.   Chill from extremities to head and face; heat,
 vice versa. 
•2
THERAPEUTIC
   Heat:—With thirst.   Towards evening, dry heat
 in theface, with anxiety ; high J ever; dry burning heat,
 which extends from  head and face;  burning heat,
 with chilly shiverings running up the back.  Great
Jear;  nervous  excitability;  restlessness and  anxious
 tossing about.   Cough during heat, with palpitation
 and pleuritic stitches in the chest.   (Cough during
 chill and  heat, Bry.—Cough before  and during
 the chill,  Khus.)    Red face while  lying, and pale
face and fainting when rising up.   Great thirst for
 large quantities of water; everything else tastes bit-
 ter.   (Thirst for large quantities in every stage,
 Nat.  m.  Bry.—Only during heat, Ipec).   Can
 not bear  to be covered, yet fears to  be uncovered.
 (Camph. Secale.)
   Sweat:—Must be covered as soon as sweat begins;
 covered or affected parts sweat most profusely, (Ant.
 tart*) or perspiration only on side on  which  he lies.
 (China.,  Nit. ac.—Sweat on  single parts only,
 Bry.)  Profuse warm  perspiration over whole
 body, by which nervous excitability, restlessness
 and anxiety are relieved.  (Sweat brings relief of
 all  suffering, Nat. m.)   General  warm steaming
 (sweat.
   Pulse:—During chill, intermittent, thread-like;
 during heat, quick,  full, hard, bounding.
   Tongue :—Coated white; papillae  red and ele-
 vated.  " Strawberry tongue."
   Apyrexia:—Never clear.  Loss of  appetite;  sleep 
INDICATIONS.
3
restless  and disturbed by dreams; very anxious
about recovery; weak  and exhausted by slightest
exertion, either mental or physical.

  Aconite  is  adapted to recent cases.   Young
persons,  especially girls,  of full plethoric habit
and sedentary  life; easily affected by atmospheric
changes.  Is rarely indicated, per se, as the remedy
to  cure,  (but  frequently used  during  paroxysm
when not indicated.)   Cause, often  the  character-
istic indication.

  Aconite is never to be given " first  to subdue the fever,"
and then some other remedy to meet the case;  never to be
alternated with other drugs for the purpose of " controlling
the fever."  If the fever be such as to require  Aconite, no
other drug is needed.  *  *  for many drugs beside aconite
produce fever, each after his kind.—Dunham's  Lectures.
l-p-87

                    CLINICAL.

  Case I.—Mrs.  H., age forty-nine, after a fatiguing walk,
sought a cool retreat to rest; she soon began to feel rigors
passing down her back, followed by shuddering and indes-
cribable aching  from the head  to the lower  extremities;
could scarcely endure contact with bed clothing, and this
sensitive and sore feeling was all over  the body; great
thirst; thick, white coating on the tongue; tumefied coun-
tenance, expressive of much pain.  Pulse not much accele-
rated; chilliness  and heat in rapid alternation; intolerable
aching;  thirst and dry skin  continued all night.  In the
p. m., frightful  pains  tending to the head.   Aeon.3 in
water.  First dose had a quieting effect; pains less;  skin 
4
THERAPEUTIC
moist; sensitiveness to contact removed; slept till morning.
Made a good recovery.
        [A. E. SMALL, U. S. Med. and.Sur. Jour., 1871.]
  Case II.—Aconite given during the apyrexia, four doses,
removed intermittent  fever in a plethoric individual, the
chilliness being very violent, and succeeded by dry, glowing
heat, excessive anguish and oppression.—A. H. Z., 1 p. 146.
  Case III.—Aconite2,  two doses, freed a child of two
years, of a quartan fever, which had lasted upwards of a
year, commencing with a chilliness  in  the  evening, and
succeeded by a ten hours heat.—Hygea, l-p-79.

                   ALUMINA.

   Time :—Chilliness at 4 a. m., lasting till evening.
Evening paroxysm from 5 to 8 p. m., every other
day.
   Chill:—V/ith  great thirst,   (Arn.  Ign.  Caps.).
Internal cold and chills,  with desire  for warmth of
stove  without relief from heat,  (Lach.—Relieved
by heat of stove, Ign.)  and stretching and bend-
ing of the limbs;  worse after warm drinks, and after
eating warm soup,  (After  cold drinks,  Ars. Caps.
 Eup. perf.).  Chilliness of whole body,  feet cold as
 ice the whole day, with heat of head, external chilli-
 ness and external heat, especially  dark redness of the
 cheeks.   Frequent repetition of chills in the evening,
 every  other day.   Chills near  the warm stove.
 Violent chilliness  in evening, especially feet and
 back, that could not get warm near stove.  Chilly
 during  the  day, heat all  night, (chill lasting 12 
INDICATIONS.
5
hours,   Canth.)   Chill increased  by  slightest
motion, (Aeon.—Increased by uncovering, Am.
m. Nnx. Sepia.)
   Heat:— Without thirst; heat with anxiety at night,
and sweat.   Heat  in evening  beginning in  and
spreading from face and head, frequently only  of
ri^ht side of body.    Heat aggravated  by motion.
(Lessened by motion, Caps.)
   Sweat:—At night, in bed, toward morning; most
profuse in face, often only on right side of face, (Nux.
Puis.)  Sweat upon every  motion,  (Bry.) fol-
lowed by cold shivers as if taking cold. Sometimes
entire inability to sweat.
   Tongue:—Clean.  Appetite good.  Longing for
fruit  and vegetables.   Aversion to meat,  (Arn.)
   Apyrexia :—Continual empty  eructations  which
afford relief.   Great lassitude of the whole body;  great
exhaustion  and inclination  to lie  down; uncon-
querable disposition to lie down.
   Adapted   to old  people,  spare  habit, lack  of
animal heat (reverse of  Aeon.)  Had frequent
attacks of painter's colic.  Rarely  indicated, but
when required, chronic constitutional ailments will
almost always be present.

              AMBRA GRISEA.
   Time:—In the forenoon.
   QhiH:—Of single parts of body, with heat of face;
chill,  with  lassitude and  sleepiness,  relieved  by 
6
THERA PKTJTIC
eating,  (Sweat lessened by eating, Anac); chills
before dinner.  Skin of whole body, except face,
neck and genitals, cold (Ice cold genitals, Sulf.).
   Heat:—In face and over the whole body every
quarter of an hour, most violent from 7 to 8 o'clock
in the evening.
   Sweat:—Profuse night-sweat, worse after mid-
night, the body being  warm.  Sweat every mor-
ning, worse on the affected side (Ant. tart.).
Sweat of abdomen and thighs.

       AMMONIUM MURIATICUM.
   Time:—3 till 4 a. m.—5, 6 and 1 p. m.
   Before Chill:—Thirst;  sleeplessness.
   Oilj||;—With and  without thirst.  Chilliness
evenings after lying down, and as often as she awakes,
lasting entire night.   Violent  shivering, without
subsequent heat (without subsequent heat or sweat,
BOV.).   Chill  running up the back.  Chill with
external  coldness day, evenings  and nights; worse
from uncovering, dares not uncover on account of chilli-
ness (Nux.).   Chill alternating every half hour,
with heat and bloated red face, (Yellowish mahogany-
red, Eup.).
   Heat:—With  thirst ;  over  the  whole body,
 with redness of face and a kind of stinging  heat
in skin, especially over whole chest, (Apis.  Nit.
 ac.—Itching over whole body,  Led. Petr.)
   Flushes of  heat frequently coming on, always 
-  INDICATIONS.
1
ending  in sweat, most profuse in face, palms of
hands and soles of feet.
  Sweat:—Day and  night, following  heat.  In-
creased transpiration; every movement makes him
sweat, (Bry. Sulf.Terat.—When  sitting  quiet-
ly.  Staph.).  Night-sweat,  most  copious after
midnight and towards morning,  in bed.   Fever
paroxysms begin with chilliness, then heat, and end
with sweat.

          ANACARDIUM  ORIEN.

  Time:—Every afternoon.  Every  P.M. at four
01 clock, fever without chill (Lye).

  Chill:—Shivering over the back and whole body,
as from cold water being thrown upon the person
(Rhus. Ant. tart. Arn.).   Repeated icy cold
creepings; feeling of chilliness of limbs, hands and
feet, which causes trembling;  internal chill even
in a warm room; worse in open air.

  Heat:—From 4 p. m. till evening daily (relieved
by eating); heat of upper body; with hot breath,
cold feet with internal shiverings; external heat,
especially of face and  palms;  abdomen and  knees .
weak;  heat over  whole body,  but  complains  of
being cold. If any thirst, between heat and sweat
(Between cold and hot stage, Sabad.) 
THEE APEUTIC
  Sweat:—Night-sweats;  frequently waking  up
from sleep,  with general  sweat.   At night  he
sweats on the chest and abdomen.   Sweat of  left
hand.  Sweat better  by eating   Dyspnoea  and
distressing shortness of breath.
  Tongue:—Is white and rough;" taste, like her-
ring brine; bitter taste after smoking.
  In  fevers  of  nursing  children,   which return
every afternoon at 4 o'clock, Anacardium vies with
Lycop; but is not so severe in character, all stages
being of a milder grade.  Child is very  irritable,
a slight offence  or contradiction makes  him excessively
angry (Bry. Cham.).

               ANGUSTURA.
  Time:—3 P. M.—(Apis. Ars. China s.)
  Chills:—At 3 P. M.   Shivering with goose-flesh,
unthout thirst,  for several   days   in  succession.
Severe cold sensation over back; cold hands,  fin-
gers and feet; drawing pain  in elbows, knees  and
toes.   (Pains  in ankles and  wrists, Pod.).  Chill
lasts half an hour.
  Heat:—Warmth  of the   whole  body, except
head, towards evening, so that she  is unable to
sleep again  after 3 a. m. (Worse at 3 a.  m. and 3
p. m., Thuja).  Cold  cheeks.  The heat  ascends
(Sepia).
  Sweat:—Perspiration at night in bed. 
IN DICATIONS.
9
         ANTIMONIUM CRUDUM.
   Time :—12 m. or afternoon.
   Before Chill:—Gastric disturbances; with great
 melancholy, sadness, and a woeful mood.
   Chill:— Without thirst  (Puis.  China.)  Vio-
 lent shaking at noon;  or chill in  the  afternoon
 with shivering in the back; chill with sweat  at
 same time;  chill and shivering over the back, feet
 cold as ice, with sweat on rest of body; chilliness
 predominates  (Menyan) ;   even in  a warm
 room, cold and chilly during the day. (Chill worse
 in warm room  or near a  stove, Apis.—Chill in-
 creases by  external heat, Ipec.)  Painful cold-
 ness of nose during inspiration, as if inhaling cold
 air.   Great  desire to sleep; (wants to sleep during
 hot stage, Apis.)
   Sweat:—Sets in simultaneously with or imme-
 diately after the  chill.  (See Pod.)  Sweat alter-
 nating with chilliness, or  vice versa.  Sweat soon
 disappears,  dry heat remaining, or
   Heat:—When  sweat  sets  in  with  the  heat;
 great heat for an hour, then sweat ceases  sudden-
 ly, followed by  dry heat for  two hours, or even
 all night.  Vomiting during the  heat—(Nat. m.)
  Tongue:—Thickly coated;  milky white;
characteristic of  Ant. crud.  Taste bitter.   Great
desire for pickles.  Saliva  saltish.  Hunger, which
eating does  not relieve. 
Hi
THERAPEUTIC
   Pulse:—Irregular; rapid, then  slow; changing
every few beats.
   Apyrexia*.—Predominance  of  gastric  symptoms
(Ipec, Puis.  Nux.)   Want of appetite, nau-
sea, vomiting, and bitter taste in  mouth  (Ipec);
tension  and  pressure  in region of  the stomach;
belching, pain in bowels, with  diarrhoea, or consti-
pation;  aversion to food; longing for acids, particularly
pickles.   (Longing for  salt,  Nat.  m.);  increasing
sweat.
      Ant.  Crude.             Pulsatilla.
   Before Chill:—Great  sad-    Before  Chili:—Thirst and
ness, and a woeful mood.      diarrhoea at night.
   Chill :—Predominant, fol     Chill:—Heat and sweat in
lowed by sweat, then heat; or  usual order, but apt to run
chill and sweat simultane-  into  each other.  One-sided
ous; or chill and sweat, or  coldness.
sweat and heat, alternating,
   Tongue:—Coated ;  milky    Tongue:—Coated with yel-
whilef                     low mucus; feels sore, as  if
                          scalded.
   No thirst in any stage.       Thirst  before chill.

   Ant.  Crud. will often relieve,  where  Puis,  or
Ipec. seem indicated and fail.    One of the few
remedies  where  sweat follows chill and  is  fol-
lowed by heat.  Gastric symptoms usually present;
acts promptly and completely cures.
   In the spring of 1876, Ant. Crud. did me good service
 in two cases of double quotidian,  where  there was much 
INDICATIONS.
II
nausea and vomiting, with tongue thickly coated white; the
algid  stage being followed by sweat with great  heat for an
hour, when the sweating ceased, dry heat remaining for two
hours.   Puis, previously had failed to make any impression
on the cases, while convalescence was established in twelve
hours after the Ant.  was commenced.—^.  L.  Fisher
N. A. J.
  I have found Ant. Crud. an excellent  remedy in remit-
tent fever of children, with following  symptoms: Child
delirious; drowsy, with nausea; hot and red  face, tongue very
white,  and great thirst, especially  at night; does  not like to
be bathed; is fretful and  peevish; does not want to be looked
at.—E. B. Nash. Am. Homoeop., Ill,  p. 161.


            ANT.  TARTARICUM.

   Time :—3 P.M., or evening at 6 p. m. Allperiods;
no regularity.

   Before Chill:—Yawning  and  stretching  (Eup.
perf.)
   Chill and Heat,  without  thirst, alternating dur-
ing the  day.  (Ars.—Chill  and sweat, • or  sweat
and  heat alternating,  Ant. Crud.)   Chill as if
cold water were dashed over one, (Rhus.)   Chill
with  trembling and  shaking  over  whole  body.
He looks pale, and  is  so  chilly on going into the
open  air that he trembles;  (chilly when going from
open air into a room,  Ars.—See Rhus.)   Cold
skin.   Trembling and chilliness always from  within
outward.   Short  chill  and  long lasting heat,  with
somnolency  and   profuse   sweat   on   forehead 
12
THERAPEUTIC
 (Opium) ; or, violent short heat succeeding a long chilly
 aggravated by every motion ;  (feels chilly if he moves,
 Nux.)
   Sweat:—Profuse all over;  may last all  night,
 or  profuse sweat the following  night, with  in-
 creased  secretion  of  urine.   Affected   parts
 sweat profusely. (Ambra.)  Sweat often, cold,
 clammy, sticky.
  Tongue :—Characteristic, red edges, or red and
 white  in  alternate  streaks;  papillae  red  and
 raised as in Scarlatina; tongue bright red and dry
 in the centre.   Food  tasteless;  tobacco' has  no
 taste.  Desire for apples;  acids.  (Desire for juicy
 fruit, Terat.)
  Pulse:—Much accelerated by slightest motion;
 strong and full during chill;  feeble, slow and very
 weak as the heat passes off.
  During paroxysm, cannot keep his  eyes  open;
 irresistible sleepiness  and deep  stupefied  sleep;
 when awake, hoplessness and despair.
  Apyrexia;—Gastric  symptoms are  very pro-
 nounced, as in Ant. Crud.   Nausea and vomiting
 may be present;  if  so,  it  is very prostrating.
 Weakness and exhaustion, with  great  depression
of spirits.
  In some epidemics occurring in winter and early
spring it  often  amounts  to the  genus epidemicus;
especially when  gastric and typhoid  fevers predo- 
INDICATIONS.              13
 minate, or when every fever is inclined to become
 such.
   Short Violent  Chill,  and long-lasting heat, with
 sleep, and sweat on forehead, and pale face.
   Loni Chill, aggravated by every motion, succeeded
 by short and violent heat.

             APIS—Apium  Virus.
   Time—3  P. 31. and 3 to 4 P. M.;  (4 p. m.,
 I*yC.) ; 4  P. a-,  fever,  without  chill;  5 P.  M.,
 rarely, then night and morning paroxysms.
   Chill, with thirst, always.  (Ign. Carbo. Teg.,
 Caps.)  Chill begins in front of chest, abdomen, knees,
 and runs down the back, (reverse of Eup. purp.);
 chill worse  in  a warm  room;  from external  heat,
 (Ipec.)  Cannot bear heat of  stove;  (relieved by
 heat of stove, Ign.;—relieved  by external heat,
 Ars.); chilliness renewed from the slightest motion.
 (Chill increased by motion, Caps—-cannot bear to move
 or be uncovered in any stage, Nux.) Chill, with cold feet
 and fingers, and heat of face and hands, and  oppressed
 breathing.  Oppression of chest as  though
 patient would smother.  Falls into a deep sleep
 as the severity of the  chill passes off, and breaks
 out with Urticaria.   (Urticaria before and during
 chill, Hepar.)   Sensation of cold  without exter-
nal coldness of the skin; cold limbs and feet, with
burning toes and burning cheeks.
 *P. P.Wells.                  2 
14
THERAPEUTIC
  Heat;—Rarely with thirst;  heat, with inclination
to  uncover,  (Aeon. Sec); deep sleep,  (Op.) ;
chilliness  on moving or  uncovering during heat,
(Nux.)  Burning, hot, dry skin all over, particularly
felt in abdomen, epigastrium and chest; alternate dry
and  hot skin, or cool in  some places and  hot in
others, with occasional spells of sweating,  f Great
oppression  and burning  in the chest, with
sensation of  smothering.   Itching,  burning
nettle rash.  (Also, during  heat, Ign.  Hepar.)
The heat o* the room is intolerable.  Sensation of heat
through whole  body without heat of  skin.
  Sweat:—No thirst in sweating stage.  Sweat after
trembling and fainting, then nettle rash.  Perspiration
may alternate with  dryness of  the skin.   Weak
and  trembling; sleep.   " This  stage  is  usually
wanting, and is characteristic of Apis fever in old
protracted cases."—Carroll Dunham.
  Tongue".—Clean in old cases.   In acute attacks,
dry, red,  with a  raw, sore, painful tenderness;
does not care to talk or protrude  it.  Swelling and
burning of lips during entire paroxysm.  No ap-
petite, nor  desire for  food;  craves  milk, which
relieves.
  Apyrexia :—Soreness and  pain under ribs of left
side, in region  of spleen; great soreness of all the
limbs and  joints;  feet  swollen; urine  scanty;
restless;  sleepless;  urticaria and great  debility.
  tC. Pearson. 
                  INDICATIONS.               15
In old cases, badly treated by domestic and patent
medicines.   Nat. Mur. often indicated if Apis fails
to permanently cure.   In either acute or chronic
cases occurring as  sequellae  of eruptive diseases.
In  ascites ;  " sensation  in  abdomen  as if  some-
thing would break,  if much  effort were made to
void a stool."—Guernsey.

                   CLINICAL.
  Apis cured a case of intermittent fever; the patient sleep-
ing during the fever; thirst only in chill, wanting during heat
and sweat.  Chill aggravated by external heat.—C. Preston,
in H. M., p. 296.
         Apis.                   Bryonia.
  Time:—3 p.m. ; 3 to 4p.m.      Time :—All periods.
  Before Chill:—Free from     Before Chill:—Stretching
pain.                        and drawing in the limbs;
                            headache, vertigo, and great
                            thirst.
  Chill:— With thirst always,
in chill, absent in  heat and
sweat.  Begins  in front of
chest,  abdomen, knees.   Op-
pression of chest as though
he  would  smother.   Sleep
and urticaria as chill passes
off.
  Heat: — Oppression   of
chest, with burning smoth-
ering.  Heat  worse in  the
chest,  abdomen, epigastri-
um.   Urticaria.  Sleep.
  Chill:—With great thirst in
all stages.  Begins in tips of
fingers, toes, and on the lips.
Violent, dry, racking cough,
with  plueritic  stitches  in
chest; stitching pain in right
hypochondrium.

  Heat:—Cough, with pleu-
ritic stitches.   Heat as if
blood in the veins was burn-
ing; headache, and vertigo. 
16
THERAPEUTIC
   Sweat:—This stage is us-     Sweat: — Profuse,  sour,
 ually wanting.  Sleepy. Ur-   easily excited by exercise.
 ticaria.                       Thirsty.  Irritable.
   Apyrexia: — Soreness  in     Apyrexia: — Constipation
 spleen — in  all  limbs  and   of dry, hard, lumpy stools.
 joints; feet  swollen;  urine   Exceedingly irritable; every-
 scanty; urticaria.             thing makes him angry,
   Mr. H., aged 28, from cold, exposure, and sleeping in a
 wagon, in Missouri, was taken, September 28, 1865, with a
 violent congestive chill at  8 A.  m., which  lasted one hour.
 He was very pale and faint, with much inward fever; pulse
 weak, 130; little thirst;  inclined to diarrhoea; severe pain
 in small of back; complained most of pressure or stricture
 across the  chest, exciting a  cough; tongue furred, but not
 heavily coated.  The chill began by a violent fit of cough-
 ing, with.feeling of suffocation; heat lasted some hours; per-
 spiration slight.   September 29, was free from fever, but
 was restless,  wakeful, and had some pain in the back.
•  Next a. m.,  30th—Severe  chill at 7  A.'.yi.;  thought he
 was dying.  His extremities were cold;  nails purple; veins
 resembling dark lines; nose cold and pointed;  features con-
 tracted ; pulse  fluttering and scarcely perceptible, and gen-
 eral appearance that of collapsed  state of cholera.  Had
great anguish  from a smothering sensation; desired to be raised
up to get breath, but on raising was seized with paroxysm of
coughing  and retching, with faintness amounting to insen-
sibility.   Gave Verat.  Alb.30  in   water,  two  teaspoon-
fuls every 15  minutes, until chill subsided.  In about an
hour fever severe and continued all day, terminating with
slight perspiration as before.  Sac.  Lac. until 9 p  M., when
I  gave him  Apis100, and  left another to  be taken next
A. M.
   Oct. 1—Here was a bad  case  of  congestive chills, such
as I think we seldom meet in practice.  Two paroxysms 
INDICATIONS.
17
 had already occurred.  We are told the patient never sur-
 vives the third.  It is  folly, the Allopaths say, to trust to
 anything but  Quinine—give 10, 20, or even 30 grs.—pre-
 vent the next chill or your patient will certainly die.  But
 the chest symptoms pointed clearly to Apis (and there was
 not enough cold perspiration for Verat.—H. C. A.), and
 giving Sac. Lac. during the day, I left another powder of
 Apis 10° to  be taken at night; preferring to rely on Home-
 opathy and my own judgment.  Next morning I saw him early.
 He had only a slight chill.  A powder was given at night
 for five or six days.  No return.—C. Pearson, U. S. M. and
 S. J., 1-208.

             ARANEA  DIADEMA.
   Time:—At precisely same  time every day, or
 every other day.  (Cedroil. Sab.)  Great regular-
 ity of paroxysm.
   Cause :—Rheumatic  exposure ;  getting wet;
 working in the rain; working  while  standing in
 water.
   Chill:—Long lasting, often 24 hours; chill pre-
 dominates.    Constant  chilly  feeling,  worse  on
 rainy,  cold days; from  bathing with  cold  water;
from damp) dioellings.   Chilly all the time, day and
 night, in midsummer.   Bone pains for four weeks;
 fever  attacks, consisting almost wholly of cold-
 ness.  Chill without heed, sweat or thirst.  Head-
 ache, which cea.ses entirely in the open air.  Great
 exhaustion;  lassitude.   Painful feeling  of  cold-
 ness in lower incisors every day at same hour.
  Heat:—Slight,  preceded  by chill.    Evening, 
lg              THE KAPEUTIC

heat, with fullness and heaviness in  epigastrium
as from a stone;  qualmishness  in pit  of stomach,
and heaviness of  the thighs so  that she is scarcely
able to drag her limbs along.  Forearms and hands
so  heavy that he  imagines he cannot  lift them.
Heat often wanting.
   Sweat:—Wanting.
   Tongue:—Slightly coated, nauseous, bitter, re-
lieved by smoking.
   Apyrexia :—Clear.  Spleen  enlarged.   Menses
 eight days too early, too strong and too copious.
   The  paroxysm of Aranea is often unattended
by either heat or  sweat, consisting only of cold-
 ness, which  is persistent and  severe, and not  re-
 lieved by anything.  It is usually without thirst in
 any stage; if any, usually the heat.

                    CLINICAL.
   A lady, 40 years old, slender, of erethic nature, hydra-
 mic constitution, was attacked, in consequence of taking
 cold, with a violent shaking chill, lasting uninterruptedly for
 twenty-four hours, without  being followed by  heat or sweat, or
 any other affection.  Internal application of warm things
 gave no relief.  Diad4", a few globules in water relieved
 the chill within half an hour.   Perfectly well next day.—
 C. Heinigke, H. Kl., 1870, p. 44.
   A teamster, 43 years old, 6 feet 2  inches in height, and
 well developed, never been sick before, slept on some straw
 on the bar-room floor in Frankfort, on a winter night.  In
 the morning felt stiff in his limbs, tired and sick.  Chill began
 at 7 p. m., and lasted till precisely  8 in the morning, every 
INDICATIONS.
19
day at same  hour, without heat or sweat, with cough, loss of
appetite, sleeplessness,  and great exhaustion, which dis-
tressed him most because it interferred with his occupa-
tion.  Being yet unskilled in Homoeopathy, and not hav-
ing the least confidence in it in fever and ague, I gave him
two grain doses of Quinine every two hours at first, then
every hour during the day, until he had taken forty pow-
ders without the least  improvement; on the contrary, his
general weakness  had increased.   I now consulted  the
original provings, and found that according to the law of
similarity, Aranea  Diadema must  be  the remedy.   He
received five drops of second dec., attenuation every hour.
Next day the patient exclaimed, " Now you have hit the
right medicine; after the second hour I felt warmth again
in my whole body, and the  first time  for three weeks I
slept some hours at night again, without any chill."  The
cure was complete in six days, and  for  seventeen years he
had no relapse.—Grauvogl, p. 205.

   Like many of our colleagues of  the present day,
Grauvogl's  lack  of  confidence in Homoeopathic
treatment of fever and ague was  only  equaled by
his ignorance (at that time) of the true curative
sphere of Quinine in the same  disease.   Here was
a fever with chill prolonged and predominant; heat
and sweat  absent.   It  could never be  cured  by
Quinine, which has  all three  stages, but particu-
larly heat and svieat, prominently developed.  Qui-
nine would not even suppress  it (probably owing
to  cause  of disease), and there certainly was
enough given (80 grs.)  to fairly  test its curative
power. 
20             THERAPEUTIC
           ARNICA MONTANA.
   Time:—Not characteristic ; usually 4 A. M.;
 afternoon or evening.
   Before Chill:—Thirst for large quantities  of
 cold water; (Eup.  perf.)   Much yawning and
 stretching; drawing pain as  if in the periosteum;
 drinking refreshes.
   Chill:—With thirst and, if he drinks a great
 deal, vomits afterwards.  Chill,  as if cold water
 were poured over him.  (Rhus.—As if cold water
 were dashed over him,  Ant. tart)   Chill with
 pain  in muscles of hack and  extremities as
 if bruised ; soreness of the  whole body.  (Whole
 body feels sore,  Bapt.)  Chill most severe  in pit
 of stomach.  Chill  after every  sleep, with heat
 and redness of one  cheek; chill,  with burning of
 head alone, ox face alone, rest of body being cold.
 Internal chill with external heat.   (Ars. Thuja.)
 Chilliness  on  the (right) side on which he lies.
 Shivering over the whole  body and the head,
 at the same time  heat in the head and red-
 ness and heat in the face, accompanied by a
coolness of the hands, and a feeling  as of the hips, the
bad; and the anterior surface of  the arms  being
bruised.  Morning chill while in bed; begins be-
fore she rises and lasts for hours.  Chilly from the
slightest movement of the bed-clothes.  (Aeon.—
Constant desire to be covered up,  Nux V.) 
                INDICATIONS.             21
   Heat:—Thirst continued, but less  than during
 chill, except early in the morning.  Dry, general
 heat, with indifference, stupor and such  weakness
 that when he attempts to sit up he  faints.  (Aeon.)
 During  heat, slightest  lifting of bed-clothes, or
 even moving in bed, makes him chilly.  (Nux Voni.
 Same in all stages of paroxysm).  Greed  internal
 heed, with coldness of hands and feet.  The heat
 becomes  intolerable to  him,  (Apis. Puis.)
 and he tries to uncover himself, but vp>on  uncover-
 ing he feels chilly.   He is obliged to change his
 position constantly,  the couch or  bed  on
 which he lies is SO hard.  Burning heat in one
 spot, which is cold to the touch; alternate heat or
 coldness here and there over the entire body.
   Sweat:—Sour, fetid, offensive, like mouldy earth;
 in old  cases, sometimes cold and clammy.  Head-
 ache (which begins in hot stage) and soreness con-
 tinue,  but pain and drawing in the periosteum,
 which  occurs before the chill, disappear gradually.
 (Allpjains disappjear with sweat, Nat. ill.)
   Tongue:—Never clean.  Dry, yellow,  or dirty
 white  coating, and often, in acute cases, with a
 brown streak down the middle.   Breath SOur,
 fetid.   Taste  bitter, putrid, _of  rotten eggs.
 Longing for alcoholic drinks; acids;  repugnance
 to food.
  Apyrexia:—Headache, soreness and bruised feel-
ing of muscles continue; eructations  tasting 
22
THERAPEUTIC
like rotten eggs.    Yellow  face;  aversion  to
meat; and,  especially in  chronic  cases,  debility
and aversion to exercise.   The  apyrexia  is  not
marked in recent attacks,  but  is always a charac-
teristic in chronic cases where  large quantities of
Quinine  have  been  taken, then the soreness  and
bruised feeling are always indicative.
         Arnica.                 Eup. perf.
  Before Chill — Drawing     Before  Chill:—Pain  in
pains as if  in the perios-   back  and  bones of extremi-
teum.                       ties, as if  broken.
  Thirst:—For  large quan-
tities of cold water, which
refreshes him.

  Chill:— With  thirst,  pain
in muscles of back and ex-
tremities, as if bruised; great
soreness of whole body.

  Heat:—Less thirst, but in-
creased  soreness  of flesh;
must lie down, yet bed feels
too hard; he cannot find a
soft place and keeps con-
stantly changing position in
search of one.
  Sweat:—Generally absent
in recent attacks.   In old
cases, sour, and offensive.
  Thirst:—He cannot drink
enough, but  drinking has-
tens   chill,  and  produces
nausea.
  Chill:— With thirst,  but
drinking  causes  nausea.
Headache, with intense pain
in back  and bones,  as  if
broken.
  Heat:—Less thirst, but  in-
creased cephalalgia and bone
pains.   Vomiting  of  bile
before heat begins.
  Sweat:—Generally absent,
scanty if  any.   Headache
continues for several  hours
after fever is gone;  sweat 
INDICATIONS.
23
                         relieves  all pains  except
                         cephalalgia.
  Apyrexia — Bruised feel     Apyrexia: — Bone  pains
ing and soreness  continue  begin before  the chill, but
through every  stage,  and  disappear with disappear-
persists during apyrexia     ance of sweat.   None in
                         apyrexia.  Loose  cough;
                         night sweats.
   The " key note " of Arnica is the same in inter-
mittent fever as in all other diseases (Quinine drug-
ging always an additional indication), viz.: Bruised,
sore, weary; great  weakness, and must lie down
in consequence, yet bed feels too hard; hence fre-
quent change  of  position  in search  of  a soft
place.  In old cases, where Arn.  is  indicated, the
symptoms  of  apyrexia  should  be  carefully
studied.
   In the Mat.  Med. Pura.,  Hahnemann  recom-
mends Arnica  as a remedy,  that  in its  patho-
genesis corresponds with  the Quinia cachexia;
and clinical experience for many years has con-
firmed his observation.  Arnica is probably more
frequently indicated in cases maltreated with Qui-
nine than any other remedy;  and here lies its main
force in the treatment of intermittent fever.  It is
also a fact, that in acute cases, where Arn. is indi-
cated, relapses are more frequent perhaps than with
any other indicated remedy.   The patient does not
feel well, but can scarcely tell why, and  in four
or  five days  has  another paroxysm.   This par- 
24
THERAPEUTIC
 oxysm, however, will differ materially from  the
 preceding ones, Arn. having apparently paved the
 way for  Apis,  Ars.  or Nat.  m.  (which follow
 Arn. well) to complete the cure.
                    CLINICAL.
   A youth of 18, tall and well formed, had chills, and had
 been under  Allopathic  treatment  for  several  months.
 Carefully selected remedies failing, inquiry was made for
 hidden  cause, when it was found that six months before
 he had received an injury in the back (dorsum)  by a fall
 from a wagon.  In every access of fever the seat of the in-
jury became painful.  Arn.30 in water, every six hours,
 relieved  the chills at  once.—C. P.  Jennings, Med. Ind.
 VII.—257.
   Patient, a lady, suffered for many months with tertian
 ague, temporarily suppressed by Quinine.  Appetite failed
 and grew continually weaker.  She complained of soreness
 of the scalp and of the  muscles generally, and a cough that
 occasioned much distress on account of soreness of the chest
 and pectoral muscles. Arn. in drop doses, for two days, at
 intervals of two  hours.  Fully recovered in  ten days.—
 A. E. Small, U. M. and S. J.
  Mathias Novak, aged 23 years, had a daily fever for nine
 days, which began in the morning by hard  chill, followed
 by a violent heat  and abundant sweat.   Mediocre thirst
 during chill, but great during heat.   First attack,  vomited
 during chill and complained of pains in epigastrium;  had
no appetite, dislike and horror for meat,  which  he said
would increase his fever.   Arn.6 two  doses, cured in
three days.—"M.  K.," Gazette Homseop.,  VIII— 234,
 1836.
  Arnica6 cured a  quartan fever.  Paroxysm every four
days, generally in the afternoon or evening.   Violent thirst 
INDICATIONS.
25
 before the chilliness, and until the heat set in, when the thirst
 abated. Aching pain in the anterior part of the vertex.
 Headache  during  the apyrexia, yellowish complexion,
 bitter taste in the mouth.—Clinique Homceop. Pr. Com. 1,
 p. 179.
   Has been recommended for " congestive chills,"
 but I can  find no  case in  our  literature  treated
 with it.

              ARSENICUM ALB.
   Time:—All periods—Mostly P. 31.paroxysms,
 1 to 2 P. M.—12 to  2 A. M.—10 a. m.; 3 to 6 p.
 m.—5  p. m.—12 m.  Every fourteen days (Cal. C.
 China, Puis ).  Anticipates, one  hour  every
 other day-
   Yearly (Caroo \eg. Sulph.)-
   Fever without chill—2 a.m.—4 p. m.—10 p. m.
   Afternoon  intermittents  of  nursing children,
 without chill,  must  be covered,  and very  thirsty;
fever lasting all >tight.
   Before Chill:— " Sleepiness  night  before
 paroxysm."—H. V. Miller.
   Yo.vming and stretching;  malaise; debility;
 weakness;  headache;  vertigo;  inclination to lie
 do urn; cutting pain  in chest  and  bowels, and
 watery diarrhoea.
   Chill: — Irregularly developed;   never   clearly
defined; simultaneously, or alternating with heat;
mingling  of heat and chilliness;  all  ameliorated 
26
THERAPEUTIC
by external warmth.  (Aggravated by external
heat, Apis. Arn. Ipec).  Irregular chills at any
time of day. Shuddering when walking in the open
air.  Generally little if any thirst during chill; if
thirsty, frequent drinking but little <d a time, but
drinking increases the chilliness and causes nausea
and vomiting (drinking hastens and aggravates
chill and causes nausea, Eup. perf.—Every drink
causes shivering and chill, Caps.);  oppression  of
the chest(ApiS-); coldness of abdomen (Menyan);
blue nails (Nux.); tastelessness of food;  shudder-
ing without thirst, worse in the open air.  Internal
chill, with external heat and red cheeks; coldness of
body and dryness of the skin;  burning heat  of
skin, cold to the touch; headache.
  "Chill  in forenoon  not  relieved by anything;
external coldness,  with cold, clammy sweat."—C.
Herring.
  Heat:—The heat of an Ars. fever is intense, long-
lasting, dry,  burning and pungent  to the  touch,
with inclination to uncover (Apis. Sec) and insa-
tiable thirst for cold water; drinks  little and
often, with vomiting after drinking several times.
Internal, burning, dry heat at  night,  must  be
uncovered.  Burning heat  as if hot water were
poured over one, or as if hot water were coursing
through the blood vessels (Rhus. Bry.).  Oppressed
breathing (Apis);  great restlessness, and press-
ing, burning pain in region  of the spleen.   Burn- 
INDICATIONS.
21
ing pain in stomach and bowels.  *During chill and
heat, aggravation of previously existing symptoms.
  Sweat:—This stage is as variable as that of chill
—with unquenchable thirst for large quan-
tities  of  cold  water (China), which causes
vomiting.    Sweat,  with  cessation  of  all the
previous  symptoms  (Nat.  in. — Of  all  except
headache,   which  is  increased,  Eup.  perf.)
Sweat during first sleep, or during entire night;
cold,  clammy   sweat.   Sweat  with excessive
thirst.   Sweat with  thirst,  coming  on  several
hours after the heat, or  what is oftener  the  case,
there is no siceed at all, the elry  heat continuing all
night.   After the  paroxysm —with or without
sweat—great weakness and prostration. There
is more headache than  in the hot stage, unless
there be copious sweat.   *Drinks large quantities
in sweat;  little and often in chill and heat.
  Tongue:—Sides furred with  red streak down
the middle (Ant. T.) and red tip; yellowish-white;
brown; bluish.  Water  tastes  bitter; desire for
acids;   brandy.   Aversion to  food  (aversion to
meat, Arn.).
  Pulse:—Weak, small,  easily  compressible.
  Apyrexia:—Great debility; lassitude; weakness
of all the  limbs and constant  inclination to lie
down (Arn.)   Face pale,  sunken,  sedlow, clay-
colored, bloated; dull aching in  region of liver and
spleen, painful on pressure, with  sensation as if 
28
THERAPEUTIC
swollen. Abdomen bloated (Apis.); foetid, watery,
diurrheeic stools, which are very elebilitating; urine
scanty  and turbid.   The patient is  constantly
chilly and must be in  a warm room.   General
ceuemic  appearance (Eup. China. Ferr.).   Skin
pale, often covered with cold perspiration. Fevers
contracted at sea-shore wcdering  places, coming on
in the autumn, or " wintered over " and not  com-
ing on until sj ring (Gels.).
   " The paroxysm is not complete.   One  stage is
generally wanting."—Carroll Dunham.

      Arsenicum.              Cinchona.
  Time :—Not  characteris-
tic; 1 to 2 p. m— 12 to 2 a.
M.
  "Sleepy, night before the
paroxysm."—H.  V. Miller


  Before  Chill :—No  thirst
Headache, with vertigo and
paleface; pain in bowels and
watery diarrhoea.

  Chill :—Irregular;  ming-
ling of heat and  chilliness;
chills alternating with heat;
ameliorated by external heat.
Great thirst; drinks little and
often.
  Time:—Not characteristic.
5 a. m.—5 p. m.

  "Restless sleep, night be-
fore the paroxysm."—Hah-
nemann.

  Before Chill:—Great thirst.
Canine  hunger,  headache
with flushed face,  and palpi-
tation of the heart.

  Chill:—General,  violent
chill over whole body, with
icy cold hands and feet; ex-
ternal heat  increases chill.
No thirst during chill. 
INDICATIONS.
29
   Heat:—Dry, burning,  in-
tense, as  if hot  water  were
coursing   through  the  blood
vessels.    Great  restlessness ;
uncovering brings relief.   In-
satiable  thirst;  drinks  little
and often.
   Sweat :—Rarely occurs,
light if  any;  but cold and
clammy.   Unquenchable thirst
for large quantities of cold
water, with vomiting  after
drinking.
   Tongue :—Sides  furred,
with  red streak down the
middle.   Tongue  brown;
blue; desire for acids; aver-
sion to food.
   Pulse:—Weak, small and
easily compressible.
   Apyrexia .— Great weakness
and prostration; pale, sunken
face; fetid,watery diarrhoea;
abdomen bloated; great de-
sire to lie down.
   Heat:— With distended veins
 and congestive headache, often
 delirium.  Wants to uncov-
 er, but chilly when uncovered.
 Rarely any thirst; if any, at
 close  of heat.  Hunger in-
 stead  of thirst.
   Sweat:—Debilitating, pro-
fuse.    On  being covered, he
 sweats   profusely  all  over.
 Sweating during sleep. Thirst
 returns;  large  quantities,  or
 little and often.
   Tongue:—White; yellow.
 Thick, dirty coating;  taste
 too acute; food tastes bitter;
 too salt; hungry.

   Pulse:- Hard; full; quick.
 Uncommon  distension  of
 blood  vessels.
   Apyrexia:—Sweats easily;
 exhausting night sweats; pain
• in both hypoch ondria;  com -
 plete loss of appetite:
   Arsenicum  is  often given  in alternation with
China, or some  of its  alkaloids  (by some homoeo
paths) in this disease; but to  those who differen-
tiate  with  the  above comparison, there ought to
be little danger of confounding  them.   Where one
is indicated the  other never is.    Fowler's solution, 
30
THERAPEUTIC
 and  massive  doses of  the lower triturations of
 Arsenicum, frequently repeated, are  wholly  unne-
 cessary in the treatment of intermittent fever.  If
 the remedy be indicated, the potentized drug will
 effect a more prompt and  radical cure.
   Arsenicum  is  probably more  often indicated
 than any other remedy, in the " so-called " " dumb
 ague,"  so often met with  after abuse of  Quinine.
 Also, in  the  afternoon intermittents  of  nursing
 children—who never have chills,  and from whom
 it  is impossible  to obtain  many indications—it
 frequently suffices to complete a cure.

                    CLINICAL.

   Chill, without thirst; at 10 or 11 a. m., shaking chill,
 felt as though water was running down the back, blue sur-
face, shrunken skin. Fever burning, great thirst, drinking  little
 at a time, but often;  marked prostration, dry parched  tongue,
 little or no sweat, irritable and  melancholy.  Ars.30,  cured.
 —T. D. Stow, N. Y. Trans.,  304.
  Mr. B., aet. 69, treated allopathically for six weeks.  Has
 now slight chills or  none at all, beginning at midnight, fol-
 lowed by heat or chilliness and  heat in rapid succession; great
 thirst, drinks little at a time;  oppression of chest and short
 breathing; some time after, heat and sweat, when thirst is
 increased aud drinks large quantities of water.  Ars.3, cured
 in four days.—H. M. Brown,  H. M., Aug., '72.
  Quotidian fever.   Afternoon; anticipates one hour each
 day; first chill,  then heat, then perspiration with heat.
  Before  chill, pricking of the nose, grinding of the teeth,
 stretching, sour eructations and coryza.  During the chill.
m 
INDICATIONS.
31
hands, feet and nose cold; thirst, yawning, blueness under
the eyes and pain in the stomach.   During heat and perspi-
ration,  more of  these  symptoms  were present.   Stools
slimy; urine of a dark red color-  Ars.200, cured.—B. F.
Joslin, "Horn. News," 1855.
  Tertian  intermittent  fever:  first chill, then heat, then
perspiration;  thirst during  the whole paroxysm; drink3
often, but little at a time; during the cold stage, nausea; pain
in the small of the back and lower limbs;  tongue blue; great
debility  after  the paroxysm.—B.  F. Joslin,  "Horn.  News,"
1855.  Ars. cured.
  Mr. H.,  set. 25, had intermittent fever, early in Septem-
ber, was checked by chin, sulph. only to return and again
be suppressed by same until December,  when paroxysm
presented following symptoms; chill returning every day
two hours earlier; during the chill, pain in the small of the
back and all the bones (Eup.  perf.); much thirst, drinking
very often and little at a time;  vomiting of the injesta and
bile; chill lasts two hours and is followed by heat with
continued  thirst; less pain in  the back  and  bones.  No
vomiting, but violent headache in the whole head; heat
lasts three  hours, the headache continuing for hours after heat
has passed off.   During entire paroxysms, but more partic-
ularly during heat, great restlessness.  During the night, he
sleeps well, but perspires profusely—perspiration sour and
offensive.  During apyrexia, dullness in  the  head; great
debility; urine diminished; but appetite good.  Gave him
Ars. ■n"°  after the fever.   Next day, paroxysm one  and a
half hours earlier; no medicine.  Next day, paroxysm one
hour earlier; less severe, no vomiting, no  headache.  Fol-
lowing day, at same hour but very slightly; returned no
more.—A.  Lippe, A J.  H. M. M., 1-224.
  Mr. D., laborer, living in marshy region, had two chills
before I saw him: forenoon every other day, anticipating. 
82
THERAPEUTIC
Before chill, diarrhoea, stools thin, bloody, frequent, with
burning in  the  stomach, aggravated by drinking water.
Chill not clearly developed; mixed  with heat;  with anguish,
thirst, headache, and restlessness.  In heat, which was very
great and long-lasting, there was  great prostration, increase
of thirst and headache, stools smaller, more frequent, and
contain much blood.   Very  restless, with fear  of  dying.
Sweat not  very  profuse;  but great relief of pains and
diarrhoea.  In apyrexia, weak, nervous, cannot walk with-
out  help.   Ars.200 in  water every  three  hours  during
apyrexia.  No return of chills or diarrhoea.  Well  in four
days.—A. L. Fisher, A. J. H. M. M., vol. V—177.
  N. J., aet. 30,  hitherto strong and  muscular; had been
exposed, eight weeks before  on the isthmus of Panama;
and three weeks after he left Panama, had chill, fever and
vomiting, which was suppressed by quinine to enable him
to travel.  Three days before I  saw him,  an unusually
severe chill, followed by high fever, and alternations  of
chill and fever, with severe constitutional symptoms, which
continued notwithstanding  large and  repeated doses  of
quinine.  He had lost thirty pounds in  weight during last
month.   Face of a dusky, red hue, hot and dry, eyes in-
jected,  pupils contracted, with  a very  restless,  anxious
expression.    Patient had constant thirst,  only a  single
swallow at a time.  Stomach excessively irritable—drink
rejected as soon as taken; a profound disgust for  food of
all kinds.  Tongue covered with  thick,  brownish coat, and
felt dry, though not actually so.  When protruded, trembled
and was moved  involuntarily back and forth, in spite  of
efforts to keep it still; hands trembled  excessively;  indes-
cribable weakness and prostration; uncontrollable restless-
ness, literally impossible to remain in one position—the
recumbent posture  was impossible; alternations of chill
and  heat, partial and  fugitive in character, each  lasting 
INDICATIONS.               33
 about  fifteen minutes; heat yielding  to partial, clammy
 sweat, again succeeded by chill.   Dyspnoea, and short, dry
. cough.   The spleen much enlarged.   Last two nights, un
 able to sleep at all, exceedingly restless and uncomfortable,
 tormented by thirst.   Pulse 140, quick, small, wiry.  Head
 confused, sensorium much clouded, it being difficult to
 get definite answers to my questions; had vague apprehen-
 sions of severe illness.  Any one  conversant with Panama
 fever could not fail to recognize the  gravity of above, nor
 could there be any  doubt of the remedy required.  The
 indications being so clear, and the severity of the disease
 so undoubted, I deemed this a very fair case for the dem-
 onstration of the power of the high potencies.  At 4 p. m.
 I gave him Arsenicum'200, to be  taken dry, a powder every
 four hours.
   The following day, better; had slept three hours  the
 night before; stomach not irritable, tolerated beef tea and
 toast: chills and heat once in four hours, lasting for a few
 moments only.  No cough or dyspnoea.  Prostration still
 excessive, restlessness moderate, intelligence good, tongue
 and hands less tremulous.
   Arsenicum200 every six hours.
   Third  day:  A better night,  no chills or  heat  to day,
 strength increasing; no restlessness.
   Arsenicum 20° every eight hours.
   The fourth day: Slept well last night; feels like walking
 out;  appetite good,  tongue clean.   Saccharum Lactis.
   Fifth day:   Feels quite well and strong.  Next day he
 resumed  his  journey.  No  relapse.—Dunham's,  Science
 of Therap., p. 479.
   "There are  diversities  in the  form in which intermit-
tent  fever appears in different persons  and in different
epidemics;  that these forms require different remedies,
and that  thus there is a form capable of being cured by 
34
THERAPEUTIC
Arsenic, and  by nothing else; a form capable of being
cured by Quinine, and  by nothing  else; and so  of other
drugs.  In this view, when a case  of  intermittent fever
presents itself, the question can never  be:  Is Arsenic a
better remedy for this  disease  than  Quinine is?   Does it
offer greater chances of a cure ?  There can be no better
or worse.  The question is between right and wrong; suit-
able and not suitable.   Which remedy corresponds to this
particular case, and  is.  therefore, indicated in it?"—Dun
ham's Lectures, II.,  p. 201.
   "Arsenic is one of those few drugs whose action is dis-
tinguished not alone by  its intensity, but equally by its
extent; it involves the entire organism.  Every  system,
every organ of the  body, every  nervous filament,  is so
subjected to its powerful  influence that we are not able to
say which of its symptoms  are primary, and which are
secondary, and  where the focus of its action chiefly lies.
Again, the longer the disease has  lasted,  the  more  is
Arsenic generally indicated; because the more deeply have
the organs and tissues been affected, the more nearly has
the patient's condition approached that known as the inter-
mittent cachexia, which so nearly resembles the arsenical
cachexia.  Especially is this the case where the liver and
spleen have  become swollen "—Dr. Wurmb, Homoeop.
Clinische Studien.

                BARYTA CARB.

   Time:—8 p. m.—Afternoon.
   Chill:—Without thirst.
   Constant coldness,  a* if cold water were dashed
over her, (Rhus.  Ant. Tart.) relieved by  warmth
of  stove  (Ign.),  but aggravated by the  least
draught of  air.  Chill begins in face and descends 
INDICATIONS.
35
over the body;  or  shivering, beginning  in the
feet, with bristling  of the  hairs.  Chills in pit of
stomach (Cal. C.) alternate with warmth of body;
cold feet, then chilliness comes on again.  Sudden
chill, with  goose-skin, external coldness  and the
hair standing  on end.  Icy-coldness of  the feet
from  afternoon till evening;  after lying  down,
heat in the whole body.   Alternate chilliness and
heat the whole night.  Horripilation.
  Heat:—Without thirst.  Skin hot and dry; heat
at night and anxiety.  She cannot lie upon the left
side on account of violent palpitation, with a feel-
ing of  soreness  in  the heart,  and  great  anxiety.
Dry heat the whole night, with sleeplessness; if
she puts her hands out from under the cover of the
bed, she feels cold,  chilly,  and thirsty;  next day,
violent thirst, pours down  whole glasses of  water.
Heat  and redness, frequently of one cheek, with
coldness of  the other.   Very sensitive to cold air,
or to change of temperature.
  Sweat: — Exhausting  night  sweat;  anxious
sweat.  Profuse sweat  of the  left  side; offensive
sweat of the left side; sweat returning every other
evening;  sweat  increased by eating.   Sweat for
several nights after midnight.   No thirst.
  Tongue:—Very  thick;  white,  fuzzy  coating.
Hungry, but cannot eat.
  Apyrexia :—Great sensitiveness  to  cold ; he
" catches " cold easily, and is liable to sore throat; 
36
THERAPEUTIC
 consequences  of a  cold, swelling of the  parotid
 and   cervical   glands  in   scrofulous   children.
 Chronic induration of tonsils.   Excessive languor
 of  all the limbs; prostration and inability to sup-
 port one's self on the limbs.
   In fevers as  sequellae of scarlet fever or diph-
 theria;  fevers occurring in young persons or old
 people of a psoric diathesis.


                    CLINICAL.

  The following case had been,  for some months, treated
 without success by the usual  Allopathic routine of Qui-
 nine,  Iodine, Mercury, etc., in massive doses of the crude
drugs:
  Mrs. B., a large  lady, dark hair, fair complexion, had
spent some months in Florida the previous winter.  Since
her return, had  some wandering rheumatic pains in left
shoulder, left arm and left knee.  Intermittent fever since
first of June.  Chill every afternoon;  alternate chilliness
and flushes of heat, with ice-cold feet; but it  never amounts
to a shake; lasts till evening.  Very sensitive to cold.
  Heat, with dry, burning  skin, although she feels chilly
and must be covered up.  Great sensitiveness to cold  air,
or change of air, even going from one room to another
makes her chilly.   Chilly when undressing, and in  bed
must wrap a woollen blanket around her "to get warm,"  yet
her skin is burning  hot to touch of others.   Soles of feet burn
all night, yet  she cannot put either hands or feet from under
clothes because it makes her chilly; towards morning falls into
an uneasy sleep with a light perspiration.  No thirst in
any stage.   Tongue white: bitter taste;  appetite capri- 
INDICATIONS.
37
 cious.  Weak and  tired for three days before the menses,
 which are two or three days too soon and two profuse.
 Baryta Carb.200 every morning, cured in a week.—H. C. A.,
 "Counselor," October, '79.

               BELLADONNA.
   Time:—6 p. m.—in evening, or at  night.
   Chill:— Without thirst.  Chill, beginning in both
 arms  at  once,  thence  spreads all over the body
 (Hell.—begins  in  extremities, Gels.);  a violent
 chill seizes her  in  scrobiculus cordis;  shivering
 running down the back, and terminating in pit of
 stomach.  (Chill felt most severely in pit of stom
 ach, Arn.—Chill begins in  pit of stomach with  a
fixed,  cold,  agonizing weight,  Cal. carb.)  Chill,
 alternating with dry burning heat.   Chill, with
 violent, bursting, froidal headache, dilated pupils,
 dread of  light and noise; restlessness;  pale face
 when lying down; red face  when sitting up;  (the
 reverse  of  Aeon.)   Congestive  chill,  with red
 face, delirium, and  bursting headache.  Chill in-
 ternal, with external burning heat.   Feet ice-cold;
 can scarcely  be  warmed, while face is red  and
 bloated.  Chill  after eating.  (Chill after eating
 and drinking, Asar.) Chilliness in the arms, with
 redness  and heat of the ears and  nose;  (With
 coldness  of tip  of  nose  during chill, Cedron.)
 Chilliness not relieved by heat of stove.   Rarely
 any thirst;  if, any, it is during the alternate burn-
 ing heat of the chill. 
38
TH ERAPEUTIC
  Heat:—Intense, with great thirst and desire for
cold water, yet everything he drinks feels as if too
cold.   Burning  heat within  and without;
burning heat of the body, with extreme distension
of the superficial blood-vessels, the distended veins
lie  like cords on  the  skin, (distension  of veins
and congestive headache, China.)  Violent, burst-
ing headache, with strong pulsations  of  arteries,
especially throbbing of the carotids;  dilated pupils;
very red face; delirium; restlessness.   External
coldness of the body, and internal  burning heat.
Head sometimes ice-cold, sometimes burning  hot.
Face  hot,  with  extremities cold:  forehead  hot,
with cold face and cold cheeks.  (Rhus.) Heat
the predominant stage of the  paroxysm.  Averse
to uncovering.  Sensitive to light and noise.
  Sweat:—Beginning at the feet  and  rising up to
head; during heat, or immediately after it, mostly
on face and down  the nose; on covered parts only,
or on covering parts ever so little  (China.); sweat
stains linen yellow or dark;  empyreumatic, smoky
odor; profuse sweat with diuresis;  sweat of head,
hands, face  (which is very red) and feet,  with
burning heat: profuse sweat over whole body by
the least exercise (Bry. Camp.); sudden,evanes-
cent:  during sleep day or night;  with gradual re-
lief of pain  (Nat. m.); may  be entirely wanting.
  Tongue:—Red  and dry,  with red edges  and
white coating in the  middle;  papillae bright and 
INDICATIONS.
39
prominent, like scarlatina  (Ant.  Tart.)  Offen-
sive, putrid taste, when eating or drinking.
   Pulse:—Strong,  full, large  and  frequent;  or
small, wiry,  and  hard;  the former  in chill  and
heat, the latter as paroxysm passes off.
        Aconite.
  Chill:—Ascends from feet
to chest.

  One hot cheek; contract-
ed pupils.   Red face  when
lying down; pale face and
fainting when sitting up.
  Chilly from being touched,
or even lifting bed clothes.
Body  chilly,  forehead and
ears hot.
   Heat:—Redness and heat
 of one,  coldness and pale-
 ness of the other cheek.
   Sensation of  coldness in
 the blood-vessels.

   Likes to be uncovered.
   Sweat:—Covered   or  af-
 fected parts sweat  profuse-
 ly-
   Sour  smelling sweat  all
 over the body.
     Belladonna.
  Chill:—Begins  in both
arms at once,  thence over
body.
  Hot face, dilated  pupils.
Pale face when lying down;
red face when  sitting up.

  Chill  after eating, with
redness  of the face.  Chilli-
ness, with redness and heat
of ears and nose.
  Heat:—Forehead hot, with
cold face and cold cheeks.

   Distended  superficial
blood-vessels,   like  whip-
cords on the skin.
   Averse to uncovering.
   Sweat:—On covered parts
 only, or on covering parts
 ever so little.
   Sweat  stains  the  linen
 yellow
   Sweat of empyreumatic
 odor. 
40
THE RAPE UTIC
  Tongue: — Coated  white,     Tongue:—Red, dry, "scar-
'' strawberry tongue."  Ev-   latina-like."
ery thing but water tastes     Food tastes salty: bread
bitter; taste of rotten eggs.   sour.
  " Where there is a doubt whether Aconite or Belladonna
should be given, I have always found that a disposition to
perspire constitutes a valuable indication for Belladonna."
—Baehr.
  It has been taught by some authors, and believed by
many members of the Homoeopathic faith, that Aconite
and  Belladonna—except  as  intercurrents during the con-
gestive stage of heat—are useless in the treatment of inter-
mittent fever.  But the Law of Cure, as enunciated by
Hahnemann, knows no such narrow restriction, and is
not bound by the ipse dixit of individual opinion.
  If Aconite or  Belladonna covers the totality of  the
patient's symptoms, it will as certainly cure this fever, as
any other remedy.  They are comparatively rarely  indi-
cated, but will effectually do their work when called for.
The characteristic symptoms of the remedy must always
be the guide.—(See note to Arsenic by Dunham.)

                    CLINICAL.

  Case I.—Child had daily chill for three weeks.   Chill at
noon, with marbled skin and blue lips, with great weakness;
then heat with glowing red face and burning ears.  Soon  after
chill, or simultaneously with it, sweat, especially in drops
on the head.  One dose  of Bell, cured.—Weber in A. J.
Z., 91, p. 146.
  Case II.—Mr. T. had  anticipating  tertian ague.   At 5
a. m. , chill, with thirst and headache, lasts one hour.  Hot
stage was four to six  hours long, there  were increase of
thirst, and  throbbing  frontal  headache, with delirium; 
INDICATIONS.
41
talks of war and of being  on the water;  later  he was
stupid, hard to arouse; sick  at  stomach;  eyes red, pupils
dilated; throbbing of carotids and very red face, with
constant desire for beer.  Not much sweat.
  During apyrexia,  no appetite, but great and constant
desire  for beer,  coffee and  acids;  is sleepless,  though
drowsy, some headache, and soreness across upper  abdo
men.   Had taken Gels., Nux vom.  and  Nat. m.  in tinc-
ture or second dilution previously to my being called.
  Gave Bell.M0 at once and every three hours during apy-
rexia.  No return .of paroxysm. Cured.—A. L. Fisher,
A. J. H. M., Vol. V., p. 177.

                   BOVISTA.

  Time:—5 to 8 a. m., or  7 to  10 p. m.   Without
heat or sweat (Aranea).
  Chill:—Generally with thirst.  Chill predomin-
ates, even near a  warm  stove; constantly chilly
on  the  uncovered parts,  the  neck  and  chest.
Chilly the whole day, although  she sat by a warm
stove; must get  near the  stoye as soon as chill
begins.   (Ign. Lach.)  Severe chill every evening
from  7 to 10 P. 31, commencing with chilliness
in the back, the first day with thirst,  without sub-
sequent  heat  or  sweat  (without  heat  or  thirst,
Aranea, Canst.); with violent drawing pain  in
abdomen.  Chilliness the whole  evening; she could
not get  warm.  Feet  very  cold at  night; could
not be warmed.
   Heat:—In the  evening,  daily, at 7 p. m.   Fre-
quent heat and oppression  of the  chest, relieved 
42
THERAPEUTIC
by  uncovering.   Flying  heat, alternating with
shuddering;  thirst  with the shuddering.  Thirst
rare in hot stage.
  Sweat:—Especially upon the chest, every morn-
ing from 5 to 6.  Profuse  sweat in axilla—smells
like  onions.
  Tongue:—Coated yellow.
  The characteristic of the Bo vista fever is a well
defined chill or shuddering; remaining  stages of
paroxysm being wanting, or if other stages occur,
they are so light as not to produce inconvenience.
Compare with Aranea, Camph., Dros.

             BRYONIA ALBA.
   Time:—All  periods—time not characteristic
 Morning.  Anticipating type.
   Cause:—Fevers caused  by getting wet (Cal.
 Carh. Khus—sleeping in damp room or bed, Ar-
 anea).
   Before  Chill:—Great thirst.   Stretching  and
 drawing in the limbs; violent headache, stitching,
 jerking, throbbing  from before backwards, as if
 the head  would burst; vertigo.
   Chill:—With great  thirst for  large  quantities
 of cold water, which affords relief (Nat. m. Ign.
 —Unquenchable thirst, drinks- little and often,
 but drinking  causes vomiting,  Ars.);  heat  of
 the head and  face, with  flushed cheeks;  COUgh, 
INDICATIONS.
4:?
violent,   dry,   racking,  with   pleuritic
stitching  pains in  chest and region of the
spleen (Dry, teasing cough, before  and during
chill,  without pain, Rhus.).   Stitching pain in
right hypochondrium and abdomen; chill, with
external coldness of  body and  violent pains in
the limbs;  evening chill,  frequently  only  of  the
right side  (chill of  right  side, with heat of left,
Rhus—one-sided chilliness (left) Lye. Caust.)
Chill begins in lips, tips of fingers and toes; worse
in a warm  room than in  the open  air (Apis.).
Desire to lie down, in this stage.
   Heat:—With  increased thirst, same cough with
pleuritic stitches,  as  in chill  (dry cough  during
heat, Ipec. Aeon.);  increased headache and ver-
tigo; pain in limbs aggravated by motion; nausea
and vomiting.   Dry, burning, internal heat, as if
the blood in the veins  was  burning, or  as if molten
leael was running  through the blood vessels (Ars.
Rhus.).   More fever in a warm room than in the
open air; aggravation of  all the sufferings during
the heat.   Wants to be quiet  and not move about
in any stage.  Paleness of face.  Thirst, less than
in  hot  stage.
   Sweat:—Profuse, sour,  oily (as if mixed
with oil, China). Easily excited by exercise in open
air (Am. m.), even from slow walking, it runs in
streams from his face.  Sweat flowed in  streams
from whole body, even dropping from the  hair 
44
THERAPEUTIC
(China—The least exertion puts him into a perspi-
ration, Psorinum).  Sweat in short spells, and on
single  parts  only (Petr.)    Profuse night and
morning sweat.  Sweat on side on which he lies,
(on side not lain upon, Benz.).
  Tongue:—Thick, yellow coating on the tongue;
mouth  and lips  dry; everything  tastes bitter.
Mouth bitter  when  not eating.  Desires things
which are refused when offered.
  Pulse:—Full, hard and tense.
  Apyrexia;—All symptoms of this stage  are
characteristic  and should be  carefully  studied.
Oastric  symptoms predominate  (Ant.  C. Pals.
Nux.).   Constipation of dry, hard, lumpy stools,
as if burnt. Cannot be moved or sit up  in bed,
is so faint on sitting up.  Aversion  to  food or
drink (Aversion to meat,  Arn.—to pork, Dros.).
Exceedingly irritable, everything makes him angry
(irritable,  cannot bear  contradiction,   Anac).
Urine red and scanty.  Desire for things  he  can-
not have.  Every spot in the  body  is painful to
pressure.   Feels best rohen lying upon painful side.
  " When fever is caused by  getting wet, occip-
ital cephalalgia, preceded by  rheumatic pains in
muscles of whole body; loss  of appetite, eating  a
mouthful suffices; rotatory vertigo; redness of face,
and thirst in all stages of paroxysm."—Dr. Hig-
gins, N. A. J.,  p. 182. 
INDICATIONS.               45
                     CLINICAL.
   Case I.—Vertigo  early in the morning, pressing in the
 whole head  as if being  pressed  asunder.   Afterwards
 stretching and drawing in the limbs, chilliness increasing
 unto a shaking chill, and chattering of the  teeth; accom-
 panied with much thirst, dry, sticky tongue and aversion
 to food and beverage; nausea and vomiting.
   Heal after two  hours, increasing with a burning, with
 increase of headache and thirst.
   Profuse  sweat the whole  night, after the lapse of six
 hours.   The fever  (heat) was  accompanied  with dry,
 troublesome cough, violent stitches in the chest, increased
 by motion, asthma; stitches even during an inspiration.
 Cough increased  by nausea,  with  inclination  to  vomit.
 The cough and stitches in the chest disappeared when the
 fever abated.   No pain in the apyrexia.  Bry. when the
 sweat broke out, and on the morning of the good day; the
 next paroxysm was much weaker;  one more dose, cured.
 —Ann. Ill p 43.  Riieckert's Therap.
   Case  II.—Tertian; the fever anticipates  one or two
 hours every day.   The paroxysms are preceded by vertigo,
 with headache, and stitching in the chest during an inspira-
 tion.  Moderate chilliness, followed by great heat. Delirium.
 Unquenchable thirst, with dry cough.  Lastly sweat.   Bry.18
 two doses, after  fever.    Cured.—Horn. Clinique.   Pr.
 Com. I., p. 181.
   Case III.—Tertian Fever ; (This man had received large
 doses  of  Quinia under  allopathic  treatment.)  Violent
 chilliness for half an hour every third day at noon, pre-
 ceded  by violent headache;  after  this the skin became
 warmer,  the pulse full and frequent, but no heat properly
so called, although there was violent thirst.   Sweat con-
siderable. The apyrexia was characterized by pricking and 
46
THERAPEUTIC
cutting in the chest, especially when coughing; the cough
being dry and troublesome.  Face pale; no gastric symp-
toms; pulse normal;  sleep tranquil.  Bry.21  soon after
attack.   Two days after, a feeble paroxysm.   No return.
Dr. Thorer, Horn. Clinique.  Pr. Com. I., p. 38.
   These cases — although reported  nearly fifty
years  ago, 1834—illustrate the  fact that one or
two  doses of  the properly selected remedy, even
in the  low potencies, given after severity of the
paroxysm had passed,  as Hahnemann advised in
the  organon,  are sufficient to cure.   The  single
dose treatment is not new.

              CACTUS  GRAND.
   Time:—11 A. M. or 11 P. M.— Characteristic.
Returns at  same hour every  day  (Aran.  Gels.
Safe.)
   Cause:—After exposure to heat of sun.
   Chill:—Without thirst.   Coldness  in the back
and icy-cold hands   Chilliness ichich lasts  thre<
hours,  makes  the teeth chatter,  and  does not go
off although he lies down and covers himself up
with many blankets.  Chill not  relieved by any-
thing,  either covering or external heat (Aran.).
   Heat:—Burning  heat  of   24  hours  duration
(succeeding a  three  hours' chill), with  dyspnoea
and  shortness of  breath, and a smothering  sensa-
tion so that he cannot remain quiet in bed.  Great
heat in the head and  flushes  in the face as if be- 
IND IC ATIO N S.
47
 fore a  strong fire, which causes horrible anxiety.
 Insupportable  heat   in  abdomen;  lancinating
pain in heart, suppressed urine, pains in bladder
 and pulsating  pains  in  uterine region, vomiting,
 headache,  coma,  stupefaction,  insensibility,  ter-
 minating in very slight perspiration
   Some thirst at close of heat.
   Sweat:—After  burning heat, with shortness of
 breath, inability to remain lying on account of
 dyspnoea,  a  profuse  sweat breaks  out  attended
 with unquenchable thirst  for large quantities of
 cold water (Ars. China.)
   Tongue:—Clean; taste soapy.
   Apyrexia :—From  11 p. m. till 12 m.  the  next
 day, complete apyrexia.  The  regularity  of attack
 is perfect; and all stages are clearly defined.  The
 congestive symptoms of brain and chest predom-
inate during the  heat (Bell.  China, Nat. m.).
 Rarely  indicated, but has no substitute;  effectu-
ally and permanently cures.

            CALCAREA CARB.
   Time:—2 P. M.—Fever without  chill at 11 a.
 m. and 6 to 1 p. m.
   (11 a.m. one day, 4  p.m. the next.—E. C. Price.)
  Cause:—Takes cold very easily (Baryta Carb.)
A constitutional remedy.   Child, pale, with flabby
skin.  Scrofulous diathesis. 
48             THERAPEUTIC

  Before Chill :—Drawing in all the joints, and
great heaviness of head and body.
  Chill:- With thirst.  "Begins in scrobiculus cordis,
with spasms, or fixed, cold, agonizing weight, increas-
ing/with the chill and disappearing with it."   Ex-
ternal coldness and internal heat, or chill and heat
alternating (Ars.).  Heat followed by  chill and
cold hands.   Shaking chill at night.  Chill in the
evening in bed;  was unable to get warm, though
covered warmly, as though he had no warmth in
his  body.  He was cold and his teeth  chattered,
though  he sat over the fire.
  Heat:— Without thirst.  Followed by chill and
cold  hands.  Frequent flashts of  heat.  Severe
heat in the head and great orgasm of blood.  Night-
ly internal heat, especially in the feet and hands;
anxiety and palpitation.
  Fever at 11  a. m. without thirst  and without
previous chill, sbe felt hot and was hot to the touch,
with red face.
  Sweat:—N~o thirst.  Sweats during the day from
the  least exertion, even in the  cold air.  (Bry.
Am. m.) Profuse sweat in the morning.  Sweat of
palms of hands;  of the feet; knees.   Clammy
sweat only on the limbs.  Sweat most profuse on
head and chest.  Often sleep after sweat.
   Tongue:—Dry  in the  morning  on awaking;
coated  white.  Taste—bitter, sour, offensive. 
INDICATIONS.
49
   Apyrexia :—Never clear.  Patient very weakly
 in general; vertigo;  shortness  of breath on  going
 up stairs.   Feet feel as if they had  on cold damp
 stockings.   Menses  too  soon and  too  profuse.
 Diarrhoea of   whitish, undigested  stools.
   The constitutional  symptoms existing or aroused
 by  the fever, form  the chief guide in selection
 of remedy.

                    CLINICAL.

   Poroxysm occurring every other day, at  11 a. m., lastiag
 nearly an hour.  Chills began  in  the limbs and  extend
 toward the head; tongue quite clean; nails blue, appetite
 fair, bowels regular, no headache.   After the chill patient
 was very stupid for an  hour or two, then felt well, only
 weak.   This continued  four weeks  under Quinine and
 Gels, in large doses.   I gave Eup. Nux. Nat. mur. and
 Ars. without success.    I now  gave  Cal. c. 30,  three
 powders.   A rash similar to herpes circinnatus appeared
 over arms and body, and chills and fever disappeared.
   The patient for some  time previous to  fever was very
 pale, nd  there  seemed to have been a cachexia in the
 system for a long time.— Dr. Hutchins, N.Y.S. Trans, 1870.
   Charles R,  aged 8  years, had a chill at 2 a. m.,  without
 thirst;  fever at 6 A. m.,  with thirst,  and  severe headache,
 lasting till  noon; sweat followed by profound sleep.   Parox
ysm every other day.   Gave Nat. mur. lm one dose.  Next
 chill differed  only in their being  no headache.   In the
third chill  there was  no other change.  The mother said
the  child cried for eggs  to  eat.  Cal.  carb. lm.   No more
chills, and no more desire for eggs.—S. Swan, Med. Inv. VII
                          5 
50
THERAPEUTIC
                CAMPHORA.
  Time:—At any time.
  Chill:—Without thirst.   Long-lasting,  terrible
chills;  icy-coldness all over; extremities  cold and
blue, with death-like p< den ess of the face (Verat.).
The body generally is quite cold; coldness of the
skin. Excessively  sensitive to cold air; great
aversion  to cold air;  he is obliged to wrap him-
self up warmly, and even then he is chilled through
and through.   Great chilliness; excessive chill;
shaking chill and chattering of the teeth,  with <<>ld
arms, hands and feet. The skin of the  whole body
is painfully sensitive  and  sore  to the slightest
touch (Apis.).   Coldness for an hour, with deathly
paleness of the face.   Coldness increased by walk-
ing.  Hands and feet extremely cold, complains
of  freezing, worse  when  walking.   Chill  with
anxiety; unconsciousness; clonic spasm;  skin cold
as  marble, yet the child cannot bear to be covered;
rattling in the throat; hot breath.   (Cold breath,
Carho. veg.)  Frequent chilliness  of back  and
loins.  (Caps.)   Paroxysm of fever; severe chill,
with gnashing of the  teeth, and much thirst; he
sleeps immediately  after the chill,  with frequent
wakings, almost without the  slightest subsequent
heat.  Chill, predominant stage.
   Heat:—Without thirst; of the whole body, which
becomes  excessive wlieu walking.  Heat  with dis- 
INDICATIONS.
51
tension  of the veins, increased by every  motion,
(relieved by motion, Caps.)  Glowing heat, with
full rapid pulse.   Heat in the head, face,  occiput,
back, legs, lobules of the  ears;  body hot  and
sweating.

  Sweat:—At first, warm and profuse; then pro-
fuse  cold  sweat  over the whole body.   Sweat
most profuse during sleep, and on slightest exer-
tion  (China. Bry.).  Excessive perspiration of
hands and feet.   Sweat profuse, shirt and clothes
drenched,  having penetrated  to  lower  side of
feather  bed (Bry. China.).   Sweat often clammy
and always exhausting.  tJolel sweat on face, when
beginning to  vomit (Terat.).
  Tongue:—Cold, trembling, flabby, spongy, cov-
ered with a tough yelloAvish mucus.
  Apyrexia:—Great weakness  and exhaustion;
lassitude.  Convulsions may  occur  in children.
Weak, weary, and great  anxiety.  Face,  anxious,
pah-,  livid,  haggard, and sunken.   Yellowish,
green, red, brown, turbid urine, of a musty odor.
Terrible sinking and exhaustion.
  In 1829, on the approach of Asiatic Cholera to
Western Europe, Hahnemann, from a description
of the  disease, published  in  advance of its  ap-
proach, that Camphor would be the remedy in the
stage of collapse;  and the clinical  experience of
each subsequent  epidemic demonstrated  his pre- 
52             THERAPEUTIC
diction.  This power of prevision;  the crowning
glory of our school of medicine;  the absolute
proof that " similia " is a u Law of Cure; "  the
demonstration of the claim of Homoeopathy to be
ranked  as  a medical science; was first shown  by
Hahnemann in the fatal  typhus which followed
the terrible retreat of Napoleon from his Russian
campaign in 1812.   He published in advance that
Rhus. Tox. would  be the principal remedy, and
the recognition of  Homoeopathy by the Austrian
Government was  the  reward  of its  successful
administration.
  There is probably no stage of  any disease that
bears so close  a resemblance  to the  collapse of
cholera,  as the true, " pernicious " " sinking," or
" congestive " stage of intermittent fever.  Hence,
Camphor should deservedly be placed in the front
rank, with Apis.,  Carbo.  veg., Gels., Lach., Nuxr
Verat., as one  of  our "sheet anchors"  in  this
form of fever, instead of Chin, sulf., often so in-
discriminately and empirically used.
   This abuse of Chin. sulf. is  borrowed  by  the
pseudo-homceopath from  his  allopathic brother,
who has no " Law of  Cure " upon which to rely,
and is compelled  to depend upon his theories
(malarial and cryptogamic) to prevent the return
of  the  paroxysm.   Chin.  sulf. may suppress it, as
it will many simpler forms of the fever, but there
are many cases it will neither  suppress nor cure,. 
INDICATIONS.
53
and these are the fatal cases that so often occur in
the  practice of regular (?) medicine.  The  fatal
" third paroxysm" is rarely known  under  the
properly selected Homoeopathic remedy.   It is a
"' bug-bear " of Allopathic teaching and practice.
No  Homoeopath, surely, would think  of giving
Ohin. sulf. in Cholera collapse, for  no  better rea-
son than that it is given by the rational (?) school
of medicine. The statistics of comparative mortal-
ity of each  system of practice " in cholera " ought
to be convincing.

                 CANTHARIS.
   Time:—3  p. .u.  till  3 a. m.—long-lasting chill.
(Aran.—24 hours.)
   At all hours in afternoon, from 1  to 10 p.  m.
   Chill:—Without thirst, in afternoon or evening,
not relieved by external wurndh or covering.   (Ars.
Is*n. Kali. C., are all  relieved by  external heat.
—-Worse   from  external   heat,  Ipec.  Apis.).
General  coldness of  the  whole body, especially
the  limbs.   Coldness  and  chills as soon as she
attempts to rise, or puts one limb out of bed, after
getting warm in bed.  Chill  immediately on get-
ting out of bed.   Shiver ing unci chill down  the
spine; feeling of cold.ness in the vertebral column.
(Pain  all  down th,e  spine on  pressure,   Chill.
sulf.).   Shaking  chill beginning   in  the back
{Caps. Elip. purp.).   Icy coldness  of hands and 
54
THERAPEUTIC
feet, with fearfid pains in the urethra.  Children
pass urine frequently during chill.

   Heat:—With thirst; burning in the palms and
soles;  burning heat at night, which she does not
feel.   (Unbearable  heat;  extreme  restlessness,
Ars.)   Burning on soles of feet, while hands are
icy-cold.  Burning, violent fever; great heat, with
thirst, and redness all  over the body.  Great heat
of  abdomen (Apis.).

   Sweat:—Profuse, on  waking  at night; when
walking; from every movement (Bry.);  cold
sweat  on the hands and feet; sweat on the geni-
talia and external  pelvic region; sweat smells like
urine; cold sweat.
   Tongue:—Coated with thick,  yellow fur; red
at the edges.   Taste lost; trembling tongue.
   Disgust for everything.
   Apyrexia:—Irritation  of  the  urinary organs,
difficult, frequent and  painful urination.   Scanty
and painful emission of blackish urine; then secre-
tion of urine increased to four-fold the amount of
liquids taken,  with  great thirst and desire for
meat:  (Aversion to  meat, Aril.)   Very thirsty,
but disgust for all kinds of  drinks.  Drinking
small  quantities of  water produces  pain  in the
bladder.  Heaviness of the feet; a paralytic im-
mobility of  the limbs; must lie in bed. 
INDICATIONS.
55
                  CLINICAL.
   Cantharis10, cured intermittent fever with catarrh of the
 bladder and urethra, and swelling of the penis.  Chilly
 stage was long and mixed with heat; some sweat of urin-
 ous  odor and perspiration on genitals.—A. H. Zietung I
 p. 256.
              CAPSICUM ANN.
   Time:—5 to 6 p. m.
   Before  Chill:—Thirst  some  time before chill
 (Thirst and bone pains 1  to 6 hours before  chill,
 Eup.  perf.).
   Chill:—With great thirst.   Chill  begins  in
 the  back,  bet/eeen  the shoulder blades (Polyp.—In
 lumbar region,Eup. purp.); worse after drink-
 ing.  Shivering  and chilliness after every
 drink.   Chill,  with pain in back  and  tearing in
 limbs  relieved by jugs of hot water or  hot  irons
 to the  back; chill lessened by walking out of doors;
 painful swelling  of   spleen; contracted  pupils;
 contraction of the limbs;  (Cimex.) headache, in-
 tolerant  of noise  (Bell.);  ptyalism and mucus
 vomiting;  chill  in  the open air, particularly in a
 draft,  extremely  sensitive  to cold  air  (Camp.
 Baryta c); inward burning and external heat.
   Chill followed by sweat;  or by heat with sweat
 and  thirst  (Ant. crud.)  "As the coldness of the
 body increases, so also does  the ill-humor."—Hah-
 nemann.
  Heat: — Without  thirst;   lessened by motion.
Sweat  and  heat simultaneously  (Ant.  crud.); 
56
THERAPEUTIC
face alternately pale and  red;  internal heat with
violent  burning  (Ars.) followed  by  chill with
thirst during chill.  Headache with pain  in the
back, relieved by walking about (Rhus.)   Glow-
ing hot cheeks, with cold hands and feet.   Heat
of the ears, and  hot, red  tip of the nose, towards
evening.  General heat; anxiety; uneasiness; dull-
ness of the mind and intolerance of noise.  Sleep.
    Sweat:—Without  thirst;  violent;  copious.
Sweat with the heat, or after the chill, without pre-
vious heat (Caust.).  Sweat, lessened  by motion.
Sweat in axilla  (Bov.).   Acrid  sweat;  so acrid
that it caused the hands of any person brought in
contact with it to burn and tingle.
  Tongue:—Burning blisters, and flat, lardaceous,
spreading ulcers on the tongue.   Taste  sour; of
putrid water.
  Apyrexia :—Clear comparatively; chill  is pre-
dominant; in  mucus, flabby constitutions; some-
times dysenteric  diarrhoea of slimy, burning stools,
attended with  qualmishness of the stomach, and
fullness at the epigastrium.  Appetite unimpaired.
The chill beginning in  the back between the shoul-
ders; relieved by hot irons or jugs of hot water
and lessened by motion, is characteristic.
      Capsicum.             Eup. purp.
  Time:—5 to 6 p. m. every    Time:—Different times of
day.                     day.  Every other day. 
INDICATIO NS
  Before Chill: — T h i r s t,     Before Chill:—Bone pains
without bone pains.   Thirst   in arms and legs.  Thirst for
during  chill  with  pain in   lemonade, and acid drinks—
back and limbs.              not water.
  Chill: — Commencing in
back  between - the shoulders ;
relieved by putting jugs of
hot water to back;  must have
something hot to back.
  Violent chill with general
coldness of body.

  Heat: — Light,  transient,
or mixed with sweat.  No
thirst in heat.
  Headache;  intolerance of
noise; sleep.
  Sweat:—General; copious
or alternating with heat.
  Chill, heat  and sweat, all
relieved by motion.

   Capsicum is a valuable remedy in intermittents
occurring in midsummer; its symptoms are clearly
defined and ought not to be confounded with any
other remedy.   It is oftener indicated than used—
just the reverse of Quinia.
  Most  patients want to lie down and have jugs of hot
water, hot soapstones, hot irons, etc., put close to back, and
cry out "oh!  how good that feels." External heat relieves.
Heat with no  thirst, but with  tendency to perspire."—T.
D. Stow, H. M. 1871, p.  163.
  Chill: — Commencing  in
back, lumbar region, passes up
and down spine, with bone
pains, blue lips and nails.
Nausea as chill is leaving.
  Violent shaking, with com-
paratively  little  coldness  of
body.
  Heat: — Protracted  and
well marked, with thirst

  Head light, as if falling to
left side.
  Sweat:—Light, mostly on
forehead and head.
  Neither stage relieved by
anything. 
58
THERAPEUTIC
                   CLINICAL.

  Chills every morning, with shaking followed by heat, no
sweat, not much thirst, little  appetite, headache during
the entire paroxysm, nails become blue, complexion sal-
low, chills  always commencing in  the back.  Caps.2  drop
doses three times a day.  Three days after had chill every
day "but did not shake." Caps.'200 one dose, another to
be taken next  morning.   No return  of  chills.—R.  C.
Smedley, H. M., VII, p. 376.
  I pay most attention to the  apyrexia in chills and fever.
A hysterical woman received Quinine for chills  owing to
the difficulty in getting symptoms.  They stopped, but
returned in two weeks.  After three weeks of unsuccess-
ful treatment, she said: " Is it not strange, every time the
chill is going to come on I begin to drink."  Caps.200 one
dose, cured.-R W. Martin, N. E  M.  G., vol. V.

   Capsicum and  Eupatorium perf.  are the  only
remedies in  which patient  " knows the chill  is
coming, because he wants to drink;" and the  bone
pains of Eup. perf.  serve to distinguish  between
them.

                  OARBO AN.

   Time:—5 to 8—9 and 11 p. m.
   Chill:—Without thirst.   Greed chilliness during
the day.   Chill after ceding.  (Bell.—after drink-
ing,  Caps.—after  eating  and drinking,  Asar.)
Internal  chill  on beginning to  eat;  Chill awoke
her at night;  chill commencing in the chest (Apis.) 
INDICATIONS.
59
with shivering down the back; with ice-cold feet;
chilly when a little air entered the room; (Cantli.
Camp.)   Could not bear being uncovered because
she immediately became  chilly.   (Nux. VOm.).
Chill with goose-flesh, from 5 till 8 in the even-
ing, afterwards at 11 p. m., waking with profuse
sweat, lasting till 2 o'clock, during  which  she
could not tolerate the bed-clothes.
  Heat:—Without thirst; with redness and burn-
ing of the cheeks in the evening;  frequent flushes
of heat in the cheeks, with redness.  Heat always
after  a  chill, mostly at  night  in bed.  Head
and upper  part of the body were hot, with cold
limbs; which only gradually became warm towards
morning.
  Sweat:—Offensive  night  sweat.    (Flies
trouble him very much on account of the perspir-
ation,  Calad.)  Foetid; debilitating; exhausting;
profuse  sweat (Psor.); when  walking;  when  eat-
ing.  Sweat stains the  linen  yellow.   Sweat
in hollows of knees; profuse sweat of the feet  and
thighs.  Symptoms of this stage  always  guiding
and predominant.  (Bry. and China have  profuse,
debilitating sweat, but lack the offensiveness of
Carbo. an.)
  Tongue:—Blisters on the tongue and  sides of
the tongue (Canth.), which pain as if burnt.
Burning on tip of the tongue and rawness of  the
mouth.  Ravenous hunger  (Cina. Phos.). 
60
THERAPEUTIC
  Apyrexia:—Never clear.  All the constitutional
troubles are aroused, and every disease is extreme-
ly prostrating:  Menstruation;  leucorrhoea;  diar-
rhoea, are all exhausting.  Leucorrhoea stains linsn
yellow.  After the appearance of the menses, such
great weakness that she could scarcely speak, with
yawning rind stretching.
  Carbo. an. will rarely be indicated unless the
fever be  developed  after or upon some  constitu-
tional trouble.
  The sweating stage is very exhausting, and out
of  all  proportion to  the chill  and  heat.   Sup-
purations and  discharges become  ichorous, and
many have a malignant tendency.

                CARBO VEG.
  Time:—10 or 11 a. m.—Evening.
  Yearly  return of  paroxysm (Lach. Sulf.).
  Before Chill:—Headache, backache, toothache,
and pain in the limbs; the two latter may attend
the entire paroxysm.
  Chill:—With  thirst; begins in  left hand and
arm,  (begins in  right arm, Mer. per).    Chill
with  headache  and unusual lassitude;  with icy-
coldness of the body and cold breath  (with terrible
coldness as if lying on ice, Lye.); shivering and
chills  in  the evening, mostly  only  on left side
(Caust.—right side,  Bry.);  evening chill with
tired, weary feeling, and flushes of heat.   Cold- 
                INDICATIONS.             (51

 ness of the  knees, even in  bed (Apis.); of
 left arm and left leg; very cold hands and feet;
finger nails blue.  Irregular paroxysm, sometimes
 sweat first, followed by chill.

   Heat:— Without thirst.   Sensation of heat with
 great anxiety in  the evening, although  she  was
 cold to touch all over; flushes of burning heat in
 the evening, with headache, flushed face, vertigo,
 and nausea; tired,  aching pain  in legs; pain in
 stomach, abdomen,  spleen; opj ressecl  breathing
 (Apis.  Ars.).  Heat and chill are distinct and in-
 dependent.   (Chill and heat are  mingled  together
 or alternate. Ars.—Heat and  chill  alternate, Cal.
 Carb.).   Headache continues  after  the   heat.
 (Continues  after  the  sweat,  Ars. Enp. perf.).
 Loyuacity during hot stage (Pod. Lacll.).

   '• No  thirst, or but slight during the fever, but
 to compensate for lack of thirst, the patient wishes
 to be constantly fanned."—Guernsey.

  Sweat:—Profuse,  of  a  sour  or putrid  odor;
 night sweat; great disposition to sweat even when
eating (Carb. an.).   Sour morning sweat, which
makes his person offensive; feet sweat when walk-
ing;  sweats easily in a warm room, and is just as
easily chilled.  Pain in the legs.

  Tongue:—Coated with  white,  yellow fur, dry,
tissured,  load-colored (Ars.), cold and contracted. 
62
THBRAP K L" T I C
Bitter taste before and after eating.  Aversion to
meat and fat things  (Carbo. an.).

  Pulse:—Weak,  irregular, intermitting, indica-
tive of rapid sinking.

  Apyrexia:—Prostration, paleness, weakness of
memory, melancholic disposition.   Gastric symp-
toms; stomach and  abdomen  distended  with gas
after eating.   (Least mouthful filh up to the chir,
Lyc.).   Sensation  as   if  stomach  or  abdomen
would burst after  eating or drinking.  Great foul-
ness of the secretion^  (Bapt.).  After abuse of
Quinine (Arn. Ferr.)
  "In cachectic patients with prof use sour smelling per-
spiration, thirst only during the chill, excitability of nervous
symptoms.  Patients debilitated from previous drugging,
and   frequent  suppression of  paroxysm by Quinia."
" One sided chill (left) during  afternoon, great prostra-
tion ; with icy-coldness of the  body :  thirst and rapid
sinking ;  sniall pulse, contracted,  cold  and  cadaverous
tongue and face, with cold breath."
   This picture very closely resembles a u so-called"
"pernicious" or " congestive fever."

                   CLINICAL.
  Cask I.— F.  T.t aged 14 years,  had quartan fever for
several months, which  had  resisted  Quinia and all do-
mestic remedies.  Chill light, with great thirst during  chill,
drinking little at a time; distinct heat with some cephalalgia;
sweating  profuse  and offensive.  Carb.  Veg.15 arrested
fever at once.—M. J. K.. Homoeop. Clinique. 
INDICATIONS.
t>3
  Cask II —Excessive tearing in all the limbs, early  in
the morning,  followed by slight chills.  Profuse sweat in
the  afternoon  without  any  heat,  properly  speaking.
During apyrexia, Vertigo, especially when  stooping and
moving about, especially on  the day of  the  paroxysm,
with heat and  burning in the eyes, tearing in the nape  of
the neck.  Yellow  complexion.   A number  of hepatic
spots  in the  face.   Sometimes  painful  vesicles  on the
tongue.  Pressure at the stomach after a meal.  Quantity
of flatulence.   Pain in the small  of the back when stoop-
ing.  Every night,  red stigmata make  their appearance in
the bends of the knees, and on the arms, violently itching
and burning in the  warmth, disappearing  in the day time.
Pain in the left hypochondrium,  the spleen is excessively
swollen and hard.    Carbo.  veg.30 removed  all the  fcbril0
symptoms in eight  days.—Pr. C.  II, p. -H3.

   Case III.—May,  06—S.  S.  H., aged  3t\ tertian inter-
mittent; first chill, then heat, then sweat, with pain in back
and bones, and considerable thirst;  preceding chill lassi-
tude and cold feet; chill always beginning in left. hand, thence
spreading over entire body,  lasting from one to two hours,
followed by high fever, with pain in  head, nausea, inco
herent talking, no thirst.   Heat  followed by profuse sour
smelling perspiration, with  sleep; extremely irritable and
sensitive, before, during and after paroxysm;  in apyrexia,
feverish, irritable,  easily  offended,  and  just as easily  ex
cited to mirth.  Had'been treated by many Homoeopathic
physicians,  and  taken large  doses  of Blue Mass, Black
Pepper, and Quinine since  July  last  (10  months).  Sev-
eral remedies correspond to the general features  of this
ease;  but  none  in  our   Materia Medica  covers this
symptom so nearly—chill  beginning in left hand—as 
o4
THERAPEUTIC
Oarbo.  veg.  See Hahnemann's Chr. Dis  Patient re-
ceived  Carbo. v.4000,  single  dose.  No recurrence  of
chills to date.—A. P. Skeels H. M.  II, 494.


                CAUSTICUM.

  Time:—4 p. m. or midnight, with sweat at 4 a. m.
  Fever  without chill, 6 to 8 p. m.
  Chill,  without thirst,  lessened by  drinking (in-
creased by drinking—Caps.)  Chilliness and cold-
ness of the ivhole left side.  (Carbo. veg.)  Shiv-
ering, beginning in the face, thence extending over
the body. Internal chill, followed by perspiration
without intervening heat.   (See Caps.— Ciniex).
At  4 p. m. : first, chilliness, with creeping in the
legs up  into  the back, with  weariness,  lasting
three  hours, followed by sweat icithout  heed or
thirst.   ( Without heat or sweat.  Bov.)  Shaking
chill over the  whole body; shivering  chill   ovei
the whole body, without thirst or subsequent heat.
He is always either chilly or in a sweat.  Shivering
from the face, over the chest  or along the  back,
down  to  the  knees.   Shivering and coldness  of
single parts, as  arm, forearm, thigh,  leg, abdomen,
back, rest of body normal, without  heat or sweat.
Sensation of cold water in a small stream  running
across the  body;  of  cold wind  blowing  upon
spine  between  the shoulder blades.  Takes cold
easily.   (Baryt. e.   Cal. C.)   Very  sensitive 
INDICATIONS              65
to cold  air, or to a draft (Camp. Canth.); void
feet.
   Heat:—Without thirst, occurring toward  morn-
ing  or at night;  not a clearly defined hot  stage,
but  mixed, not alternating with  chilliness.  Heat
of head and  face;  warmth  and redness of face
and heat in  face  and eyes  after  eating.   Heat
from 6 to 8 p. m., which is not preceded by chill
or shivering—heat descending — and appears to
be a secondary paroxysm of fever.

   Sweat :—Without  thirst.   Immediately after
the  chill, without  intervening  heat.   (Ant. t.)
Profuse sweat when walking in the  open air; from
motion (Bry.—Relieved by motion, Caps.)  Mour
smelling night sweat all over.  (Hepar.)  Moisture
 over  whole body,  without heat  or thirst, with
yawning and stretching.  Awoke  at 4 a. m., with
 profuse sweat all over the body—without thirst—
 which continued 24 hours.  Heaviness and roaring
 in the head.

   Tongue :—Not  coated, dry, with painful burn-
 ing vesicles on sides and tip of tongue.
   Ap> rexia :—Not marked except by previously
 existing symptoms, upon which the force of the
chill  is  frequently expended.
   Chronic cases  with constitutional cachexia.  One
 of the few remedies  where  sweat follows chill 
66
THERAPEUTIC
without intervening heat.  Left-sided chill, most
pronounced  of  any  remedy, and a " guiding"
symptom of Causticum.

                  CEDRON.
  Time;—5.30, 6 or 6.30 p. m.
  3 A. M. (Thuja)—3 P. M. till evening.
  " A periodicity which  is clock-like in  its regu-
larity."  (Aran.)—S. A. Jones.
  Before Chill'.—At noon, preceding feverish par-
oxysm; depressed spirits, dullness of senses, and
pressive headache.  For 20 to 40 minutes, mental
excitement; exaltation of vital energy; florid face,
and a sensation  of general heat.
  Ghill \— Without thirst.  General coldness, shiv-
ering in the back, ice-cold feet,  burning  hands.
feeling in the eyes as after much weeping.   Shiv-
ering all over at 3 a.  m., with malaise and incli-
nation  to lie down (Thuja); shiverings  are re-
newed by movement  (Nux.  China); coldness of
the hands, feet and nose; flushes of heat in  the
face; toward 6  p. m.  face constantly hot, with
smarting  in the  eyes,  especially when  closing
them.  Chilliness of  the back and  legs; unusual
paleness of the  hands, red face, heaviness of the
head; chilliness followed by severe frontal head-
ache, red eyes,  and itching  of  the  eyelids inter-
nally and externally, icy-coldness  of the hands 
INDICATIONS.
67
and of the tip of the nose, rest of the face hot and
burning  hot.  During chill, hands, feet and  nose
cold, with congestion of the head.  Cramps and
painful feeling, with tearing pains in upper ex-
tremities, feet  and  hands icy  cold.  Chills and
shivering of  whole body   Chill predominates.
(Petrol.)
   Heat:— H >'fh   thirst for  warm drinks.   Dry
beat during the night; dry heat  of entire  body;
animated face and profuse  perspiration; chatter-
ing of the teeth  and shaking of the whole body;
great desire and  longing  for warm drinks (rarely
wants cold drinks), and emission  of large quanti-
ties of pale urine.   Desire to sleep as heat passes
off.   (Apis.)  "Numb, dead  feeling in  the  legs;
they  feel enlarged.   Entire  body  feels numb,'1
(hands  and  feet  feel  dead, Ciinex—fingers feel
dead, Sep.)—Marcy and  Hunt.
   Sweat:— With thirst.   Dry heat, followed by
profuse perspiration (China) preceded by cramps,
these followed by  contracting, tearing  pains in
upper and lower extremities, with a cold sensation
in the hands and feet, mouth dry; great thirst and
desire for cold water;  chills and  shivering, some-
times very  strong shivering  of the  whole body;
palpitation and hurried respiration; urine scanty
and high colored.
   Tongue:—Coated yellow  even to the tip,  on
rising in the morning.   At 5 p.  m. intolerable 
as
T H E R A P K IT T I C
pricking-itching of the  tongue, she had  to  keep
rubbing  it  against the  palate.   At 5.30 p. m.
pricking of the tongue, half  an hour later chilli-
ness, with heat of the  face, pale  hands; feet and
tip of the nose cold.  Pricking of tongue  early in
the morning;  goes off after eating.
   Pulse-—Weak and depressed during chill, quick
and full, with animated red face, in heat.
   Apyrexia.—Lasted from 15  to  17 hours,  after
which, and in  about the same time as previous
day, the  paroxysm was  repeated;  restless;  very
nervous; cold and pale;  weakness, yet return of
^appetite;  general malaise;  great debility.
  The debility is almost as marked as in China, but
appears to be more due to the action on the brain
:tnd nervous system than to the effect of the profuse
perspiration which is so characteristic of the latter.
Said to be adapted to intermittent  fevers, occur-
ring in low, marshy  regions,  particularly in warm
seasons, and  in  tropical countries.  Ought to be
the first  remedy thought of in "Panama" fever.
   The chill  or chilliness predominates,  but  no
stage of the  paroxysm  is  "clear cut"   or well
marked,  as in China, Eup. and some other reme-
dies.   With  the  chill  there is  chilliness and heat,
or hot flushes, or hot hands,  or red face and con-
gestion of the head, particularly of  the meninges.
 During  heat, shivering, shaking, cold hands and 
                INDICATIONS.              69
 nose.   During sweat, coldness and heat, and  heat
 and sweat irregularly intermingled.
   Were  it not  for "its clock-like periodicity''
 Cedron would be much  better adapted to remit-
 tent than intermittent fevers, if  we were treating
 a name alone.   Has be^n used with more success
 in Southern States and  tropical  climates  than  in
 higher latitudes, where it has fallen into disuse of
 late years from frequent failures, though appar-
 ently  indicated.


               CHAMOMILLA.

   Time:—ll a. m.—4 p. m., lasting  till 11 p. m.
 Fever without chill, 9 a. m. to 12 m.
   Chill.— Without thirst; slight shiverings  fre-
 quently creep over the body, alternating with heat
 of face.  Shivers when uncovering or undressing;
 shivers in the cold  air;  shiverings in some por-
 tions, in the face, on the arms, back and abdomen.
 Shivering of single  parts and  heat  of  others.
 (Sweat and heat of  single parts,  Bry.) Shivering
 and heat  intermingled, mostly with one red and
 one pale cheek.   Chill only on  anterior portion of
 the body.   Cold limbs, with burning heat of the
 face, in the eyes, and  burning  hot breath.   Cold-
 ness over  the whole  body, with burning heat of
the face, which comes out  the eyes  like fire.  Chill: 
70             T H K KAPEUTIC

and  coldness of  the  whole body,  with burning
heat of  the face and hot breath.
  Heat:—With thirst; long-lasting heat, with vio-
lent thirst, and frequent startings in sleep.  One
cheek red, the other pale.   Burning  heat  in
lightly  covered  parts, though almost  cold  when
not covered.  Heat and sweat  of the face when
eating and  drinking (Anac Bell.)   Very  irri-
table, can hardly ansvver one civilly  (Bry.—Ex-
ceedingly irritable, everything  makes him angry.
Anac.)
  Sweat:—Hot  perspiration,  especially  of the
face and head; sweats easily.  Profuse sweat on
covered parts (China—affected parts sweat pro-
fusely,  Ant. tart ).   Profuse sweat at night;
on waking the sweat ceases, and returns on falling
asleep (see Sab.).  Sweat frequently of sour odor,
and with smarting of the skin (Caps.).
  Tongue:—Coated  yellowish;  or white  at the
sides and red in the  middle  (Reverse of Ant.
tart.).   Blisters on the tongue.    Taste—bitter,.
sour, putrid.
  Apyrexia:—The child is very fretful, must  be
carried  all the time to be quieted.   Wants differ-
ent things, which he repels when offered (Cina),
with frequent urination; urine pale.  Chamomilla
vies with Cina and Ars. in  the treatment of inter-
mittents occurring in children. 
INDICATIONS.
71
                   CLINICAL.
   Mrs. T., a large, fleshy lady of  30   Slight chilliness,
 lasting for three hours, with red cheeks, no thirst.  Fever
 high, with one red cheek and  vomiting of bile.  She was so
 cross as to be uncivil to me.  Considerable sweat.  Par-
 oxysm in forenoon,  with  anticipation  of two  hours.
 Cham. 200, every three or four hours during apyrexia.
 Cured.—A. L. Fisher, A. J. H. M. M.—V.. p. 17?.

               CHELEDONIUM.
   Time:—Hour, not characteristic.
   Afternoon and evening paroxysm.
   Chill:—Without  thirst, over whole body, begin-
 ning in hand, on d feet (GelsA as if dashed with
 cold water  (Ant.  t.  Am. in.  Sab.).   Shaking-
 chill in the  evening  in bed.   Shaking ,-hiU, with
 shivering, rhattering  of  the  teeth,  as if dashed
 with ire-cold water.  Shaking  chill, with  nausea;
 worse on hands and feet; with distension of veins
 of  hands and arms.   (Enlargement  of veins of
 arms and legs during heat, Chin. sulf.).   Right
 leg  and foot as far as knee, icy-cold.   (Coldness
 of  right  limb  as  if standing in  cold  water,
 Sabina).  Coldness of nose;  face;  cheeks; occi-
 put;  pit of stomach;  abdomen; hands and feet;
intestine after drinking water;  in open air;  run-
 ning down the back (Petrol. Meiiy.).
  Heat:—Burning  heat  of hands,  face,  cheeks,
eye-lids,   head,  ears, tip  of  nose,  forehead. 
72
THKBAPEUT I C
Flushes of glowing heat of different single parts
of body.  Burning cheeks, of a dark red circum-
scribed color, (Sang.—of  a  mahogany  color,
Eup.) . Heat  of the cheeks, with  red swollen
face (Cactus).
  Sweat:—During sleep; towards morning; bet-
ter  after waking.   Sweats when  pain disappears.
{Pains relieved  by profuse sweat, Arn.  Nat. m.
Eup ).
  Tongue:—Coated thickly,  white  or  yellow,
with red margin; shows imprint of teeth (Mer.).
Taste bitter:  bitter  saliva  collects in  mouth.
Desire for milk, which agrees now (milk causes
flatulence, Carbo. veg.)   Pain  in  stomach; re-
lieved by ceiling.
  Pulse:—During  chill,  small and  quick; after
paroxysm, slow.
  Apyrexia:—Never  clear; liable to run  into  a
remittent on continuous fever.  Stitching pains in
region of liver, shooting  toward the back.  Left
hypochondrium sensitive  to pressure.
  Constant pain  under  inferior angle  of right
scapula,  sometimes causing nausea  or  vomiting.
(Sang.).
                   CHINA.
   Time:—Not  characteristic   5 a. m. or 5  p. m.
 Afternoon  or evening.  Never  occurs  at night.
 Anticipating  or postponing type; the former the 
INDICATIONS.
73
 rule, the latter the exception.  Paroxysms  return
 every fourteen days.
   " Restless sleep  night before the paroxysm.''1—
 Hahnemann.
   Before Chill:—Great  thirst (Caps.  Puis.—
 Thirst and bone pains, Eup. perf.); canine hun-
 ger; nausea; anguish; headache; debility; palpi-
 tation of  the heart, with  anxiety; sneezing when
 exposed to cold air; oppressive colic.
   Chill:— Without  thirst.]   (With  thirst,  Ign.
 Caps).   General  shaking  chill  over whole
 body, beginning in the legs below the knees, in-
 creased by drinking.  Shivering or chilliness, 'with.
 goose flesh, after  every swalloic  of  drink.   (Ab-
 stains from drinking because every swallow in-
 creases the chill, Eup. perf.—Because drinking
 causes  vomiting, Ars.—Chill after every  drink,
 Caps.—Drinking  makes  headache and all symp-
 toms unbearable,  Cimex.).   Thirst  before  or
 after,  but  not during the  chill.  Coldness  and
 shivering when walking in the open air at 5 p. m.,
 disappearing in the room;  an hour afterwards,
 great heat, especially in the  face,  increased on mo-

  f Observation by Hahnemann.—In all  my other observa-
 tions I have found that the Cinchona fever is characterized
 by the thirst not appearing during the cold stage, either
 shuddering or chilliness; that,  on the contrary, thirst came
 after the cold stage, or, which  is the same  thing,  that
thirst came shortly before the hot stage set in. 
74
THERAPEUTIC
Hon and on  walking (Caps.);  thirst follows an
hour after the disappearance of the heat.  Wants
to  be  near  the stove, but  it  increases the  chill
(Ipec.—Relieved  by heat  of   stove, Ign.—Re-
lieved by external  heat, Ars.);   internal  and.
violent  chill,  with  icy-cold  hands  and  feet,  and
congestion of blood to the head.  Chill  with  pain
in the liver.   Shaking chill and internal coldness
for several hours;  shivering  over the whole body
'without thirst; coldness of the hands and feet  even
in a warm room; chill alternating with  heat, skin
cold and  blue.  (Hands  cold,  nails blue, Nux.
V.). Sensation of  internal coldness in  upper ab-
domen, after  every swal/oie of drink, and renewed
on every inspiration.  Coldness over whole body
as if dashed with cold water.   (Ant. tart. Rhus.).
Cold hands  and  feet,  aggravated by  walking;
vertigo and paleness of the face.

   Heat:— Without thirst-l General heed, with dis-
tended veins, congested headache, desire to uncover,
but  chilly when  uncovered.  (Chilly when uncov-

  X Observation by Hahnemann —There is likewise no  thirst
in the Cinchona fever during the hot stage, except some
burning of the  lips, or some  dryness of the parts, which
dryness accounts for the symptom; sensation of slight
thirst during the  hot stage;  '' the  thirst  accompanying
flushes of  heat."  In the Cinchona  fever, thirst sets  in
after the  hot,  or, which is the  same thing,  during the
sweating stage. 
INDICATIONS.
75
ered in any stage of paroxysm, Nnx.jv.).  Canine
hunger or aversion to  food, pain in the region of
the liver, back, chest, limbs;  dryness of mouth and
lips,  with redness of  face,  and often delirium.
Long  lasting  heat,  with   sleep.   Heat  of  the
whole body, externally and  internally, with swol-
len veins of the arms and hands, without sweat or
thirst.  Heat  of  the whole  body, aggravated by
walking (relieved by walking, Caps.).   Sensation
of  heat in abdomen  as of  hot  water running
down.  The cheeks are red and hot to the patient,
although  they are  not warm  If he eats in this
stage, sleepy after eating.

  Sweat:— With great thirst.  Sweating (luring
sleep.  On being covered  he sweats profusely
all  over;  this he  cannot avoid,  although very
troublesome, he  is so  sleepy he cannot get  up.
Partial; cold; greasy, or as  if mixed with oil;
profuse and  debilitating, (profuse, but not debili-
tating, Samb.);  sweat on  the  side on which he
lies, (sweat on the side not lain upon, Benzinum).
Profuse sweat over the whole body when walking
in the. open air (Bry.).  Easily excited sweat dur-
ing  sleep and motion, (excited by motion only,
Bry.—relieved by motion,  Caps.).   The sweat
parboils the skin.   (Canch.—Parboils the fingers,
Ant. c).
  Tongue*.—White or yellow;  thick, dirty coat- 
76
T HERAI'EUTIC
ing.   Taste: too acute—bitter taste in  the mouth.
Indifference to all food, even when thinking of it.
  Pulse*.— Quick, hard and irregular during chill
and heat; slow and feeble in apyrexia.
  Apyrexia \—Sweats easily; great debility and ex-
hausting night sweats continue, followed by ring-
ing in the  ears, and constricting sensation over
vertex from ear to ear.   A saffron yellowishness
of the skin of scalp, face, neck,  chest and  abdo-
men; with the characteristic anaemic and cachectic-
appearance, once seen,  never forgotten.    There
is swelling of both hypochondria, which are pain-
ful to pressure, and worse by motion, bending, or
coughing.  The urine is scanty and turbid, with a
yellow or brick-dust sediment; and general dropsi-
cal symptoms are often present.  Entire loss of
appetite, with sinking feeling in stomach, or hun-
ger easily satisfied.  Bitter eructations and bitter
vomiting (sour eructations and   sour vomiting,
Lycop.).  Bloated  or  tympanitic  abdomen, and
hard  spleen or liver in nursing children, with pro-
fuse sweating and  great weakness, (without pro-
fuse sweating, Ars.).
   This constitutes the paroxysm of China    But
China has also another, an exception to  the rule
(probably a secondary  reaction) which  is  often
confounded with Arsenicum;  hence  its notice in
this place.   It has only two differential stages—
Chill  and Heat. 
IN D I C ATI O NS.
77
    Chill:—With thirst (no thirst in  regular chill).  Febrile
 chill  over  the whole body from  time to time during the  day.
 especially upon the forehead, which has cold 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,  irith  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,  fol-
 lowed 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 find  apyrexia are alike in both
 paroxysms. The thirst during chill, with alternate
 warmth  and  coldness  of different  parts  at same
 time; the thirst during heat, with  stinging or fine, 
78
THERAPEUTIC
needle-like stitches in skin, with heat of one part
and coldness of  another, are the characteristics of
this paroxysm.

                    CLINICAL.
   Case I.—Mrs. M., set. 20, recently married, complained
of pain in head, back  and extremities; loss of appetite,
furred tongue  and general prostration.  At 8 a. m. she
was seized with a severe chill, lasting one hour, when
fever and perspiration followed in their  turn.   During
the  greater  part  of  which  time she   was dull  and
drowsy,  had  severe headache, flushed face, full  throbbing
pulse (120), and resembled one whose brain was congested.
She seldom  asked for water, but when it was  offered
would drink  large quantities at a time.   She preferred
rather not to  be disturbed, as she  was  so tired and weak;
desired to doze, and was at times slightly delirious.   This, with
the  fact that  she was  worn out with the  fatigue  of trav-
eling,  made  a perfect picture of  the  Cinchona  disease.
 Waiting  until the fever had entirely subsided,  I gave
her  one drop of China100 on a powder of Sac.  Lac. every
two hours during  the  day, for two  days.   There  was  no
return of either chill  or fever.  I have  never witnessed
a more prompt cure of this or any other disease.—C. Pear-
son, U. S.  M. &S  J., I., p. 207.
   Case  II.—Mrs.  B., ret. 45, large, weighing 180 lbs.,
leuco-phlegmatic   temperament.    Feeling  of coldness
every night at 12  o'clock, followed by light  fever and
sweat.   China30 produced amelioration.   I thought I was
not curing fast enough, and gave quinine with no effect
whatever.  I again resorted to China200.  Three powders,
one daily, made a permanent cure.—G. B. Sarchet, U. S. M.
& S. J., VII.—3G5. 
INDICATIONS.              79
   Case III.—B., a boy of 12 years, had already had two
paroxysms every  other day when I was called.  Light
chill, followed by  heat for 12 hours, with severe headache;
profuse sweating, with great thirst.  China6 every two  hours,
after fever had subsided. No more attacks.—Dr.  Schab,
Homoep. Clinique.

        CHININUM SULFURICUM.
   Time :—10  or 11 a. m., 3 and 10 p.  m.
   Returning in  regular paroxysms every other day,
or anticipates from.one to three hours every day.
   Chill:—With thirst.   Decided  shaking  chill
at 3 P. M. (Apis.); chilliness, with  paleness of
the face, pain  in the [forehead  and temples,  and
ringing in the  ears at 11 a. m.    Violent shaking
chill followed by heat, then sweat for several  hours.
 Violent chill  with trembling in the limbs, so that
she could scarcely walk; after  going to  bed she
had violent heat with frequent yawning and  sneez-
ing, which  was  followed  by  a copious  sweat.
Violent paroxysm with  shaking  chill  and  severe
pain  in  left  hypochondrium;   chilliness for an
hour, with blue lips and nails (Xux VOm.), pale-
ness of the face and pain in the  middle dorsal
vertebrae ; increased appetite and constipation.
   Heat:— With excessive thirst.  Intense heat over
the whole skin,  with redness of the face.  External
heat,   with  dryness  of  the  mouth  and fauces,
obstinate constipation.   Heat which  passes over
into sweat; heat  over whole body, which gradu- 
80
THERAPEUTIC
 ally breaks into sweat,  while  perfectly  quiet
 (Staph.)  Delirium during heat.  Flushes of heat
 in the face, with thirst at 4 p. m. " Great enlarge-
 ment of veins of arms and legs."—Dr. Roth.
   Sweat :— With thirst.  Sweat breaks out over
 the whole body from time to time, even during
 perfect quiet.   Profuse  sweat on the least motion
 (Bry.)  Sweat  during  the morning sleep, so pro-
 fuse that the bed was  soaked with it.   Profuse,
 exhausting sweats;  nightly diarrhoea.   (Nightly
 diarrhoea before the paroxysm,  Pills.)  Thirst
 usually begins  in latter part  of  hot  stage, and
 relieves  all symptoms of head and chest.   (Nat.
 m.—Sweat relieves  all  symptoms but headache,
 which is increased,  Eup. perf.)  Drinking  is
 grateful and  affords relief.   Most perspiration
 on parts  pressed by clothing, back, axillary, per-
 ineal region.
  Tongue:—Flabby—white or  yellow coating  in
 the centre,  pale on the margin  (Reverse of Ant.
 tart.)  Taste bitter, with clean tongue.
  Pulse :—Large; full   during chill  and  heat.
Weak  and trembling at  close of paroxysm, rang-
ing from 50 to 60 per minute.
  Apyrexia '—Constant  excessive  thirst during
the entire apyrexia,  which in daily fever is  short,
the paroxysm closely resembling  a remittent  or
continuous  fever.  But  whether it be short  or
long, always distinguished  by great debility and 
INDICATIONS.
81
prostration; the  perspiration is exhausting.   (All
the  discharges are  debilitating  and weakening,
Carbo. an.)   Urine fatty  and deposits a  straw-
yellow, brick-dust  sediment.   Spine painftd  on
pressure in all stages of paroxysm.

         China.                Chinin.  sulf.
  Time :—All  periods,  ex-
cept night.   Irregular par-
oxysms.   Anticipating  or
postponing.  Every fourteen
days.
  Before Chill:~Great thirst
and  canine  hunger;  head-
ache and debility.

  Chill:— Without  thirst.
Chill increased by drinking.
Externa] and  internal cold-
ness.
  Heat: — Without   thirst.
General,   with   distended
veins, congestive headache,
desire to uncover, but chilly
when uncovered.

  Sweat:— With great thirst.
Sweats profusely on  being
covered.   Night sweat very
profuse.
  Time:—10 \. m., 3 and 10
p. si.   Regular paroxysms,
every  other day.   Antici-
pates two and a half hours
every day.

  Before Chill:—Premonito-
ry symptoms are wanting.


  Chill: — With thirst, pale-
ness of face, lips and nails
blue.   Dorsal vertebroz pain-
ful to pressure.
  Heat:— With thirst, hot,
dry skin, dry mouth  and
fauces; flushed face; deliri-
um.   Pain in spine on pres-
sure.

  Sweat:— With great thirst.
Sweats   profusely   during
perfect   quiet ;   morning
sweat.  Pain in lumbar ver-
tebra, and sacrum  on pres-
sure. 
82
THERAPEUTIC
  Apyrexia:—With no thirst.
Sweats easily   Pain and
soreness of  hypochondria,
worse "on' pressure and mo-
tion.  Hepatic region swol-
len  and sensitive.   Jaun-
diced.
  Different  stages of  par-
oxysm follow  in regular
succession.

  Contra - indicated   where
there  is much sweat during
cold and  hot stages.   Per-
spiration  always profuse,  or
China is contra-indicated.
  Apyrexia:—With  great
thirst.     Apyrexia  short;
sweat hardly  ceases before
chill begins again.  Pain all
down  the spinal  column on
pressure.

  Cold stage  may be long,
light, irregular, or wanting.
  Contra-indicated where there
is no thirst during cold or hot
stages.   Perspiration  must
succeed the heat, or Chinin
sulf.  will  be  contra-indi-
cated.
   Where the indications  for any remedy are not
 very clear, the  paroxysm  incomplete but regu-
 lar, Chin. sulf.30 or 200 may clear  up  or  cure the
 case.
   " In  recent intermittents, there  may or may not
 be a chill,  but there must be fever, and it must be
followed by sweat—and it generally is profuse and
 exhausting—or Quinine  will be  utterly useless."
 "As a rule,  chronic, long-lasting  intermittents
 are only aggravated by Quinine."—Burt.
   The  cachexia produced by long continued mas-
 sive doses of  Chin.  sulf. such as rheumatism  of
 the extremities,  chronic  diarrhoea, ascites and or-
 ganic disease of the liver and spleen,although now a 
INDIC ATIO NS.
83
 constitutional malady, requires antidotal treatment.
 This may be  most speedily removed by Arn., Ars.,
 Carbo. veg.,  Fer., Nat. m., Lach. Puis., as indi-
 cated  by  symptoms  of  each  individual case.
   Samuel Swan, M. D., of New York, has reported
 some bad cases  of Quinine Cachexia, cured with
 Chin. sulf.10m and c. m. potency.—See last para-
 graph  Hahnemann's  Chronic  Diseases, vol. I, p.
 195-196, as authority.
   Chinin sulf. is often indicated in intermittent
 fever, and when indicated will cure more prompt-
 ly and more safely in the  potencies than  in  the
 crude form. There is little doubt that it is often er
p/rescribed than  indicated, and thai  it will, in  a
 majority of cases,  suppress the poroxysm, without
 reference to time of appearance, whether with  or
 without  chill, heed, sweat, thirst, etc., etc., there is
 as little doubt.   But Morphine will also  suppress
 pain and diarrhoea, quite as effectually as Quinine
 will  the fever  paroxysm, and the  homoeopathic
 physician,  half-read  or  not  read  at  all,  in  his
 materia  medica, "borrows both  the theory and
 the Quinine from  his allopathic brother, for the
same reason  that he borrows  his  hypodermic
syringe and morphine," with which to relieve the
pain and the diarrhoea, viz., it is a  " short cut"
to get rid of  or retain his patient, and avoid the
necessity of studying  the  case.  There is a wide
difference between suppressing and curing a fever 
84
THERAPEUTIC
paroxysm, or any other disease.  The Homoeopath
can  and  ought to cure, not " break up the chill,"
" suppress " or " cover up " the disease.   Leave
the  " breaking up of the paroxysm "  to  the Allo-
path who invented the phrase; " rational (?) medi-
cine "   can  do it  " scientifically" (?),  and  the
sexton can " cover up " the case.
  Prof. John Ellis, when in
Cleveland College, in treat-
ment of "congestive chill,"
advised:  "That 25  or 30
grs. of  Chin.  sulf.  given
during the intermission, will
rarely fail to prevent a re-
turn, or to rescue the patient
from  death."   "Not that
Quinine may be given in such
cases,  but  that it  must be
given."  Also,  "That in re-
cent cases  of  ' pernicious'
fever, two-thirds of our pa-
tients will  die in  spite of
any  known  homoeopathic
remedy or  remedies in the
ordinary doses."—College
note book.
  Dr. L. M. Jones, of Mich-
igan, who has had an exten-
sive experience in the treat-
ment of " congestive chill,"
on the  other hand,  says:
"It has fallen to my lot to
treat a number of cases of
' congestive chills,' first and
last.  In my early practice
I treated a few cases with
Quinine, but it was not sat-
isfactory;  and  since then I
have relied on the attenu-
ated Homoeopathic remedy,
and never lost a case.  Nux
v. has been more frequent
ly indicated in  the cases  I
have met with than any
other remedy."—Priv.Com.
  Dr. Lippe says:  "I lived  for ten years in  the
country, where ague prevailed, and never resorted
to Quinine.   I cured  my cases.   I have always
been of the opinion that a physician who professes
to be a Homoeopath must cure all his cases of in- 
INDICATIONS.
85
termittent  fever  with  homoeopathic  potentized
remedies, under the  Law of the  Similars."
   I am convinced that every  case of  <( conges-
tive chill," like Asiatic cholera, can be  cured
more  safely and speedily by the  potentized rem-
edy than  in any other way, if it can be cured  at
all; and  the mortality under  homoeopathic treat-
ment will never approach 66 per cent.

                   OLINICAL.
   Case I.—I have recently made  several  satisfactory
cures with Chin. sulf.  Two or three  of them, with one
dose each of the i00'' and as many  others with the 6".   I
think this is an important remedy with us, and that it suc-
ceeds better in attenuation than in the crude form.  The
crude drug  never gave me such  satisfaction.  Some of  the in-
dications in a number of recent cases were clear intermit
sions, regular paroxysm*,  clean or tolerably clean tongue, and
profuse sweats.—H. V.  Miller, Priv.  Com.
   Case II.—Mrs. A.,  aged 25, blue eyes, auburn hair,
mirthful temperament.  Nov. 15, '69, after treatment from
June 16, under homoeopathic and allopathic medication,was
partially, but not completely, suppressed by large doses
of Quinia.   Now presents  following symptoms:   Before
chill, a little thirst, uneasy sleep, and a little night sweat.
The chill lasted only about one-half an hour, and the heat
from two  to three hours, which passed off  with a gentle
sweat.  During apyrexia a  pretty good appetite, and she
felt pretty well, though weak and nervous, and  a little
exercise gave her palpitation.  Chin, sulf.200, a dose every
other day  for a week, cured.—Anon., Med. Ind., VII.,
p. 296. 
86             THERAPEUTIC
             OIOUTA  VIROSA.
  Time :—Afternoon (2 to 3:30 p. m )
  Chill:—And chilliness, with desire  for warmth
and to go to the warm stove (Lach.)   The chilli-
ness begins  in the chest and  extends  down the
legs and into the arms, after which follows a dis-
position to stare at one point.  Icy coldness of
the whole body;  ears cold.  The whole abdomen
was cold   They  all long for a warm stove (Ign.
Lach.)
  Heat:—General heat and special heat of chest,
aggravated by smoking, heat in chest and abdo-
men.  Sensation of hot water  in the chest, arms,
legs and  ears; hot  internally and   externally.
Burning and redness of the face.
  Sweat:—On the abdomen; at night, and in the
morning hours.
  Tongue:—Swelling of the tongue.  Thirst, with
inability to swallow ((Tmex).

     OIMEX.—(Acanthia Lectularia.)
  Time :—All periods—No regularity.
  Before  Chill :—Thirst;  can  drink  before th"
jiaroxysm begins.  Heaviness in lower limbs five
or six hours before chilly stage begins.  (Thirst,
with pains  in  bones of limbs one to three hours
before chill  begins, Eup. perf.). 
INDICATIONS.
87
   Chill:—Without  thirst.  Chill commencing in
 the feet, which first become cold; hands clenched;
 violent raging; cold shuddering, as  if cold water
 were poured over her (China, Rhus.); stretching,
 yawning;  great drowsiness during  chilly stage,
 he is unable to resist <leep (Opium); hands  and
 feet feel dead; (fingers feel as if they were dead,
 Sep.;—all the body feels numb, Cedron).   Dur-
 ing  chill, pain  in all  the joints (pain  in  ankles
 and wrists, Pod.),  as  if tendons were too short,
 contracted, so  that  the  legs cannot  be stretched,
particularly the knee joints,  which he is unable to
 extend.  Oppression of  the  chest;  must take a
 long breath frequently; (oppression  of chest; he
 must be raised  up  in  order  to  breathe, Apis.).
 Chill terminates with a  feeling  in  the legs as if
 tired by walking,  obliging constant  change of
 position  of  limbs,  -\fter  the chill  (instead of
fever), thirst; but when he drinks, violent head-
ache, which almost deprives him of  the power of
thinking, with tickling  in the larynx, causing dry,
uninterrupted cough; oppressed breathing; heavi-
ness in the middle  of chest  and anxiety.   Tor-
mented with  thirst, yet he abstains from drinking
because  it  makes headache  and all  the  above
symptoms  unbearable (See Ars. Caps.)
  Heat:— Withoxit thirst, but desire to drink near-
ly all  day, on  account  of dryness of the throat.
When the  dry heat  sets in, the uneasiness disap- 
88
THERAPEUTIC
pears, in place  of which she feels a pressure find
gagging in the oesophagus,  affecting  whole chest
anal impeding respiration;  when  she drinks for
the purpose of putting a stop to the  gagging, the
water can only be swallowed  cd intervals, as if the
oesophagus viere  constricted  (Cic.)   The gagging
does not cease  until  hot  stage  terminates, after
which  ravenous  hunger.  (Hunger  before chill,
China.—hunger  during entire paroxysm,  Cina).
If he  drinks  during heat, is  obliged to urinate
soon  after; urine hot  and brown; continues hot
even 24 hours after fever.
   Sweat:— Without thirst;  relieves  all the other
symptoms (Nat. mur.).  Musty  smelling,  sour
sweat; the odor is very offensive  to  him (CarDO
an.).  Light  sweat, mostly on head and chest,
with continued hunger  (Eup. perf.).
   Tongue :—Coated white;  saliva collects on mid-
dle  of tongue  and tastes of  iron; tongue, gums
and palate feel burnt or scalded.
   Apyrexia :—A good deal  of thirst in this stage,
in which, like  before the  chill, he can satisfy his
thirst, without  headache, gagging or oesophageal
constriction.
                  CLINICAL.
  A well marked chill,  and  afterwards  thirst,  but no
fever; when the patient drank,  she lost her breath, gagged,
had dyspnoea and a gagging cough.  Cured with Cimex.—
T. D. Stowe, H. M.. p. 1 C>2 
INDICATION'S.
89
                      CINA.
    Time:—1  p.  m. — At same hour  every  day.
  Evening, fever lasting all night (nursing children).
    Daily fever (without chill) at same hour.
    Before Chill:—Nausea, vomiting  of  food, and
  vomiting of  bile (when the stomach is empty);
  pale face, with blue margins around the eyes, and
  ravenous hunger.
    Chill:—Without thirst.   Febrile shivering  over
 the whole  body,  n-itl,  hot cheeks, wit],out thirst.
 Chill extends from  upper part of body to head,
 even by the weirm stove.  Shirering creeping  over
 the trunk, so that he trembles even by a warm stove.
 (Chill increased  by externahheat, Ipec).  Cold-
 ness of the pale face, with warm hands;  cold face;
 cold  ch'-eks;  redd sweat on forehead,  nose  and
 hands.   Evening paroxysm of nursing children,
 heat with hunger and thirst continue all niqht.
   "Predominance  of  coldness, with cold sweat
 and continued hunger?''—J. S. Douglas.
   Heat:—With thirst, mostly in  face and head;
 (with  red face and bursting  headache,  Bell.);
 face puffed, pale especially around the mouth  and
 nose, with red cheeks; picks and bores in the nose
 with  the  fingers:  rubs the eyes;  restless sleep;
starts  and  screams  as  if  frightened;   pupils
dilated.   Rising heat and glowing redness of 
90
THERAPEUTIC
the  cheeks,  without  thirst,  after  sleep.
Burning heat over the whole face, with redness of
the cheeks, and thirst for cold drinks.  Daily fever
at same  hour,  with very short breath.  Fever
daily in the afternoon.   Violent fever, with  vom-
iting and diarrhoea (Yerat.—see Elater). Fever;
vomiting of food, followed  by chill all  over, and
then heat with great thirst.  Canine hunger.  Heat
worse at night.
  Sweat:—Without thirst,  generally light;  cold
sweat on the forehead, around the  nose and on
hands.   After  the sweat, vomiting  of food and
canine hunger  at  the same time.  (Hunger after
paroxysm, Eup. perf).

   Tongue:—Always clean.
   Apyrexia:—Never clear.   Hunger even in this
 stage, though not so marked, or so constant.  The
 child had a craving appetite for some time previ-
 ous to fever, then loss of appetite and desire only
 for dainties, with vomiting and whitish diarrhoea.
 General "worm symptoms"  predominate;  rest-
less, frightened sleep; urine turbid, turns milky
 and semi-solid  after standing.
   lutermittods of scrofulous children.
   ''The child is very  whining, peevish  and com-
 plaining;  weep piteously if one goes to handle or
 lead him.   Great earnestness and sensibility; can-
 not take a joke.  Indifference  to  all  impressions. 
INDICATIONS.
91
 Restlessness.  Greediness.  Cannot be  composed
 by things at other times agreeable, or by caresses."
 —Carroll Dunham.

                   CLINICAL.
  A chill in afternoon not mitigated by heat; heat mainly
 in the face; vomiting during chill.  The child was pale
 and puny; abdomen bloated; breath foul; an occasional
 thin,  whitish diarrhoea; rubbing of the face, ears, nose,
 and perineum; wetting the  bed; starting in sleep;  lying
 on the belly; restlessness at night; continually rolling over
 and about; throwing away everything given it, and crying
 at nothing.   Cina.,  two  prescriptions  cured. — T.  D.
 *towe, H. M., p. 162.

                  COCCULUS.
  Time:—8 a.- m.  Afternoon or  evening.
  Chill:—Without  thirst.   Chilliness alternating
 with  heat.   Shaking  chill for half an  hour  at 8
 a. m., without thirst, and  without subsequent heat.
 (Caust.;  Shaking chill  over  the whole body in
 the afternoon, or in the evening.   Chill,  with
 severe  COliC, not relieved by a warm stove; with
 lamene.-s of the  small of  the back;  chill more in
the back  and on  the  legs.  Continuous chilliness
 with  hot skin.  Nervous, spasmodic symptoms.
  Heat:—Without thirst.  Dry heat during the
 night.  Flushes  of heat,  with burning cheeks and
cold feet.   Intolerance of both cold a,nd, warm atr
 (of  cold  air, Bary. carb., Camph.).   Burning 
92
THERAPEUTIC
heat in the cheeks, which are glowing  hot, with
coldness  of whole body, or  only of  the  feet
(Caps.).   Now one hand, now the other, is alter-
nately hot or  cold  (see Canst.).  Vertigo  and
nausea on raising the head.
  Sweat:—Of  the body from evening till morn-
ing, which is only cold on the face.   Sweat in the
morning, especially  on  the chest.   Cold sweat,
now on one, now on the  other hand.   Sweat over
the whole body  during the slightest motion  (Bry.).
Sweat of the affected parts (Ant. tart.  Amh).
  Tongue:—Coated white,  edges dry.  Metallic
taste.  Tobacco tastes bitter.  Aversion  to  sour
things (desire  for pickles,  Ant. crud.).   Symp-
toms  aggravated by eating,  drinking, smoking.

                  COFFEA.
  Time:—3 and 8 p. m.; fever  usually  without
chill.
  Chill:—Without thirst. Coldness and chilliness
running  all through the limbs.   Chills  running
down the back.  Chilly feeling, with external and
internal  warmth (China).   Chills  ascend from
the fingers and toes to  nape of neck, thence  to
vertex; increased by exercise (relieved by exer-
cise, Caps.).  Great sensitiveness to cold  (Bary.
•carl).).  Cold  hands and feet.   Flushes  of heat,
or currents of  cold air down the  back.
  Heat:—With thirst.  External, dry heat of the 
INDICATIONS.
93
skin.   External heat, with thirst, and shivering in
the back after lying down at night.   Dry heat at
night, with hot flushes to the face, hot cheeks, and
delirium.   Dry warmth of the face.  Feeling  of
heat  when  in bed, yet avoids  being  uncovered
(Aeon.—must uncover, Bell.). One cheek hot and
red, with constant shuddering (Cham.).
  Sweat:— With  thirst.   Morning  sweat.  Gen-
eral over  whole  body, most on  palms of hands,
and in the face,  with  internal  shivering.   Ex-
tremely  sensitive  and  nervous.    Intermittent,
jerking toothache: relieved by holding ice water
in  the mouth, but returns  when water  becomes
warm (Bry.).
                   CLINICAL.
   E.  S., aged 32, had ague of eighteen months' standing,
contracted in the  army. Paroxyms every  fourth day,
leaving two well days intervening. Had taken large doses
of Quinine without benefit.  Several remedies were given
without result, when he complained of great restlessness,
lying awake  most of the  night and tossing about in bed.
Coffea tinct., three  drops to be taken every two  hours.
Reported in four days that he had been able to sleep since
last prescription, and his last chill was lighter. Completely
cured  in two weeks, and no return for two years.—J. D.
Craig, Horn. Obs., IV., p. 442.
         CONIUM  MACULATUM.
  Time:—4 or 5  a. m.—3 to 5 p.  m.
  Chill :—With  trembling  in  all the limbs, and
constant desire for heat of  sun, (for  heat  of stove, 
94
THERAPEUTIC
Lach.—relieved  by covering up, Rhus.  Nux
Yom.—warm  air seems  cold, Thuja).  Chilli-
ness  in the  back, with cold hands and blue  nails.
Extremities and whole body were icy cold.   Shiv-
ering over the  body.
  Heat:—With thirst, and redness  of the  face.
Great internal and  external heat, with great ner-
vousness.  Heat, icith profuse sweat at  same
time.  Uneasy sleep, great trembling, and  short,
rapid, snoring respiration.
  Sweat:—Day and night, as  soon as he sleeps,
even when  closing the eyes.  (Sweats  when
awake, dry heat when he sleeps, Sanih.).   Sweat
over whole  body, with redness  of face.  Sweat
while sitting in a chair and dozing.  Night  sweat
smarting the skin (Cauth.).  Profuse sweat  on
limbs,  perineum,  genitals   (Thuja,  Hepar).
" Eruption during sweat " (what kind ?)
  Tongue:—Stiff and painful; taste bitter;  saliva
thready;  lips and tongue  dry and sticky (Nux
mosch).
  Apyrexia:—Complete; sometimes with vertigo
on lying down.

                 CURARE.
  Time:—2 or 3 p. m., every day.
  Chill:—Without thirst.  Coldness commencing
on the abdomen  and spreading all over.  Sensa- 
INDICATIONS
95
 tion of shivering, starting from the stomach and
 spreading over the whole body.
   H«at:—With thirst, especially in the head, on
 the  back and  legs; burning  in  the  hips;  great
 weakness and  prostration, crampy pains on the
 least movement.  Fever  with  thirst  and  great
 hunger;  yawning and  stretching, hot  head and
 hands, convulsive paroxysms and fainting.   Daily
 fever, commencing at 2 or 3 p. m., and continuing
 well into the  night; burning heat, accompanied
 by partial and  transient chills, incoherent speech,
 and  often  by paralysis of the extremities.   Per-
 nicious fever,  with constant  chilliness  (Petr.),
 heat increased at night  or in the  open air; less  in
 the morning.
   Sweat:—Cold and bloody, especially at night.
   Tongue:—Deep  red,  cracked and  bleeding.
 Aggravation by  dampness, damp weather, change
 of weather,  cold  wind, or the  least  movement.
 Amelioration after  the fl.rst  mouthful  of food.
 (Compare with. Aran.)

                 DIGITALIS.
  Time:—No periodicity.   Pulse, "key note."
  Chilli—Commencing  in the fingers;  palms of
the hands, soles of the feet, thence over the whole
body.  Coldness  first of  hands  and  arms.   (Of
extremities,  Gels—of arms, Bell. Hell.)    Great 
96   '
THERAPEUTIC
coldness of skin.  Great sensitiveness to the cold
-(Cainph. Bary. carb.);  chilliness  and  shiver-
ing  over  the back;  internal  chill with external
heat; chill and heat in alternation; cold extremi-
ties; excessive  coldness  of the  hands and feet,
with cold sweat.  Chilliness  over the whole body
with heat and redness  of the face.
   Heat :—Without thirst.  Sudden flushes of heat,
followed  by weakness of  all parts.  General vio-
lent heat, with  swollen  veins and  rapid pulse.
 One hand hot,  the other cold.   Heat of body, with
■cold sweat of face.  Heat in the head, face, ears,
hands, with redness of the cheeks.
   Sweat:—Immediately after the chill (Caust.
Bov.—Heat with profuse sweat  at same time
Con.).   Night sweat,  generally cold and clammy
 Covered with a copious perspiration, without relief
•of heart symptoms.  Cold sweat  on body, warm
sweat on palms of hands.
   Tonuue:—Clean or coated white. Taste: desire
for  sour drinks and bitter  food;  want of appetite,
or hunger.
   Pulse:—Third, fifth or seventh beat, intermits.
Extremely slow when at rest; accelerated, full and
hnrdfrom every motion.
                  DROSERA.
   Time:—Before 9 a.  m., every morning.
   Chill:— Without thirst.    Chill with  icy-cold
hands,  blue nails, cold, pale face (NllX.), and cold 
I \ I) 1 (  V T 1 < > N S .
if 7
 extremities; must  lie down.  Febrile  shivers over
 the whole body, with  heat of the face and icy-cold-
 ness of the hands.   Pie  always feels  too cold, he
 cannot get warm  (Cal. carb.); he feels  cold  at
 night in bed; shivering during rest, none during
 motion (chill, heat and sweat all relieved  by mo-
 tion. Caps.); even in bed  he is unable to  keep
 from shivering  and  feeling cold, though body is
 warm to touch  (Bary. carb.).  After midnight,
 coldness of the left half of the face, with sticking
 pains in it; the right half hot and dry.  Constant
 chilliness, cannot get warm (Aranea.).

   Heat:—Without  thirst.   flat at night, chilly
 during the  day.   Heat  icorse  after midnight.
 Heat almost exclusively on face and head.  In-
 creased warmth of upper body, evening.   After
 chilliness, slight thirst, heaviness of head, throb-
 bing pain in the occiput, and heat of  face, usual
 warmth of rest of body, lasting till 3 p. m.   Feels
 well in the evening.
   Sweat:—Cold sweat  on  face,  feet, abdomen.
 Warm  sweat,  particularly  just  after  midnight.
 \fosf profuse on face and abdomen.  Sometimes
 general sweat, particularly "/ night, attended with
a spasmodic cough,  which brought on retelling ami
 nausea.
  Tongue:—Clean.    Food has  no taste  (Eup.
perf.).   Bread tastes bitter.  "' Profuse disrhurge. 
'.is;
I HERA T E UTI C
of watery  saliva  during febrile stage."—Hahne-
mann.
  Apyrexia:—Usually clear, though gastric symp-
toms may  be present at times.  Coughs more than
in  sweating stage.   During an  epidemic of  per-
tussis, Drosera  often  becomes the " Genus Epi-
demicus."   As  in Aranea and Bow, the  chill  pre-
dominates.
                  CLINICAL.
   In several cases of intermittent fever, Drosera has been
very useful, when the  heat was intense, followed by cold
face, with icy coldness  of hands and feet with bilious
vomiting; when heat was accompanied with violent press-
ing and throbbing pains in the head and spasmodic cough.
Gastric symptoms were present  in apyrexia.   In fevers
occurring at same  time when whooping cough was epi
demic.—Case l.">04. Homoeop. ('Unique.
                DULCAMARA.
   Time  :—Double tertian fever.
   Chill:—Without  thirst,    Commencing  in  or
spreading from the back;  shaking, with a feeling
of  coldness, or actual  coldness  over the  whole
body, so that he could not  get warm near the hot
stove, with shuddering from  time to time.  Chil-
liness of the back, without thirst, in the open air,
but  especially  in a  draft  (Canth.).   Chilliness
mostly  toward evening, over the back, nape of
the  neck,  occiput, with  a  feeling as  if the hair
stood on end  (Bary. carb.) 
INDICATIONS.             99
  H8at :—General  dry. burning  heat all  over.
Dry heat over whole  body; heat and  burning in
the back.   Burning in the  skin of the  whole back
as if he were  sitting  by a hot stove,  with  sweat
in the face and moderate heat.
  Sweat:—-Offensive sweat,  night  and morning,
over the whole body: during the  day more over
back,  in  axilhe, and  palms  of hands.   Iiadly-
siitelling  sweat, with profuse  discharge of  trans-
parent urine.
  Tongue :—Dry; swollen, as if paralyzed with
cold.   Bitter taste.  Great desire for cold drinks.
  Like Aranea, the fevers to which  Dulcamara
are adapted  ;u-e  rare.   They are caused by rheu-
matic exposure, living in damp rooms, sleeping in
a  damp  bed;  during  cold,  rainy,  changeable
weather; skin  is delicate  and sensitive to cold;
has urticaria  or some  other eruption  every time
she takes cold, or is long exposed to cold.

                ELATERIUM.
  Time:—12  m.— 1  p. m.— Twice,  a   day,  every
third day.
  Before Chill:—Chilliness with continued gaping
and  quivering;  headache  and  soreness  of  the
limbs, and pains in the bowels.
  Chill '•—With thirst, increased pain  in the head
and limbs and  continued  gaping and stretching. 
100
THERAPEUTIC
Pain under shoulder blades; in small of back, left
side, and cramps in the legs and soles of the feet.
Yawning  and  gaping, with a sound  resembling
the neighing of  a horse;  lachrymation  and pro-
fuse coryza.
  Heat:—With  intense   thirst,  violent, tearing
pains throughout the head, more especially on the
vertex.  Increased cutting  pains  in bowels, and
pains  in  extremities;  the pains  shooting  to  the
very tips of the fingers and toes, and then shooting
back again into the body.  Nausea, vomiting and
copious discharges from  the  bowels of a  frothy
character.
  Sweat:—Copious perspiration, with gradual re-
lief of all the  symptoms.
  Tongue:—Coated with a dirty brown fur; taste
bitter.
  "Tf urticaria  appear all  over  the  body  after
suppression  of intermittent fever, Elaterium  is
the remedy."

                  CLINICAL.
    Case I. —" Commencing with quotidian ague, which
was repeatedly suppressed for a few days, and when he
called upon me was of the tertian type.  The paroxysms
were preceded by much gaping and attended with much
thirst, pain in the abdomen and great pain in the extremi-
ties, darting down into the fingers and toes."
  Case II.—" Intermittent fever contracted in  Virginia
eighteen months since, and suppressed  every one,  two 
                  IMDICATIONS.               101

 three weeks by the use or abuse of quinine.   Paroxysm at
 1 p. m. , preceded by headache; pains in the bowels; sore-
 ness of the limbs; continued gaping and stretching. In the
 chill, slightly increased pain in the head and limbs.   Dur-
 ing heat, violent tearing pains throughout the head, worse
 on the vertex; increased pain in the bowels and extremi-
 ties; and pains  shooting to  the very  tips of the  fingers
 and toe3, and then shooting back into the body; with  in-
 tense thirst.  Eleter.* cured these  cases promptly.—Dr.
 Jeans, S. C, I. p.  692.
  Case III.—Quartan ague of six  weeks standing, the
 paroxysms occurring about 12 m., when an attack resem-
 bling cholera morbus supervened;  after this period  severe
 and copious  discharge of frothy fluid  matter, frequently de-
 jected from  the bowels, with cutting  pains at intervals
 and vomiting.  Verat3 was given with only partial relief.
 Elaterium*,  every two or three hours, effected in a few
 hours an entire cure of the symptoms of cholera; and when
the period arrived  for  the  recurrence  of his ague, the
patient found he was also cured of that, and has remained
 well.—C.  B.Matthews, S. C, I, p. 692.

  Case IV.—Obstinate ague f or five years, which was con-
 tracted while residing in Virginia.   Suppressed by Chin.
 sulf. in large doses,  but always recurred at longer or shorter
 periods.   When the chills were suppressed she was gener-
ally attacked with  urticaria  over the whole  surface, and
 she was frequently afflicted with a disordered state of the
mind,  characterized  by  an irresistable propensity  to
wander from home even in the night and range the woods.
The chill occurred every third day,  twice in the day, con-
tinuing two hours;  pain3 in the head; under the shoulder
blades; in the left side, in the calves of the legs and small
of the back; yawning and gaping  with a sound  resem- 
102
THERAPEUTIC
blingthe neighing of ahorse; running at the nose; cramp
in the legs and soles of the feet.  The chill was followed
by high fever, which ended in copious perspiration. Eleter2
cured.   Urticaria:  After  the ague had subsided in  the
above case, urticaria appeared, with tendency of mind as
above stated.  A continuance of the Elaterium for a few
days entirely and permanently removed this latter affec-
tion and she has had no recurrence.—Ibid.
   The  Elaterium urticaria, like Rhus, has  intoler-
able itching,  but,  unlike Rhus,  is relieved by rub-
bing.
                     ELAPS.
   Time:—8 and 10 p.  m., every day.
   Chill:—Without thirst, followed  by dry heat
 and burning  redness of the  face.   Chilliness and
 heat alternately  (Ars. Cal. C.)  at 8  p. m. ; chilly
for a few minutes, then heat for a quarter of an
 hour.   Shaking  chill, felt internally  as if in the
 bones, followed  in half an hour by burning Ju at;
 the skin hot, with  thirst, the  fever lasted whole
 night until  10  a. m.  next day.  Coldness aggra-
 vated by  drinking  cold water (Caps.);  after a
 drink, shivering from head to foot with chattering
 of  the teeth.  Terrible coldness after  drinking,
and as if ice  water were rising and falling through
a cylindrical opening in  left lung.   Great sensi-
tiveness to cold.   Right leg up to knee, cold as
ice.  Arms cold by putting hand in cold water.
   Heat:—With  thirst, alternating with chilliness. 
INDICATIONS.
103
Dry heat  from 7 to 9 p. m., followed  by chill till
10 P. M.   Fever'at 7 p. m., with less  chill, more
violent heat,  but  little  sweat;  sleep  interrupted
by heavy  dreams (of dead people), with difficult
breathing the whole night.  Flashes of heat, with
redness of the face and ears.
  Sweat:—All over.  Sweat  cold and  profuse.
Sweat  on  forehead and nape of  the neck.
  Tongue:—Deep red, clean, or swollen and black.

     EUPATORIUM PERFOLIATUM.
  Time;—Characteristic of this remedy—7  a. m.
or  7 to  9  a. si.,  one day; lighter chill at 12 m.
next day.
  Before  Chill:—Insatiable  thirst, but drink-
ing causes nausea and vomiting, and  hastens the
chill. Sick stomach and thirst n ight before the parox-
ysm. Thirstfrom one to three hours before the chilli-
he knows the chill is coming because  "he cannot
drink  enough'''' (Knows  chill  is coming because
she  is thirsty, Caps.);  yawning, stretching, and
pain  in   the  bones  of extremities  as  if broken.
Colicky pain  in the upper abdomen (Coc.); pain-
ful  soreness  of  the  eye-balls.   Must  be covered,
before and during  chill (covered  during entire
paroxysms, Xux).  Hungry.
  Chill:— With intense thirst; but drinking water
increases  the nausea, and causes bitter vomiting. 
104
THERAPEUTIC
(Drinking causes vomiting, Ars.—drinking  in-
creases the chill -Caps.).   Chilliness, with exces-
sive trembling and nausea (from the least motion).
Chilliness in the morning, heat throughout the rest
of the day, but no  perspiration.   Chill  may
leave for a few minutes and return again, but no
heed in the interval. (Reverse of Ars., which has
alternate chill and heat).  Shivering increased by
motion;  intense, throbbing  headache;  pain  in
back  and bones of  extremities;  moaning  with
pain;  distressing  pain in stomach  and spleen.
Yawning and stretching; more shivering than the
degree of coldness warrants, and it  may  spread
from  the  back, or run up  the  back.   (Begins  in
back  between  the shoulders,  Caps.—begins  in
lumbar region, Eup. purp.).   At close of  chill
nausea and  vomiting of  fluids and  bile,  aggra-
vated by drinking, or after every draught vomiting.
  Heat:—Preceded by thirst, which  is often felt
most  between  chill and heat  (China),  or there
may be little  thirst,  when cephalalgia and  bone
pains are increased; trembling, faint from motion;
great weakness; cannot raise the head while fever
lasts; cheeks mahogany red; throbbing headache;
sleep with moaning.  Seldom  any nausea  during
this  stage,  but bitter vomiting, (sour vomiting
Lyc.) occurs  at   close  of  heat  if absent  at
•close  of chill.   Heat  and lachrymation.  Much
shivering even during heat. "A swallow of water 
INDICATIONS.
105
 will make him shiver."  Pain in scrobiculus cor-
 dis.   Fever in the forenoon, preceded  by thirst
 early in  the  morning, but no  chill; attended  by
 fatiguing cough, and  not followed by perspira-
 tion.
  Sweat:—Generally scanty, or absent altogether, in
 which case the headache continues for several hows
 after fever is gone (Ars.).   When there is much
 perspiration, it brings relief of all pains except
 cephalalgia,  which is  increased.   (Sweat  re-
 lieves all pains  Xat.m.)   Coldness during noctur-
 nal sweat.  Perspiration at night giving no relief,.
 with coldness on least motion, or on uncovering;
 not debilitating  if  profuse (Reverse  of China
 and CarbO veg.)   When chill is severe, sweat is
 light or wanting, and vice versa.
   Tongue :—Coated white or yellow.   Taste, in-
 sipid, bitter; food has  no taste  (Dl'OS.).  Desire
 for ice cream.   Paleness of mucous membrane  of
 mouth (Fer.).
   Apyrexia:—Imperfect;   very  little  remission.
 Jaundiced hue  of  skin and conjunctiva;  loose
 cough; if any sweat, it is attended with chilliness
 and worse from motion and  uncovering.  Bone
pains are present in every stage, and only gradually
 disappear  with  disappearance  of  sweat.  Feels
 worse morning of one day,  and afternoon of next.
 The severity of vomiting has relation to  time  of 
106
I H K K A 1' K V 1 I C
eating; the nearer the meals, the surer to  vomit;
first of ingesta, afterwards of bile.
  " Eup. perf., both by its pathogenesis and clin-
ical verification in practice, is one  of the  most
valuable of the materia medica in the treatment of
western  intermittents."—J. S.  Douglas.   To  this
statement I would  add  that  its  efficacy is not
bounded  by latitude.  Sometimes it corresponds
to  the  genus epidemicus,  and will  alone cure
nearly every  case,  particularly if  occurring in
autumn.   It vies with Ars., China and Nat. m. as
one of our sheet anchors in this disease; its svmp-
toms are   "clear-cut" and well defined; its action
prompt and decisive.   It  has cured  in all  poten-
cies from tinct. to c. m.
   " Eup. has been a favorite remedy with the most
successful practitioners where remittent and inter-
mittent   fevers   have prevailed epidemically in
miasmatic districts, along rivers, at fisheries, on
marshes, and their several neighborhoods/'—C. J.
Hempel, S. G,  \., p. 696.

                   CLINICAL.
  Case I.—Dr Neidhard reports two cases in which was:
 Violent thirst before the chill and slight during it; nausea and
sickness of  the stomach (in one case vomiting) at the com-
mencement of the heat, with violent throbbing headache;
tastelessness of food; want of appetite; tongue coated yellou ; the
chills set in in the morning and lasted for one or two hours;
heat during rest of the day. and slight perspiration in the 
INDICATIONS.               H)1/
 evening; type tertian.  In one case Quinia had been given
 without preventing recurrence of paroxysm.  Eup. cured.
 —S. C, vol I, p. 696.

   Case II.—The chill  generally began at 9 A. M., lasting
 four hours, followed by heat for seven hours, and  rarely
 perspiration,   Xext day a lighter paroxysm at  12 M. and
 ceased about  same time in evening as the heavier one on
 the  dav preceding.  The paroxysms continued alternately
 thus for twenty three days notwithstanding my unceasing
 eflEortstoarrestthemwith a  number of remedies.   Dec.
 12..  chill  commenced  at 9 A.  M.; lasted four hours,  with
 great shivering and trembling;  raging  thirst  before  the chill,
 nnd  during chill and heat; vomiting of  ingesla and bile, with
 distressing pain at epigastrium; distracting headache during
 the heat; heat ceased about s p. \r. and was followed by in-
 considerable perspiration.  Eup.  perf.  1st, in water, a  tea-
 spoonful every hour  in apyrexia, cured the case without
 the recurrence of another paroxysm.—Dr. Williamson, S.
 C, I,  p. (>!)o.

   Case III.—Aug. 1, 1878, saw (in consultation) Miss W.,
 aged 50, corpulent, resident of New York, very sick since
 last  April from attacks of intermittent fever and scientific (?)
 treatment.  The attacks had been suppressed at  times by
 Quinin. Fer.," Blue mass," administered by the most prom-
 inent allopathists in  Xew York, always to  return sooner
 or later, with added new sufferings.   Her debility  and
 nightly restlessness were so  great that Dr. C.  C. Smith,
 her  physician, gave her Ars.  (high), which very much re-
 lieved her and brought out the  old suppressed  attacks of
 chills and fever.   The cold stage came on in the afternoon
 each alternate day, an hour earlier; never amounted to a
chill; thirst before and during cold stage, which  lasted three
hours;  vomited much bile after drinking; muscles  painful, 
108
THRRAPEUTIO
 worse in cold stage, followed by  intense heat, with pro
 fuse perspiration; hot stage lasted six to eight hours, with
 thirst.   During attack she would be warmly covered, then
 profuse perspiration, without heat, continued during sleep
 all  night.  Great  debility,  even when  free  from  fever.
 Liver much enlarged and very sensitive to touch.   Urine
 extremely scanty, turbid and of an offensive odor.   No appetite
 for some  time.   Eup. per50m (Finke) in water, one tea-
 spoonful  every  two hours for  twelve  hours,  during
 apyrexia.   Next paroxysm was  most severe she had ever
 had, but she had passed a large quantity ol limpid urine.  No
 medicine   Succeeding  paroxysm  very  mild and  short;
 urine continued profuse.  Fourteen  days after, a  slight  at-
 tack; a single dose of Eup.  at the end of it; since then no
 chills and fever, general health good; no signs of hyper
 trophy  of  liver.   Ad. Lippe (see comments in) Organon,
 April, 1879.

   Cask  IV.—A boy, set.  8,  had  a chill every other day at
 2 p. m   Cold for an hour and  a  half;  shakes part of that
 time.  Thirsty before the  chill,  vomiting of food as the chill
 passes off;  wants to be warmly covered when in the  chill;
 appetite good, pain at pit of stomach, back of  neck, be-
 tween the shoulders.  More thirst with chill than  heat;
 stretches and yawns; fever  for three  hours, followed by per-
 spiration;  sweat  till midnight.   Void perspiration at night.
 Eup. perf.cm, cured.—J. H.  P. Frost, H.  M., Oct.,  1874.

   Case  V.—Mrs A. T., 22, chilliness with thirst in middle
 of the night, but  before  chilliness was  awakened  out of
 sleep by severe pains, like  cramps  in the lower limbs—a
 sense of numbness,  as if the flesh were  falling off the
 bones, followed by cold sweat on them. Heat, with thirst,
then perspiration.  Nausea  and  inability to vomit,  with
 both chills and heat.   Chills frequently during the night 
INDICATIONS.
109
at  irregular intervals, attended with  pain in the limbs.
Eup.6 cured in a few  days.—Ibid.

    Case VI.—Mrs. A.,  four  months pregnant,  has the
following:  Thirst before  the chill; chill  at 6 A.  m. ;  very
thirsty for warm  drinks; vomiting as the chill passed off.
Heat, with thirst  for warm  drinks;  very weak  during
fever; very nervous;  no  sweat after fever, but some  dur-
ing the night; good appetite immediately after the fever. Eup.
perf. ,lm one dose, cured  all  but the lassitude and debility.
They were removed  by  same remedy in 10m potency.—S.
Swan, Med. Inv., VIIL, p. 73.   In the provings  oi Eup.
we find " thirst for cold drinks" and " hunger before the chill."
Are the opposite symptoms in above  case secondary, and
cured because the remedy was  given high?   Bone pains
may not be present and the patient  may  prefer warm  to
cold drinks, and yet Eup. cure the case.f

   Case VII.—A  strong, fleshy man, about  27  years  of
age, has had  one  attack.  All  the  forenoon very thirsty;
at 10 a. m. violent, sharp, colicky pain in upper abdomen;
headache; pain in  back and  legs; no chill.  This was  soon
followed by high fever, with nausea, horrid headache and bone
pains, but  colic was  relieved.   Fever lasts four hours; is
followed by profuse sweat, with  relief  of  pains except
headache. After  sweat, soreness of the scalp.  Eup.  perf.200
in  water  every three hours  during  the apyrexia.   No
return.—A. L. Fisher,  A. J.  H. M. M., V. p. 177.

  tThe true explanation, probably, is that our knowledge of  Eup.,
and our provings of Eup.,are obtained from the tincture and gathered
from clinical experience.  If we had provings made with potencies,
from 30" to lm, the finer characteristics of the remedy  would be
brought out.  This is the reason why we often cure or remove many
symptoms, not found in the provings, where a high potency is given,
on some key note indication. 
110             THERAPEUTIC
  Case VIII.—Mrs  P. had severe chill every morning at
seven o'clock, lasting an hour, with terrible bone pains in
extremities and lumbar region.   Thirst begins some time
before  the  chill  and continues during chill and  fever.
Chill terminates in bilious vomiting, and  as fever passes
off falls into deep sleep, during which she has profuse
perspiration.  Eup. perf.200 in water, a teaspoonful every
three hours while awake.   Next day paroxysm  much
lighter; medicine continued every six hours, and no return
of the chill.—H. C. Allen, Homoeopathist, Dec, 1878.
   Case IX.—Several weeks ago I gave three doses of Eup,
perf.6 in  a case  of  intermittent fever, characterized  by
much thirst before chill and during chill and heat; chill
about 8 a.m.;  during chill bitter (bilious) vomiting and
headache, backache,  and pain in bones.  The  patient
lives in a malarious region, and now reports  that he has
had  no more paroxysms and is well.—H. V. Miller, Priv.
Com.

       EUPATORIUM PURPUREUM.

   Time:—Different  times  of day;   every  other
day.

   Before  Chill :—Bone  pains in arms  and  legs
(bone pains with intense thirst, Eup. perf.).
   Chill :— With thirst;  begins in small of back—
lumbar region—(interscapular region, Caps.), pass-
ing  up  and down, thence  extends over the body,
with violent  bone pains, blue lips and nails (Nux
Nat. m.), extremities cold, and frontal headache.
 Violent  shaking, with comparatively little coldness.
Nausea  as the chill is leaving.   (Vomiting  at 
INDIC ATIO N S.
Ill
close  of  chill, Eup.  perf.).   Nervous, restless,
hysterical  mood.   Numbness  of  the legs after or
in conjunction icith the severe  bone pains.
  Heat:—With thirst.  Long-lasting  heat, with
bone  pains, nausea and vomiting.  Hunger, with
desire to cat immediately after  the fever.  (Hunger
before chill and during sweat,  China.).
  Sweat:—Without thirst.  Slight, mostly about
forehead  and  head.   Sweat  of  upper  parts  of
body.  Chilly down  the  back  when changing
position, ever so little, during sweat. Very rarely,
sweat  is  profuse   (same as its congenere Eup.
perf.)
  Tongue:—Heavily  furred,  brown  along   the
centre; bitter taste with the chill; desire for lem
onade; cold, acid drinks.
  Apyrexia;—Passes  more urine  than  normal,
with frequent desire;  scalding on urinating. Ver-
tigo, with  " a  dizzy feeling "  all  over, and .a per-
sistent sensation of falling to  the left (of falling,
Gels.).   Profuse  flow of  clear,  limpid urine;
weak, tired and faint after urinary symptoms.
      Eup.  purp.
  Time: — Different  times
of day every other day.
  Before Chill:—Bone pains
in arms and legs.
      Eup.  perf.
  Time :*-7 to 9 a. m. one
day; 12 m. next day.
  Before Chill:—Thirst sev-
eral hours before, with bone
pains and pains in back. 
112
THERAPEUTIC
  Chill:—No thirst, or thirst
for  lemonade   and  acid
drinks. Chill begins in lum-
bar region,  thence extends
over body.  Nausea as the
chill is leaving.
   Heat : — Long-lasting ;
thirst, bone pains, and hun-
ger as the heat is passing
off.
  Sweat: — Chilly, when
changing position  ever  so
little during sweat.

  Apyrexia:—Vertigo,  with
falling to the left.
  Chill:—Great  thirst for
cold water. Chill, with bone
pains, pain in back, gaping,
stretching, throbbing head-
ache.   Bitter vomiting at
close  of  chill.   Drinking
hastens  chill  and  causes
vomiting.
  Heat:—With sleep; moan-
ing,  increased  headache.
"A swallow of  water will
make him shiver."
         *
  Sweat:—Bone  pains dis-
appear with  disappearance
of sweat.

  Apyrexia:— Jaundiced
hue;  great weakness;  anae-
mia.  Light chill and pro-
fuse sweat, or shaking  chill,
and light or wanting sweat.
                    PERRUM.

   Time:—Morning chill.  Afternoon fever.
   7 A. M.--12 M.--3 P. M.
   Fever,  without chill, 3 to 8 p. m.
   Before  Chill:—Vomiting of ingesta as the chill
is coming on.
   Chill:—With thirst.   Chilliness with  headache
in the morning.  General coldness of the body,
hands and feet very cold.   Chilliness and trem- 
INDICATIONS.
113
 bling all over.  In the afternoon, violent chill for
 half an hour, then thirst, must go to bed, followed
 by heat with perspiration.  During  the chill his
face got glowing hot.   Hands and feet  cold and
 numb  (Ced., Cimex., Sepia), chilly  all over,
 does not go off by walking.  Feet cold and  numb
 all night, as  after skating.  Feet very  cold, toes
 cold as ice, fingers stiff.

   Heat:— Without thirst.  Heat in the body, with
 red cheeks, but the head is free  (But head aches,
 Bell.). Sensation of heat all over the body, which
 teas cold to the touch, with sensation  in  the face
 and around  the  eyes, as if swollen  and bloated
 (Reverse of Bary. C.—coldness of body which was
 hot to the touch).  Flushes over the  whole  body,
as if perspiration would break out.  Heat of head,
feet cold.    Great heat of palms of hands and
soles of feet.   Heat  in the  stomach—relieved by
eating—vomiting of  the  ingesta.   Dry  heat,
 worse  towards  evening; inclination to uncover
 (Sec); better by moving about, eating, speaking.
Face very red.

  Sweat:—From early mom till noon every other
day, preceded by headache.  Sweat profuse, long-
lasting, whether by day at every motion, or night
and morning in  bed.   Strong-smelling,  clammy,
debilitating night-svieat.  Sweat stains yellow, and
is  foetid on  going to sleep.  All the symptoms 
114
THERAPEUTIC
are worse  while  sweating.  (All the  symptoms
are relieved by sweating, Nat. m.).
  Tongue:—Coated white.  Lips,  gums, tongue,
and mucous  membrane of entire  buccal  cavity
pale and bloodless (Sec.).   All food tastes bitter,
dry, woody and insipid.   Taste  like rotten  eggs.
(Aeon. Arn.).
   Pulse:—Hard  and  full, or  weak,  small  and
scarcely perceptible.
   Apyrexia:—Prostration, debility and great loss
of muscular  power.   Anaemia.  CEdema  of feet
and face, especially  upper  and  lower eyelids,
(Apis. Ars.—of upper eyelid, Kali. C.) Extreme
paleness of the face, which becomes red andfiushed
on the least pain, emotion or exertion.  Headache;
vertigo; swelling  of the  cutaneous veins; splenic
region swollen and sore to pressure (Apis. Arn.).
 Vomiting  of  everything  eaten  without  being
digested.    Cadaverous,   jaundiced  complexion.
Yellow  spots on  the face (Sepia).  Very  weak
and tired, but always better when walking slovjly
about.   (Better from being perfectly still, Bry.).
Cases  maltreated by Quinine (by Mei*.; Hepar.).

                  CLINICAL.
   Paroxysm every other day.  Headache; pressing in the
forehead, followed by violent  chilliness, lasting three-quar-
ters of  an hour, with increased headache and much thirst.
Afterwards moderate heat and sweat.  Bitter taste.  Loss 
INDICATIONS.
115
of appetite.   "Constipation."  Yellowish complexion.
Great weakness.  Moderate headache during the apyrexia.
Ferrum acet.  Another dose in three days. Cured.—Riick-
ert's, Therapeutics, p. 458.

                 GAMBOGIA.
  Time:—Evening 6 to 8 p. m.—lasting all night.
(Lyc, Puis., Rhus., Sarac, last  all night.)
  Rather postponing than anticipating.
  Chill:—Violent shaking  at 1 P. JL, beginning
in the back, with external coldness of whole body,
continues till 4 A. 31. (chill lasts 12 hours, Canth.
—24 hours, Aran.)  Internal and external cold-
ness, at 6 to 8 p. m., lasting from a quarter to two
hours, or the whole night to 5 a. m.  Sensation of
chilliness and  elongation of incisor teeth.  Chill
for two hours  with chattering  of  the teeth, with
violent   thirst;  the  skin is warm to the  touch.
Sudden shaking chill at night,  waking him from
sleep, and as suddenly disappearing.
  Heat:—Increased warmth, with flushes of heat.
  Sweat:—Over whole body on  waking at  4 a.
m.   Quotidian, tertian,  intermittent or  remittent
fever.
                GELSEMIUM.
  Time:—Afternoon and evening chill.   2 p.  m.—
4 to 5 p. m., and at  9 p. m.  Regular  periodicity;
every day at same hour (Aran. Ced).
  Fever,  without chill, at 10 a.  m.   (Nat. m.) 
116
THE RAPE UTIC
  Chill:— Without thirst.   Chill commences in the
hands and feet, (in recent cases—in old chronic
cases, Nat. m).  Ascending chill from feet, chills
and chilliness, especially along the spine ; running
up  the back  from loins to nape of  neck, and fol-
lowing each other in rapid succession from sacrum
to occiput (running up and down the spine.  Eup.
purp).  Chilliness with cold hands and feet and
heat of head  and  face.   Chilliness with  tired,
languid feeling in back and limbs; wants to avoid
all  muscular exertion.  Feet  feel  as  if in very
cold water (as if cold  from having  on  cold,  wet
stockings,  during  apyrexia, Cal.  C.);  coldness
of  feet  is so severe as  to be painful.  Sleepy
as chill is leaving,  (Apis.)  Child  wants  to be
held so that he will  not shake so hard, (Lach.)
  Heat :—Without  thirst.  General heat, mostly
about the head  and face.   Warmth  over the
whole body, as if sweat  would break  out, then
chilly down  the  back.  Directly after the chill
comes a flying heat, and pricking in  the skin,
rapidly followed  by perspiration, which at times
is profuse, and lasting from twelve  to twenty-
four hours, (Canst.)   Heed in the face, sleep or
sleepy, stupid,  besotted;  with  half-waking, mut-
tering delirium; tired, wants to  lie still,  (Bry.) or
great nervous restlessness;  sensation of falling, in
children ; child starts and grasps attendant or crib,
and  screams  out from fear of falling.   Semi- 
INDICATIONS.            117
stupor; cannot open  his eyes or think correctly;
vertigo, staggers as  if intoxicated.  Sensitive  to
light or noise (Bell.—intolerant of noise, Caps.)
Long-lasting heat; far into night; pain in one
leg; jerking of the limbs.
   Sweat: — Profuse,  which  relieves  the  pain.
Sweat coming gradually and moderately, always
relieving the pains. (Sweat relieves all the symp-
toms, Nat. m.).   Sweats freely from slight exer-
tion (Psorin.).   Perspiration,  sometimes profuse
and continuing from a few hours to twenty-four
hours, with langour and prostration.  Sweat most
profuse on genitalia.
   Tongue:—Coated  yellowish  white, or  nearly
clean, or with white center  and red margins.   If
coated thickly, breath foetid.   Taste: bitter, foul,
with blood-colored saliva.
   Pulse:—Irregular, intermitting, yet full (Dig.).
Small, weak, feeble, almost imperceptible.
   Apyrexia :— Often wanting, or very short. Heat
and perspiration are so extended that many fevers
are  more  remitting  than  intermitting.   Great
prostration of whole muscular system.   Headache,
aggravated  by smoking  tobacco  (relieved  by
smoking,  Aran.).    Patient  is easily  angered
(Cham.—Very irritable, Anac. Bry.)
   Sudden emotions, grief, fright, bad news, antici-
pation of any unusual ordeal, may cause or hasten 
118
THEBAPBUTIC
chill, or produce diarrhoea.  " Children and sensi-
tive people with excessive irritability."
  " For intermittents or remittents which are con-
tracted at summer watering places and  ' wintered
over,' making their appearance in early spring,
Gelsemium is a remedy of great value."—R. Lud-
lam.
  Gelsemium is one of  the few remedies that has
the regular periodic fever, without chill.  It divides
the honors equally with Arsenicum in  the  treat-
ment of children's intermittents, from which it is
distinguished by the regularity of the paroxysm,
absence of thirst, and the burning fever and rest-
lessness.   The child is  neither so weak and pros-
trated  nor pale and feeble as in Arsenicum  fever.
Sensation of falling is a genuine symptom, often
occurring in children.   Gelsemium is always to
be though of in recent uncomplicated cases,  where
chill begins in extremities (in chronic cases, Nat.
m.)   Also where  a  remittent takes on the  inter-
mittent type, or vice versa.

                GRAPHITES.
  Time:—Morning in bed;  4 and 5 p. m.
  Chill:—Without thirst, in the morning in bed;
from 4 p. m.  till evening; chilliness  and  coldness
of whole body at  5 p. m., with icy-cold feet. Vio-
lent febrile  chilliness morning and  evening, the
heat followed by sweat.  Shaking chill every day, 
IN DIC ATIONS.
119
 in the evening; after an hour, hot face and cold
 feet, without subsequent sweat.   Chill in evening,
 with headache and tearing  in  the limbs, great
 thirst, and profuse perspiration after midnight,
 lasting till morning. Chill, worse after meals; bet-
 ter after drinking.   (Worse  after drinking, Ars.
 Caps., Ciniex.); better in open air (Ipec.—worse
 in  open air, Apis. Ign.)  Icy-cold feet, alterna-
 ting with burning.
   Heat:—At night; unable to sleep, or remain in
 bed on account  of it.   Dry heat every evening
 and night, lasting till morning, with headache on
 vertex and in nape of the neck till noon.  Hands
 and soles of  the feet hot and burning.
   Sweat:—Profuse at  night;  from the slightest
 motion on  front of body and centre of chest
 (sternum); stains yellow; is sour and offensive
 smelling (Lyc. Hepar.).  Profuse sweat  on the
 feet; they smell and become sore (Sil. Iod.)
   Tongue:—Coated white, and sensitive.   Taste
 sour, salty, bitter; like rotten eggs.  Rotten odor
 from mouth.   Breath smells like urine.  Lips and
 nostrils sore and cracked, as from cold.
  Apyrexia :—Excessive hunger, or no appetite,
 with great distension  of abdomen, as from accu-
mulation or incarceration of flatulence.   Consti-
pation.  Urine turbid,  and  deposits white sedi-
ment. 
120
THERAPEUTIC
    HEPAR  SULFURIS CALCAREUM.
   Time:—Evening paroxysm, 6, 7  or  8  p.  m.
 Morning paroxysm, at 2 a. m.
   Fever, without chill, 4 p. m., lasting all  night.
 Morning fever preceded by bitter taste in mouth,
 returning twice a day.
   Before  Chill :—Itching,  stinging,  nettle rash.
 Bitter taste in the mouth, for hours before chill.
   Chill:—Without thirst.  Great chilliness  in
 Open  air,  must get  to  warm stove;  heat feels
 agreeable but does not relieve (Must get to warm
 stove as soon  as chill begins, Bov.—must get to
 warm stove, and lie  down, Lach.).  Great sen-
 sitiveness to  open  air, with chilliness  (exces-
 sively sensitive  to open air, Camph.—chill aggra-
 vated by least draft of air, Bary. cai'D.).  Violent
 chill every morning, at 6 or 1  o'clock, without sub-
 sequent heat (Without subsequent heed or  sioeat,
 Bov.).   Violent chill, with chattering of the teeth,
 lasting a quarter of an hour, with coldness  of the
 hands and feet, followed by heat with sweat,
 especially on the chest and forehead, and  slight
 thirst.  Violent shaking chill with chattering  of
 the teeth, icy  coldness and paleness of the face,
 hands and  feet,  unconsciousness and coma (Bell.
 ■Opium).   Febrile chill,  at  night, could  not get
 warm, with aggravation of all complaints; without
subsequent  heed.  Chill at 2  a. m.,  with febrile 
INDICATIONS.
121
shivering and hot. dry skin.   Nettle rasll. with
violent itching and Stinging disappears a_.s heat
begins (Nettle  rash  appears as the chill is passing
off, Apis.).
   Heat:—With thirst.    Burning, febrile heat,
with almost unquenchable thirst, distressing head-
ache and slight delirium, lasting from 4 P. M. all
night, without chilliness.  Larynx much affected,
hoarse, weak voice. Had light in comparison with
the chill, though he was obliged to  uncover him-
self (Pills.).   Dry heat of body at night, with
sweaty hands which cannot tolerate being uncovered
(Bar. c).  Febrile paroxysm, chilliness alternat-
ing with heat, with photophobia.  Violent  fever,
with flushing heat in the face  and  head.  Fever
blisters around the  mouth (Nat. m.,  Ign.,
Nux. v.)
  Sweat:—With fi.ush.es of heat.   Sweats pro-
fusely day and night without  relief.  Per-
spires  easily  on  every   motion,  however
slight,  even  on  writing  a few lines,  (Sep.
Psorin.);  or,  at first, no sweat at all, then swe?ts
profusely.  Profuse, sour-smell ing sweat at  night,
which  is often  clammy  (Lyc.)-   Sweat  of per-
ineum, groins, and  inside  of thighs, (sweat most
profuse on the  genitalia,  Gels.).   Constant of-
fensive exhalations from  the  body.   Some-
times thirst witl night sweat.
                        11 
122            THERAPEUTIC
   Tongue :—Tip painful and sore; back of tongue
coated like dry clay.  Taste:  bitter; putrid;  me-
tallic; of rotten eggs.  Offensive odor from the
mouth, which he notices, (which he does not no-
tice, Puis.).
   Apyrexia:—Not characteristic. Unhealthy skin,
 with itching, apt to be developed  by the fever.
 Must  be  covered up warmly all the time.   Very
 sensitive to  cold air.

               HYOSCYAMUS.
   Time :—ll a. m.—every  other  day,  or every
 third day.
   Chill:—Without  thirst.   Commencing  in the
feet and  running up the  spine  to  nape of neck.
 Coldness runs from small of back to the nape of
 the neck, (commencing in hands and  feet,  and
 running  up the spine  to  nape of  neck,  Gels.).
 Chill from feet  upward.   Shivering  over the
 whole body,  with  burning  redness  of  face, and
 cold hands.   Whole body cold, with burning red-
 ness of face; chill  altemeding  with  heat (Bell.);
 cannot bear to  be lalked to (Cina. Sil.), or
 hear  the  least  noise (Caps. Gels.).   Sudden
chilliness; coldness  of spine;  body cold  and stiff,
cannot  get  warm in bed;  congestive chills,  with
cold extremities.
   Heat :—With thirst.  Burning  heat  </ll  over,
skin hot and dry to touch, with distended veins 
INDICATIONS.
123
(Bell. China.).  Heat  over  whole body;  much
thirst, lips  sticky.   Burning heat without  ex-
ternal  redness  ;  the  blood  burns  in  the  veins
(Rhus. Al*S.).  The skin burning hot to the ex-
amining hand,  which leaves  a burning in  place
touched.  Heat along  the whole  spine,  which
runs up the  back.   Epileptiform  convulsions
(Stram).  Sleeplessness.
  Sweat:—Profuse, general perspiration, mostly
on  legs.  Sweats during  sleep.   Sweat on back
and pit of the stomach.  Sweat cold, sour.
  Tongue:—Brown coated or red, partially para-
lyzed,  protrudes  it with  difficulty.   Taste bad,
putrid, offensive.

           IGNATIA (Strychnos).
  "Tjme:—Irregularity   of  hour,  characteristic.
Paroxysm until late in afternoon  or evening;; then
fever heat nearly all night.   Whether quotidian,
tertian or quartan  type, almost ahvays postpones
(pcjstpones  or  anticipates,  Gamboge).    Fre-
quent  change of type;  especiallv by abuse of
Chin. sulf.
  Before Chill:—Violent yawning and stretching;
sometimes terrible shuddering.
  Chill:—Always with  great thirst for large
quantities of -water;  (But in all stages,   Bry.,
before and during chill, Caps. Carbo. v.,  Eup.), 
124
THERAPEUTIC
Only during chill.  (If thirst in any other stage,
it is light and in short  spells.)  Chill  commences
in upper arms and spreads to back and chest.  (In
both  arms  at  once,  Bell.—in  hands and  feet,
Gels.).   Chilly at sunset; chilly in cool air;  very
cold all over, with one-sided headache.   Shaking
chill, with redness  of the face, in the even-
ing.  Coldness and chilliness of whole body, or
only of posterior portions, relieved at once in a
warm room or  by a warm stove.  Chilliness
on the back, and over upper arms, with  heat of
ears; about the knees, which are cold externally;
in the face  and  on the arms, with chattering of
teeth and  goose-flesh;  feet and legs, thigh and
forearm;  chill of single parts  only.  ( Chill and
heat  of  single parts Bell.  Rhus.); proceeding
from the abdomen,  (from the stomach, Cal. carb.
—running  to and terminating in the stomach,
Arn.—most severe in abdomen,  Meny.).  During
the  chill,  ill humor;  nausea, vomiting of  food,
mucus and  bile  (rare); great  paleness of  face;
pain in back; lameness of lower limbs.  External
coldness, internal heat, or internal chill with ex-
ternal heat.  "The febrile  coldness relieved by
external warmth is characteristic of Ignatia."—
Hahnemann.
   Heat:— Without thirst. Heat of the whole body
 in  the afternoon,  without thirst, with  sensation
of  dryness  of th^ skin.  External heat and 
                INDICATIONS.            125
 redness,  without  internal  heat.  Sudden
 flushes of heat over the whole  body.   External
 warmth  is intolerable (Puis.)/ must be uncovered
 as  soon  as  heat begins (Aeon. Sec).   One ear,
 one cheek, and side of the face red and burning.
 (One cheek red and hot, the other cold and pale
 Cham.); hot knees   with cold nose; heat  of the
 face, with  coldness of the hands and feet.  Heat
 and coldness of single parts (Apis. Bell.). Deep,
 snoring  sleep during heat  (Apis. Opium); fre-
 quent  sighing;  beating headache; vertigo, deliri-
 um; pain  in stomach  and bowels; vomiting  of
 ingesta,  with coldness of the feet and spasmodic
 twitching of the extremities.   Urticaria over the
 whole body, with violent itching, easily relieved by
 scratching,  which  disappears with  the  sweat.
 (Itching, stinging, nettle-rash  before and during
 chill,  Hepar.   During  chill  and  heat, Rhus.)
 Patient  is hungry after the fever (Eup.  perf.)
 " The  heat  of Ignatia is almost  always external;
 also, there is very seldom thirst with this heat,
 even in intermittent fever; hence Ignatia is able
 to  cure homceopathically and permanently in the
 smallest  dose intermittent  fever  vihich  presents
thirst during chill  but not during heat.''''—Hahne-
 mann.
  Sweat :—Without thirst; warm perspiration of
extremities; usually  light, though general.  Faint-
ing during sweat, or as the heat passes into sweat- 
126            THERAPEUTIC
ing stage.  Sweat when  eating.  Sensation  as  if
sweat would break  out over  the whole  body,
which, however, does not follow.
  Tongue:—Clean.  Saliva has a sour taste.
  Apyrexia:—Complete.  The face is pale;  erup-
tion on the lips and in the  corners of the mouth;
lips dry and chapped; hungry about 11  a. m., but
little or no appetite at time of meals; aching pain
in pit of stomach; colic, with hard stools and in-
effectual urging; pain in back and limbs; languor,
apathy, giving  away of the  knees, starting  in
sleep, or  sound sleep with  snoring.  The  sleep
usually  continues from  the  heat  during and
through sweating stage, into apyrexia.  All pains
and headache aggravated by tobacco and coffee.
  "During the chill, thirsty, seeks external warmth;
during the fever heat, no thirst, external warmth
very pleasant;  sitting up relieves  the chill."—
Hahnemann.
   Ignatia is adapted to recent mild cases, or long-
lasting and complicated ones,  particularly those oc-
curring among women and young people of a highly
nervous organization.  No  remedy has thirst dur-
ing chill and  in  no other  stage, so  prominently
marked as Ignatia.  The Ignatia patient is able to
resume his occupation  as  soon as  paroxysm  is
over.  Ignatia is indicated  if the ordinary  every
other day type has become quartan  after taking
large doses of Quinine. 
INDICATIONS.              127
      Gelsemium.

  Time :—2 p. m., 4 to 5 p.
m., and 9 p. m.  Regular—
every day at same hour
  Morning  fever,  without
chill.
  Before  Chill :—No symp-
toms.
   Chill : — Without  thirst ;
commencing in hands and
feet.   Chills  follow  each
other "in rapid succession up
the  spine  from  sacrum  to
occiput.
  Heat :—Without thirst.
Flying heat and flushes fol-
lowed by  perspiration.
  Sweat:—Profuse coming
on  gradually, relieving  all
the pains.
  Tongue :—Ye 11 o w i sh-
white, breath fetid.  Saliva.
blood-colored.
  Apyrexia: —Often want
ing  or very  short.  Inter-
mittents often  become  re-
mittents.
        Ignatia.

 Time:—Not characteristic,
chill until late in afternoon
or  evening.   Irregular—
every other  day  anticipates
or postpones.
  Morning fever, with chill.

  Before  Chill:—Yawning
and stretching.
  Chill:—With great  thirst,
commencing in upper arms
and spreads to back.   Shak-
ing chill with red face, re-'
lieved at once in warm room
or by heat of stove.
  Heat :—Without  thirst.
External heat and redness,
without internal  heat.
  Sweat :—Light,  warm,
chiefly on extremities.

  Tongue:—Clean    Saliva
has a sour taste.

  A p y r e x  i a:—Complete.
Face is very pale. One type
frequently changes  to  an-
other. 
128
THERAPEUTIC
                    CLINICAL.

  Case I.—Dr.  McManus,  of Baltimore, once related a
case to the author, that had for months resisted the best
directed efforts  of allopathy, and for a long time baffled
his skill.   The young lady was cured by Ign.200:  The
" key note," thirst only during chill, no thirst in heat or sweat.
  Case II.—A lady who had a constantly returning ague
each spring for several  years, which was annually sup-
pressed by large doses of Quinine, consulted me after a
second chill.  She  was  faithless in regard to my small
doses, so my cure can hardly be said to be one of the ima-
gination.   The symptom that governed me in my prescrip-
tions was, thirstlessness in the hot stages, and thirst while  the
chill was on.   I  gave her Ignatia and  she  had no more
chills.—G-.  N  Brigham, Homoeopathist, Oct., 1878
  Case III.—J. C, a young  man,  had  been  about  ten
months under different treatment from a number of medi-
cal men.   Chills occasionally  checked for a few  days  by
large doses of  Quinine, only to return with renewed sever-
ity in  another  form.   No regularity  in occurrence of
paroxysm,  assuming all types—quotidian, tertian,  quartan,
anticipating or postponing, and coming on at all hours of
the day or night.  Chill severe and pronounced, lasting
usually about  an hour, with intense  thirst only during chill.
Chill relieved by  external heat.  As soon as chill began he
would go at once to the kitchen stove, and  " over a  hot
fire drink the hydrant dry," as he expressed it, although  the
thermometer was registering " the nineties." Fever always
well developed with much  headache and vertigo,  but no
thirst.  Very rarely any perspiratioD, and  with the excep-
tion of some vertigo felt well during the apyrexia. Thanks
to  the "key  note  system," I had  little difficulty in this 
INDICATIONS.
129
obstinate case in selecting the  lemedy.  Chill, relieved by
external heat, belongs to Arsenic and Ignatia; and thirst
only during chill to Ignatia, Capsicum  and Carbo  veg.;
but the whole case was so well covered  by Ignatia that I
confidentially assured him  of a cure.   He received twelve
powders of Ignatia200, one every four hours while awake.
Had a  slight chill two days after, without thirst, fever  heat
lasted  two  hours without the usual headache and vertigo,
and that was the last  of it   Well ever since, now two
years.—H.  C. Allen, Homoeopathist, Dec, 1878.

  Case IV.—Ignatia,  four doses,  removed a quotidian
fever with  violent thirst at the commencement of the vio-
lent and continuous chills, accompanied  with  still and
taciturn disposition.—A. H. Z., I., p. 107.

  Case V.—Violent thirst during  the  chilly stage, dimin-
ishing  when the hot stage set in, vomiting of food, bile or
mucus during the chilly stage.   Ignatia12 after the parox-
ysm, cured.—Arch. VIII., 1 p.  32.

  Case VI.—Paroxysm every other day,  preceded by vio-
lent yawning and stretching, violent chill in the afternoon,
especially along the back and arms, with thirst, for an hour;
followed by heat of the whole body,  with  cold  feet; ac-
companied  with internal  shuddering,  not disappearing
until the sweat  has  broken  out, the  sweat lasting several
hours.   A7o thirst during the hot or sweaty stage. Dull aching
pain in the pit of the stomach; heaviness in  the limbs.
with pain  in the joints.  During apyrexia great weari-
ness and bending of the knees.  Sleep sound, with snoring
breathing.  Taciturn,  indifferent, starting.  Tongue coated
white;  lips chapped and dry. Countenance pale.  Ignatia*,
one drop cured.—Ann. I., p. 1<>k. 
130            therapeutic

                   IODUM.
  Time:—Any hour; every third day.
  Chill:—Shaking   chill,  or  unusual  chilliness,
even when in a warm room.   Hands,  nose,  feet
icy cold;  cold feet the whole  night.  Chill fre-
quently alternating with heat.
  Heat:—Quartan fever, with a constant diar-
rhoea  on  the days free from  feyer.   Hot
flushes of heat over the body (Fer. Sep.).  Inter-
nal heat,  with  coldness of  the surface.   Burning
heat of the hands (burning heat of palms  of hands
and soles of feet, with  cold feet, Snlf.).   Fever
with dry skin, weak and rapid pulse, twitching of
the muscles, and more  coldness than heat of skin.
  Sweat:—With  thirst. Debilitating, sour sweat
all over in the morning hours, with great weak-
ness of the limbs.   Profuse, cold, viscid  sweat at
night.  Palms of  hands sweat continually.  Cold
feet  sweat easily,  so acrid that  it corrodes  the
skin (Graph.).
  Tongue:—Thickly  coated,  brown in  center,
white  at  the  edges.   Salivation:   salty  or  sour
taste.
  Apyrexia:—Countenance   sallow;   distressed
look ;  ravenous, hunger, must eat every few hours;
left hypochondriac region hard and acutely sensi-
tive to pressure. Emaciation, debility, restlessness. 
                INDICATIONS.             131

 Gets anxious and worried if he does not eat,  yet
 loses flesh all the time while eating freely.

               IPECACUANHA.

   Time:—9 or  11  a. m. (Nat. m. 10 to il a. m.)
 and 4 p. M.—every other day.   Apt  to postpone
 and become irregular.
   Fever, without chill, at 4 i\ m.
   Cause:—Irregularities and indiscretions in diet.
 Cases drugged with Quinine and Arsenic.
   Before Chill:—Yawning,  stretching,  backache,
 headache, and profuse flow of saliva.  Nausea.
   Chill:—Without   thirst.   Chilliness;  he  is
 always worse when  in.  a warm place.  External
 coldness with  externcd  heat.  Chill  worse in  a
 warm room; or from externcd heat  (Apis.—Re-
 lieved  by external heat, Ars. Ign.) lessened by
 drinking, and in the open air.   (Aggravated by
 drinking Caust., China, Eup. per.,) shivering;
 then  chilliness, with coldness -without  thirst, at 4 p.
 m.   The bands and feet are icy cold and wet, with
 cold sweat, with  redness of one cheek  and paleness
 of the other.  Chill short and usually not severe,
 with or without nausea and vomiting.   Paroxysm
 begins by an internal chill, nai.de worse by external
 heat.
  Heat:—With thirst;  usually  long-lasting,  over
whole body, with alternate  raid,,ess and  paleness 
 132            THERAPEUTIC
of face;  uau,sea and  vomiting; anxious, oppressed,
breathing, and dry, hacking cough, often exciting
nausea   and vomiting.  (Cough  with  pleuritic
stitches, Aeon.—dry,   teasing  cough,  before
and during chill, Rhus.—cough during chill and
heat, Bry.); cold handsand feet.  Sudden heat
about 4 p. m., with sweat on arms and back; heat
of  entire body in the evening.  External heat
without  internal  heat  (see  Ign.).   Heat about
head and  face, sometimes  with, often without,
redness of  cheeks, with dilated pupils and pros-
tration of body and mind.
  Sweat:—Sudden attacks of sweat in a room;
on  upper  parts of body;   increased  by motion
(Bry.—lessened by motion, Caps.); by being out
of doors; cold on the forehead; sour sweat with tur-
bid urine;  stains yellow.   Nausea and vomiting
may be present.  Always worse during sweat; bet-
ter  after it. (Relieved by  sweating,  Nat. Eup.
Gels.).   Light sweat in uncomplicated cases, but
may be sour.  Sweat becomes profuse  only after
abuse  of  quinine.   May cough in sweating-
stage.  Sweat may only amount to a cold, sticky,
clammy feeling of the skin  in some cases.
  Tongue:—At first clean; then coated yellowish
or white: pale in old cases.  Taste bitter, sweet-
ish, like rancid oil.
  Apyrexia :—Never clear; disturbed by more or
less gastric  trouble  (Allt. erud. Puis.); loss of 
INDICATIONS.
133
 appetite,  nausea and  vomiting.   Stomach  feels
 relaxed and seems to hang down loose.   Aversion
 to food (aversion to meat Arn.); bad taste in the
 mouth, languor  and   debility, with absence  of
 sleep.   Bitter taste of everything  eaten. (Every-
 thing tastes bitter except water,  Aeon.); profuse
 secretion of saliva, and vomiting after eating.
   If paroxysm has  been suppressed by  Qui-
 nine,  Ipec. is all the more indicated.
   Relapses from improprieties in diet always  an
 additional  indication  for Ipec.  This  is  a  very
 common cause of  a return of paroxysm and as
 frequently overlooked  by physicians.
   The  persistent nausea, which does not al-
 ways amount to vomiting, that is usually present
 in every stage, is the "guiding symptom" of Ipec,
 although it may be and often is indicated when
 neither  nausea  nor  vomiting is present.  When
 fever returns in another form, after suppression by
 quinine, and symptoms do not clearly  point  to
 any remedy, if nausea or vomiting  were present in
first outset  of disease, Ipec.  will often cure.
   "  Short chills; long fever;  cold hands and feet;
 great  oppression  of  the  chest, he  can hardly
 breathe.  Always  after  previous  drugging  with
quinine.''''—N. A. Roth, H. M., 1874.
  In the irregularity of the different stages of the
paroxysm,  as well as the universality of its indi-
                     12 
134
THERAPEUTIC
cation, Ipec. resembles Arsenic; and should always
be thought  of  where  indiscretions  in  diet  may
have been the cause  of original  attack, or  have
produced a  relapse.   The  greatest prostration
occurs during  chill.   (Arsenicum  prostration  is
greatest after heat.)
   Chill not  marked and  distinct, being  either a
chilliness up and down the back or a mingling of
chills and heat; half an hour the longest.  If thirst
in  chill, may  continue during chill  and  heat,
although rarely so severe in heat.  Great lassitude
and weariness during chill. Chill usually followed
by nausea and vomiting, first of contents  of stom-
ach, afterwards of bile.   Hot stage lasts four or
five hours,  and  even  all  night.  Sweat  light,
partial,  in  single parts  (Bry.) sour.  If mixed
with Quinine Cachexia, profuse, sour, and soaking
the bed through.

   In his " Forty Years'  Practice," Jahr places
Ipec. at  the  head of the  list of remedies in the
treatment of intermittent fever,  and recommends
its administration in commencing  the treatment
of every case.  He says:   "I almost always com-
mence the  treatment  with  Ipec.80, unless some
other remedy is  distinctly indicated.   I give a
few globules in water, a  teaspoonful every  three
hours,  beginning  immediately   after the   chill.
By pursuing this course I have  cured many  cases 
INDICATIONS.
135
 of ' fever and ague ' by the first prescription, thus
 saving myself a good deal of necessary seeking
 and comparing.  If it does not help altogether,  it
 changes the  character of the fever so that Arn.,
 Ars., Ign., Nux, etc., will complete the cure "
  This advice  is also given by J. S. Douglas in
 his work  on Intermittent Fever, p. 80; and  a
 number  of our  closest and  most  successful pre-
 scribers  have  adopted it, with apparent success.
 H.  V.  Miller says:   "I  am  apt to give Ipec.
 when I do not clearly see the  indications for an-
 other remedy.  Then it serves to clear up the case
 and prepare  the  way  for  some  other remedy to
 complete the cure."
  I cannot  endorse the  above  indiscriminate
 use of Ipec, on principle; it is empiric practice,
 and will certainly be  attended with  many  mor-
 tifying failures.    That it is  infinitely superior
 to the  more  prevalent, empiric  and  indiscrim-
 inate  use  of  Quinine;  and attended with less
 failures and  less constitutional derangements,  I
 have no  doubt at all.  If the attack can be traced
 to dietetic irregularities,  this  advice of Jahr is
 undoubtedly sound; the best proof being its suc-
 cess at the bedside.
  A case like the following very often occurs in
practice:   A messenger is sent  many miles for
some medicine for "ague;" and that is all the in- 
136
THERAPEUTIC
formation we can obtain.   If  we do not prescribe
some one else will; and rather than lose a patient
and have it said that we cannot cure " so simple a
thing as ague" we make  a " chance shot;" and,
unless we have found the  " genus epidemicus " of
the season, are as apt to  fail as to cure.
   This is, in my opinion, the opportunity to follow
Jahr's advice and exhibit Ipec; and  it would be
infinitely better  for   our  patient, our school of
medicine,  and  our professional reputation, if we
did so instead of sending  Quinine.   Ipec. covers
a much larger  range of symptoms  than  Chin.
sulf., and, in a case like  the above, will cure more
patients.

                   CLINICAL.
   Case I.—Mrs. ---, a  lady about 35 years of age, had
been sick with chills and  fever for nearly two weeks.  No
regularity of paroxysm; chill,  light and of short duration,
though so weak she must go to bed during chill; heat long
but  not  very violent; no thirst during chilly stage, but
much thirst all through the  heat; tongue thickly furred
with a white pappy coating; complete loss of appetite; and
great weakness and prostration  during apyrexia.  Con-
stant nausea and occasional vomiting were marked symp-
toms from the outset.   For the last four days was com-
pelled  to keep her bed.  Had taken two grains Quinine
three times a day, and was taking Gelsemium and Arseni-
cum in  alternation every two  hours.  Ipec.3 relieved
promptly.  No more chills.—H.C.Allen in "Advance,"
Dec, 1878. 
I NDIC ATIONS.
137
  Case II.—Miss Alice B, set 11. black hair and eyes, had
long been subject to  attacks of ague, for which quinine
had been successfully given, without  preventing  recur-
rence  of  paroxysm with every new provocation.   Chill
every other day, she shivers awhile, then shakes for twenty
minutes.   Headache, hands first cold.  Nausea as the chill
goes off;  nausea all the time.  No thirst with the chill.
Heat following  the chill: thirst with the heat.   Perspira-
tion when the fever passes off.  Found  her covered upon
the sofa shaking with a chill  when I visited  her.  Blank
powders to take during the afternoon and Ipec.lm  (Fincke)
to take at bed  time.   Was  in bed next day most of the
time;  following  day at  play.  Cured.—J. H.  P. Frost.
H. M., Oct., '74.

  Case III.—A  Swede girl,  26 years  old, has  had ague
three  years,  always treated with Quinine.  Has       d
chill every other day at 1 or 2 p. m.  Continual nausea and
vomiting of bitter bilious matter, and everything taken into the
stomach.   Chill very violent, toith great thirst, drinking only a
little at a time.   Towards the last (of cold stage) has chills
and flushes of heat, then great heat and profuse sweat, but
the nausea and vomiting persist through all stages   Saw her
when fever  was at its height.  Ipec.cm (Swan) in six tea-
spoonfuls of water, one every hour.  No return after lapse
of several weeks.—Geo.  H. Carr, Organon, April, 1879.
  Case IV.—Mr. T., a woodcutter, had  ague  for  years,
every  spring and  fall.  Was treated  nine  weeks  with
Quinine without effect. First paroxysm at 10 A, m. , while
in the woods.   Aching  in bones and  pain  through the
temples, with heaviness in forehead.  Chills up and down
the back,  with  great thirst, lasting fifteen  minutes.  Was
not a " regular shake;" accompanied by great languor and
weakness, so that "he fell down in a bunch." Then came 
138
THERAPEUTIC
nausea and vomiting, followed by a burning fever, which
lasted until 2 p. m.  Thirst and throbbing headache dur-
ing the fever, followed by profuse sour sweat.  Paroxysm
had postponed until it now came on at 5 or 6 p. m.  A sec-
ond paroxysm now occurred at 9 a. m., which became
more and more severe.  Feb. 8, Ipec.3.  Feb. 10, the p. m.
paroxysm had disappeared, and on the 11th  the morning
one also.  Well to date.—Sterling Morrison, H. M., May,
1879.
   Case V.—Patient, brown  hair,  blue  eyes, light com-
plexion   Chill at 9 a.  m. ; teeth chatter; nails and lips
blue; no thirst.  Fever next;  slight thirst; moaning, sigh-
ing; slight heat; restlessness; pulse large and soft; tongue
coated white and thick;  frontal headache; diarrhoea, stools
yellow and painless; internal heat with external coldness;
drinks  little;  much nausea and vomiting; albuginea yellow;
perspiration  stains  linen yellow.   Ipec. cured.—T.  D.
Stow, H. M., V., p. 237.


            KALI BICHROMICUM.

   Time:—Afternoon or  evening.
   Fever, without chill, 4  and 5 p. m.

   Chill:—Without thirst.  Coldness and shivering
of arms, shoulders,  back.   Shivering, alternating
with flushes  of  heat.  Chilliness  commencing in
feet and legs and extending upwards over whole
body,  with sensation as  if  vertex or pericranium
were constricted (Sil.)> occurring in frequent par-
oxysms; an hour after chill, heat  and dryness of
mouth and lips, had  to be  frequently moistened, 
IN DICATIONS.
139
 followed by  great thirst next  morning, but no
 sweat.  Ill humor.  Feet and hands cold.
   Heat:—With thirst.   General heat over whole
 body at night.  Flushes of heat in the face. Face
 and  hands glowing hot, while arms were cold  and
 deep internal chilliness continued.  Sudden flushes
 of heat in the face which came on at 4 and 5 p. m.
   Sweat:—Profuse  while  sitting quietly.
 (Reverse of Bry., Sep., Sil., Sulf.)  Sweat on
 forehead; rest of face dry.  Hands cold and bathed
 in cold sweat  (Sec)   General sweat,  alternating
 with flushes of heat.
   Tongue:—Broad, with indented edges.   Thick,
 yellow coating,  coppery  taste;  saliva stringy,
 ropy; desire for acids (Allt. crud.)

                KALI CARB.
   Time:—5 to  6  P. M.
   Fever, without chill,  9 a. m.
   Chill:—With thirst; great chilliness after eat-
 ing  and towards evening, (Nnx.)-  Chilliness on
 every motion, even in bed (Nux. Hepar.).   Chil-
 liness, then heat,   then  chilliness  again.   Chill
 towards evening, relieved nxar the warm stove and
 after lying  down   (Relieved  by  external  heat,
 Ars.—Increased  by  external  heat,  Apis. Ign.
 Ipec.)  Chill  with the pains (Puis.—all  symp-
toms worse  during chill, Ars.), increased out of 
140
THEKAPEUTIC
doors, (increased while going from  a warm room
into  the open air, Puis.).   Constant chilliness,
violent thirst from  internal heat, hot hands,  and
aversion to food.
  " Violent chill  towards evening for some min-
utes; he must lie down; followed by nausea, vom-
iting and spasmodic pain in the chest through the
whole  night, with short breath and  much inter-
nal anxiety and much perspiration."—Hahnemann.
  Heat:—Without thirst, with yawning, stitch-
ing pains in head and chest, pulsations in abdo-
men.  Internal heat, external chilliness. (Chills in-
termingled with  heat,  Ars.—External  coldness
and  internal heat, Arn. Cal. C. Thuja.).   Chill
and heat, with dyspnoea.  Dry heat of the cheeks
and  hands, with shortness of breath.  Redness and
heat in the  face, with  icy  coldness of the feet,
(Sep.).
  Sweat:—All night  without relief (sweat
relieves, Lach.).  Sweat of axilla and perineum;
of upper parts of body; perspires easily  on least
exertion.  Sweat on every mental exertion,
reading,  writing, etc.,  (Sep.—on  least  physical
exertion, Bry.)   Profuse warm sweat, with much
heat, from 12 to 3 a. m.
  Tongue:—Coated  white; tip of tongue sore.
  Apyrexia:—Chest feels constricted; righthypo-
■condriumpainful and tender to touch.   Excessive 
IN DIC ATIO NS.
141
flatulency, everything she  eats or drinks appears
to   be  converted into  gas  (Carho. v.,  Lyc.)-
In the morning bad taste in  the mouth;  want of
appetite; aversion to food,  especially bread;  and
agglutination  of the eye-lids.

                    CLINICAL.
   Case  I.—Mr. T., aged 60,  chill  severe,  shaking him
dreadfully for two hours; after the chill, nausea and vomit-
ing of  bile; during the chill and fever he breathes very
quick, from oppression of the  chest; cannot well  talk on
account of the  oppression. Is  not restless, but  suffers
from anguish; lays quiet, has much thirst; no sleep, but
perspires all night;  no appetite,  but pain  in  the liver,
which seems to be smaller than usual. Kali Carb 20°.  Cured.
—A. Lippe, H. M., I., p. 122.
   Case II.—Chill every morning till noon, slight perspira-
tion at night.   Headache, stitch-pain and pressure of head
down into eyes; pain deep  in eyes with photophobia and
lachrymation; the pain is  first pressing,  then  stitch-like
and causes to cry;  flashes like lightning and sparks in the
eye;  staring look;  half an hour afterwards,  foggy and
dark before eyes; upper eyelids swollen, face red and hot;.
headache wakens him in morning out of sleep, increased
by coughing and sneezing.   Urine,  red-yellow; sweat on
every mental exertion; stools hard and dry.  Kali Carb.200.
Cured in five days.—J. Schelling, A. H. Z., 82, 1869.

                KALI  IODATUM.
   Time:—4to 8 p. m. (Lyc Mag. mur.); 10 p. m.
   Chill:—With thirst.   Chilliness from the p. m.
till the next morning.   Chilliness  with sleepi- 
142
THERAPEUTIC
ness, beginning by creeping up the back and ex-
tending over  the  whole body, from 6 to 8 p. m.
Chill from 4 to  7 p. m.   Was  able to get warm in
bed, but not hy  heat of stove.  (Pod.—relieved
by heat of  stove, Ign. Sat).).  Shaking  chill at
night, on frequent waking;  so chilly at night that
she could not  get warm.  Shivering  fit;  feels
frozen;  cannot  get warm  with  any amount of
clothing.   Sleepy  aud drowsy.   Coldness of the
feet with anasarcous swelling  (Apis. Ars.).
  Heat:—Great heat with  thirst  (as after  exer-
tion) followed by  excessive coldness with trem-
bling.  Flushes of heat with  dry skin;  at times
chilly; at others profuse sweat.  Heat of head
with burning redness of the face, alternating with
coldness, languor, and sometimes sweat.
  Sweat:—Scanty; or occurs during hot stage.
  All the preparations of Kali have febrile  con-
ditions  marked by  hot   flushes,  particularly
Kali Caro.,  (same as Sepia, Sulf., etc.)

                LACHESIS.

  Time:—Noon.  2 p. m.  Afternoon or  evening
chill;  fever lasting all night.
   Annually   returning   paroxysm   every
spring (Carho V. Sulf.), after suppression by
quinine the previous  autumn.
  Before Chill  :—Thirst, then shuddering. 
INDICATIONS.
143
  Chill:—Without thirst;  commencing in  the
small of  the back (Eup. purp.), runs up the
back to the head (Gels.), lessened in a warm room.
Violent chill in the evening, icith chattering of the
teeth, soreness of chest, and longing for the fire.
Wants to be  near the fire and lie down,  heat
makes him feel better, but his chill continues as long
as if he were in bed. (Heat of stove relieves the chill.
Chill  does not amount to much; if he can sit  near
a hot stove he gets warm, Ign).  Pain in the limbs;
pleuritic stitches, oppression of the chest;  con-
vulsive movements; and in children convulsions.
Child must be held firmly to relieve the pain
in  head and chest,  and prevent shaking.
Gels.).   If held firmly or pressed down, feels
relieved.   " A lady wanted her daughter to lie
with  her full  weight across  her during chill;  a
boy wanted a sack of flour put on him to  keep
him from  shaking."  Nausea  and vomiting ac-
company paroxysm when severe, with some thirst.
Coldness in one side of  the head.  Icy-cold  feet,
with  oppression   of  the   chest.  After  ice-cold
calves, shaking chill with warm sweat.

  Heat:—With thirst;  violent  headache;   livid
complexion; oppression  of the chest; backache,
deep breathing and sleep; or great loquacity (during
chill,  Pod.).   Violent fever every evening,  with
loss of appetite and headache;  internal chill, ex- 
144
THERAPEUTIC
ternal  heat;  in  the evening  great febrile  heat
which  lasted all night.  Heat in the  evening,
with red  spots on  the  cheeks, hot palms of the
hands and feet, with desire  to uncover.  Burning
in the palms  and soles, evening  and night,  must
he uncovered, (Aeon.  Sec).  Heat in ears,  face,
abdomen, pit of stomach, alternating with  cold-
ness, with shivering when lifting the bed clothes
(Nux.).

   Sweat:—Profuse sweat, which  affords relief, or
light, warm transient sweat. Perspiration between
the paroxysms of fever; on the back which stains
sulfur-yellow.   Strong-smelling  perspiration  in
axilla, smelling like garlic.  (Sweat in ctxilla, like
onions  Bov.).  Sweat   cold;  stains  yellow; or
bloody,  staining red.

   Tongue:—Trembles when protruded; or catches
behind  the  teeth;  mapped, coated white, or dry,
red tip and brown center. Everything tastes sour.
Everything bitter (Ipec).

   Pulse:—Palpitation;  can bear  no  pressure on
throat  or chest.  Pulse, weak and small,  or full
and small.

   After  suppression  by  massive and  repeated
doses  of Quinine  in  autumn, returns foUowinq
spring, or year. 
INDICATIONS.
145
                     CLINICAL.
   Case I. —A girl, aged six, chills for six months in sum-
mer and fall of 1870, suppressed with " blue mass " and
Quinine, returned May 15, 1871.  Convulsions during chill
was  most  prominent  symptom.   Lach.7,  cured,—Dr,
Walker, Med. Inv., Vol. 7.
   Case II.—A  man, aged 32,  sanguine-nervous temper-
ment, had intermittent fever for eight years, suppressed
by large  doses of Quinine in summer to return every
spring.  Complexion when fever was present a gray, ash
color.  Prescribed on spring recurrence, Dunham's200 one
dose,  No more chills for five years.—I. Devere, Pr. Com.
   '' Lacheses has proved efficient in relieving the excessive
burning and rending pain, which is often experienced dur-
ing a relapse into bilious intermittent fevers, the type of
which had been violently suppressed by renewed doses of
Quinine and Mercury."—C. J. Hempel.
   Case III.—A lady, aged 60,  tall, dark, leathery "skin;
feeble,  thin, nervo-bilious; fond of good living; had  suf-
fered from " sinking chills" annually in August for nine years.
Had  always been  dosed heavily with Morphine,  brandy
and Quinine to prevent the " fatal third chill."  Drenched
in cold sweat for many days after  each attack, it was the
work of months to recuperate.   The  fever was always ter-
tian, and this was her  tenth year.   Restlessness; pain in
lumbar region,  constipation; tongue  coated thick, brown,
furrowed and tending to dryness.  Soreness across  the
bowels, and  a short  time  before chill  in  attempting to
walk became rapidly  blind, giddy and  hastened to couch.
thill due at 2.30 P. m. , and it is prompt.  Body  drawn up
in a heap, tip of nose and ears cold and  becoming icy; forehead
cold;  skin shrivelling and becoming livid; pulse filiform  and
                            13 
146
THERAPEUTIC
dying away; rapid yawning and incessant sighing; dark areola
around the eyes, and fast  becoming darker as she sinks into
stupor.  Lach.30 in water.  Almost instantly the yawning
and sighing ceased,  and  in a few minutes  a  warm sweat
broke out.  In two days, rides out, and in two more super-
intending her usual  household duties. No return.—C. P.
Jennings, Med. Inv., VII, p. 314.
  Annual paroxysm a key note for Lach.—H.  C. A.

                    LEDUM.
   Time:—9.45 a. m.,  2.30 p.  m., same day.  Gen-
 erally only a forenoon paroxysm
   Chill :—With thirst.   Chilliness of single parts,
 as if it had  been dashed with cold water.   (Chill
 over whole  body as  if  dashed  with cold water,
 Rhus.).   Chilliness  mornings  and  forenoons.
 Shaking all over, with little chilliness (Eup. purp.),
 without  heat,  but with  thirst for  cold water.
 Shaking chill over the whole  back,  with hot cheeks
 and hot forehead, without redness of face or thirst,
 hands  cold.  Coldness  of the  back between the
 shoulders  and  lumbar  region.   General coldness
 with heat and redness of the face.  Chill, with colic
 every  evening.
   Heat:—All over, without thirst.  The  warmth
 of the bed is intolerable on account of the heat and
 burning of the limbs; (external warmth is unbear-
 able, Puis.).   Heat  in the hands  and feet in the
 evening, with much  distended veins  of hands. 
INDICATIONS.
147
 (Veins of face and neck  distended, Bell. China
 —veins in forearms and hands, Puis.).
   Sweat:—Perspires  and cannot  bear  the  bed
 covers.   (Must  be uncovered  as  soon  as sweat
 begins, Aeon.).   Slight sweat all over, with itch-
 ing  of  the whole body,  provoking scratching.
 Warm sweat on the hands and feet, long continu-
 ing.   Sour, offensive sweat on the forehead if  he
 perspires when walking.

               LYCOPODIUM,
   Time:—Morning paroxysm, 8 or 9 a. m.  After-
 noon paroxysm, 3 or 4 p.  m.   Evening paroxysm
 (the most severe), 6 Or 7 P. M.,  and continues
 until morning.   Evening  fever without chill,
 every day,  or every Other  day,  at same hour.
   This remedy is frequently  rejected, when indi-
 cated, in intermittent  fever, if the paroxysm does
 not occur at 4 p. m., and  the  red, sanely sediment
 is  not present  in the urine.  The sediment rarely
 occurs in acute cases;  and the  most severe and
 most frequent  paroxysm is the evening one at 6 or
 7 p. M., which  lasts all night (see Case I).  The
sour eructations, sour taste, sour sweat, sour vom-
iting, are  much  more reliable guides,  because
more often  present.   The  general  symptoms  of
Lyc. are  aggravated from 4 to 8 P. M., and  if
present, constitute an additional indication. 
148
THERAPEUTIC
  Before  Chill :—Sometimes flushes of heat, and
nausea and  vomiting precede  the chill, without
thirst.

  Chill :—Without thirst.   First, she awoke in
the morning with chilliness,  followed by great
heat.  Violent chill at 8 a. m. lasting half an hour,
and followed by little heat.   Chilliness at 9 a. m.
over the whole body; she cannot get warm  even by
a stove.  ' Febrile paroxysm every afternoon at 3
o'clock,  lasting till  later in  the  evening;  a con-
stantly increasing  chilliness,  without subsequent
heat or sweat (Bov.)  Evening paroxysm; slight
chill, followed immediately by violent, long-con-
tinuing heat, weariness, prostration, and pains in
the limbs (Ars.).   Alternating  chill  and heat,
with great redness and heat of the cheeks (Bell.)
 Chilliness at  4 P. M., gooseflesh over the whole
body, with   incessant yawning,  nausea, inclina-
tion  to  vomit, chilliness starting from the back
and  extending over  the  whole  body (Caps.),
with coldness of the hands and feet,  no sweat, no
thirst; but heat, which was confined to the face;
the chill lasted two  hours and a half, and ended
with excessive weakness and  weariness  of  the
feet, inclination to sleep, and  slight drawings in
the wrists and fingers of both hands; she slept
well through the night and  woke well the next
morning. 
INDICATIONS.
149
  Chilliness over the whole  body in the evening
at 6 p. m., starting from the back, with a feeling as
if water were spurted upon the back (Ant.  tart.
Rhus); chilliness with stupefying sleep, followed
by  uneasy  sleep, with  dreams; chilliness over
whole body lasting two hours, with stupefaction
of the  head, sleepiness, tearing  in the limbs, no
thirst, and no sweat.   At 7 p. m., shaking chill,
commencing in  the  back, with  numb,  icy  cold
hands  and feet  (Sep. Cedron); she cannot  get
warm hi  bed for  two hours, the tearing in the
limbs is worse, with uninterrupted yawning, nau-
sea and inclination to vomit.
  Febrile paroxysm at 7 p. m. ; shaking chill, great
coldness  even  in bed, as  if  she were lying  on
ice,  lasting two hours, with drawings  in  all the
limbs,  back  and whole  body; on waking from
sleep full of dreams, perspiration  all over, with
great  thirst after the sweat.   During chill
it seems  as if the blood ceased to be warm and
everything internal would come to a stand-still.
Chill on left side of body (Caust., Carbo.  v.
—right side, Bry.).   Nausea and vomiting, then
chill,  followed  by  sweat,  without  intervening
heat (Caust.); sour vomiting between  chill
and  heat.   (Bitter, bilious,  vomiting—Eup.
perf.  Ipec);  face  and hands  bloated  (Ars.
Apis.)   Shivering after drinking  (Ars. Eup.)
and while eating. 
150
THERAPEUTIC
  Heat:—With thirst.  Flushes of  heat over the
whole body in the evening, with frequent drink -
iug of  small  quantities at a time (Ars. China).
After eating, heat of the head  and a  red spot on
the left cheek.   Frequent risings of heat from the
abdomen to the head, with burning in the cheeks.
Great heat and redness  of  the  face, with irresisti-
ble  inclination   to  sleep" (Apis.  Ign.).   Face,
cheeks, ears, eyes, fingers and palms of the  hands
hot  and  burning.   Nausea after  cold d inks;
warm drinks are  grateful. Constipation;  increased
urination,  which relieves the  backache.    Sour
vomiting often occurs in or lasts during entire hot
stage.   Must uncover (Lach.).
   Sweat:—Perspiration in the night,  or  in the
morning after a restless night.   Profuse  sour-
smelling perspiration on the body, but not on the
lower  legs.  Night sweat on  body,  not  on the
limbs.   Morning sweat only of the joints.   Morn-
ing sweat cold, sour,  offensive,  smelling  of blood,
or  smelling  like onions.  May be general over
whole  body.  Perspiration  immediately af-
ter  the chill, without intervening heat  (Caust.).
Thirst after sweating stage.
   Tongue ."—Clean, but dry, red, trembling, stiff,
vesicles on tip,  or  brown, or  cracked.   Taste—
Sour; bitter, fatty; eructations sour.
   Pulse :—Sensation as if the circulation stood
still. 
INDICATIONS.
151
  Apyrexia:—Not prominent;  but  the concomi-
tants  are  often  guiding  symptoms.  Constant
sense of fullness in the stomach  and  abdomen as
if they would burst.   Repletion  after eating ever
so little.   Rumbling in the bowels;  obstinate con-
stipation.   Cough,  with  thick,  yellow, salty  ex-
pectoration.   Red, sandy  sediment in  the urine
(Nat. m.).    Patient  cannot bear to be left alone
(wants to be  alone, China, Nux.).

                   CLINICAL.

   In a recent epidemic^
  "A number of cases had no chilly stage at all.  During
the heat the patient was generally thirsty and sleepy.  The
fever passed off after midnight with perspiration.   The
patient has had either a sour taste in the mouth or  sour
vomiting where Lyc, has been successful."—E. C.Price
Med. Inv., v. II, p. 322.
   Case I.—H. B.—My own child, aged 8 years, of an
amiable disposition—rather  more so in  sickness than in
health—light hair, blue eyes, slender; first attack about .)
 a. M.; next, 7 a. m.;  all  others, with two  exceptions, on
 awaking in the morning.   Chill mostly  felt in lumbar re-
 gion, and lasted from thirty minutes to one hour.   The
 heat lasted until 7 or 8 r. M., whether the paroxysm  com-
 menced on awaking or at 4 p. m   Some perspiration dur-
 ing the heat.   Thirst predominated during  chill, always
 called for water at commencement.  Vomiting of water,
 mixed with food, of a greenish color, with two-thirds of
 the paroxysms, and  always between  chills  and  heat.  The
 early appearance, with vomiting, between chill and  heat, 
152
THERAPEUTIC
led me to give  Eup. perf.;  the 20° for four days; then the
tincture.  It had no effect.  Chill in the back induced me
to give Caps., high  and low.  No response.   Ign.  and
others were  tried with similar  results.    Circumstances,
which cannot be mentioned here, made it necessary to ar-
rest them by Quinine.  Two weeks  after another chill at
4 p. m. , lasting, with the heat, until 8 p. m.   No medicine
was given.   The following attack at 2 p.  m.   Both were
accompanied by vomiting  between  chill and heat, which
perplexed me,  as Eup.. the only remedy that I then knew
that had this symptom, had no effect.   The time of last
attack led me to  study Lyc,  and in Lippe's Text Book
I found sour vomiting between chill and fever.  The child now
said the vomited matter was sour as vinegar.  This settled
the question.  Three doses  of Lyc. 41000  (Fincke);  one
slight attack after.   I think this was  a Lyc.  case from
the beginning,  the same vomiting being present through-
out.— C. Bernreuter,  Med. Inv., vol. II, p. 150.

   We may learn  from this case the necessity of
obtaining some of the finer  characteristics  of  the
drug and the patient.   Here was vomiting between
chill  and fever, so  characteristic of Eup. perf. and
Lyc.    The  kind  of vomiting  distinguishes  be-
tween  them; the  former  being bitter,  the  latter
sour  as vinegar.

  Case  II.—A large, fleshy man, about 30, was prostrated
by chills and fever; chill every other day, about 4 p. m. ,
for two hours,  followed by more or less fever till late  bed
time,  when he  would be comparatively well till morning.
Both  chill and fever were very severe,  patient tossing,
anxious, hot and restless.  Urine heavily loaded with a
pinkish, half floating sediment, and a brick-dust sediment 
I NDI C ATI O N S.
153
at bottom of vessel; severe pain in the renal region, which
was aggravated by retention of urine after desire to urinate,
and increasing in severity in proportion to time of reten-
tion; was relieved by urinating; belched much flatulence,
which rumbled and pained him.   Lyc. high, because  it
has proved useless in my hands in the cruder preparations.
The relief was prompt,  steady, continuous, and in less
than a week was cured.—W. J. Hawkes,  Am. Horn., Ill,
p. 91.

  Case III. —A. L. W., aged 30, dark complexion, had a
severe attack of intermittent  fever, from which he was
confined three weeks.  Was treated  by a colleague, and
got out, but came down again in a week  with a relapse.
When he consulted me, chill appeared  at 4 p. m.  Chill
predominated over the fever; constipation; sour, offensive
sweat;  complexion sallow;  eyes  dull and  conjunctiva
slightly yellow; urine scanty, somewhat turbid.   Lyc200,
without chill returning.— G. N. Brigham, Priv. Com.

              MAGNESIA CARB.

  Time:—9 a. m., and 7, 8, 9  and 10  p. m.

  Chill 2—Chilliness in bed, as if dashed with cold
water   (Ant. t., Led.,  Sah.).   Shaking  chill
beginning in the feet, going off in bed.  Shaking
chill at 9 p. M.; even  in bed she was unable to get
warm for an hour.    Shivering at 10 p. m. in bed
without subsequent heat, sweat or thirst.  (With-
out  subsequent  heat or  sweat,   Bot.  Sulf.).
Coldness of the  feet, as  though wading in cold
water  (as  though standing in cold water up to the 
154
TH ERAPEUTIC
ankles,  Sepia).  Chill running up the  back;
lessened by out-door exercise.
  Heat :—A feeling of  warmth streams through
her whole body (as if vapors rise up to the brain,
Sarac.—as if  hot  water were running through
the veins, Ars., Bry., Rhus.).  Great internal
heat at night, could scarcely remain in bed,  yet
dreads the slightest  exposure  (Baryta  C.  Nux
V.).   Great  aversion to uncovering (Bell.—Can-
not move in  the  least or be uncovered without
feeling  chilly, Nux.).   Heat  of the head, face,
hands; redness, burning, and thirst, for half an
hour; often with sweat on the head.
  Sweat:—Profuse; in  morning  or  night;  on
slight motion;  offensive night sweat.  Sour-smell-
ing, oily perspiration, difiicidt to wash off; stains
yellow.
  Tongue:—Clean  or  white-coated;  taste,  sour,
bitter.  Desire for  meats.    The  symptoms  of
Mag. mur. are very nearly the  same, except that
Mag.  carb. has a peculiar diarrhoea, while Mag.
mur. has as peculiar constipation.

              MENYANTHES.

  Time:—Irregular time and type.
  Chill:—Without  thirst.   Chilliness,  especial-
ly  of the fingers  and toes.  Chill over whole
body,  most   severe   in  back;   not  relieved 
INDICATIONS.
155
by  heat  of  stove;  (not  relieved  by   exter-
nal   warmth,  Yerat.—Increased  by external
heat,  Ipec.)   Chilliness and cold creepings exter-
nally, without internal chilliness.   Horripilation,
without chilliness.  Coldness in the abdomen,
especially on pressure with the hand.   Creeping
coldness over abdomen, back and sides.  Coldness
of the spine, with shaking.  Feet cold as  far up
as  the knees, as  if they were in  cold water.
(Coldness as far up as the ankles,  Mag. carb.
Sepia.)  Icy coldness  of the hands and feet,
with warmth of the rest of the body.   Cold-
ness of the  feet  lasting till night, could not get
them  warm in bed.   Shivering over the upper part
of the bodg, with yawning, immediately.   Febrile
shivering over the whole  back as if he had been
uncovered  for a long  time  in  the  open  air.
Veins of lower arms and hands distended, while
the feet are  icy cold, (Puis.—of hands,  Led.).
Chill the predominant stage.
  Heat:—Without  thirst, especially  in the face,
followed by chilly feeling.   Great heat over the
whole body, without sweat or thirst, with cold
feet.  Flushes of heat on  trunk and back, with
redness of face, mingled  with sensation of cold-
ness.   Flushes of heat, with hot ears and cheeks.
Increase of heat, with delirium.
  Sweat:—From  evening till morning.   Sweat 
156
THERAPEUTIC
at night  immediately after lying down, continu-
ing all night.
  Tongue:—Bitter-sweetish  taste in the mouth.
Ravenous  hunger;  great   desire  for  meat.

  " It is a very efficient remedy in irregular inter-
mittent fever, when paroxysm consists chiefly of
cold stage, which  is incompletely developed, the
hands or ends of fingers, and the toes or feet, and
the end of the nose, becoming very cold."—Car-
roll Dunham,  F. S. M. & S. J., Jan., 1869.

  " Quartan-  Intermittents were  the pest of my
life until I struck Menyanthes.    The symptoms
in 'Lippe' (No. 60 to 66, inclusive)  and the exces-
sive coldness of legs (not  thighs) have  been the
leading symptoms.  Lately,  when I get a ' quar-
tan,' and it has not  this excessive coldness of legs,
I give the  solid extract of  Menyanthes in  two-
grain doses, twice  a  day,  otherwise  in the so;
and it  has never failed me, nor has  a relapse oc-
curred in any case."—A. L.  Fisher,  Priv. Com.

  Intermittent fever, with  chilliness in the abdo-
men, lasting six hours, then a disagreeable feeling
of heat  comes  on,  alternating  or  intermingled
with chilliness, with cold feet and legs, and  slow
pulse.—J. S. Douglas. 
INDICATIONS.
157
               MERCURIALIS.
   Time:—Afternoon; 9 p. m.
   Chill :—Chilliness over the whole  body, with
 heat of the face; she could only get warm by lying-
 down   nd covering herself up,  then  fell asleep,
 became warm,  and afterwards perspired.    Chilli-
 ness over the whole body, commencing in the
 right  arm and  right side of chest.  (Left
 hand and left arm, Carbo V. — of  the   whole
 left side of  body, Caust.), with shivering, great
 exhaustion,  weakness,   weariness,  pains   in the
 limbs, and constant desire to sleep; pain in stom-
 ach and abdomen aggravated by touch; dyspnoea;
 cutis  anserina  em  the   cold right arm,  which
 extends over the  whole  body; after midnight of-
fensive  'perspiration on  both sides, worse on arms.
 Cold and chilly, with dark-red cheeks.   Chill in
 stomach at 9 p. m.,  which extends to  right arm,
 right side of chest,  abdomen and right  hip, with
 difficulty of breathing; at 4  a. m., heat, thirst, and
 sweat of right side of body, with heat of face and
 redness of cheeks.
   Heat:—Of head  and  dark redness  of cheeks.
 Great heat of head  and  hands, face red, veins of
 hands  distended (Puis., Led.),  and feet hot.
 Violent and burning heat of head; face,  hands
 and afterwards of  feet, with distended veins of
 hands.
                      14 
158
THERAPEUTIC
  Sweat:—Over the whole body from 3 a. m.  till
towards morning, after sleep.  Great thirst.

                  CLINICAL.
  I once had a young man who came to me from the
country; the chill began on right arm and  right side of the
chest.  Had taken large quantities of Quinine.  One pack-
 age  of Mer. peren. cured him.—E. C. Price, Med.  Inv.,
II, p. 322.

                MEROURIUS.
  Time:—Morning and evening—no certain hour.
Without thirst.
  Chill:—In  the morning and evening in  bed.
Chilliness on going into the open  air  (Puis.—re-
verse of  Rhus.).    Chilliness  all over, with ice
cold hands; as if  dashed with cold  water (Mag.
C. Rhus.).  More  chilly in the open  air than
in the house, same temperature.   Violent  shaking-
chill in evening, in bed; she could not get warm.
 Chilliness in  the abdomen.   (Coldness of abdo-
men, Meny.).  Sensation in  soles of feet as if put
in cold  water, simultaneously  with burning in
them.   Hands and feet constantly cold.
  Heat:—With  thirst.  Alternate   sensation  of
heat and chilliness; not  perceptible  to external
touch.   Heat in bed; chilly when not in bed.  Heat
alternating  with  chill, often   of  single parts.
Aversion  to   uncover,  (Mag. m.).   Heat  and 
INDIC ATIO NS.
159
redness of face, and  palms; then shaking chill
far into the night.
  Sweat:—Profuse on every motion.  (Bry.
Samb).   Profuse sweat at  night;  same in
the morning.  Unusually profuse sweat that is
sour and  offensive and makes the  fingers look
softened, spongy, wrinkled,  like a washerwoman's,
(Ant. c, Canch.)  Profuse,  fatty and  oily
perspiration at night, (Thuja. Sab.), makes
linen  yellow and stiff.   Profuse, offensive perspir-
ation, soaking  through  the  bed-clothes;  the linen
was stained saffron  yellow and coidd not  be
removed bywas hing. (Carbo. an., China, Bry.)
Sweat that causes a  burning  sensation in  skin
(Caps.)   Profuse  sweat on  single parts not over
six  inches  large,   while  other parts are dry.
 Worse  while  sweating; weakness  aggravated,
(Rhus.).    Sweat towards morning, with palpita-
tion.
                MEZEREUM.
  Time:—8 to 9 a.  m.  Evening.
  Chili'.—With thirst.   In   a  warm  room, with
sleepiness.  Chillinest out  of bed; heat in bed.
(Same during heat, Mer.). Asthmatic constriction
and oppression of chest.   (Oppression of chest as
though patient would smother,  Apis.); chilliness,
with dry mouth posteriority, and much saliva an-
teriorly.   Chilliness, of single parts, as if dashed 
160            THERAPEUTIC

with cold water, especially over arms, abdomen,
hips, feet, with yawning, while face and hands are
warm, (Led.)  Great  chilliness o ver  the  whole
body,  hands  and feet  very cold, with  blue nails,
with small hot spot on top of the head.   External
coldness for 36 hours, with great thirst, without de-
sire for warndh, or dread of open air, and without
subsequent heat.   (Chill  24  hours, Aranea—12
hours, Canth.).   Chill lessened by heat.  (Ars.
Ign.—Lessened  by drinking,  Ipec.  Caust.).
Very  sensitive to cold air—less so in hot stage.
  Heat:—Burning of internal parts with external
chilliness.  Heat of left side  of body (of right
side, Meny.).  Following  the chill, intense heat
with  sleep, sweat  breaking  out  during
sleep.   (Deep sleep as chill passes off and breaks
out with urticaria,  Apis.—Falls asleep at climax
of hot stage, and sweats  profusely, Pod.).
  Sweat:—Skin dripping with cold perspiration.
Tongue:—Thick, white coating on  the tongue,
with  large, red, elevated papillae (Aeon. Bell.)
  Apyrexia :—Headache; pale face; hardness and
swelling of the spleen.   Great tendency to run in-
to remittent or typhoid, particularly the latter.
         NATRUM  MURIATICUM.
  Time: —5 to  8 a. m.    10 to 11  A. M. charac-
teristic.  4 to 7 P. m. ; 4.30 to 7 p.  m. ; 6 to 7 P. M.;
5.30 to 7.30 p. m.   Regular paroxysm every day. 
INDICATIONS.            161
 Anticipating every other  day.   Chilly  all day;
 fever all night.  Morning and evening  chill.
   Fever without chill, 10 to 11 A. M.
   Before  Chill:—Patient  dreads the  chill.
 Languor, headache, thirst; nausea and  vomiting
 sometimes present; if vomiting, it is water recent-
 ly drunk.
   Chill:—With thirst.   Paroxysm at 8 a. m.; vio-
 lent chill till noon; then heat till evening; without
 perspiration or thirst during the chill or heat; un-
 conscious, with violent headache.   Great  chilliness
 every morning between 3 and  4 o'clock,  with
 languor,  headache,  great  dyspnoea, followed  by
 great heat and thirst, and  terminated by profuse
 perspiration.   Long and severe chill from  10
 to 11 A. M., beginning in the feet or fingers and
 toes, ox small of the back (Gels.), with blue lips
 and nails, (Nux.)   Thirst,  drinking often and
 much at a time.  (Drinking often and large quan-
 tities,  but it  produces vomiting,  En p.—Drinks
 little and often, Ars.); bursting headache; nausea
 and vomiting; and sometimes completely uncon-
 scious.   Frequent creeping chills  about 5.30 p.
 m., followed by heat and perspiration  that lasted
 till  7.30.  Violent chill, especially in   a  warm
 room,  from 4.30  to  7  p. m. ;  relieved in the open
air.  Chilliness over  the whole body  between 6
and 7 p. m., with great sleepiness; was able to keep 
162            THERAPEUTIC
awake only by a  great  effort.  Chill  over the
whole body in a warm room, between 4 and 7 p.
m., with  frequent  yawning, though warm to the
touch, except in the face.
  Internal shivering from 4 to 7 p. m.; she is gen-  •
erally chilly; each  night suffers excessively from
rigors, followed by heat and profuse perspiration;
as rigors come on, and during  continuance, exces-
sive languor, and headache and dyspnoea " almost
indescribable."  Hands and feet cold;  could not be
warmed.   Chilliness, great thirst, tearing in
the   bones, blue nails,  chattering of the
teeth, at  10 A. M-   Chilliness, with  increasing
headache in the forehead every  day from 9 A. 31.
till noon; afterwards heat icith  thirst,  and gradual
appearance of  sweat;  the headache  decreasing
gradually as the sweat increases  until 5  o'clock in
the   evening.   Chill  of  right  side (Bry.—left,
Caust.,  Carbo. v.).
   " Chill predominates; chilliness internally, as
from want  of natural heat,  with icy-coldness of
hands and feet.    Continuous  chilliness  from
morning till noon."—Lippe.
   Heat:—With  thirst  increased; intolerable ham-
mering headache  (as if beaten  with thousands of
little  hammers),  with stupefaction  and uncon-
sciousness.   (Bell. Cac, Opium.)
  Long, severe heat, with excessive weakness, which 
IN DICATIONS.
163
compels him to'lie down  (Weakness and prostra-
tion during chill, Lyc.—Great prostration after
paroxysm, Ars.)   Great thirst for large quantities
■of   water;  drinks  much  and often,  which re-
freshes (Bry.—drinks little  and  often,  but it
produces vomiting, Ars.).   Nausea and vomiting
(Ipec).   Obscuration  of sight  and  fainting.
" Fever blisters cover the lips like pearls."—Raue.
" Continuous heat in the afternoon, with violent
headache and unconsciousness; they are gradually
relieved during the  perspiration which  follows."
—Lippe.
  Sweat:—With thirst; profuse,  gradually re-
lieving all pains, except  headache,  which  may
continue during and after sweating stage. (Head-
ache is increased, Eup. pert'.).   Profuse sweat
breaks out easily during motion, although he is
very chilly, (Bry. Psor.)
  Profuse perspiration over whole  body at night
and in the  morning, (over whole body, except
legs, Lyc); sour-smelling sweat.
  Tongue :—Thin, yellowish-white coating on dry
tongue;  blisters  on the  mapped tongue (Lach.
Tarax.).   Taste,  water  tastes  putrid,  (water
tastes bitter,  Ars.); bitter, salt taste;  food  has
no taste at all; loss of taste.
  Pulse:—Irregular  intermission  when  lying on
left  side.   The heart's pulsations shake the body. 
164
THERAPEUTIC
  Apyrexia:—Never clear;  emaciation, languor,
debility; livid, sallow  complexion;  stitches about
the liver and spleen; urine muddy, with red, sandy
sediment (Lyc);  loss  of  appetite,  loss of taste;
aversion to bread; (aversion  to meat, Arn.);  hy-
droa-like beads on thelips (Nux. Ign.); ulceration
of labial commissures; sensation of fullness of the
stomach after  eating ever  so  little  (Bry. Lyc.)
  "Hard  chill  about 11 a.  m., with  great thirst,
which continues  through all  stages;  the heat is
characterized by  the  most  violent headache, re-
lieved by  perspiration."—Raue.

      Arsenicum.           Natruni  mur.
  Advancing type.
  Worse forenoon and day-
time.
   Headache  commencing
with fever, and continuing
long after sweat.

  Vomiting of bile with the
chill; of water after drink-
ing, in  every stage.
  Thirst,  drinks  little  and
often during chill and heat;
large quantities during per-
spiration.
  Hungry.
  Receding type.
  Worse   afternoon   and
night.
  Headache commences in
chill,  increased in  fever,
partially relieved by profuse
sweat.
  Vomiting of bile between
chill and  fever (Eup. Lyc),

  Thirst in all stages; drinks
large quantities and often,
which refresh him.

  Loss of appetite. 
INDICATIONS.
165
  Had been at sea shore or    Had  been  near  freshly
summer  watering  resorts  ploughed or newly turned
during hot weather (Gels.).   grounds, swamps, canals or
                          standing water, such as mill-
                          ponds, etc.
  Lips pale, dry and cracked.    Lips  covered  with hy-
                          droa-like strings of pearls.
   There is, probably,  no remedy  in our Materia
Medica (Arsenic alone excepted) so often indicat-
ed in severe cases—acute or chronic—even those
maltreated by Arsenic  and Quinine—as Natrum
m. It will cure promptly when indicated, and much
more quickly  and  permanently  in  the potencies
above than below the thirtieth.   Like Lyc,  Cal. a,
Sep., Sulph., and some of the metals, it is compar-
atively inert in the crude form.   Hydroa  on the
lips is a guiding symptom, although Ign. and Nux.
both have it.   If  present  in first onset of fever,
although after frequent suppression by  Quinine,
it may not be present in old cases, Nat. m. should
be thought  of.    Living on or near  water and
damp regions, or near recently turned up soil.

                   CLINICAL.
  Case I.—A young girl, eight years of age, brown hair and
blue eyes, had a hard chill daily, at 9 or 10 a. m ,  with no
thirst; heat, with great thirst, followed by copious sweat-
ing; drinking  and sweating  giving much relief; frontal
headache, increasing with fever, diminishing with sweat.
Twelve powders Nat.  m.200 cured.—T. D.  Stowe. 
166
THERAPEUTIC
  Case IL—Mrs.  P., aged 30,  has chill  every  eleventh
day.  Has taken  Quinine.  The symptoms now were:
Chill beginning at about 10 a. m., first felt in the toes and
ends of the fingers, extending  thence  over whole body.
Drawing pains in  the limbs during the chill, and violent
headache,  increased during the hot stage;  great sensitive-
ness to cold air, even after chill has passed off.  During
the heat, simply raising the bed covering seemed  to  her
like the application of cakes of ice to the body.   The fever
stage was ushered in by vomiting,  and  attended by deliri-
um; great heat of the  head; the  headache, which com-
mences  with the  chill, continues unabated during  the
fever, and is greatly aggravated by raising the head and
coughing; ringing in the head and ears during and after
the headache has passed away,  with  dizziness and  loss of
sight when turning the head  and when rising from stoop-
ing.  Very obstinate constipation, which has been present
ever since an  attack of diphtheria, bowels moved  only
about  every  tenth  or eleventh  day,  except by   the
employment of strong purgatives.  Appetite  very poor.
Now, in this case, the appearance of the chill at  about 10
a. m.,,  beginning  in the toes and fingers, with drawing
pains in the limbs, led me to give Nat.m.5m, two powders, to
be taken twenty-four hours  apart, and followed by  Sac.
Lac.  Cured.—Wm E. Payne, H. M„  1871, p. 854.

  Case III.—Mr. T.,  aged  65.  Six years ago had ague
sixteen months in spite of Quinine.  Change of residence
to upland country (Wabash valley to hills of central New
York) re-developed disease for  five months under Quinine,
when he returned  home.  For four  years suffered from
Quinine cachexia, and all its  attendant  evils.  Another
return  to  upland  country,  with  return of tertian ague.
Orthodox treatment again of no avail.   Present symptoms • 
INDICATIONS.
167
 Chill, beginning every other day at 10 a. m., continuing
 one and  a half hours, with severe shaking; heat, all the
 afternoon; profuse and offensive sweat at night.   Severe
 aching in knees and legs during chill;  during heat, much
 thirst, terrible headache  and  delirium.   During sweat.
 complete relief of all the  symptoms.   Nat.  m.200,  one
 dose cured.—H. V. Miller, H. M., 1872, p. 404.

   Case IV.—A working man,  an Italian  by birth, about
 25 years old, dark complexion,  and of a previous robust
 habit.   He was suffering from a well-developed intermit-
 tent,  with chill coming on about 10 a. m.  Paroxysm very
 pronounced; no appetite; fever had produced rapid  ema-
 ciation, with great loss of strength.  He trembled exces-
 sively from muscular weakness, and was only able to be
 about on  his well  day, the fever occurring every other
 day.   Had been  in charge of  a Homoeopathic physician
 for a  week, with no improvement.  I gave him four pow-
 ders  of Nat.m.10m and he  had no more  chills.—G. N.
 Brigham, Am. Horn.,  Ill, p. 135.

   Case V.—Mr. L. has suffered from chills and fever over
 three months.  Treated heroically seven weeks by crude
 doses of Cinchona in various forms, without benefit;  then
 homoeopathic medicine for a time, when he removed to this
 city and decided to' 'let the chills get well without medicine."
 Paroxysm every other day, at 11  A. m. , with severe pain in
 the limbs and small of the back; chill lasted nearly two hours,
 with no thirst during chill.  Fever all the  afternoon, with
 bursting headache and intense thirst for large quantities of cold
 water.  Little or no perspiration, eats and sleeps well,  and
 next day resumes his occupation. Nat. m.30 trit., every four
hours during apyrexia.  Next chill  light, and no return to
date.—H. C. Allen, Am. Horn., Ill, p,  206. 
168
THERAPE UTI C
  Case  VI.—Patient was a medical student, from Minne-
sota, about 35 years old, strong and  well.  Slight but in-
creasing chill, every alternate morning for ten days.  Chill
very prompt, at  10  a. m., followed  by severe headache
which lasted till noon, when violent  symptoms gradually
disappeared. The heat and headache  were disproportionately
severe.   The patient  being a medical student, I told him
the remedy, and why.  He said he had  been taking Nat
m.6  several  days,  without benefit, fever increasing  in
severity all the  time.  I replied, as I believe, that he might
as well  take a pinch from  the salt barrel.  I gave him four
powders of a high attenuation,  which ended  the  fever.—
W. J. Hawkes, Homceop., Ill,  p. 93.

   Case VII.—Violent chilliness in the evening with chat-
tering of the teeth, for  three hours; followed by mere
increase of  temperature.   Violent headache, lasting four
or five hours, as if the head would  burst; little thirst or
appetite.  Hard intermittent stool.   Eruption on the lips.
Nat. m.30 cured.—Ann. II, p. 312.

   Case VIII.—Violent chill, with thirst, every fourth after-
noon; blueness of the lips and nails,  and spasmodic tight-
ness of  breathing. One hour after, the heat set in. lasting
until night.   Sweat after midnight.  During the apyrexia,
pressure in the  region of the liver, sometimes alternating
with pain in the spleen.   Labor-like  drawing in the abdo-
men, in the intestinal  canal.  Sensation of  pressure in
the  chest.   Weakness  and appearance as if worn out.
Nat. m. cured.—Horn. Clinique, Pr.  C, p. 49.

   Case IX.—Mr. S., aged 50,  bilious temperament, hard-
working farmer, living in  an aguish  locality, where many
of his neighbors  were suffering  from chills.   Had hard
chills on morning of November 30 and  December 2, each 
INDICATIONS.
169
lasting two  hours, preceded by thirst and bilious vomiting,
heat with thirst, and perspiration at  night; yellow com-
plexion, headache,  and  general debility.   Had no» confi-
dence in homoeopathy; had never tried it.   One.powder
Nat. m.200 at 11 a. m. and another to be taken evening be-
fore next paroxysm.  Sac. lac. every three hours for two
days, then to report.  He came six miles in  a cold wind to
tell me  "he was convinced there was something in the
sugar."  Not the slightest indication of any more chills,
fever, or headache.—C. Pearson,  Med. Inv., VIII, p. 152.
   Should never be given until heat subsides,  and
not repeated too often.  The  low potencies are in-
efficient and unreliable.

            NITRICUM  ACIDUM

   Time:—Afternoon  and evening.
   Chill:—Continuous  chilliness in the evening, be-
fore going to  bed and after lying down; in bed,
worse from uncovering or moving, (Xux.).   Chill
in the afternoon while in the  open air, for an hour
and a half; afterwards dry heat in bed, with delir-
ium and a sort of half-waking, dreamy state; sweat
and sleep towards evening.  Afternoon chill; short
general heat over the whole body;  followed  by
profuse sweat.   Cold hands,  with extreme  ill-hu-
mor.   Constant coldness  of the feet as far up as
the calves.  Icy coldness of soles  of feet, prevent-
ing sleep at night.
   Heat:—Dry,  internal  at night; desire  to  un-
cover (Aeon.); pricking all over, as with  needles.
                       15 
170
THERAPEUTIC
Dry heat of hands and face in flushes, with sweat
of hands.  Constant paroxysms of flushes of
heat, of single parts, or  over entire body
(Fer. Sep.).   The blood seemed hot at night, es-
pecially in the  hands, preventing  sleep.   Great
heat in the face and hands;  or heat  in face, with
icy-cold hands.  Dryness of the throat.
   Sweat : — All  over the  entire  body  after
eating  (Carho. an.).  Sweat, with cold  hands
and hi lie nails.  Sweat sour, offensive, like horse's
urine.   Night  sweat, on  covering up   in  bed.
(On  being covered  sweats  profusely all  over,
China).  Night sweat, only on the parts on which
he is lying (Aeon.  Bry.—on the part not  lain up-
on, Benz.).  Profuse night sweat, every other
night.    Offensive  axillary  sweat (BOY.)    Pro-
fuse sweat on the soles, causing  soreness of
the toes and balls of the feet, with sticking
pain  as if he  were walking  on pins.  Per-
spiration in the  morning.
  Tongue :—Coated white or lemon color; saliva
fetid, acrid; corners of mouth sore and ulcerated;
cadaverous  odor.    Taste,  bitter  after   eating
(Puis.); aversion  to meat and bread; longing for
fat (reverse of Puis.).
  Pulse:—During  heat full, hard and tense.   In
old cases irregular; fourth beat intermits.
  Nitric acid  is always indicated after abuse of 
INDICATIONS.
171
mercury; scorbutic condition of  gums  (Staph.);
chronic diarrhoea; urine scanty, turbid, offensive,
sour; smelling strong, like horse's.

            NUX. MOSCHATA.
  Time:—7 a. m , 5.30 p. >i.   (1 and 9 p. m.)
  Chill;—Without thirst.  Ski?i  cold and blue
over the whole body, at 5.30 p. m.   Became cold,
chilly and pale on going into open air, disappeared
in  a  warm  room.    (Worse  in  a warm  room,
Apis.).  Coldness commencing  in left arm and
lower limbs (in left hand and arm, Carbo  T.), in
frequent attacks, and clear intermissions between,
with desire to sleep  between attacks.  Chill from
uncovering,  (Nux.   v.);  hands and  feet icy-
cold, and as if numb from coldness (Rhus.).  As
chill progressed  became very  drowsy, and at close
of  chill  fell   asleep (Apis.,  Nux.  v.);  con-
tinued through heat, which was very light.
  Heat:—Without thirst, with redness of face and
hot hands.   Great heat, with prostration,  hypo-
chondriac mood; mouth and throat di y;  drowsiness
and deep sleep.   (Apis. Opium—Falls asleep at
climax of heat and breaks out with sweat, Pod.)
  Sweat'.—Drowsiness during sweat (Pod.); can-
not bear  to   be uncovered  (Hepar.,  Baryta.
C,  Nux.).   Sweat light, or wanting  altogether;
sweat red, or bloody (Lach.). 
172
THERAPEUTIC
  Tongue:—Coated white, dotted with red papil-
lae.   " Cotton " saliva, sticky, dry lips and tongue,
adhering to roof of mouth, without actual dryness
or real thirst.
  Great sensitiveness to open cold air.  Sometimes
cough with bloody sputum.    Chill, apparently of
a nervous character, with almost irresistible desire
to sleep as severity of  chill  passes off.   Adapted
to women and children.

               NUX  VOMICA.

  Time:—Night or early morning, 6 to 7 a. m., 11
a. m., 12 noon, 6 to 9 p. m.    Evening paroxysm
usually lasts  all  night,  (Lyc, Rhus.,  Puis.,
Polyp.).
  Fever, without  chill,  at 6  or 7 p. m.   Anticipat-
ing type.
  Paroxysm  always  irregular;  first,  heat;
then chill, then  sweat;  or sweat, then chill, then
sweat again.
  Before  Chill :  — Intolerable  drawing  pain
through the thighs and legs, that  obliged  him to
draw them up  and  stretch  them out.  Sense of
paralysis and want of strength  in limbs.   Often
heat,  and sometimes sweat before the chill.
  Chill:—Without thirst.  Chilliness every morn-
ing  after  rising.   Violent,  shaking  chill lasting 
I N D I C ATI ON S.
173
three quarters of an hour, with bluish cold face
and hands,  followed by violent heat and moist
skin.
  Anticipating morning  fever;  chill  with
gaping, and aching in the limbs (sore, bruised pain
in limbs, as if Jn periosteum, Arn.); blue nails;
no thirst (Na*. m.); then  long-lasting heat with
thirst  (Nat.  m.), and  stitches in the temples.
Sensation of chilliness on the  back and limbs, in
the morning,  with pa in fulness of the skin, as if it
had been frozen, and numbness of limbs as if go)ie
to sleep, as they do in cold weather.
  Afternoon paroxysm—Chilliness and cold-
ness,  with  blue nails, for four hours, fol-
lowed by general heat and burning of the hands,
with thirst at first for water, afterwards for beer,
without subsequent sweat.  Shivering and  chilli-
ness after drinking   (Chill  after every  drink,
Caps., Eup.  perf.).  Drinking increases and has-
tens chill, and causes vomiting.  (Eup.—Drinking
relieves the  chill, Caust.).  Coldness of the whole
body, with blue hands  and blueness  of the
skin.   Great coldness,  relieved  neither  by
warmth  of  the stove,  nor by  covering in
bed.   (Worse from uncovering,  Phos.—Worse
in a warm room  or  near the  stove, Apis.—Chill
increased  by external  heat,   Ipec).  Shivering
and chilliness for an  hour, from the slightest con-
tact with the open air, (excessively sensitive to cold 
174
T H E R A P E U T 1 C
air, Camph.—Coldness  and chills as soon as she
attempted to rise  or put one limb out of bed,
Canth.).  Violent chill, and  sleep for an hour in
the  evening  after lying down,  followed by heat,
with headache  and roaring in the  ears.   Chill
evening and  night in  bed, lasting till morning,
worse  when  moving.  Pain in sacrum during
chill.   (Pain in dorsal vertebrae, Chin, sulf.)
 Congestive chill, with vertigo,  headache, anguish,
 delirium,  terrible coldness of body,  with blue
 face, nails and hands, worse from the slightest at-
 tempt  to  uncover or move  in bed.   Sleep after
 chill.   (Sleep during heat, Apis.).
   Heat:—With thirst.   Violent, long-lasting heat,
 with great thirst.  Flushing redness and  heat of
 the cheeks on the slightest motion or exertion.
 (Heat relieved by moving about, Caps.); worse in
 the open  air; averse to  uncovering when in bed
 day or night; desire to  uncover, but chilled  when
 uncovering ;  (Aeon. — Averse  to   uncovering,
 Bell-—cold   and chilly  on  putting  hands out
from  under  bed  clothes, Baryta  c.—cannot
move  or  uncover in  the  least  without
feeling chilly, Arn.);  heat of hands and feet,
which  must be covered, because cold causes i/dol-
erablepain.  Great heat;  whole body burning hot,
yet  patient  must  be covered  up.  (Must be
uncovered, Sec).   Heat   and  redness of  face,
cheeks,  hands, with stitching headache, anguish, 
INDICATIONS.
175
 vertigo, and delirium, with red face (Bell.); pain
 inchest, sides, abdomen; feet cold  and shivering.
   Sweat:—Without  thirst.  (With great  thirst
 Ars.,  China).  Usually, sweating stage  light,
 with  chilliness from   motion  or  allowing
 the a<r to strike him.   Sweat relieves pains  in
 limbs, (Eup., Lyc,  Nat. m.).  Sweat altemedhig
 with chill (Ant. C—Chill  alternating with sweat,
 Caust.).   Sweat one-sided, or only  on  upper part
 of  the  body (Aeon. China, Nit. ac Puis.—
 Sweat on trunk, but not on legs, Lyc);  cold on
 face; sour, clammy, offensive.
  Profuse perspiration, after the severest par-
 oxysms,  or attending the  congestive chill.  (Re-
 verse Of Eup., which has light chill and pro-
 fuse sweat;  or hard, shaking chill and light,
 scanty chill.)
  Tongue:—Heavily  coated, white  or  yellow.
 Taste  so bitter,  sour, putrid; must  rinse the
 mouth,  (Thuja).   Aversion  to  bread, water,
 coffee, tobacco.   Longing for brandy, beer, fat
 food  (see Puis.).
  Apyrexia:—Gastric  and bilious  symptoms are
always  present.  Legs feel weak  and  paralytic;
morning headache;  debility; soreness of liver and
spleen;  loss of appetite  and  obstinate constipa-
tion (rarely, canine hunger and diarrhoea); pale
face;  great sensitiveness in and distension of the 
 176             THERAPEUTIC

 pit of the  stomach;  quarrelsome;  over-sensitive-
 ness, every harmless word offends;  strong odors,
 bright light,  talking,  or noise, cannot  tolerate.
Jaundice.


     Natrum Mur.            Nux  Vomica.
  Time :—5 to 8 a. m., 10 to
11 a.  m. and 4 to 7 p. m.

  Fever, without  chill, 10
or 11 a. m.

  Type — Anticipating, ev-
ery other day.  Every day
paroxysm, regular.

  Before Chill .—Dreads the
chill.   Languor, headache,
thirst,  nausea  and vomit-
ing.

  Chill :  —  With thirst,
drinking often  and  much
at a time,  with blue  lips
and  nails,  and   bursting
headache; tearing in bones
and chattering of teeth.

  Heat :—With thirst;  in-
creased headache,  uncon-
sciousness  and   excessive
weakness
  Time:—6 to 7 a. m. , 11  a.
m. , or 12 m. ,  and 6 to 9 p. m.
lasting all night.
  Fever, without chill, 6 or
7 P. M.

  Type:—Anticipating. Par-
oxysm always irregular.


  Before Chill : — Drawing
pain in limbs; weak and par-
alyzed   Heat   and sweat
sometimes before the chill.

  Chill : — Without thirst,
shaking, with blue face and
hands; pain and numbness of
limbs,  as  if gone to sleep;
relieved neither by warmth
of stove nor covering in bed.

  Heat :—With great thirst,
violent   and  long-lasting.
Cannot move or uncover in the
Last without feeling chilly. 
INDICATIONS.
177
                            Sweat:—Without  thirst;.
                          with chilliness from motion
                          or allowing the air to touch
                          him.  Sweat on one side or
                          upper part of body.   Re-
                          lieves pains in limbs.
  Tongue:—Mapped tongue;    Tongue:—Heavily coated
 yellow coat; salt taste       white;  putrid  taste;  must
                          rinse the mouth.
   " Children's  intermittents; shaking chill,  with
 blue  mottled skin, especiedly on  covered parts.
 Morning chill, very severe, with skin blue-mottled;
 thirst very  great  during  chill  and fever;  great
 tendency  to spasms (and  even  convulsions), as
 the chill went off and sweat  came on.  Bowels con-
 stipated, appetite  poor, urine red  and fetid, and
 generally a dry,  hacking  cough,  (Crotalis, if right
 side was most  mottled).—Dr. Higgins, N. A. J.,
 p.  182.
   The anticifjating chill always denotes increasing
 severity of  the-fever, and the remedies which cor-
 respond to it are among  the most prominent and
 frequently  called  for,  viz., Arsenic, China,  Chin.
 sulf., Nat. m., and Nux.  vomica.  Ipec. may an-
 ticipate.  Ignatia  anticipates and postpones.

                   CLINICAL.
  Case I.—Alternate chilliness and heat, more or less vio-
lent, every other day; accompanied with complete loss of
strength.  Violent  beating pain  in the sinciput, especially
 Sweat:—With thirst, grad-
ually relieving all pains but
headache. 
178
THERAPEUTIC
when stooping and during exercise in the open air.  Bitter
taste and  eructations.  Want of appetite.   Costiveness.
Yellowish complexion.   Tongue coated white.   A good
deal of thirst during and  after  the hot stage.   Nux. v.
three  doses, one every night ; cured.—A. H. Z., I, p. 105.

  Case II. -Violent chilliness every other day, with shak-
ing and chattering of  the teeth, with thirst; but drinking,
increased the coldness.  Chilliness when moving about in
the bed.  Blueness of the face  and  hands during the
cold stage.    Heat after the lapse of  two hours, and soon
after, sweat.   Ugly taste in the mouth; sour eructations;
loss of appetite;  retention of  stool; pain of the abdominal
integuments.  Heaviness  of the head, especially when
stooping.  General debility after exercise in the open air.
Ill humor.   Nux v.15, one drop; two  more paroxysms,
each lighter.  Cured.—Ann., IV.,  p.  445.
  "During the fever  a round spot at the pit of the stom-
ach of two inches in diameter, feels hot to the patient, but is
cold to the touch.  Cured  by Nux Vom.,980m."—C. Lippe,
Priv.  Com.
  Case III.—Miss T., aged 15—at sea shore—been  sick
with chills and fever five  weeks.   Her daily medication
had been: Quinine pill three times a day; a black looking
syrup twice  a day, a teaspoonful; a cathartic pill at night.
Symptoms—Chill every evening,  commencing at 7 P. M.,
with coUlwss  all over, but especially hands <>nd feet, withbhie
nails,  continues live to  ten  minutes.    Violent dry heat all
night.   Towards morning, warm,  profuse perspiration.  Dur-
ing  the heat, thirst, worse  towards morning.  Constipa
tion;  no appetite.   Nux  v.mm,  one dose; sac  lac, two
doses to be taken seven days apart.  On the fourteenth day
;ill that was  left was sweat toward morning as if  mixed with
oil.  China, high, one dose removed.  Entirely well. Eats 
INDICATIONS.
179
well; complains of nothing.  She had been continually in
bed for a week when I first saw her.  In three  days she
was hungry and wanted to go out doors, which she did on
the fifth day.  Her bowels moved regularly since the third
day.—Samuel Swan, Priv. Com.

                   OPIUM.
  Time:—11 a. m. After midnight (rarely), with-
out thirst.
  Chill:—Shaking chill at  11  a. m. ; body cold, or
eoldness  only of  the  limbs, abdomen,  back,  hands
and feet.  Shaking chill, followed by heat, with
deep soj)orous  sleep, during which she  sweats pro-
fusely.   Chill with pains in limbs, hot head and
deep sleep.  Chilliness on going to  bed,  sleep
with profuse sweat ahout the head.
   Hsat:—Over whole body, burning  even  when
bathed in sweat, with red face.  Soporous  SUOr-
iilg sleep, with open mouth,  twitching  of the
limbs, and desire to uncover.   (Must be uncovered,
Apis.,  Puis.).  Headache  and  fainting  when
waking from sleep.
   Sweat:—Over entire body,  which is burning
hot; deep sleep, with stertorous breathing and open
mouth.   HP, profuse morning sweat, wants to be
uncovered.  Sweat on the upper part of the body,
lower part hot and dry.  Cold sweat on forehead.
 Worse during sweat.   (Ipec—Better after sweat,
Bell.). 
180             THERAPEUTIC

   Tongue:—Coated dirty yellow, quivering.
   Pulse: -Full and hard; or weak, feeble, scarcely
perceptible.
   Apyrexia:—Symptoms of  cerebral congestion,
with profbund stupor.  Congestive chill.   Par-
oxysms, regular in time; irregular in stages;  heat
and  sweat  intermingled,  always sleep  in every
stage.

                   CLINICAL.
  Case  I.—May 16, Ch. R., aet 12.  Chills last season,
suppressed  by Quinine,  have  returned this year   Chill
latter part of night, accompanied with thirst, pain in limbs,
heat in head, and sleepiness.  Fever soon after chill; dur-
ing fever, sleep, headache, pale face, loss of appetite and
vomiting of  bile; urine dark and increased in quantity;
then sweat mostly in legs; sleepy, with headache.   Ars.200
in water every three hours.  May 18, another  chill; deep
and heavy sleep, with snoring.   Opium'200 (Tafel) in water
every three  hours.  No  more  medicine.  No return  of
chill.—N. L. Fisher, A. J. H. M. M., IV, p. 18.
  [This case was evidently an  Opium one  from the com-
mencement.   Ars. could  never cure it.—II. C. A.]
  Case  II.—C. S., a little boy, nine  years of age, suffered
for six weeks with intermittent fever; three weeks at first,
every other  day; last three weeks, daily, at  midnight.
Chill, then profound sleep, which lasted one hour, with
heat and sweat following.  Waking  up he  complained of
headache and general debility.   Gave him Opium.   Next
day attack absent; but second day fever returned as be-
fore.  Opium10 repeated,  two doses in two days, and fever
returned no more.—Dr. Seedel, Horn. Clinique. 
INDICATIONS.
181
               PETROLEUM.
  Time:—10 a. m., 3  or 4, 7 and  10 p. m. every
day.  Evening paroxysm predominant.
  Fever without  chill, 5 to 6 p. m
  Chill:—Without thirst at 10 a.  m. for half an
hour, with coldness of the hands and face.  Chilli-
ness  lasting two  hours, every afternoon, at  3 or
4 o'clock,  with cold hands and  dryness of the
mouth.   Shaking chill at 7 p. m., with sweat over
whole body, except feet, which were quite  cold.
Violent  internal shaking chill at 10  p. m.   Shak-
ing chill every evening.   Chilliness  with trembling,
face cold, <-heeks, fingers and nails blue.   Chilliness
at 6 P. M., with blue nails.  Chilliness in the open
air.   Chilliness in evening, with  flushes of heat
in the face.  Frequent chilliness through the xohole
body, followed hy violent itching  of the skin.
(Pricking of the skin, Xit. acid).
  Heat:—And chill at same time, at 10 p. m.  Heat
at night, bedclothes were inteAe ruble,  and was ob-
liged to uncover.   (External warmth is intolerable,
Puis.).   Flushes of heat over whole body.   Heat
of head; redness of the face;  burning pain in the
mouth, and dryness of the  trachea,.  Heat in the
evening after the chill.
  Sweat:—Of single parts at different times, as
hands, palms, head, back, chest, axilla, arms, legs,
                         16 
182
THERA.PE UTI C
 feet.  Profuse perspiration  of the feet;  on the
 soles.  Sweat with partial chills.
   Tongue:—Coated white in  the center, with a
 dark  streak  along the sides.   (White,  with red
 edges, or  red  and white in  alternate streaks,
 Ant. t.); offensive saliva.   Taste, slimy, pappy, pu-
 trid; aversion to fat, meat, and all  warm  cooked
 food.   Ravenous hunger, or loss of  appetite.

                   CLINICAL.
  Paroxysm occurring every day   Pain from the occiput
 over the head to the front  and  eyes, with transitory blind-
 ness;  he  gets stiff, loses  consciousness, and  gets blind.
 Spleen enlarged and painful; belching; nausea, and consti-
 pation.  Petrol u, in repeated doses, in a short time cured,
 notwithstanding previous allopathic  treatment for four
 months.—Stens, Sr.,  A. H Z., 83-135.

            PHOSPHORIC ACID.
  Time :---9 to  10 a. m.; 4 to 6, and afternoon
 till 10 p. m.
  Chill:—Without  thirst.   Shaking  chill,  with
 blue nails, coldness in abdomen, tearing  in wrists,
 and paralytic weakness of the arms.   Chilliness
 and palpitation.  (Palpitation during sweat, Mer.
—see Bary. carb).  Violent shaking chill from af-
ternoon till 10 p. m., followed  by such gre?t heat
that he almost lost consciousness.   Chilliness for
an  hour towards  evening,  without  subsequent
heat,   (Sulf.).   Chill and  heat,  alternate,  fre- 
INDICATIONS.
183
quently.  Shaking chill over whole body, with ice-
cold fingers, (Ced. Sep.)
  Heat:—Without thirst; internal, without being
cold to the touch.   Hot face, on the side on which
he is not lying.  Heat, yet cannot be uncovered,
(Bell.—Must  be uncovered, Ign. Puis.).
  Sweat:—Thirst only during sweat  (Drinks of-
ten and in large quantities, Ars.  China.—Thirst
after  sweating stage, Lyc).   Profuse morning
sweat.
  Tongue:—Red  streak  in  the middle  of  the
tongue.  Craves refreshing, juicy food.
  "Passes  large quantities of colorless urine at
night,"

              PHOSPHORUS.

  -|"jme:—1} 6 and 7 p. m.  Afternoon and even-
ing.
  Ohill =—Without thirst.   Towards  evening, not
relieved  by heat of stove (Meny., Nux. VOU1.).
Chills at 1, lasting  till 5 p.  m.   Chilliness over
whole trunk, as if  in  cold water, not  relieved by
external  covering   (Nux.).   Chilliness   in  the
evening  on   falling  asleep;   at 6  p.  m.  fall-
ing  asleep from  weakness.   Chilliness  ev-
ery evening,  with   shivering,  with  aver-
sion to  uncovering.   Violent  shaking  chill at
night,  with  diarrhoea,  followed by heat  and 
184
TH ER APEUTIC
perspiration.   Chill alternetting with heat (Ars.);
veins of hands swollen; yawning; gooseflesh.   Chill
descends; heat ascends, the back (Terat.).  Cold-
ness  in the knees  at  night, in bed (Car-
bo. v.).  Coldness of the limbs;  icy coldness of
the hands and feet,  even in bed.
  Heat :—With thirst.  Violent  chill;  he could
not get warm at 5 to 6 p. m., followed by heat and
internal chilliness; then heat and perspiration all
night.   Heat and sweat at night, with rav-
enous  hunger, that could  not be  appeased.
(Hunger in every stage,  Cina.—Hunger  after
paroxysm, Eup.—Hunger  before chill,  China.)
Hot flushes  over  whole body,  beginning  in the
hands.  Heat, anxiety,  and burning  in  face and
hands, both  afternoon and evening; cold exter-
nally.   Urine  turbid, whitish,   brick-dust  sed-
iment.
  Sweat:—Profuse  over whole body and on
slight exertion.  Morning sweat, most profuse
during   sleep  (China).   Profuse,   exhausting
morning sweat,  sometimes  clammy.  Sweat  on
head, hands, feet, fore part  of  body, alternating
with chilliness; urine turbid and milky.
  Tongue:—Coated with  a  thick fur,  white  or
brown,  dark center, and red edges; or coated only
in the middle.
  Hunger, must eat during chill and heat; wants
cold food, ice water, ice cream. 
                 INDICATIONS.            185
   Apt to become remittent or  typhoid; or a re-
 mittent fever takes on after a time—or after par-
 tial  or  complete suppression—an  intermittent
 type, usually the quotidian.
   " Constipation—Stools long, narrow, hard, and
 very difficult to  expel."

                 PLANTAGO.
   Time:—2  p. m.
   Before  Chill:—Erratic pains in chest, dullness
 in head and  stretching of limbs.
   Chill :—Without thirst.   Cold chills with goose-
 flesh at 2 p. m., running over the body; fingers
 cold.  Coldness  of body  with  shivering;  head
 feels irritable;  feet and legs cold.
   Heat:—With thirst; great excitability, anxiety,
 mental agony, restlessness;  room, hot  and close;
 oppression of chest, rapid respiration; breathing
 difficult,  as  if there  was  no air in  the  room.
 (Anxious, oppressed breathing,Ipec.—Air of room
 intolerable, Apis.).  Burning heat of head, face,
 hands and feet;  head  feels  hot, painful, dull  and
 stupid.   Hands hot and clammy.
  Sweat:—Cold  over  lumbar and sacral region.
Heat of room was unbearable, producing perspira-
tion.
  Tongue:—White coated;  breath putrid, offen-
 sive.  Taste  dirty, putrid.   Food  tasteless. 
186
THERAPEUTIC
                  CLINICAL.
  Plantago M.—Fever  which  runs ils course  for many
weeks or months, either in daily paroxysms or repeated
every 2, 3, 4, 7 or 14 days.  Cases which have  proved in-
tractable to Quinine and all the popular remedies or febri-
fuges.  Characteristics, recurrence of paroxysm in  day
time, with a relaxation of sphincter vesicae.

              PODOPHYLLUM.
   Time:—7 A. M.,  characteristic.
   Light paroxysm may occur in  evening.
   Before Chill:—Backache.
   Chill:—Without thirsf,  with pressing  pains in
both hypochoyidria, and dull aching in knees, ankles,
elbows and wrists.  Feverish during  the afternoon,
with occasional chilliness, which was  not relieved
by the heat  of stove, but teas relieved by covering
up warmly in bed.  Great loquacity; constantly
talking, but he forgets the words  he wishes to
employ (Marum v.).   Chilly on first lying down
in evening, • with talking  during  the imperfect
semi-sleep.
   Heat:—With  thirst.  The heat begins  during
the chill, or  while he is  yet chilly.  The  shaking
and  sensation of coldness continue for some time
after the heat commences.   Violent pain  in  the
head, with excessive th irst. Chilliness while moving
about and in act of lying down; with  sweat at once.
Great loquacity during hot stage (Lach.) which 
                 INDICATIONS.             187

continues  toith  delirium  until fever  reaches its
climax, when he falls asleep and transf>ires pro-
fusely, with  forgetfulness  of all  he  had   said.
(Sleep in heat, Apis.).
   Sweat :—Profuse sweating, so that it  dropped
off the finger ends.   Sleep during perspiration.
Bathed in cold perspiration.
   Tongue:—Coated white,  moist, shows imprint
of teeth (Mer.); dry, yellow.  Offensive odor of
breath, which  disgusts him (Offensive  odor from
mouth, not  perceptible to himself, Puis.).   Taste
foul; total loss of taste, or everything tastes sour.
   Apyrexia;—Loss of appetite; offensive breath;
foul taste: profuse salivation; eructations  smell-
ing like rotten eggs.
   The  loquacity during chill  and far into heed,
with complete forgetfulness afterwards of all that
had passed,  is characteristic.   Falls asleep at cli-
max  of  heat,  and  sleeps  during  perspiredicjn
(Apis).
                   CLINICAL.
   A gentleman,  aged 76, never had a severe illness of any
kind in his life,  was attacked in July last with  chills and
fever, paroxysm daily at 7 a.m., with aching pain in right
hypochondrium, which is sensitive  to pressure.   Severe
pain in back before, but not during chill.  Chill not very
severe, but heat begins before the shivering and coldness
ceases.   Some thirst during  chill; excessive during heat.
Violent headache  and  slight delirium during fever; falls 
   *


188             THERAPEUTIC

asleep in heat, and breaks into profuse perspiration;  tries
to talk, but cannot find  the right words.  Dirty, pappy,
pasty tongue, with foul taste and complete loss of appetite;
even the smell of food produces loathing.  The pain in
limbs and back, time 7 a. m., indicated Eup, per.200, which
was given  without benefit;  but a closer comparison re-
vealed Pod. to be the similimum,  which was given  in
^trit. every four  hours.  Next  chill  much lighter,  felt
better in every way, and a few powders of 20° completed
the cure.—H. C. Allen, Am. Homoeop., Ill, p. 208.


       POLYPORUS OFFICINALIS.

  Time:—5,  10 and 11a. m.,  1, 3, 4 and 9 p. m.
   Chill:—Chilliness with disposition to yawn and
stretch.  Frequent creeping chills along  the spine
and between the shoulder blades, intermingled with
hot flushes.  (Chills along the spine, running up
the back  in successive  waves,  Gels.).   Chills
commencing  in  the  back  between   the
shoulder blades  (Caps.).   Coldness  of nose,
hands and feet.  Severe  chills, lasting two  hours,
followed by  heat and  perspiration.

   Heat:—Constant, lasting all night (after even-
ing chill) (Lyc, Puis., Rhus.).  Skin extremely
hot and dry.  Face hot and fiushed, with prickly
sensation  (Nit. ac);  hands, palms, feet, hot and
dry.

   Sweat:—Profuse  after  midnight;  sweat  all
night. 
INDICATIONS.
189
  Tongue:—Coated white; or yellow thick  coat,
with red tip.  Taste, bitter, coppery,  Loss of ap-
petite.   Desire for sour things, which  always re-
lived symptom.
  Apyrexia :—Pain in iiver, with jaundice of the
skin.  Pain  in  abdomen between stomach and
naval;  loud  rumbling in the bowels.   Constipa-
tion, dull headache and great languor; or conges
tion of blood to the head  with vertigo.

                PSORINUM.

  Time:—Evening.
  Chill :—With thirst,  especially  in the evening,
with horripilations,  hot  flashes, creeping  chills,
great  weakness,  debility,  sleepiness.  Internal
shivering,  creep>ing  chills,   and  icy-cold  feet
Drinking   causes  cough  (Causes  cough and
gagging, Cimex.).
  Heat:—And sweat in the  evening when riding
in  a  carriage.  (Better  when  riding in a car-
riage,  Nit.  ac).  Evening  heat  with  delirium,
greed thirst,  followed  by profuse sweat.  Heat,
sweat,  thirst, during both chill and heat, (Cal. C.
Sulf.).
  Sweat:—Profusely and freely when walk-
ing,  with  consequent debility (Bry. China,
Carbo. an.)— Takes  cold  easily,  (Cal. c,
Baryta  C.).    Copious perspjiration  on   face, 
190
THERAPEUTIC
palms of hands and perineum,,  when  moving
about.  (Profuse from walking, reading, riding,
talking, Sepia. Sulf.).
  Tongue:—Coated white  or yellowish  white;
tip  dry and feels burnt as far as the middle (Red,
triangular tip, Rhus.).   Taste bitter, goes off af-
ter  eating  or drinking, (reverse  of Nit. ac,
Pills.): foul taste.
  Psorinum will often clear up a case where there
is lack of vital reaction after severe attacks, and
other remedies,  although well  chosen, fail to re-
lieve or permanently improve.  It has cleared up
many a case for  me  in psoric constitutions after
Sulfur failed.  More  frequently  indicated than
used (Reverse of Quinine).

               PULSATILLA.

  Time:—8  a. m., 11 a. m., 1  a. m. or 1 p. m.  After-
noon at 4 o'clock, most common.  Evening parox-
ysm lasts all night.  Paroxysm recurring  every 14
days.   Same irregular; long chill, little  heat, no
thirst.   (Ipec.—short chill, long  heat, no thirst);
stages not marked and apt to run into each other.
  Cause :—Dietetic irregularities often produce
relapse.
  Before Chill :—Thirsty,  drowsy and sleepy all
day, and much diarrhoea; nausea or vomiting of 
INDICATIONS.
191
 mucus.   If  morning  chill,  diarrhoea  previous
 night without thirst, f
   Chill:— Cold chills all over; eh illiness allthe time;
 feels cold even in a warm room, in the evening.
 Chilliness the whole evening before  bedtime, even
 while walking.  Chilliness on going from a warm
 room into the cold air; with pains in the evening.
 Chill at 4  P. M., no  thirst; vomiting  of mucus
 when the  chill  comes  on;   anxiety;   dyspnoea;
 flitting chilliness; in spots, now  here, now there;
 worse in the  evening.   One-sided coldness, with
 numbness  (Bry.  Nat. m.—right  side; Caust.
 CarbO.  V. and Lach.—the left).   Giddiness over
 the abdomen exteneling around to sacrum  and back.
 Shivering on  the back  extending into  the hypo-
 chondria, especially into the anterior  portion of
 the arms and thighs, with a coldness of the limbs,
 and a feeling as if they would fall asleep about 4
 p. m.  Shivering running up the  back all day;
 creeping shivering over the arms, with heat of the
 cheeks;  the air of the room  seems  too hot.   Cold
 hands and feet,  they seem dead (Sepia,  Lyc.—
 whole body numb, Ced.).  Hand and foot of one
 side cold and red; the other side hot, in the even-
 ing.   The  morning  paroxysm   at   8  a.  m. has

  t'- The intermittent fever that Pulsatilla  is able to excite has
thirst only during heat (not during chill), seldom after the heat or
before the chill.  When there is only a sensation of heat, without
externally perceptible heat, the thirst is wanting. "—Hahnemann. 
192
THERAPEUTIC
nausea,  vomiting, headache  and vertigo;  chilli-
ness, heat and sweat intermingled, or simultaneous
(Ars.), and  usually much  thirst during  entire
attack.  Evening  paroxysm;  violent  chill, with
external coldness,  without  shivering or thirst; in
the morning sensation of heat, as if sweat  would
break out, without thirst or external heat, though
with hot hands and aversion to uncovering.
  Heat:—With thirst;  with red face,  or  one
cheek red and one pale (Acou. Cham.).  Hat of
right side (left  side and  left arm, Rhus.),  or on
upper part of body, lessened  by motion (Caps.—
increased by motion, Nux.  v.);  heat  of face, or
of one hand, with coldness  of  the  other; body
hot, limbs cold (Bell. Carb. v.)  Anxious  heat,
as if dashed with hot water  (Rhus.).  Intoler-
able burning heat at night in bed with  un-
easiness.  Dry heat of the body in the  even-
ing,  with distended  veins  and burning
hands,  that seek out cool  places.  He  is hot,
wishes to be uncovered (Apis.  Camph.,  Sec).
moans and groans, licks  the lips, but does not
drink.   Heat of  the  whole body,  except  the
hands, which are cool, with pressive headache
above the  orbits.  Internal dry  heat with thirst;
flushes of heat; with clothes on was too  warm,
on  taking  them  off  was   chilly.   External
warmth is intolerable (heat  of room is intol-
erable, Apis);  the reins  are enlarged  (Bell. 
INDICATIONS.            193
China).   Fever; thirst at  2 P. M., followed
by chill at 1 P. M., without thirst, with cold-
ness of the face and  hands; anxiety and op>pres-
sion of the chest;  afterwards  drawing pains in
the back,  occiput, temples and vertex; after  three
hours, heed of the  body, without  thirst; the skin
was burning hot, but there was sweat only on the
fetce,  in  large  drops,  sleepiness without  sleep and
restlessness; next morning sweat over whole  body.
  Sweat:—One-sided;  only  on  the  left, or
only on the rigid side of the  body; sweat on the
right  side of the face  (sweat  on the side on which
he lies, Aeon.  Chin.—on the side  not lain upon,
Benz.—on single parts only, Bry.); sweat worse
at night  or in  the  morning,  ceases when leaking
(see Samb.).   Perspiration on the head, face, and
scalp.  Sweat all night, with  loquacity during
stupefied slumber, (loquacity during chill, Pod.
—during heat, Lach. and Pod.).   Pains continue
during sweat  (Eup.  Lach.,  Nat. m., Nux. v.
—Worse during sweat, Ipec.)
  Tongue:—Coated white or yellow, and covered
with  a tenacious mucus;  too  large, too broad.
Taste foul, of putrid  meat,  disgusting; bitter,
bilious taste after eating, drinking and smoking.
Desire for beer, alcohol, stimulants, sour, refresh-
ing things.   Aversion to fat  pork, milk, bread.
  Apyrexia:—Spleen  enlarged and sensitive. Con- 
194
THERAPEUTIC
stant chilliness during apyrexia.  Headache, moist
cough, painful  oppression  of the chest, somno-
lence, loss  of appetite,  bitterness  of the mouth,
sour  eructations,   and  mucus  diarrhoea,   with
prevalence  of gastric and bilious symptoms.
  After abuse of Quinine, with bitter taste of food
and clean tongue. Suppression of menses, or irregu-
lar  menses, (Sepia.).  Slightest derangement of
the stomach  will cause a  relapse (Ipec).   Mild,
tearful disposition of women and children; symp-
toms of threatened abortion during paroxysm in
early  months of  pregnancy.  Paroxysm  of in-
creasing severity and even changing symptoms; no
two attacks alike.

                   CLINICAL.

  Case  I.—Patient with red hair,  light  skin, freckles
easily.   First attack at 3 p.  m., later ones at 1 a. m.  Dur-
ing the chill, great coldness with shuddering; chills up and
down the  back, with aching and  drawing pains  in the
bones and muscles of the hips;  chilliness lasting  three-
quarters of an hour  Fever  high, with faintness and rest-
lessness from  want  of air and  heat of room.  Considerable
perspiration after fever, but easily chilled.   Cannot remain
in the warm  room.  Pulse small  and quite  full; tongue
moist and dirty white. No thirst. Pulsm. Cured promptly.
—T. D. Stow,  H. M., V, p. 237
  Case II.—Mrs. S. E., aged 65.  Chill followed by fever
and sweat  nearly every day, coming on towards evening; no
thirst in any of the stages ; aversion to fat or rich food, and
but very little appetite for  anything; what little she did 
INDICATIONS.
195
eat distressed her, and she had to live quite abstemiously.
She had at same time a severe  pain in left chest,  with a
troublesome cough, worse on lying down.  Puls.5,m (Fincke)
cured, with but one more  chill next afternoon, and none
thereafter.  In four weeks  she  reported  herself better
than for fifteen years.—S. H.  Colburn, A. J. H.  M.  M.,
IV, p. 86.

  Case III.—Mr.   D., aged 35;  dark  complexion;  con-
tracted while in the army in the Savannah marshes, fever,
for which he took Quinine and whisky.   Has now  no
regular chills,  but  is troubled with great debility;  very
nervous and fidgety; night sweats, awakes to find himself
wet with  sweat, and cold.   This is repeated through the
night; no appetite;  before sitting down to the table thinks
he  can eat, but after  tasting of food his appetite leaves
him;  better in the open air; soreness of the  abdomen ex-
tending around to the back, feels sore  and lame after his
day's work   While in army he had diarrhoea, which any
over exertion now  brings  on.   Puls.40m, one powder in
water, teaspoonful before each meal.  Cured in six weeks.
—T. L. Bradford, Am. Obs., 1875, p. 425.

  Case IV.—A married lady, 28 years  of age, nursing  an
infant six months  old, had been much exposed for five
weeks, while traveling in Missouri, sleeping in a  wagon at
night.   Had  suppressed  the chills for ten days with Qui-
nine,  returned  again every other  night before midnight;
not amounting to a  shake, but a chilly cold feeling, lasting
from  one to two  hours,  followed  by  high fever which
lasted fully eighteen hours, ending in slight sweat.  There
was very little thirst at any time, a good deal of headache
during the fever, and nausea  before  the chill; a pretty
good  picture of Pulsatilla, one  powder of the 20° in  the 
196
THERAPEUTI C^
morning after the chill.  One slight return of fever there-
after.  Three powders  in all were taken.   Cured.—C
Pearson, Med., Inv., VIII, p. 152.

       RHUS TOXICODENDRON.
  Time:—Evening paroxysm, 5, 6, 7  and 8 p. m.
  Morning fever without chill at 10 a. m.  Evening
paroxysm lasts all night, (Lyc. Puis.).
  Cause :— Often from getting wet, cold bathing,
or rheumatic exposure (Aranea.).
  Before Chill:—Yawning;  stretching and ach-
ing of the limbs; increase of saliva in the mouth;
burning in the eyes.   " A dry, teasing cough, com-
ing on first before the chill, and continuing during
the  chill.   I have often cured intermittents with
Rhus., guided by this symptom alone."—Dunham.
  Chill:—Without  and   with   thirst.   Shaking
chill about 5 p. m., even  in a warm room  or by a
hot stove, with thirst and salivation, relieved  by
covering  up  in  bed  (Not relieved by covering,
Nux.); salivation and all symptoms disappeared
during sleep  or on  rising.   Stretching and pain
of the limbs, shivering over  the whole  body, with
much  thirst,  cold hands,  heat and redness of the
face;  in  the  evening in bed  shivering;  in  the
morning  perspiration  over the  whole body, with
pressure  in the temples.   Chilliness and heat in
the evening;  the face very hot though the  cheeks 
INDICATIONS.
197
were cold to touch and pale; with very hot breath.
Shaking chill on going from the open air into a
warm room, without thirst.   (Reverse of Puis.)
Shivering heat and perspiration  over body at the
same time (chill and heat alternating or simultane-
ously, Ant. t. Ars  Cal. C.) without thirst.  Shak-
ing chill in open air,  not relieved by covering.
Coldness of left tibia, left arm, left upper side of
body (Carbo  V. Caust.  Lach.).  Internal cold-
ness of limbs  (like falling asleep) but no trace of
externcd coldness. Extremely cold hands and feet.
Chill in all the limbs for an hour at 6 p. m., with
diarrhoea (without thirst), then  violent heat and
profuse perspiration  lasting  three  hours,  with
thirst.   Severe chill  at 7 P.  M., as though
dashed with  ice  cold water  (Ant. t.), or as
if the blood were running cold through the
vessels;  cold when he moves ;  increased by
eating and  drinking; became hot by  lying
down and covering, pain between the shoulders
and stretching of the limbs during fever at night;
sweat in morning.   Chill at 8 p. m., without thirst,
with diarrhoea and cutting pains in abdomen with
the heat, for several hours, with thirst; followed
by  light  sweat, sleep and  morning diarrhoea.
Cough during chill;  dry and teasing (dry,
racking, with pain and pleuritic stitches in chest,
Bry.).   Great restlessness in chill (In all stages,
Ars.). 
198            THERAPEUTIC
  Heat:— With and without thirst.   General heat
at 10 a. m., with yawning, drowsy, tired feeling; as
if dashed  with hot water; excessive  heat,  as
from hot water running through the blood
vessels, without thirst, but  with  throbbing, dull
headache, pressure and swelling at  pit of stomach,
and  diarrhoea with cutting pain in abdomen.  No
COllgh in heat, but urticaria breaks out over
entire body with violent itching, increased by rub-
bing, with  great heat  and thirst, drinks  little and
often; lips  dry.   She  was too hot internally and
chilly externally.  Head and hand hot, rest of body
chilly, or vice versa.  Heat  on the left side and
coldness of  right side of body.  Hot flushed face
and  burning  heat of skin, yet not warm  to  the
touch.  Heat, after the chill,  with sweat, which  re-
lieves, or chill in  some  parts and  heat  in others,
both at  the  same time.   Restless, constantly
changing position  (Ars.)
  "The  uticaria  is intolerable; appears in spots
or weals over the whole body; even the palms  of
the hands and soles of the feet, driving  the pa-
tient frantic."—Pearson.

  Sweat:—Profuse sweat, odorless  and  not  ex-
hausting (Samb.).  Morning sweats, not debilitat-
ing.   Urticaria, with violent itching, which passes
off with the sweat.  Sweat, with violent trembling.
Night  sweat;  sometimes  sour;  musty;   putrid 
INDICATIONS.
199
(rare).  Sweat  over  whole body,  except  face
(reverse of Sil ), or vice versa.   Sleep during
sweat  (Pod.).  Sweat does not  relieve all pains
(like  Nat. m.).

  Tongue:—Coated white,  often  on  one  side
only; with red, dry, triangular tip.   Bread tastes
bitter,  after  eating;  food, putrid  after  eating.
Hunger,  without appetite; aversion to alcoholic
liquors  and meat.   (Reverse of  Puis.)

  Apyrexia :—Not characteristic.   Symptoms of
the paroxysms, continue in a modified form, par-
ticularly  of the skin.   Continual motion  only re-
lieves.  Constant  restlessness,  cannot  sit quiet,
turns in bed  frequently without finding an  easy
place.  (Because bed is so hard, Aril.).

      Pulsatila.              Rhus. Tox.
  Time:—8 a.  m.,  4 p. m.
and  evening,  lasting  all
night.
  Cause:—Dietetic  irrregu-
Jarities.

  Before  Chill: — Thirst,
drowsy, sleeping, vomiting-
and  mucus diarrhoea night
before morning chill.
  Time:—7 P. M. and even-
ing, lasting all  night.

  Cause: — Rheumatic  ex-
posure, especially by  cold
bathing.
  Before Chill:—Burning in
eyes; stretching and pain of
limbs; dry,teasing cough. 
200
THERAPEUTIC
  Chill:—Long, heat light,
no thirst.   Stages not mark-
ed,  apt to  run  into each
other.    One-sided  coldness
(either  side.)   Chilliness  on
going  from a  warm room
into open cold air.  Vomit-
ing of  mucus as chill  comes
on.


  Heat:—Anxious heat, as if
dashed with hot water.  In-
tolerable  burning  heat  of
hands, body, with  distend-
ed veins.  External warmth
is intolerable;  wishes to  be
uncovered.   Sleepy  with-'
out sleep, and restlessness.
  Sweat:—One-sided sweat,
only on the left, or only on
the  right  side  of  body.
Sweat on right side of face.


  Tongue:—White  or  yel-
low, covered with tenacious
mucus,  large,  broad.  Taste
of putrid meat.   Desire for
beer, alcohol  and sour,  re-
freshing things.
  Chill:—Mixed  and irreg-
ular;  severe chill, as if  ice
water  were  dashed  over
him, or blood running cold
through the vessels.  Cold-
ness of left tibia, arm and left
side of bcdy.  Shaking chill
on going from open air into
a warm  room.    Dry, teas-
ing cough.

  Heat:—Excessive heat, as
if dashed with hot water, or
as if  hot  water were run-
ning  through  the vessels.
Urticaria  over  entire body,
itching violently; increased
by rubbing.  Restless, con-
stantly  changing position,
without   finding  an  easy
place.
  Sweat: — Over  whole
body, except  face,  or  vice
versa.   Profuse, but not de-
bilitating.   Violent  trem-
bling during sweat.

  Tongue:—Coated  white, ~
or on one side white; red,
dry, triangular  tip.   Aver-
sion  to   alcoholic liquors.
Putrid taste after eating or
drinking.  Tendency to  re-
mittent or typhoid. 
INDICATIONS.
201
                    CLINICAL.

  Mr. S., an  artilleryman, aged 24  years,  small stature,
full habit, brown hair, was taken in November last  with a
quartan fever.  Paroxysm came on  in the evening, with
predominating  chill, much  thirst  during chill and heat;.
throbbing pain in forehead before and after heat; chronic
miliary eruption on back of left hand.  Rhus 6, two doses,
cured him in eight days.   No return.—Dr. Segin, Horn.
Clinique.

  Aug.  13.,  T.  L., aged  64.—Saw patient  about 10
a. m. ; he had been shaking  an "hour, during which time
was almost frantic, frequently changing position in bed,
groaning and complaining  of drawing, tearing, crampy
pains in muscles of both  limbs, which passed off  down
posterior portion of thighs,  to calves  of  legs.    Fever
was   intensely  high;   pulse  accelerated,   but   weak;
face  and whole  body  red;  slight  thirst during  both
chill and fever, most during  chill; fever followed by sweat
and headache.  He was  suffering too intensely to answer
my questions, except as to pains in his hips.   We must re-
lieve his suffering  or he should die.  The intense drawing,
tearing, crampy pains in  both hips,  running down to
calves  were so characteristic that I gave him a single dose
of Rhus, tox 20° dry on the tongue.   In from ten to fifteen
minutes easier,  and in less than half an hour entire relief,
followed by  perspiration and sleep.  August 15,  slight
chilliness at same hour;  slight  pain  in hips, little or no
thirst or fever; Sac. Lac.   August 21, symptoms  reap-
peared,  but  much less  severe.   Single  dose Rhus1700,
(Fincke), dry on the tongue.  January 1,  no more  medi-
cine; no return.—A. P, Skeels, H. M., II, p. 493. 
202
THERAPEUTIC
                SABADILLA.
  Time:—5 p. m., 9.30 p. m.,  returning  at  same
hour (Aran., Ced., Gels.).
  Chill:— Without thirst,  and without subsequent
heat.   Violent chilliness, at 5 p. 11., over the  back
as if dashed with cold water (Ant. t., Rhus.); re-
lieved by warm stove (Ign.—not  relieved by  heat
of stove, Verat.).  Chilliness at 9.30 p. m., has to
go to bed, followed by shaking  chill; after half
an hour, alternately^ hot  and  cold  for  half an
hour; afterwards  profuse perspiration.   Recur-
ring fits of shuddering coming and going quickly
(Nux. mosch.).   Chill always runs from below up-
ward  (reverse  of  Yerat.).  Dry,  spasmodic
COUgh, with pain in  ribs, and tearing in all the
limbs and bones.   (Dry, teasing cough before and
during  chill,  Rhus.—During chill  and  heat,
racking  cough  with   pleuritic  stitches,  Bry.).
Chill beginning in hands and feet.  Thirst begins
as chill leaves.   Chill  predominates.
  Heat:—With  thirst before heat begins (between
cold and hot stages), little after.  Mostly on head
and face; flushes of heat with redness of face, al-
ternating with shivering; yawning;  stretching;
delirium.   Sweat,  often during or with the heat
(Pod.).  Redness of face, hands and feet cold.
  Sweat:—Profuse sweat about head and  face,
which  were  hot to touch,  rest of  body  cold. 
INDICATIONS.
203
Sweat towards morning;  sweat of  soles of feet.
Sleep only during sweat (see Pod. Rhus.—After
chill, Nux. mosch.).
   Tongue.—Coated  white in center;  tip  bluish
and sore.
   Apyrexia:—Constantly chilly;  loss of appetite;
oppressive bloatedness of  the  stomach; pain  in
chest; debility.   Sour eructations  (Lyc).

                   CLINICAL.
  Case I.—Patient, a boy of six years.  Towards 4 p. m.,
complained of feeling cold  and asked to go to bed; went
to sleep soon and only awakened at end of four hours;
then ordinarily had a little sweat and asked for a drink.
One drop Sab.3 promptly relieved.—Dr. Segin, Homceop.
Clinique.
  Case II.—A gardener at Mendon, aged 55, large, robust,
jaundiced hue, had fever for several weeks of a quartan
type, paroxysm coming on invariably at 3 P. M.  Chill last-
ed  two  hours, with some  thirst; heat violent, of  three
hours duration, and sweating for four hours.  No thirst in
heat or sweat.  Apyrexia clear.   April  28, Sab.30, one
dose; following day, attack light. May 1, fever  missed,
but  at the same hour a weak trembling sensation  in  the
limbs.  May 3, one dose Sab.30.  No return.—Dr. Guey-
raid, Homceop. Clinique.

                  SAMBUCUS.

   Time:—3 to 6  p. m.; irregular.
   Before Chill:—Cough, deep and  dry, for half
an  hour, with nausea and  thirst.   (Dry, teasing
cough, Rhus.).   Sweat  (Carho. v. Nux.). 
204
THERAPEUTIC
  Chill:—Without thirst.   Coldness creeps over
the whole body, especially hands and feet which
are cold to touch.   Shaking chill creeping over
whole body, though face was warm.  Hands and
feet icy-cold.   The rest  of body warm as usual.
 Chill lasts half an hour.   Spasmodic, deep, elry
cough from lower part of chest, without expecto-
ration, may occur during chill if absent before
chill.  Rarely before and during chill (See Rhus.).
  Heat:—Without thirst, and dread of uncovering.
Sensation of burning heat in the face, with warmth
of body, and icy-coldness of the feet without thirst.
Dry heat on falling asleep.  Thinks he would
take cold or have an attack of colic if uncovered
(Hepar.).  Dry heat while he sleeps.
  Sweat:—Profuse sweat breaks out on the
face,  without thirst, while awake, from  ?
P. M. to 1 A.  M.; stood in drops  upon the face,
and extends over the entire body during waking
hours; on going to sleep again the dry heat
returns (Sweat when  he sleeps, stops when he
wakes, Thuja.).  Profuse non-debilitating sweat
with relief of all symptoms.
  Apyrexia:—Profuse  sweat in this  stage;  may
become weakening from its profuseness alone.
  Siimbucus is almost the only remedy which has
dry  heat while  asleep, profuse  sweat  while
awake, then dry heat again when he sleeps.  The 
INDICATIONS.            205
profuse sweat  is rarely debilitating, and never in
proportion  to  its  profuseness;  always  without
thirst.  China has profuse, debilitating sweat with
great  thirst; the reverse  of Samb.   Deep, dry,
racking cough before  the chill, for half an hour,
with  nausea and thirst, is characteristic.  (Rhus.
has dry, teasing  cough, like Rumex crispus, before
and during chill).
  (See interesting case by Dr. Swan, in  N. A. J.,
Vol. XXI, p. 106.)
                   CLINICAL.
  Case I.—Irregular paroxysm  occurring every other
day.  Quinine had no effect.  Cough deep and dry for half
an hour, with nausea and thirst.  Chill for half an hour,
without cough, nausea or thirst; slight  fever  with moist
skin; profuse sweat at night not debilitating.  Apyrexia
complete.   Prescribed for the profuse sweat at night, not
debilitating, Sambucus, a drop dose of the tincture, which
resulted in a perfect cure, no other attack occurring.—Car-
roll Dunham, N. A. J., XXI, p. 185.
                 SARRACENIA.
   Time:—5 p. m. and evening.
   Chill:—General  chills between shoulder-blades.
Horripilations  between shoulder blades in after-
noon  or  evening.   Coldness  of  extremities,  as
from  deficient  circulation.   Chills,  heat,  and
sweat at 5 p. m., of  a tertian or  quotidian type.
Chills, with cold  perspiration, and desire to lie
down after meals.
                           18 
206
THERAPEUTIC
  Heat:—Beginning in the  afternoon and  last-
ing  all  night  (Lyc  Puis.  Rhus.).   Fever,
with heat and redness of the face, burning in the
stomach, great  prostration, delirium, and loss of
consciousness.   Burning heat of the skin,  with
excoriation and fissures, as if it had been exces-
sively stretched.   Heat and continual burning in
the legs; heat in the whole right lumbar region.
General  heat, with dryness of the skin, excessive
thirst, and as if  hot  vapors rise up to  the brain.
Heat in the feet, as if he had been cut.
  Sweat:—Copious night sweat.  Great sweat on
the limbs, especially in the  evening and during
rest.
  Tongue :—Coated  brownish white.   Bad  taste
in the mouth, with loss of appetite.

          SECALE CORNUTUM.

  Time:—No periodicity.
  Before Chill:—Vomiting.
  Chill:—With  thirst.   Violent,  shaking,   fol-
lowed by violent heat, with  anxiety, delirium, and
almost unquenchable thirst.   Shaking chill,  with
creeping coldness in different parts of  body, as
from snow (Petrol.).  Intense icy-coldness of
the skin, particularly of face and  extremities
(Camph. Meny. Nux. Verat.).   Cold limbs,
cold skin, with shivering; pale, sunken face,with 
IND I C ATI ONS,
207
coldness of back and abdomen.   Temperature  of
body diminished (Camp. Yerat.).  Lips bhiish
(Nux.).
  Heat:—With  thirst, and  hot skin.   Burning
heat, interrupted by  shaking chills, then interned
burning  heed,  with  great  thirst.   During  heat
great  pain   in  stomach,   abdomen,  limbs,
(Cramps and pain in stomach and abdomen, with
vomiting and purging,  Elat. Yerat.).  Severe,
long-lasting, drg heat, with  great restlessness and
violent thirst (Ars.).
  Sweat:—All over  the  body,  except   the  face
(Rhus. — Reverse  of  Sil.).   General  sweat,
relieving all the symptoms (Nat.  m., Samb.).
Profuse cold sweat on cold limbs.   Cold, clammy
sweat over whole body.  Sweat from  head to pit of
stomach.  Pulse slow, small, weak  and  intermit-
tent.
  Tongue •*—Sticky,  yellow   coating;  tongue
thathly pale  (mucous membrane of mouth and
tongue pale, Fer.);  or clean,  with  dry, red tip;
or red tip and edges, center coated.   Desire for
lemonade (Eup. purp.).   Disgust for food, meat
and fats.
  Aversion to heat and covering.  May feel
cold,  but does not wish to  be  covered (Camph.).
Face pale, drawn, collapsed,  hippocratic.
Great tendency to typhoid; 
208,          THERAPEUTIC
                  SEPIA.
  Time:—9 or 10 A. m.—4 to 6 P. m., or returning
frequently daily, at indefinite periods.
  Monthly paroxysm (Every six or twelve months,
Lach.).
  Cause :—In women, uterine diseases, menstrual
delays, suppression  or irregularities  are  often
present.  Constitutional  chronic disease  usually
found.
  Chill:— With thirst.   Shaking chill for an hour
in the evening, with brown, acrid smelling urine;
he must lie down.   Chilliness from every mo-
tion, though in a warm room (Nux.).   Chill
commencing  in fingers and toes (Nat.), in chest
(Apis) and between shoulder blades in back.  Vio-
lent headache during chill, external warmth is
unbearable (Puis.).  Icy-coldness  of the  whole
body, she could  not get  warm even in a  warm
room.  At 11 A. M. a shaking  chill, beginning
with very  cold feet, thence over  whole  body;  she
had to lie down, became hot at 4 a. m., and  slight
sweat during night over whole body.   Chill, with
icy-cold hands and warm feet, or vice versa.  Very
cold feet, with headache, evening and  in
the morning.  Icy-cold and  damp feet  all
day,  like  standing in  cold water  up   to
ankles (Lyc. Puis.—Icy-coldness of right limb,
as if standing in cold water, Sabina).  Coldness,
with deadness of the limbs and fingers. 
INDIC ATI O NS.
209
  Heat:—Attacks  of flushes  of heat, as  if hot
water  were poured  over  one  (Rhus.),  with
redness  of face.  Sweat  all  over, with  anxiety,
without thirst or dryness of throat.   Flushes of
heat from the least exercise.  Violent rising of heat
to the head, alternating with  chilliness  in lower
limbs.  Heat ascends (Nat. m. Yerat.).  Face
hot from talking.   Feet hot at  night.  YertigO,
unable to collect one's senses.
  Sweat :—Profuse in the morning after awak-
ing (Samb.).  Sweat worse from  least exertion,
mental  or  physical,   walking,  writing, eating
(Bry. Psor.  Sulf.).   Smelling  like elder blos-
soms.   Cold  night sweat on breast, back, thighs
and male  genitals.  Sour  night  sweat.   Sweat
from  above downwards to calves of legs.
  Tongue:—Coated  white, with  vesicles in old
cases.   Food tastes too salt.  Aversion to  meat
(Arn.).
  Apyrexia:—Canine hunger, or complete loss of
appetite.
                  CLINICAL.
  A girl, set 16, tall, slender, fair,  light hair and eyes, had
ague for six months, commencing in fall of the year.  First
two months it was tertian, but under allopathic treatment
it assumed present form.   Every four weeks to the day she
was taken in the morning with a severe chill, lasting two
or three hours, followed by very  high fever equally long
as chill; and this succeeded by profuse sweating; the entire 
210
THERAPEUTIC
paroxysm consumed nearly all day.  The  attack was re-
peated a second  and third time, with an intervening well
diy; after which ague disappeared until expiration of four
weeks from commencement.  The girl had never menstru-
ated.  This was all that could be learned from person ap-
plying for medicine; patient was not seen.   Quinine had
been given without effect.  Sepia, for two weeks.  No re-
turn of ague, but instead menses, with entire return of
health.—Hamilton Ring, A. J. H. M. M.—I, p. 261.

                  SILICEA.

  Time:—Midnight  to 8 a. m.; 10 a. m. to 8 p. m.
  Evening chill from 5 to 6 p. m.
  Chill;—Without thirst, on  every  movement
(Arn. Nux.), very  chilly all day; in the  morn-
ing fell asleep from excessive weariness.  Very ch illy
even in a  ivarm  room.   Cramp-like chill in the
evening in bed, with  shivering. She did not dare
to put her foot out of bed on account of consequent
chilliness (Bary. c,  Canth.). Shaking chill  at
6 P. M.; teas obliged to lie down and could not get
warm in bed for a long time.   Icy-cold shivering
frequently creeps  over the body, not relieved
by heat of fire (Phos.).  Affected parts* feel
cold. Coldness with ravenous hunger (Cina.).
 Coldness  of knees and arms; finger nails white
(Coldness  of  knees, Apis.,  Carbo.  v.,  Phos.).
Nose cold as ice.  Icy-coldness of the feet and
legs as far as the knees. 
INDICATIONS.            211
 -Heat:—117*7; thirst, and chilliness, at 11 a. m.
Violent heat in the head, and dark redness
of the face.  (Face of a mahogany  red, Eup.
pert'.).  Fever in evening, worse  at  night
(Cina.).  Afternoon paroxysm, consisting of heat
with intense  thirst and verg short breath.  Great
heat all night, with catching  respiration.
Heat returning periodically  during the day,  fol-
lowed by slight sweat.

  Sweat:—Profuse and  general  at  night
(China.).   Sweat only on the head or head
and face (reverse of Rhus.  Sec).   Sweats peri
odically.   Sweat only on the head, running down
the face.  Profuse night sweat; worse  after miel-
night; from least exertion (Sepia. Sulf.)  Offen-
sive sweat  of feet, they  become sore while
walking (Graph.).
  Tongue:—Loss of  taste and appetite; or taste
of soap-suds; rotten eggs; oil.  Sensation as if at
hair were lying on the forepart of the tongue.  Dis-
gust for meat.  Averse to warm food;  desire  only
for cold things.
  Apyrexia:—Children  are obstinate and   cry
when they are touched  or spoken to.  If  the
Silicea constipation be  present it  is  diagnostic.
Scrofulous children with bloated abdomen;  diar-
rhoea; and profuse night sweat on the  head. 
212
THERAPEUTIC
             STAPHISAGRIA.

  Time:—9 a. m., 3 p. m. and evening.
  Before  Chill:—Ravenous hunger for days (see
Cina.)
  Chill:—Without   thirst.   Predominant  chill.
Shaking chill of whole body, with hot cheeks, cold
hands, warm  forehead,  without  subsequent
heat or  thirst  (Sep.  Sulf.).   Shivering  over
whole body, without thirst or subsequent heat.
Chill with gooseflesh about 3 p. m., which was re-
lieved by exercise in open air.  Chill ascends from
the neck over the head and face, or transient shiv-
ering running down the back (Transient chills run
up the back, Sulf.).  Chill worse in a warm room
(Apis.).
  Heat:—With thirst; at  night; could not sleep
after 3 a.  m., with shaking chill at  9 a. m.  Great
heat, especially of the hands and  feet, must be un-
covered  (Sulf.—External  heat is  unbearable,
Puis.)  Heat without subsequent sweat.  Burn-
ing heat at night (Ars.  Sepia).   Cold sweat on
forehead and feet.
  Sweat:—Profuse in  afternoon, without thirst,
but  with  heat over the  whole  body (Nux v.).
Warm night sweat  on  abdomen, feet,  genitals.
Night sweat of bad  odor, like rotten eggs;  with
desire to uncover.   Sweats when sitting  quietly. 
INDICATIONS.
213:
  Tongue:—White  coating;  food tastes bitter.
Gums  white,  spongy,  ulcerated,  bleed when
touched.
  Apyrexia:—Extreme hunger, eyen when stom-
ach is filled with food; putrid  taste in mouth,
gums bleed easily;  constipation.   Longing  for
fluid food.   (Longing for eggs, Cal. C.)

               STRAMONIUM.
  Time :---6 to 7 a. m.  Not characteristic.
  Fever without chill, noon and midnight (11 a.
m. and 11 p. m., Cac).
  Chill:—Without thirst.   Shaking chill through
whole body, with  single  jerks,  partly  of whola*
body or only single limbs, elbows and knee joints.
Chilliness runs down along the back as from cold
water, (As if dashed with cold water, Rhus. Sab.).
General coldness of the whole body, with red face,
hot head, and twitchings  of the limbs.  Chills,
with great sensitiveness to uncovering.   (Ex
cessively sensitive  to  cold  air  Camph.—Chill
through and through from the slightest uncover-
ing in warm air, Thuja).   Skin icy-cold, and cov-
ered with cold sweat, hands and feet livid.  Face.
hands and feet blue and cold (Camph. Yerat.).
Coldness of  the  limbs.  Hands and feet ex-
tremely cold, bluish  and almost immovable;  cold-
ness  and paralysis  of  limbs (Nux v.—Numb-
ness of limbs, Ced.). 
214
THERAPEUTIC
    Heat:—With thirst.   Violent fever at noon,
 returning at midnight; (11a. m., returning at 11 p.
 m. Cactus).  Heat  of head and face,  then cold-
 ness of whole body, then general heat, with an-
 guish; sleeps during  heat  (Apis  Ign.—Falls
 asleep during heat  and  sweats profusely, Pod.).
 Nausea and vomiting in evening followed by  vio-
 lent, anxious  heat.   Heat over whole body from
 the least  motion (Least motion relieves the heat,
 Caust.).  Dry,  glowing heat over whole  body,
 with redness  of  head and face, and coldness  and
 paleness of the  rest of  the body (Bell. Opium)-
 Skin  hot  and burning,  with  sweat at  same time
* (Sepia).  During heat,  pains became violent if he
 put  out a finger from  under the cover.  (Chilly,
 if she puts a limb from  under the cover, Bary. C.
 Canth.).   Covers  up closely.   During chilh
 heat in head  and face ;  during the hot stage, cold
 feet and legs ; during sweat,  cannot bear to be un-
 covered.   Vertigo;  delirium;  epileptiform  con-
 vulsions, (Hyos.).
    Sweat:—With  thirst (Ars.  China.).  Profuse
 sweat, with burning in the  eyes and dim  vision.
 During sweat, good appetite, diarrhoea, distension
 of abdomen, and  colic.  Cold sweats  over whole
 body.  Perspiration of forehead and face, rest  of
 body red, dry and hot.  Oily sweat (Phos.—as if
 mixed with oil,  China.).
    Tongue :—Clean  or   whitish - coated, with red 
                 INDICATIONS.             215
papillae, or swollen, dry and  difficult to protrude.
Juicy fruit tastes dry; food tastes like straw.
  During fever, in children, they cry out in sleep;
start suddenly, twitch and jerk; eyes half open;
pupils dilated; urine  suppressed.
  Stramonium, like Nux. v., cannot bear  to be
uncovered in any stage; but  not for the same rea-
son.   The  Nux. patient  is cold and chilly, if  un-
covered in the slightest, even  cold on moving in
bed; while  the Stram. patient is cold, and with
the  coldness comes immediately violent pain.


                   CLINICAL.

  E. C, aged 28,  had sunstroke twice,  afterwards was
subject for sometime to epileptic convulsions, which only
occur at present during febrile stage  of paroxysm.   Has
had quotidian ague four or five times in last three months,
each time suppressed by Quinine.  Chill usually began at 9
or 10 a. m., with pain in the head and  limbs, great thirst,
headache, nausea  and vomiting.   Fever comes on slowly,
with congested  face, eyes heavy and dry, and general mus-
cular twitchings.  During  convulsion  the eyes become
bright arid staring, body rigid, jaws locked, frothing at the
mouth, with sensibility.  Duration of paroxysm from five
to fifteen minutes, after which he is unconscious of all that
transpired.   Sometimes three or four spasms  in succes-
sion. When I saw him, June 2, he had been having chills,
followed by convulsions  for  four consecutive days.   Had
terrible headache,  high fever, and presenting symptoms
heralding approaching convulsions.  He received one drop
Stram. tincture in water.  In fifteen minutes heat and red- 
216
T II E R A PEUTIC
ness of face and  head disappeared, and he was free from
pain and conversing freely, as well as any member of the
family. He was cured with the single dose.—Fahnstock,
Am. Obs., 1872, p. 364,

                  SULFUR.
  Time:—Not characteristic; in regular paroxysms
at all periods.   Evening predominant; 8, 9, 10 a.
m., 10 a. m., lasting till 6 p. m.; 5 to 6, 7  to 8, 8 to
9, and 11 p. m.   Evening fever without chill.  Par-
oxysm returning ?.nnually (Ars. Lach.).
  Before Chill:—Thirst (Caps. Eup. perf. Puis.
—But can only drink before chill and in  apy-
rexia, Ciniex.).
  Chill:—Without  thirst.  Frequent  internal
chilliness.   Chilliness, with headache in the even-
ing (Sepia), disappearing after lying down. Chil-
liness and shivering over whole  body,  without
subsequent heat or thirst (Bov.).  Chilliness
and rigor, with blue nails, pale face, heavy, giddy
head, not relieved  by heat of stove, but by lying
down. Chilly in open air, as if naked. Shivering on
slightest   movement in bed  (Nux.).   Coldness
transient,  of the nose,  hands, feet, chest, arms,
back,  abdomen.   Chilliness  in the  back,  in
the evening for an  hour,  without subsequent heat.
Chilliness  constantly creeps from  the  sac-
rum  up the  back, without subsequent heat
or thirst,  sometimes  relieved  by warmth  of 
1 N DICATJOXS.
217
stove.   Icy-coldness of the genitals.   Cold-
ness through all the limbs.   Hands and feet very
cold, with livid, pale face.  Shaking chill for half
an  hour in  the p. m., with blue  face and  cold
hands and feet; subsequent heat and perspiration
(Ars., Bell., Rhus.).  Headache, vertigo, delir-
ium.  Chill begins in feet, hands, fingers and  toes
(Bry., Carbo v., Nat. m., Sep.).
  Heat:—With thirst.   Frequent flushes of  heat
in the face, with shivering sensation over the body
(Sep.).   Burning heat of the palms of the
hands and  soles of the feet; or cold feet,  with
hot, burning soles; was obliged to put them out of
bed to firal a cool place.  Heat and redness of the
face, with burning in single  parts, as on malar
bones,  around the eyes,  ears, nose, mouth.  Or-
gasm  of the  blood, and violent burning of
the hands.   Alternate  heat (of body and face)
with chilliness (Al'S. Cal. C.).   Frequent flushes
of heat, ending in moisture and faintness.
  Sweat:—Copious morning sweat, setting in af
ter  waking.   (Sweat while awake, dry heat when
sleeping, Samb.). At night profuse sweat all
over the body and restless sleep.  (Sweat all
night without relief, Kali carb.).  Profuse sweat
on  occiput.   Perspiration on  slightest motion or
manual labor (Bry.—Sweat  on least exertion or
every mental effort, Sep.).   Profuse sweat when 
218
THERAPEUTIC
 walking, reading, riding, writing, talking.  Pro-
fuse sour night sweats, of a sour, burnt odor (Lyc),
 vomiting; morning diarrhoea; tenesmus.
   Tongue ;,—Coated white or yellow, which wears
 off during the day, and becomes red and clean in
 evening.   Bitter taste in mouth in morning;  food
tastes natural.
   Apyrexia:—Great prostration after every parox-
ysm (Ars.).  Burning heat on  vertex.  Weak and
faint during the  day.   Early  morning  diarrhoea.
Feels as if he was just convalescing from a severe
illness.  Sulfur bears the same relation to chronic
cases that Ipec. does to acute,  viz.:  if the indica-
tions for the remedy be  not clear and well defined,
sulfur may clear up the  case,  or completely cure it
alone.  Intermittent fever is a terrible searcher
after weak  organs; and Sulfur is frequently re-
quired in  all forms of the disease—acute and early,
or chronic and  later, to combat some latent malady
aroused during  course of  fever.

                  CLINICAL.
  An Old School M.  D. passed through a siege of bilious
fever last September.   Was treated  by a brother Allopath
ist, secundem artem ; suffered so much as to alarm friends.
He recovered seemingly; but after a month's respite, was
seized with intermittent fever; had two paroxysms, ter-
tian ; suffered much—sent for me.   Found the chief symp-
tom to be gastrosis that nothing could allay, and diarrhoea
driving him out of bed early in the morning.  Sulf.900, one 
                INDICATIONS.           219
powder cured him.  In a day or two went to the Missis-
sippi  bottom duck shooting; camped out; violated pre-
scribed regimen, declaring he would test the cure; but  he
not only remained well but gained in strength and health
to date, December.—C. P. Jennings,

          THUJA OCCIDENTALIS.

   Time:—3 A. M.,  characteristic;  10 A. M.,
3  P. M., or 6  to 7.30 P. M.
   Fever without chill 10 to 11 a. m., or 10 to  11
p. M.
   Cause :— The indication is more certain if the
system  be contaminated  with  sycotic or gonor-
rhoeal poison.
   Before Chill:—Chilly and weak some time be-
fore the paroxysm.
   Chill:—With thirst.   Chill  beginning in the
thighs.   Violent shaking chill, for a quarter of an
hour, about 3  A. M., followed by  thirst, then pro-
fuse perspiration all over except on  the head.
Shaking  chill, with  much yawning;  warm air
seems cold and the hot sun  does not warm him.
Shivering through and through, from the slightest
uncovering of the body in icarm  air.   (Shivering
from  the slightest  contact  with the  open air,
Nux  V.—Great aversion  to  cold air, Camph.—
Chill  as soon  as he gets out of bed,  Canth.).
Chilliness every evening from 6 to 7.30, with ex-
cessive heat of the body, dryness of the mouth, and 
220
THERAPEUTIC
thirst.   Chill of left siele of the body, which felt
cold to the  touch (Carbo.  v., Caust.,  Lach.).
About 7 p. m., shaking chill, beginning in thighs,
with blueness  of nails, chattering of teeth, rapid
and difficult respiration,  for half  an hour;  then
thighs  hot, like ei glowing  coed, with cold hands
and feet;  gradually became warm, though had  a
shaking chill every time he moved (Nux v.); fell
asleep  after two hours, and awoke  in a  profuse
perspiration, had  to change  his shirt eight  times
up to 3 a.  m., with headache and mild delirium and
some thirst.   Morning headache, chill at 10  a. m.,
lasting  till noon, followed by heat, nausea, con-
stant  one-sided headache,  and  repeated  bilious
vomiting and diarrhoea in the  evening.  Chill in-
ternal,  with  external  heat and violent  thirst—
chill, then sweat (Ant. t.).
  Heat:— With thirst, neither preceded  nor fol-
lowed by chilliness.   Sensation of  burning heat in
the face,  which causes neither real heat, redness
nor perspiration, with icy-cold hands.  Burning
heat only  in the face and cheeks, lasting the whole
day (Bell Cal. c).   Dry heat of covered parts.
Heat  mornings, chill afternoons.  Deadness of
fingers  (Ced.  Sepia.).

  Sweat:—Only, on  uncovered parts;  or all
over, except the head.   Sweat, when he  sleeps,
stops when he air a kens  (Reverse of Samb.).  Chill, 
INDICATIONS.
221
then sweat (Allt. t. Ipec).  Profuse night sweat,
staining the clothes yellow, as if saturated  with
Oil (Bell.—as if mixed with oil, China).  Sour
smelling sweat almost every night (Arn. Lyc. Nat.).
Scrotum,perineum and inner surface of the thighs
dripping with sweat  (Hepar.).   Profuse  night
sweat, so that he  changed his  shirt several  times
at night.  Congestion of blood to the head.
  Tongue:—Swollen, clean or red, the tip is  pain-
fully sore to the touch  Vesicles or blisters on the
margin.  Bitter, sour taste; had to get up in the
night and rinse out the mouth (Nux V.).
   Thuja helped in some cases, where the fever con-
sisted  in mere chills, with  external and internal
coldness (with  thirst  in  same), followed by gen-
eral sweat,  without any  previous heat.—Ann. II,
p. 398.

           VERATRUM ALBUM.

  Time:—6 A. M.   Characteristic—certain.
Intermittents occurring during cholera epidemics.
Chill of nursing children.
   Chill:—With thirst.  Daily chill, with violent
shaking, vertigo,  delirium, nausea, paleness of the
face, and spasms.    Severe, long-lasting, congestive
chill, not  relieved by external warmth (Aranea
Camph.).   Chill, with coldness and thirst,
for  half an hour,  without subsequent heat, with 
222            THERAPEUTIC
great weakness of thighs and limbs (every other
day).  Internal  chilliness  running from the
head to the toes of both feet, with thirst.
Shaking chill, with sweat,  at  first warm, but soon
passes off into general coldness.   Coldness of the
whole body, increased  by  drinking (Ars. Caps.
Eup. Nux.); lessened by getting out of bed. (In-
creased  by  even  putting  hands  from  under
bed-clothes, Bary. C.  Canth.).  Coldness at times;
heat,  with   profuse  sweat  at  others.   Chill
and heat alternating  on single parts,  now here,
then there,  (Puis.).    Great coldness over the
back and  through shoulders into  arms.  Face
cold, collapsed.  Extremities cold. Coldness
in limbs, shoulders  and arms, as if  cold air were
streaming through the bones.  Skin cold and clam-
my.  Vomiting and diarrhoea. (Nausea, vomiting
and  purging, Elat.).   Predominant  external
coldness.   Coldness of the feet, as if cold water
toere running into them.
   Heat:—With thirst, mostly  internal; with  no
desire to drink.  Heat ascends from  extremities to
head (chill  descends).  Heat  streaming up the
back into the occiput.  (Chills running in succes-
 sive waves from sacrum to  occiput, Gels.).   Head
hot, dull, confused; first warm, then persistent cold
sweat on the  forehead.  Redness and  heat of the
face; burning and redness in  the cheeks, with con-
tracted pupils  and cold feet  (Opium—With  di- 
                INDICATIONS.            223

 lated pupils, Bell.).  Blood runs cold through the
 veins.  (Rhus.—runs hot,  Ars ).
   Sweat:—Without thirst, which is profuse, cold
 and  clammy (Profuse  sweat, with thirst, Ars.
 China).  Sweat always with  deathly pale
 face :  offensive,  bitter-smelling, staining  yellow.
 Easily perspires  on every motion (Bry. Hepar.).
 Cold sweat on the forehead; after every stool; after
 vomiting of mucus.   Sweat  often begins before
 the  chill and continues through paroxysm until
 next chill.
   Tongue:—Coated white  or yellowish  brown.
 Cold,  red tip and edges; swollen.   Voracious ap
 petite.   Craves  cold fruits, ice water, juicy food;
 wants   everything  cold.   Aversion  to warm
 things.
   Pulse:—Small, weak, slow, and growing con-
 tinually weaker during the apyrexia.
   Apyrexia :—There is great  general exhaustion
 and  rapid sinking of  strength; oppression of  the
 chest;  deep sighing; face pale and cold, with sweat
 on forehead.  The heart's impulse very weak in the
intermission, as well as during the paroxysm; faint-
 ing; there are cramps in the stomach, abdomen and
limbs;  great thirst if  much  vomiting, and diar-
rhoea,  and  vice  versa;  extremities  persistently
cold.  Skin bluish, cold, inelastic, with  deficient
re-action. 
224            THERAPEUTIC
  Like   Camphor, the  cold  stage  is  so  well
marked that it overshadows all the others; the hot
stage  is  light  and  often  wanting altogether.
When present the temperature  is rarely elevated,
and  is  often  actually diminished  during  heat.
There is  such  a general lack  of vital  heat, and
slow and weak re-action,  that the patient scarcely
recovers from paroxysm  ere another begins.
  The above makes one of our best pictures of the
" sinking," " congestive," or " pernicious " forms
of intermittent fever.   The patient thinks he will
die; and the physician shares his fears.  The allo-
path now  resorts to stimulants for the  present;
and Quinine to prevent the return of  future  par-
oxyms.  Shall  we, on that  threadbare  plea  of
pseudo-homoeopaths, that a there is not time for
homoeopathic  remedies   to  act," follow  his ex-
ample? Those  are not  lacking  "in faith,"  but
in knowledge, who "desert their  colors under fire."
The homoeopath who  knows  his Materia  Medica
will  cure  such  cases  without  resorting  to " ra-
tional " (?) uncertainty.   If  he do  not  know his
Materia Medica, he  is  justified in resorting to
anything to try to save his patient; but the treat-
ment  should go  by its right name, and the failure
to cure should be properly credited.  Every hom-
oeopath is  responsible for  not  knowing  what he
professes  to practice.
   " When we  have  to  do  with  an art  whose 
INDICATIONS.
225
end is the  saving of  human life  any  neglect to
make ourselves thoroughly masters of  it, becomes
a crime."—Hahnemann.

                   CLINICAL.

  Case I.—Man, aged 30. Has had several  chills, every
other day.  Chill  commences with coldness in abdomen,
spreading thence  all over body,  frequent,  thin, watery
stools;  coldness became general, but no shaking; breathing
much oppressed and labored: stools become bloody, finally
nothing but pure blood running from the bowels steadily
(involuntarily l:  part of time blood thin and bright red, af-
terwards dark and thick.   Prostration is excessive; speechless
ness. ■  The chill had lasted  eight hours and the patient
seemed on the point of death.   Verat200 in water, a tea-
spoonful every half hour, was given.  In  about three
quarters of an hour he began to feel warm; in two hours
he was in a quiet sleep.   No return of chills.   China200
was given  twice daily for remaining  weakness.—J. G
Gilchrist, Med.  Inv.—VII, p.79.
  Case II.—" The only remedy with which I have  ever
succeeded in  relieving severe congestion during chill.  It
has more coldness than heat (reverse of Arsenic), cold per
spiration and great prostration, and  is almost the  only
remedy that  will modify a paroxysm after it has set  in.'r
—C. Pearson, U. S.  and  S. J., Apr, 1866. 
226
THE RAPEUTIC
           MINOR REMEDIES.
  ^Ethusa :—Coldness  of  abdomen, subjective
and  objective, with  aching in the  bowels (Cal.
Meny.).  Cannot bear  to be  uncovered during
sweat (Aeon. Nux.).
  Agaricus :—Chill from above  downwards; in
back as if water were running down; on slightest
movement,  or from raising the bedclothes (NllX.);
worse in open air.  During heat and sweat, swol-
len  veins.   Sweat, profuse at night, oily but  not
offensive (China).    Weakness and irritation  of
spine, which  is very sensitive to touch (Zinc).
  Alstonia :—Paroxysm at  9 or 10 a. m.  Thirst
before chill and during heat (China).  Heat with
headache and backache,  and thirst for large quan-
tities of water, which is  thrown up, sometimes as
soon as it reaches the stomach (Ars. Nat.).—E.
C. Price, Priv. Com.
  Will frequently change an anticipating type to
regular, and postpone the day of chill. In chronic
cases of Quinia suppression.
  Assafo?tida :—Chill  every day at 3 to 4 p. m.,
with cold feet, cold hands, blue  neiils, and unbear-
able stitches in the head.   Eructations smelling of
garlic.
  Baptisia :—In  every position, lying speedily
becomes painful to parts rested on.  Body feels 
               INDICATIONS.            227

scattered, cannot  sleep  because he  cannot  get
pieces together.    Inclined to  become  typhoid
(Gels.)
  Benziliuni:—Chill from  extremities of fingers
and  toes  to  chest, head, and vertex.  Sweat, at
night, copious, general, warm and very exhausting
(China).  Morning sweat on breast, in axillce, and
on the side not lain upon (Reverse of Aeon. Bry.
Nit. ac).
  Caladium:—Evining chill, with coldness from
abdomen to feet and fingers.  Sickly sweat, which
attracts the flies (Sunibul); sweat relieves all the
complaints.
  Canchalagua:—Severe chill,  especially down
the spine.  Sweat causes a shriveling of the fingers
and  toes, like  a  washerwoman's (Ant.  C  Mer.
Yerat.).  Face, lips, and hands cold.
  Crocus:—Chill in the afternoon, from the back
down the legs.  During heat,  alternate redness
and   paleness of face,  with distended blood ves-
sels  (Cham. Ipec).  Thirst  with  both  chill and
heat.
  CornilS Flor.:—Paroxysm preceded  for  days
by sleepiness, dull, heavy headache, sluggish flow
of ideas.  Slight exercise causes sweat and great
fatigue.  During  apyrexia, debility  and painful
diarrhoea.   " First, moderate heat, then  light per-
sp iration, ending  with a crawling sort of  chill. 
228
THERAPEUTIC
When all the stages seem aborted and the patient
says his chills amount to nothing. Weak, languid,
loss of appetite.   When  Quinine seems indicated
and you don't want to give it."
  Cuprum:—Shaking  chill,  with  icy-coldness,
and severe cramps in extremities, and  cold, clam-
my sweat (Elat. Yerat.).
  Cyclamen:—Evening chill, without thirst and
great sensitiveness to cold air and uncovering (Bar.
C Cal. C. Canth.).  Heat  and  chill alternately.
Heat of various  parts, with swelling of veins of
hands.
  Euphorbium:—Constant chilliness  over whole
body, with  constant  sweat, and disappectrance of
veins of the hands.   Great heat, and sensation as
if his clothes and even his boely, were a burden to
him.
  Lachnanthes:—Body is icy cold, relieved by
hot flat-irons, but not by external covering (Caps);
head burns like fire (with thirst)  during chill.
Burning heat, red face worse on right  side; after
heat, circumscribed dark  redness of face, worse on
right side (see Chel.  Sang.).  Flushes of heat,
alternating with chilliness.   Fever without chill,
from 6 to 12  p. m., with  red cheeks  and red face
(worse on upper part), with delirium.   Sleeps with
heat (Ant. C. Apis.)   Sweat cold,  clammy, with
vertigo. 
INDICATIONS.
229
  Lobelia:—Thirst before the chill (Arn. Eup.).
Chill  down the back with heat in the stomach.
Shaking  chill,  increased  by  drinking  (Caps.).
Nausea relieved by  a swallow of  water.  Heat
light.  Sweat  copious.   Paroxysm  from 10:30
a. m. till  12 M.
  Laurocerasus :—Violent  chills, alternating
with burning heat, attended with thirst.  Vertigo,
stupor and apoplectic symptoms (Opium).  Chill
not relieved by heat.
  Maruin  Yerum :—During chill, yawning  and
stretching.   Chill after eating.    During heat in
the evening, increased  exaltation with great  lo-
quacity.
  Paris Quad:—Chill of chest, abdomen, lower
limbs, with gooseflesh and yawning  and  icy-cold
feet.   Coldness  of entire right side of the body,
with warmth  of the other  side (see Rhus.). Fin-
gers alternately  hot, and cold as if dead (Sep.).
  Bobinia:—Chill as if frozen, or as if the blood
did not circulate (Lyc), especially in the after-
noon.  Heat, with intense  thirst, cerebral conges-
tion, soporous sleep, violent cramps of the extrem-
ities, and great prostration.  Headache, pale face,
with circumscribed redness of the cheeks (Lachn.).
Sweat copious, oily and fetid on the scalp.
   Sabina :— Coldness of right limb as if standing
in cold water.   Flushes of heat  in face, rest  of
body chilly; hands and feet cold. 
230
THERAPEUTIC
  Stannum:—Chill over whole body at 10 a. m.;
hands cold, fingers  and tips of fingers  dead  and
numb (Paris. Q. Sep.).
  Taraxacum :—Great  chilliness  after eating
and drinking (after  drinking,  Caps. Lob.) Long-
lastillg chill at  8  p. m.; nose, hands and tips of
fingers  icy-cold.   Heat  with  redness of the face
(Lach.).   Sweat,  with  thirst;  copious, debili-
tating  night-sweat; pain  in spleen.   Mapped
Tongue; which is covered with a white film, comes
off in  pieces, leaving dark red, tender  and very
sensitive spots.
   Valeriana:—Chill begins in nape of neck and
runs  down the back.  Fainting  (In heat when
raising up,  fainting,  Aeon.).  Light  chill,  fol-
lowed by long-lasting heat, with thirst.  Profuse
sweat,  worse from  exertion,  with great heat at
same time (Bell.). 
INDICATIONS.
231
                Chill  Commences,
 In  head, Bar. c. Stan.
 —  face, Bar. c. Berb Caust. Kreos. Petrol.
 —  nose,  Sulf. Tarax.
 —  lips, Bry.
 —  neck, Staph. Val.
 —  both arms, Bell. Hell. Mez.
 —  right arm and right side of chest, Mer. per.
 —  left arm or hand, Carbo. v. Nux m.
 —  chest, Apis. Carbo. an. Cic. Cina. Sep. Spig
 — back,  inter-scapular region, Caps. Polyp. Sarac. Sep.
 — back,  Arg. m. Bapt. Bov. Cac. Caps  Canth. Dul. Eup.
        purp. Gamb. Lach. Led. Lyc. Nat. m. Spong.
 — stomach,  Arn. Bar. c. Cal. c.  Meny  Mer. per.
 — abdomen, Apis, Curare,  Calad. Meny.
 — upper arms and thighs, Psor.
 — upper arms and spreads to chest and back, Ign.
 — thighs, Therideon. Thuja.
 — between ankles and knees, China.  Lach.  Puis.
 — feet, Apis. Cimex. Hyos. Kali b. Mag. c. Nat. m. Nux.
       m.rSarra.
 — right foot, Chel. Lyc. Sabina.
— hands  and feet,  Apis. Bry. Carbo. v. Chel. Dig  Gels.
       Nat. m Nux. m. Opium. Sab. Samb. Sulf.
 — fingers and  toes, Bry. Dig. Meny. Nat. m. Sep.  Stan
       Sulf.
 Chill from extremities to head and face, Aeon. Gels.
 —  from head and face to extremities, Verat. alb.
 —  of single" parts, Amb. Cham. Led. Mez.
 —  running up the back, Am. m. Eup. perf. Gels. Hyos.
       Kali. b. Kali. iod. Lach. Mag. c. Puis. Sab, Sulf.
 __  running down  the  back, Apis.  Coff. Canch. Phos.
       Stram. Val. 
232         THERAPEUTIC  INDICATIONS.

Chill as if cold water were poured over one, Anac. Arn.
 —  as if cold water were dashed over one, Ant. t. Bar. c.
        Chel.  China. Led. Lyc.  Mag. c. Mer. Mez. Rhus.
        Sab. Stram.
 —  of right side, Bry. Nat. m.
 —  of left side, Carbo. v.  Caust. Elat. Lach. Lyc. Rhus.
 —  of right.side with heat of left, Paris Q. Rhus.
 —  of one side, either, Puis.
                       Thirst.
During all stages of paroxysm, Bry. Eup.  Nat. m.
No thirst in any stage of paroxysm, Ant. c. Ipec. Nit. ac.
Thirst long before the chill, Caps. Eup.
  —  long before the  chill, with vomiting  after drink-
          ing, Eup.
  —  before and during chill,  drinks much and vomits
          afterwards, Arn.
  —  during chill, with red face, Fer.
  —  only during chill, Carbo. v. Ign. Kali c.
  —  only during chill, and  worse after drinking, Caps.
  —  only during chill and heat, Cina. Thuja.
  —  only during chill, and sensation as if cold water
          were poured on the parts, Led.
  —  during heat and desire to be covered, as the slight-
          est uncovering causes  chills, Nux v.
  —  during heat, drinks little and often,  Ars. Lyc.
  —  before, not during chill and heat, but thirst again
          during  sweat, China.
  —  unquenchable  during sweat, drinks  copiously,  Ars.
          China.         <
  —  greatest during sweat,  Chin. sulf.
  —  after sweat, Lyc. 
IUDEX.
                         Page.
 Aconite.................   1
 .Ethusa.................... 226
 Agaricus..............22K
 Alstonia......... ........... 226
 Alumina...................   -1
 Ambra......................   5
 Ammonium M..............   6
 Anacardium................   7
 Augustura.................   8
 Antimonium C.............   9
 Antimonium T...............  11
 Apium Virus...............   13
 Aranea....................  17
 Arnica...............   20
 Arsenicum.........          25
 Assafoetida..............226
 Baptisia..................... 226
 Baryta Carb...............  34
 Belladonna..............   37
 Benzinum...........     ... 227
 Bovista....................  41
 Bryonia...................  42
 Cactus.......................  46
 Calcaria Carb...........,..  47
 Caladium..................  227
 Camphora    ............   50
 Canchalagua..............227
 Cantharis....................   53
Capsicum....................   55
Carbo  An...................  58
Carbo Veg..................  60
                         Page.
 Causticum...............  64
 Cedron......................  66
 Chamomilla.................  69
 Chelidonium................  71
 China.................      72
 Chininum Sulf...............  79
 Cicuta....................  86
 Cimex.......................  86
 Cina.......................  89
 Cocculus..................  91
 Coffea......................  92
 Conium  ....................  93
 Cornus Flor.............  22^
 Crocus................  227
 Curare........      .........  94
 Cuprum...................228
 Cyclamen................  228
 Digitalis..................  95
 Drosera  .....................  96
 Dulcamara  .................  98
 Elaterium..................  99
 Elaps...................... 102
 Eupatorium Perf........... 103
 Eupatorium Purp  ......... 110
 Euphorbium............... 228
 Ferrum.................... 112
Gelsemium.................. 115
Graphites................... 118
Hepar..................... 120
Hyosciamus............122
Ignatia..................... 123 
                         Page.
Iodum....................130
Ipecacuanha................ 131
Kali Bich.................... 138
Kali Carb.................. 139
Kali Iod..................... 141
Lachesis................... 142
Lachnanthes.............228
Laurocerasus...........229
Ledum.............146
Lobelia..................229
Lycopodium.............147
Magnesia Carb.............. 153
Marum Verum............. 229 I
Menyanthes................. 154 |
MercBrialis................  157
Mercurius...............158
Mezereum................... 159
Natrum Mur................. 160
Nitric Acid................. 169
Nux Moschata............... 171
Nux Vomica................ 172
Opium..................... 179
Paris Quad...............  229
Petroleum.................. 181
 Phosphoric Acid.
 Phosphorus___
 Plantago......
 Podophyllum.. .
 Polyporus Off
 Psorinum........
 Pulsatilla.....
 Rhus Tox.......
 Robinia.......
 Sabadilla........
 Sabina.........
 Sambucus.......
 Sarracenia.......
 Secale...........
 Sepia..........
 Silicea.........
 Stannum.......
 Staphisagria___
Stramonium.....
Sulfur.........
Thuja Occ........
Taraxicum......
Valeriana.........
Veratrum Alb ..
 Page.
    182
    183
    185
    186
  .  188
 ..  189
...  190
...  196
... 229
 .. 202
 .. 229
... 203
 ..205
...  206
 .  208
 . . 210
   230
  . 212
   213
... 216
... 219
 .  230
  . 230
  .221 
 
 
 
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