INTERMITTENT FEVER

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Arsenicum

  • Indicated for Tertian fevers ( Fever that recurs every third day) and relapsing cases of dumb ague of malarial origin.
  • Before the fever there is faintness, inclination to lie down, pain in abdomen and chest.
  • Paroxysm are general, violent, and of long duration.
  • CHILL stage :
    • During the chill, shuddering without thirst, which is worse in open air.
    • Pains in limbs, anguish, uneasiness.
    • Coldness in abdomen, pain at pit of stomach, oppression of chest, pulmonary spasms, headache.
    • Tastelessness of food, inclination to vomit.
  • HEAT stage :
    • During the heat, internal burning, inclination to uncover, with thirst and frequent drinking of large or small quantities of water, which often disagrees
      with the stomach
    • swelling of the face, pain in liver, redness of skin, headache, vertigo, and even delirium.
    • drinking of cold water, even in fever, causes chilliness.
  • SWEAT stage :
    • During sweat, no relief, great thirst, buzzing in the ears.
    • The sweating stage absent or very copious.
    • Perspiration breaks out several hours after the hot stage and lasts for a long time.
  • APYREXIAL stage :
    • During apyrexia, burning sensations in different parts of the body, chiefly in chest and abdomen.
    • Watery diarrhoea, with feeling of great prostration, painfulness of the whole epigastric region, with nausea and disposition to vomit.
    • Great precordial anguish.
    • Violent pains or lameness of extremities.
  • The stages are distinctly developed and equally proportioned to each other or else, one or the other stage is absent or very feebly present.
  • Generally the cold stage fails and the hot stage is more violent.
  • Tendency to dropsy in a remittent fever. Such as caught the fever by the seashore.

China

  • Indicated for Miasmatic intermittens.
  • Before the fever nausea, headache, hunger, anguish, and palpitation of heart.
  • Paroxysm is of long continuance and anticipating or postponing type, especially in person with sallow face, sunken features, confusion of head and impaired digestion.
  • CHILL stage :
    • chill over whole body, < by drinking.
    • Thirst before or after the chill, but not during the chill.
    • Internal violent chill, with icy – cold hands and feet, and congestion of blood to the head. Person wants to be near the stove, but it < the chill. (< by heat).
  • HEAT stage :
    • General heat, with distended veins, long lasting, which frequently sets in late after the chill.
    • During the fever thirstlessness, or thirst for cold drink only.
    • Hunger and sleepy after eating.
    • Desire to uncover, aversion to food, or canine hunger.
  • SWEAT stage :
    • profuse debilitating sweat with thirst during this stage.
  • APYREXIAL stage :
    • During apyrexia, great debility.
    • loud rumbling in the head, sense of constriction from ear to ear over the vertex, great sensitiveness to currents of air.
    • Sinking at epigastrium, a feeling of emptiness without hunger, or with hunger easily appeased.
    • Mental depression with irritability.
    • Uneasy sleep, drowsy after a meal.
    • Dropsical symptoms.
    • Pain in liver, which is often greatly swollen.
    • Enlarged spleen with aching, stitching pains in spleen when walking slowly and pain extends in direction of long axis of spleen.
    • Contractive pain under the left lower ribs.

Chininum Sulph

  • Indicated for fevers with regular type, complete intermissions.
  • Regular paroxysm of chill at the same hour.
  • CHILL stage :
    • During the chill blue lips and nails, ringing in the ears, pale face.
    • Pain in dorsal vertebras all down the spine on pressure.
  • HEAT stage :
    • fever – heat with fulness of head, ringing in ears, and hardness of hearing, red face, passing over into sweat, especially in the evening,
  • SWEAT stage :
    • Heat stage is followed by profuse perspiration, especially on back and neck.
    • When he sleeps – excessive thirst, just before and during hot stage, with dryness of mouth and fauces (is a part of the oropharynx directly behind the oral cavity).
  • APYREXIAL stage :
    • lassitude and excessive prostration, with thirst, during apyrexia.
  • Pain in the region of liver and spleen on bending, taking a long breath, or coughing.

Ignatia

  • CHILL stage :
    • Thirst only during the chill, which is relieved by external heat.
    • Chill frequently of only the posterior part of the body, with pains in back during chill.
    • External coldness with internal heat, or internal chill with external heat.
  • HEAT stage :
    • Fever, with external heat, no thirst, nettlerash over whole body, with intolerance of external warmth.
    • One – sided burning heat of the face.
    • Flushes of external heat.
    • Continuous quick alternations from heat to cold.
    • Fainting during heat or sweat.
  • SWEAT stage :
    • Very little perspiration or only in the face.
    • Sensation as if sweat would break out, which does not follow (just sensation but sweat does not come).
    • Sweat when eating.
  • Headache, and pain in pit of stomach.
  • Great languor, deep sleep, witli stertorous breathing after or during the fever.
  • Eruption on lips and corners of mouth.

Ipecacuanha

  • Indicated for Intermittent fevers after abuse of quinine, also in beginning of irregular cases, especially if there is much nausea.
  • Predominance of gastric symptoms during the paroxysm as well as during the apyrexia.
  • Violent retching before the chill.
  • Paroxysm sets in with yawning, stretching, and collection of saliva in mouth.
  • CHILL stage :
    • Chill generally of short duration, soon passing over
      into heat.
    • Internal chill, as if under the skin, < by hot applications, > by drinking and in the open air.
    • Coldness of upper part of the body.
    • No thirst or but little thirst during the chill, violent thirst for large quantities during the heat.
  • HEAT stage :
    • Heat all over, with alternate coldness and paleness of
      face ; feels worse during sweat and better after it.
    • Unequal distribution of heat during the fever, sour – smelling perspiration, more or less thirst all the time, shortness of breath, loss of appetite, and feeling of oppression in the chest.
  • SWEAT stage :
    • Chill and fever are severe, with little or no sweat, or a kind of sticky cold feeling of the skin.
  • Backache, short chill, long fever, with oppression of chest, dulness of mind, and constant nausea and cough.

Lachesis

  • Indicated for spring intermittents, or after suppression in the previous fall by quinine, < in the early afternoon.
  • CHILL stage :
    • Thirst before the chill.
    • General chill, with chattering of the teeth and desire for external warmth.
    • Shivering, benumbing chill, running up back to head (tertian).
    • Chill and heat alternating and changing from place to place.
    • Chill in the afternoon, with violent pains in limbs and pleuritic stitches, oppression of chest, and convulsive motions.
  • HEAT stage :
    • Violent headache during the heat, livid complexion, debility.
    • Heat, especially at night, in the hands and feet.
    • Internal sensation of heat with cold feet.
    • Loquacity during hot stage.
  • SWEAT stage :
    • Profuse sweat ~ Great inclination to sweat.
    • Sweat yellow and cold, or bloody and staining red.

Natrum mur.

  • Intermittents after abuse of quinine, living in damp regions, or near newly – turned ground.
  • Paroxysms anticipating, < in the forenoon and daytime.
  • CHILL stage :
    • Hard chill about 11 a.m., with great thirst, which continues through all stages.
    • Chill mostly internal, hands and feet icy cold.
    • chill begins in the feet or small of the back, blue nails, thirst, bursting headache, nausea and vomiting, sometimes stupefaction.
    • Sometimes persistent vomiting precedes the chill, with great thirst during the chill, but the cold water is thrown up soon after drinking.
  • HEAT stage :
    • Heat, with increased headache and thirst for large quantities of water.
    • Unconsciousness or obscuration of sight, and faintness.
    • During the fever blisters on the lips like pearls.
    • Ulcerated corners of mouth.
    • Sweat relieves the headache and other pains.
  • APYREXIAL stage :
    • During apyrexia stitches in the liver, great languor, emaciation, sallow complexion.
    • Urine muddy, with red sand sediment ~ loss of appetite ~ fever blisters.

Nux vomica

  • Indicated for anticipating morning fever.
  • CHILL stage :
    • chill at irregular hours, with aching in the limbs, gaping, no thirst, blue nails
    • Thirst, long – lasting fever, with stitches in the temples ~ light sweat
      apyrexia, marked by gastric and bilious spmptoms ~ legs feel weak,
      paralytic. Congestive chills, with vertigo, anguish, delirium, vivid
      visions, distended abdomen ~ stitches in the sides and abdomen.
    • Irregular paroxysm, sweat, then chill, then sweat, or heat first, then
      chill or external heat and internal chill, or vice versa ~ constant desire
      to be covered, even during heat and sweat ~ during the chill the skin,
      hands, feet, and face are blue.
  • HEAT stage :
    • during the heat burning in the hands, burning in the ears, red urine, headache, buzzing in the ears, distress in the chest, heat about the head and face ~ red cheeks and thirst during- chill and heat;
  • SWEAT stage :
    • During sweat tingling in the skin.
    • chilliness from every motion ~ keeps well covered during chill and fever.

Pulsatilla

  • Indicated for Quartan fever (comes every forth day).
  • Long chill, little heat, and absence of thirst, none of the stages very marked, and apt to run one into another.
  • Before the paroxysm, drowsiness all day, mucous diarrhoea.
  • CHILL satge :
    • Chill 4 p.m., no thirst, anxiety, dyspnoea, vomiting of mucus when the chill comes on
    • Chill in spots, now here, now there.
    • One – sided coldness, with numbness.
    • heat of face or of one hand, with coldness of the other.
    • Body hot, limbs cold ~ internal dry heat, without external heat.
    • Laborlike pains, sleepiness, starting when falling asleep.
  • HEAT stage :
    • Frequently the symptoms are much mixed up, sometimes thirst present, when the hot stage is strongly marked.
  • SWEAT stage :
    • Sweat onesided, only on face and head, more at night and morning, soon ceasing after waking.
  • APYREXIAL stage :
    • During apyrexia, headache, nervous diarrhoea, nausea, and loss of appetite
    • Enlarged spleen.
    • Suppression of menses or menstrual irregularities.

Rhus tox

  • Before the attack, burning in the eyes, increase of mucus in the mouth, a dry teasing cough before and during the chill, with painful weariness of the limbs.
  • CHILL stage :
    • Constant chilliness as if cold water were poured on him, or as if the blood was running cold through the veins ~ 7 p.m., feels cold when moving.
    • chill over the back, increased by drinking ~ pains in bowels or diarrhoea.
  • HEAT stage :
    • Heat, with nettlerash, pressure and swelling at the pit of the stomach, general heat as from hot blood running through the veins.
    • Thirst, drinking little but often, or excessive heat without thirst.
  • SWEAT stage :
    • Sweat, even during the heat, except on the face, with violent itching of the eruption, sour or musty, with or without thirst, sleep during sweat.
    • Heat and sweat after chill, or chill in some parts and heat in others, or both at the same time.
    • Thirst, mostly at night, from dryness of mouth.
  • Constant restlessness, patient cannot sit quiet, or compelled to turn in bed frequently without finding an easy place. > by continual motion.

Aconite

  • Indicated for Chronic miasmatic intermittent fevers which were often suppressed by quinine.
  • In Recent (Acute) cases, or as a good intercurrent remedy during the hot stage.
  • Violent chill and heat, especially about head and face, with red cheeks.
  • Cough during the fever.
  • Anguish, palpitation of heart, pleuritic stitches, nervous excitability, ill – humor or sadness, dread of death. Alstonia constricta.(it is a shrub known as quinine bush or bitterbark).
  • General debility and great prostration, rigors, cold sweats, diarrhoea.
  • Is apt, where not indicated, to change the type of the fever without any other effect on it.

Antimon crud.

  • Much gastric disturbance.
  • The greatest sadness and woeful (sorrow and misery) mood.
  • CHILL satge :
    • Chilliness predominates, not relieved in a warm room.
    • Violent shaking chill towards noon, with thirst (for beer), or thirstlessness.
    • Aching in forehead, bitter taste, and eructations of food taken.
  • HEAT and SWEAT stage :
    • Pain in chest, with heat and drawing in sacrum, sweat breaks out during the heat, but soon disappears and is again followed by dry heat.
    • Great desire for sleep.
  • APYREXIAL stage :
    • During apyrexia tongue thick and white.
    • Sore feeling and redness on border of tongue.
    • Constipation or diarrhoea.
    • Disgust for drink and food, desire for pickles.

Antimon tart.

  • Indicated for Soporous (sleep causing) intermittens.
  • CHILL stage :
    • Chilliness, as if cold water was poured over him, with gooseflesh, gaping, thirstlessness.
  • HEAT stage :
    • Longlasting heat after a short chill, with somnolency and sweat on forehead.
    • Sweat follows long after heat during sleep.
    • Backache with chill. Pain in chest when coughing.
  • APYREXIAL stage :
    • Neither appetite nor thirst during apyrexia, but great weariness and headache.

Apis mel.

  • Indicated for Pure, uncomplicated, but non – malarial intermittent.
  • Paroxysms well – marked. ~ Quotidian fevers, without any disease in liver and spleen.
  • Intermittent fever of Protracted (lasting for a long time ) cases.
  • CHILL stage :
    • Chill coming on at 3 – 4 p.m., beginning in front of chest or in the knees, worse in a warm room or near the stove.
    • Renewed chilliness from the slightest motion, with heat of the face and hands.
  • HEAT stage :
    • Heat, with inclination to uncover.
    • During hot stage more or less violent headache, generally a continuous deep sleep.
    • Dry hot skin, or alternate dry and moist skin.
  • SWEAT stage :
    • Sweat, light or absent, after trembling and fainting, then nettlerash.
    • Thirst wanting during sweat, may or may not be present during heat, always thirst during the chill.
  • APYREXIAL stage :
    • During apyrexia pains under short ribs, especially on left side, swollen feet, and scanty urine, great soreness of all the limbs and joints, nervous excitability, with restlessness, urticaria, sleeplessness, great oppression in chest, as though the patient would suffocate.

Aranea diadema

  • Indicated for Quotidian fevers of paludal (marsh or swamp) origin.
  • The chill occurs at precisely the same hour daily.
  • lasting chill, either without any heat or sweat, or with little or short heat not followed by sweat, with great lassitude and disinclination to work.
  • feels continually chilly, even on a hot summer day, and feels decidedly worse on wet rainy days.
  • Nocturnal toothache in upper and lower maxilla.
  • Haemorrhage from lungs and uterus.
  • Numb feeling in the periphery of the ulnar nerve, also in the ring and small linger of both hands.
  • Gastricismus, loss of appetite, nausea, inclination to vomit, anomalies of stool, urine dark – colored, liver and especially spleen enlarged ~ after awhile ascites, loss of strength, laziness, irritability, or more often apathy.
  • Great thirst during chill.

Arnica

  • Congestive chills, with hyperesthesia of spinal cord.
  • Before the chill yawning and thirst.
  • CHILL stage :
    • Chill felt worse in the pit of the stomach.
    • Head hot, red face, drinking a great deal, no thirst during heat or sweat.
    • Internal chill with external heat.
    • Morning chills or chill mostly in the evening, with much thirst even before the chill bone – pains.
  • HEAT stage :
    • During the fever constant desire to change one’s position, apathy, pains in stomach, no appetite.
    • Head alone or face alone hot, body cool.
    • Great internal heat, hands and feet being cold.
  • SWEAT stage :
    • Sweat and breath sour and offensive, sometimes cold.
  • APYREXIAL stage :
    • During apyrexia aversion to meat, headache, yellow face, bitter taste, listlessness.

Belladonna

  • Violent headache, with stupefaction.
  • Chill and heat alternating.
  • Coldness of the limbs, with heat of the head.
  • Shivering running down the back and continuous dry burning heat, beginning early, with red face and throbbing of the carotids, with sweat only on the head.
  • Sweat on the covered parts ~ no thirst or else a good deal ~ irritable whining mood.

Bryonia

  • CHILL stage :
    • Coldness prevails ~ chill, with external coldness of body, mostly in the evening, and frequently only on the right side : worse in the room than in the open air.
    • Chill begins on the lips and tips of the fingers and toes ~ great thirst in all stages, but greatest during the heat.
  • HEAT stage :
    • Dry burning heat, mostly internal, the blood seems to burn in the veins, with great aggravation of all the sufferings.
  • SWEAT stage :
    • Sweat in short spells and only on single parts.
    • Profuse sweat, often sour, easily excited by the least exertion, even when slowty walking in the open air, and lasts a long time.
  • Pulse full, hard, tense, and quick.
  • headache and vertigo during the heat, or before the chill, coated tongue, bitter taste, aversion to food ~ nausea, desire to vomit.
  • Complains > by lying upon the painful side and getting warm in bed.

Cactus grand.

  • Regular paroxysms at 11 a.m. and 11 p.m.
  • CHILL stage :
    • Severe chilliness, not relieved by covering.
    • Coldness in back and cold hands.
  • HEAT stage :
    • Heat, with congestion of head, flushes in the face, suppressed urine, pains in the bladder, lancinating in the heart, violent vomiting, restlessness, lasting a long time.
  • SWEAT stage :
    • No sweat whatever, or heat after the chill, with dyspnoea, headache, and thirst ~ with insensibility till midnight.
    • Then shortness of breath and inability to remain lying, followed by profuse sweat, with great thirst.
    • After exposure to the sun.

Calcarea carb.

  • CHILL stage :
    • Chill commences in the pit of the stomach, with thirst, sensation like a fixed, cold, agonizing weight, increasing with the chill and disappearing with it.
    • Mostly in the evening, yet sometimes in the forenoon.
  • HEAT stage :
    • Before the fever, heaviness of the head and limbs, rending pain in the joints, stretching.
    • During the heat heaviness of head and limbs, stretching, pains in small of back, restlessness.
  • SWEAT stage :
    • During sweat anxiety ~ sweat may be clammy or only partial, most profuse on head and chest, or on the palms or feet.

Camphora

  • Icy coldness over the whole body, with congestions to the head and chest.
  • CHILL satge :
    • Congestive chill.
    • Chilliness, with violent shocks and viscous debilitating sweats.
    • Chill with anxiety, with unconsciousness, clonic spasms, pale face.
  • HEAT stage :
    • Heat, with distension of the veins, increased by every motion.
  • SWEAT stage :
    • Cold, clammy, exhausting sweat.

Canchalagua

  • Indicated for Spring intermittents ~ nausea, retching, and vomiting of mucus tinged with bile.
  • Very severe chill, with chattering of the teeth, and shuddering of the whole body.
  • Extreme paleness of the face, lips, and hands, which resemble the skin of a washerwoman after leaving the tub.
  • Chill repeatedly down the spine, and all over, especially in bed at night.
  • Heat in whole body.
  • Good appetite during apyrexia.

Cantharis

  • Indicated when the urinary passages are involved.
  • CHILL stage :
    • Chill in the evening, not relieved by external warmth.
    • Chill, succeeded by thirst, without heat, running up the back.
  • HEAT stage :
    • Burning heat at night, which she does not feel ~ heat with thirst.
  • SWEAT stage :
    • Sweat smells like urine.

Capsicum

  • Chill begins in back, with thirst, shuddering after drinking, lessened when walking out of doors.
  • During the chill intolerance of noise, clulness of mind, contraction of the limbs, swelling of the spleen.
  • During heat bad taste in the mouth.
  • Chilly externally, inwardly burning.
  • In flabby mucous constitutions chill predominant.
  • Thirst in the chill or during the chill and heat, much pain in the back and limbs.
  • Slimy burning stools, a sense of mental confusion and temporary loss of memory, qualmishness of the stomach, and fulness at the epigastrium, appetite fair > by putting hot things to hack during chill.

Carbo veg.

  • Irregular paroxysms, sometimes commencing with sweat, followed by chills.
  • CHILL stage :
    • Chill may commence in hands and feet, which are cold and livid, with tearing pains in bones of lower limbs, and desire to stretch them ; one-sided chills.
    • Chill with icy coldness of the body.
  • HEAT stage :
    • Before the fever coldness of the feet, toothache.
    • Heat after or independent of the chill, flushes of burning heat.
    • Heat and sweat commingled.
    • Thirst during the chill, heat generally without thirst.
  • SWEAT stage :
    • Copious sweat, with subsequent chill, often profuse and sour – smelling.
  • APYREXIAL stage :
    • In the apyrexia of such cachectic subjects, paleness, prostration, disposition to be melancholy, weakness of memory.
    • Contracted, cold, cadaverous tongue and face.

Carbolic acid

  • Indicated for Intermittent fever, proving intractable under quinine, with enlargement of spleen.
  • CHILL stage :
    • Chills in the open air ~ chilly and sleepy, though sitting in a room with a hot fire.
    • Pulse quick, feeble, intermittent.
  • HEAT stage :
    • Flushed face, with chills.
    • Great heat of body.
  • SWEAT stage :
    • Copious sweat ~ miasmatic fevers.

Causticum

  • Chill more marked than other stages, and left – sided.
  • Internal chills, followed by profuse perspiration, and later heat, all during the evening.

Chamomilla

  • CHILL satge :
    • Chill and shivering generally of single parts only, with heat of others.
    • Chill and coldness of the whole body , with burning heat of the face and hot breath.
  • HEAT stage :
    • Burning heat in lightly covered parts, though when not covered almost cold.
    • Long – lasting heat, with violent thirst, and frequent startings in sleep.
  • SWEAT stage :
    • Sweat during sleep, mostly on head, usually of sour odor, and with smarting sensation of skin.
  • Thirst during all stages ~ despair, tossing about ~ bilious vomiting and diarrhoea.

Cedron

  • Indicated for Miasmatic fevers of low marshy regions in warm seasons.
  • Periodicity, which is clocklike in its regularity.
  • Undue nervous excitement, followed by nervous depression.
  • CHILL stage :
    • Chill, with congestion to the head ; hands, feet, and nose remaining icy cold.
  • HEAT stage :
    • Heat over entire body.
    • Quotidian or tertian fever, preceded by depressed spirits, dul- ness of the senses, and pressive headache at noon ~ cramps, then contracting and tearing pains in the upper and lower extremities, and cold sensation in the hands or feet.
    • Mouth dry, great thirst for cold water, palpitations and hurried respiration, pulse weak and oppressed.
  • SWEAT stage :
    • Followed by a sensation of dry heat, and then of a profuse perspiration.
    • Quick and full pulse, with animated red face.
  • APYREXIAL stage :
    • Cold and pale in the apyrexia.

Cicuta virosa

  • CHILL stage :
    • Chill begins in the chest and extends to the arms and legs, with desire for warmth and the warm stove.
  • HEAT stage :
    • Heat slight and only internal.
  • SWEAT stage :
    • Sweat most at abdomen, at night and in the morning hours.

Cimex lect.

  • A well marked chill and afterwards thirst, but no fever.
  • When the patient drinks he loses breath, with dyspnoea and a gagging cough.
  • CHILL stage :
    • Before, the chill thirst and heaviness of the legs.
    • Chill commences with clenching of the hands and violent raging.
    • Chill attended with pain in all the joints.
    • Sensation as if the tendons were too short.
    • Knee joints are usually contracted, so that the legs cannot be stretched.
    • Chest feels oppressed, must take a long breath frequently.
    • Irresistible sleepiness ~ hands and feet as if dead.
    • Chill terminates with a tired feeling in the legs, obliging one to change position constantly.
    • After the chill, thirst ~ drinking, however, causes violent headache.
  • Tickling in larynx, causing dry continuous cough, which lasts through the heat.
  • Oppression of breathing ~ heaviness in middle of chest and anxiety ~ abstaining from drinks ameliorates all this.
  • HEAT stage :
    • Heat, with gagging ~ the oesophagus feels constricted.
  • SWEAT stage :
    • Sweat, mostly on head and chest, accompanied by hunger, with great relief of all other symptoms.

Cina

  • Indicated for Quotidian type.
  • CHILL stage :
    • Chill, with shivering and shaking, even near the warm stove.
    • Ascends from the upper part of the body to the head ~ face pale and cold ~ hands warm.
  • HEAT stage :
    • Burning heat over the whole face, with redness of the cheeks and thirst for cold drinks.
  • SWEAT stage :
    • Sweat generally cold on the forehead, around the nose, and on the hands.
    • After the sweat vomiting of food, with canine hunger at the same time.

Cocculus

  • Nervousness, spasmodic symptoms.
  • CHILL stage :
    • Chill, frequently alternating with heat.
    • Internal chill in the afternoon and evening, attended with shivering through the whole body, but more on the back and on the legs ~ not relieved by external warmth.
    • Continuous chilliness, with hot skin.
  • HEAT stage :
    • Dry heat the whole night through.
  • SWEAT stage :
    • Sweat of the body from evening till morning, attended with cold sweat on the face from the slightest exertion.

Coffea

  • Very sensitive and nervous, even with mild fever.
  • CHILL stage :
    • Chills running down the back, increased by exercise.
    • Inward chills, with external heat of body or of face, or external heat, with shivering on back, in the evening after lying down.
  • HEAT stage :
    • Dry heat at night, with delirium.
  • SWEAT stage :
    • Perspiration slight, mostly on face, with internal shivering.

Cornus flor.

  • Indicated for Miasmatic fevers.
  • Paroxysms preceded for days by sleepiness.
  • Sluggish flow of ideas ~ headache of a heavy dull character nausea ~ vomiting.
  • loss of appetite ~ bilious or watery diarrhoea.
  • Chill, with cold clammy skin ~ nausea and vomiting, and violent pains in the bowels.
  • Fever, with violent headache ~ hot but moist skin.
  • Stupor ~ cerebral fulness.
  • Pulse quick and hard.
  • During apyrexia, debility, gastric irritability, painful diarrhoea.

Curare.

  • Indicated for Quotidian fever, commencing at 2 or 3 p.m., and continuing well into the night.
  • Burning heat, accompanied by partial or transient chills ~ incoherent speech ~ great prostration ~ frequentby paralysis of the extremities.
  • Cold and bloody sweat, especially at night ~ pernicious fevers, with continuous chilliness.

Eupatorium perfol.

  • Imperfect apyrexia ~ very little remission ~ the fever threatening to run into a remittent sick stomach and cough the night before the paroxysm.
  • CHILL stage :
    • Before the chill : thirst ~ pain above right ilium ~ yawning.
    • During the chill : head throbs ; thirst aching all over, as if in the bones ~ more shivering than the degree of coldness warrants ~ trembling ~ nausea; moaning with pains.
    • At the end of chill vomiting bile.
    • Chill spreads from the back ~ begins between 7 and 9 a.m. ~ chill early in the morning in one day and light chill about noon in next day.
  • HEAT stage :
    • Fever, preceded by thirst ~ cannot raise the head.
    • Cheeks red ~ face of dull mahogany color, the eyes glisten, sclerotica yellow, internal soreness from head to foot, all over the body.
    • Throbbing headache ~ sleep and moaning ~ trembling ~ faint from motion.
    • Vomiting of bile at the end of hot stage, followed by heat and sleep.
  • SWEAT stage :
    • Sweat scanty, but while sweating the slightest movement of patient or jar will cause a transient chill to run through the frame, especially along the back or skin bathed in sweat, which relieves all the pains except the headache.

Eupatorium purpur.

  • Paroxysms come on at different times of the day every other day.
  • Chill frequently commences in the lumbar region and spreads upwards and downwards.
  • violent shaking, with comparatively little coldness ~ bone – pains ~ blue nails and coldness of the extremities ~ thirst for lemonade ~ hysterical mood.
  • Fever protracted ~ lachrymation, followed by slight sweat, chiefly on neck and upper part of body ~ desire for cold and acid drinks ~ chilly when changing position during sweat down the back.

Ferrum

  • Indicated for Protracted intermittent fever after abuse of quinine.
  • Vomiting as the chill is coming on.
  • During the fever bloated – ness around the eyes.
  • Distension of the abdomen, with swelling of the spleen, anaemia, prostration, great debility.
  • Great and extreme paleness of the face and of the buccal mucous membrane, which is white and bloodless.
  • Dropsical swelling of the face above and under the eyes and of the feet.

Gelsemium

  • Indicated for Simple, uncomplicated intermittents, especially fresh cases.
  • CHILL stage :
    • Severe chill, running up the back from the sacrum to the base of the occiput, with sense of fatigue, desires to avoid all muscular exertion.
    • Chills follow one another in rapid succession.
  • HEAT stage :
    • Intense burning fever ~ great restlessness ~ sensitiveness to light and sound ~ delirium ~ vertigo ~ sensation of falling.
    • Mental anxiety and agitation ~ does not wish to be spoken to or to have company.
    • Jerking of the limbs ~ pain in one leg ~ feet cold, with heat of the face and headache ~ slight occasional moisture.
  • SWEAT stage :
    • Sweat coming gradually and moderately, always relieving the pains.
    • Most profuse about the genitals.
    • Absence of all gastric and hepatic symptoms.

Helianthus animus

  • Irregular paroxysms both as to time and in their constituent features.

Hepar Sulph.

  • CHILL satge :
    • Chill generally in the evening, preceded by bitter taste in the mouth.
    • Great chilliness in the open air.
    • Itching, stinging nettlerash before and during the chill, when he constantly desires to be covered.
    • Sweat and from the least uncovering chill again.
  • HEAT stage :
    • Dry burning heat with redness of face and violent thirst all night.
    • Flushes of heat with sweat.
    • Fever blisters around the mouth.
  • SWEAT stage :
    • Continuous profuse sweat day and night without relief.
    • Sweats easily, during the day, from every exertion of the mind or after slight motion.
    • cold, clammy, frequently sour or offensive – smelling sweat.
    • Back of tongue has a coating resembling dry clay.

Hydrastis

  • Indicated for Quotidian fevers, with considerable hepatic or gastric disturbance in cachectic persons.
  • Chill, morning or evening ~ chilliness, especially in the back or thighs, with aching slow pulse.
  • Heat in flushes ~ great heat of the whole body, followed by great debility.

Hyoscyamus

  • CHILL stage :
    • Congestive chills, from feet up the back.
    • Cannot get warm in bed.
    • Chill alternate days, 11 a.m.
    • Cannot bear to be talked to or hear the least noise.
  • HEAT stage :
    • Chill alternating with heat.
    • No desire to drink.
    • Burning heat all through the night, with tearing cough.
    • Increase of mucus and putrid taste in the mouth ~ color mordax.
  • SWEAT stage :
    • Sweat mostly on legs ~ epileptoid spasms ~ quartan fevers (every third day).

Iodum

  • Sallow, distressed countenance ~ increased saliva ~ ravenous hunger ~ left hypochondriac region hard and acutely painful to pressure.
  • Emaciation ~ Great debility with restlessness.
  • CHILL stage :
    • Cold feet the whole night ~ shaking chill even in a warm room.
    • Internal dry heat with external coldness of the skin.
  • HEAT stage :
    • Hot flashes over body.
  • SWEAt stage :
    • Weakening sweat in the morning hours, of sour odor, and with much thirst.

Kali bichrom.

  • CHILL stage :
    • Chill ascending from the feet, mostly without thirst, with sleepiness ~ seeks a warm place.
    • Chilliness, with giddiness and nausea, followed by heat, with sensation of coldness and trembling.
    • Periodical pains in the temples.
  • HEAT stage :
    • Chill, followed in an hour by heat, with dryness of mouth and lips, which have to be moistened all the time, followed in the morning by great thirst, but no sweat.
  • SWEAT stage :
    • Ill- humor ~ chilliness, especially in the extremities, and flushes of heat alternating with general sweat.

Kali brom.

  • Indicated for Quotidian fever.
  • Chilly and hot stage moderate, but the sweating stage unusually long, protracted, and exhausting ~ sweat profuse and viscid.

Kali carb.

  • Chill and fever, with oppression of breathing.
  • Constriction of the chest.
  • Pain in the region of the brain.
  • Thirst worse during chill.
  • Sweat mostly on upper parts ~ easily excited by every exertion.

Kali hydriod

  • Indicated for Intermittent fever. ~ thirst with the chill.
  • Chill not lessened by warmth ~ mouth dry.
  • Chill from lower part of back upward and through the whole body, late in the afternoon or at night, with shaking and frequent waking ~ anasarca ~ scrofula.

Lobelia

  • Indicated for Quotidians, with long – lasting shuddering towards the middle of the day, followed by heat and sweat, which lasts during sleep till next morning.
  • Thirst before chill. ~ Shaking chill and coldness increased after drinking.
  • Chills down the back, with heat in stomach. ~ General chilliness.
  • Heat, with thirst and sweat.

Lycopodium

  • Chill from 4 to 8 p.m., with numb hands and feet icy cold at 7 p.m., on awaking from a dreamy sleep, covered with sour sweat.
  • afterwards violent thirst, one-sided (left).
  • Nausea and vomiting, then chill followed by sweat without intervening heat.
  • A sour vomiting between chill and heat.
  • Chill followed by bloated face and hands ~ flushes of heat over the whole body, mostly towards evening, with frequent drinking of small quantities at a time.
  • Constipation and increased micturition.

Magnesia mur.

  • Chill even near the stove < from 4 to 8 p.m. > in the open air and in bed.
  • Evening heat ~ thirst.
  • Sweat only on the head ~ averse to uncovering.

Magnesia sulph.

  • Chill from 9 to 10 a.m. Heat in one part of the body and chill in another.

Menyanthes

  • Indicated for Irregular intermittent fever.
  • When the paroxysm consists chiefly of a cold stage, which is incompletely developed.
  • The hands or the ends of the fingers, or the toes and feet, or the tip of the nose becoming icy cold, or chilliness and shuddering only in the abdomen.

Mercurius

  • Evening chill, heat, and violent thirst, or thirst towards morning.
  • During sweat, palpitation and nausea ~ sweat fetid or sour ~ complaints < during sweat.

Mezereum

  • Headache ~ pale face ~ painfulness ~ swelling and hardness of the spleen ~ debility ~ sensitiveness to cold air.
  • CHILL stage :
    • Chill from upper arms to back and legs.
    • Chill even in warm room ~ drowsy ~ lessened outdoors.
    • Thirst ~ back of mouth dry ~ much saliva in forepart.
  • HEAT stage :
    • Cramp in chest ~ burning of internal parts, with external chilliness.
  • SWEAT stage :
    • Sweat during sleep following the chill.

Nitric acid

  • Indicated for Intermittent fever.
  • CHILL stage :
    • Chill in afternoon, while in the open air, followed by
  • HEAT stage :
    • Dry heat when in bed, accompanied by all sorts of fancies while in a state of half – waking, without sleep.
  • SWEAT stage :
    • Sleep and sweat come on only towards morning.

Nux Moschata

  • Indicated for Intermittent fever, sleepy, tongue white, rattling breathing, occasionally bloody sputum, little thirst, even during heat.
  • Sweat with drowsiness and shunning to be uncovered.

Opium

  • Sleep during the chill and heat.
  • stertorous breathing, with the mouth open.
  • Convulsive twitchings, warm sweat, suppression of the secretions.
  • Congestive chills, fever, whole body burning even while bathed in sweat, face red, stupor, wants to uncover.
  • Sweat on upper part of body, lower part hot and dry.

Petroleum

  • CHILL stage :
    • Intense itching over skin of the entire body, followed by severe chill and tremendous shaking, with excessively cold hands and face.
  • HEAT stage :
    • Heat in the evening, after the chill, with cold feet.
  • SWEAT stage :
    • Profuse sweat immediately after the chill.

Phosphorus

  • Heat at night, beginning in the stomach, faint and hungry, then chilby, followed by internal heat, especially in the hands, external cold continuing, no thirst.

Phosphoric acid

  • CHILL stage :
    • Shaking chills over the whole body, fingers being as cold as ice, without thirst, followed by
  • HEAT stage :
    • without thirst, or by excessive heat, depriving one of consciousness.
  • SWEAT stage :
    • Profuse, exhausting perspiration. Thirst only during sweat.

Plantago major

  • Indicated for Intermittents which run their course for many weeks or months, either daily or at intervals, repeated every two, three, four, seven, or fourteen days, during daytime, in spite of quinine and other febrifuges.
  • Relaxation of the sphincter vesicae.

Podophyllum

  • Very talkative during the chill and sleeping heavily during the heat.
  • gastric symptoms prevailing. Severe pains in back before, but not during the chill.
  • Slight chill, but heat commences already during the chill.
  • Excessive thirst during fever.
  • Falls asleep during fever and perspires profusely.
  • Dirty, pappy, pasty tongue with foul taste and complete loss of appetite, even the smell of food produces loathing.

Polyporus offlc. (Boletus lar.)

  • Indicated for Quotidian(occuring every day) fever ~ acts poorly in autumn.
  • Long – standing cases, saturated with quinine and other febrifuges.
  • Congestion of the blood to the head, with vertigo.
  • Great lassitude.
  • CHILL stage :
    • Chill, with darting pains in back and limbs.
    • Cold pinched sensation, unable to get warm.
  • HEAT stage :
    • Heat, headache, flushed face, no inclination to stir, after the paroxysms dull and numb sensation.
    • Face hot and flushed, with prickly sensation all over it.
  • SWEAT stage :
    • The fever is generally of long duration and followed by perspiration, but not profusely ~ hardly any thirst.
  • APYREXIAL stage :
    • During apyrexia more or less, disorder of the liver and abdominal viscera, with jaundiced appearance of the skin.
    • Costiveness, dull headache, great languor.
    • No appetite or canine hunger.

Sabadilla

  • Indicated for Incomplete intermittents.
  • CHILL stage :
    • Only a severe chill, with little or no thirst, dry spasmodic cough, tearing pains in the bones during the chill, delirium, sleep .
  • HEAT stage :
    • Flushes of heat in face, rest of body chilly, hands and feet cold, stretching during the heat.

Sambucus

  • CHILL stage :
    • Chill running over whole body, with crawling sensation here and here.
  • HEAT stage :
    • Dry heat, without thirst, after lying down, dreads uncovering.
  • SWEAT stage :
    • Profuse weakening sweat, day and night, lasts through the apyrexia.
  • Dry hacking cough during chill and heat.

Sepia

  • Indicated for Intermittent fever with, thirst during the chill, deadness of the hands, < in the open air and from every motion.
  • During the fever heat ascending, or sensation as if hot water was poured over him.
  • Urine brown and fetid.
  • offensive sour night sweats.

Staphisagria

  • Indicated for Tertian fevers, with symptoms of scurvy.
  • Before and after the ague ravenous hunger.
  • CHILL stage :
    • Chill and coldness predominate.
    • Chill 3 p.m., ascending from the neck over the head or running clown the back, more in the warm room, > by exercise in the open air.
  • HEAT stage :
    • Nocturnal heat, wants to uncover. ~ Thirst, followed by chill towards morning.
  • SWEAT stage :
    • Sweat profuse, with desire to uncover, cold on forehead and feet.

Sulphur

  • Indicated for Chronic malarial cachexia, with venous congestion, no reaction, stupid, constantly sinking.
  • Great prostration after every paroxysm of intermittents, with thirst for beer.
  • periodical neuralgia, not affected by extremes of temperature.
  • CHILL stage :
    • Chill mostly internal, without thirst, or external with simultaneous internal heat and red face, afterwards thirst.
    • Chill spreading from the toes, and running up the back. delirium.
  • HEAT stage :
    • Heat, afternoon or evening, skin dry, much thirst, internal sick feeling.
    • Heat in the soles, or cold feet with burning soles, seeks a cool place or puts them out of bed.
  • SWEAT stage :
    • Sweat at night or in the morninghours, sometimes with vomiting.

Thuja

  • Gonorrhceal or sycotic contamination of the system.
  • Chill with cold trembling externally and internally, with or without thirst sweat, without previous heat, only on the uncovered parts of the body , the covered parts remain dry and hot.
  • Oily fetid – smelling sweat.

Ustilago maidis.

  • Indicated for Relapsing agues.
  • Very profuse sweat.
  • Slight nausea, oppression of chest, cerebral disturbance, and great irritability.

Valeriana

  • No chill, or chill only of short duration, followed by long – lasting heat, with dulness of head and thirst, beginning in neck and running down the back.
  • Fainting during cold stage.
  • Sweat profuse, < at night and from exertion, with violent heat.

Veratrum album

  • Indicated for Pernicious choleraic intermittent fever.
  • CHILL stage :
    • chill and coldness mostly external, with internal heat and cold clammy sweat, running downward.
    • Shaking chill, with sweat, which soon passes off into general coldness.
    • Chill < by drinking.
  • HEAT stage :
    • Heat mostly internal, with thirst, but no desire to drink.
    • The heat ascends.
  • SWEAT stage :
    • Sweat profuse, cold, clammy, offensive, with deathly pale face and excessive prostration of vital forces.

Antimon. crud.

  • Chill towards noon with thirst for beer.
  • Icecold feet with sweat on rest of body.
  • Gastric ailments, white coated tongue.

Apis mel.

  • Paroxysms well marked.
  • Chill beginning in front of chest or in the knees, worse near the stove or in a warm place.
  • Chilliness renewed from slightest motion.
  • Thirst during chill.

Aranea diadema

  • Chill at precisely the same hour daily ~ lasting – chill with great thirst.

Arnica

  • Yawning and much thirst, with copious drinking before the chilli Great soreness all over body.
  • Painfulness and drawing in the periosteum of all the bones.
  • Head hot, rest of body cold, especially pit of stomach.

Arsenicum

  • Chill and heat predominate, little or no sweat.
  • During sweat no relief of symptoms, great thirst.
  • Thirst with nausea and pain in stomach after drinking.
  • Abuse of quinine.

Belladonna

  • Violent headache with stupefaction.
  • Chill and heat alternating.
  • Frequent micturition.

Bryonia

  • Chill predominates.
  • Intense headache before the paroxysm, increasing during heat.
  • Stitching pains in the chest.
  • Patient feels better while lying on painful side in Gastric symptoms.

Cactus grandifl.

  • Paroxysms regular at 11 a.m. and 11 p.m.
  • Urine suppressed.
  • Coldness in back and cold hands.

Calcar. carb.

  • Thirst during chill and heat.
  • Heat of face with ice – cold hands.
  • Before the paroxysm drawing in all the joints, great heaviness of head and body.
  • With people working much in cold water and damp places. ~ Scrofulosis.

Canchalagua

  • Spring fever.
  • Very severe chill.
  • Washerwoman’s hands ~ face, lips, and hands very pale.
  • Repeated chills clown the spine and all over, especially at night in bed.

Capsicum

  • Chill with intense thirst.
  • Painful enlargement of spleen during the chill.
  • Relief by putting hot things to the back during chill.

Carbo veg.

  • Headache continues after the fever.
  • Chronic cases ~ irregular paroxysms. ~ Flatulence.

Cedron.

  • Periodicity, which is clocklike in its regularity.
  • Chamomilla Pressure in heart – pit, vomiting of bile.

China.

  • Paroxysms postpone or antepone and last long.
  • Profuse debilitating sweat. Thirst between chill and heat, and again during sweat.
  • Great debility during apyrexia.

Chinin. sulph.

  • Paroxysm anticipates about two hours each time.
  • Apyrexia clear.

Cina

  • Face pale during entire paroxysm.
  • Vomiting with canine hunger.
  • Cold sweat.

Eupatorium perfol

  • Imperfect apyrexia.
  • Thirst before chill.

Eupatorium purp

  • Paroxysms at different times of the day, every other day.

Ferrum

  • Bloatedness around the eyes during fever. ~ ansemia.

Gelsemium

  • Nervous symptoms predominate.
  • Absence of all gastric and hepatic disturbance.

Ignatia

  • Thirst during the chill, none during heat.
  • Heat with cold feet.
  • Anteponing paroxysms.

Ipecac

  • After abuse of quinine.
  • Violent retching before chill.
  • Gastric conditions predominating.

Lachesis

  • Internal chill with external heat.
  • Attacks coming on afternoon or evening.

Lycopodium

  • Chill, followed by sweat, without intervening heat.
  • Attacks between 4 and 8 p.m.

Mercurius

  • Strong foul – smelling perspiration.
  • Attacks at night in bed.

Natrum mur

  • After abuse of quinine.
  • Severe headache during the heat.
  • Pains all over the body, especially during chill.
  • Perspiration profuse in the axilla and under the soles of the feet.
  • Attacks in the forenoon, sometimes anticipating.

Nux vom.

  • Chill and heat mixed, one internal, the other external, or alternating. ~ thirst for beer.
  • Portal congestion.
  • Apyrexia marked by gastric symptoms.
  • Ague of nursing children.

Pulsatilla

  • Constant chilliness, also during apyrexia with absence of thirst during the attack, or thirst only during heat.
  • Amenorrhcea.
  • Attacks in afternoon or evening.
  • Chilliness during hot stage on taking cover off.

Sambucus

  • Shaking chills before going to bed.
  • Dry heat, afraid to uncover.
  • Very profuse sweat, exhausting, also continuing during apyrexia.

Silicea

  • Scrofulous children.
  • Burning heat over the whole body red bloated face ~ bloated abdomen with constant diarrhoea.
  • During apyrexia children very cross, cry on being touched or spoken to.

Veratrum

  • Chilliness with great desire for cold drinks which increase the chilliness.
  • Cold clammy sweat.

Veratrum viride

  • May be of use during the hot stage, when the action is intense and the vascular system strongly excited.

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