The Therapeutics of Fevers

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Allen (1879)In every bookSave

Characteristic

Adapted to persons of light hair and skin; irritable, quarrelsome disposition (Nux v.); offended at trifles; vexed at everything.

Symptoms appear and disappear rapidly (Bell., Mag. p.).

During sleep or delirium: imagines that one leg is double; that another person lies alongside of him in the same bed; that there are two babies in the bed (Bry., Val.).

Vertigo: on rising; in occiput; as if intoxicated; like sea- sickness.

Headache: in occiput, which is as heavy as lead; pressing, pulsating pain; as if everything in the head were alive; numb, bruised; as if made of wood.

Gastralgia: of pregnancy; with pressing, drawing pains; whenever the stomach is empty; $>$ by constant eating (Chel., Sep.).

Diarrhœa: yellow, watery, gushing; after cabbage, sour krout; during pregnancy, stormy weather; always in the daytime.

Complaints: from riding in a carriage, railroad car, or in a ship (Coc., San.); $<$ before and during a thunderstorm.

Sweat and moisture of external genitals, of both sexes; fetid, of axillæ (Graph., San.).

Tips of fingers rough, cracked; fissured, every winter; skin of hands rough and cracked; of whole body, sore and painful.

Painful, itching chilblains and chapped hands $<$ in cold weather; decubitus.

Sensation of coldness about the heart (Ars., Carbo an., Helod., Kali m., Nat. m.).

Relations

The skin symptoms are worse in winter, better in summer (Alum., Psor.); if suppressed, cause diarrhœa.

Aggravation

Carriage riding; during a thunderstorm; in winter (skin symptoms).

Amelioration

Warmth; warm air.

Type

Quotidian. Cold stage predominates.

Time

10 A. M., 3, 4, 6, 7 and 10 P. M. 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. Chilliness 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 lower extremities, which were quite cold. Violent internal shaking chill at 10 P. M. Shaking chill every evening. Chilliness with trembling, face cold, cheeks, 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 whole body, followed by violent itching of the skin (pricking of the skin, Nit. ac.).

Heat

And chill at same time, at 10 P. M. Heat at night, bedclothes were intolerable, and was obliged to uncover (external warmth is intolerable, Puls.). Flushes of heat over whole body. Heat of head; redness of 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, feet (Thuja). Profuse perspiration of the forearms, lower legs, feet; on the soles. Sweat; with partial chills; or immediately after the chill. Offensive, of axilla and soles. No heat intervening.

Tongue

Coated white in the centre, 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, putrid; aversion to fat meat, and all warm cooked food. Ravenous hunger, or loss of appetite.

Pulse

Full, rapid; accelerated by every motion; becomes slow again during rest. Cold feeling about the heart (Nat.).

Analysis

Chill; of single parts, < in open air; followed by violent itching of the skin

Heat; of head; red face; flushes over whole body.

Sweat; of single parts at different times; after chill, no intervening heat Chronic cases maltreated by drugging and quinine.