PUERPERAL FEVER

Aconite

  • Violent fever, with dry and burning heat.
  • Violent thirst for cold drinks.
  • Rred and hot face, short breath, difficult and sighing respiration.
  • Lochia suppressed, mammae lax and empty.
  • Distended abdomen sensitive to contact.
  • periodical cutting pains through the whole abdomen.

Apis mel.

  • Pelvic cellulitis ~ great tenderness over the uterine region, with bearing – down pains ~ suppressed lochia and milk.

Arsenicum

  • Burning, throbbing, lancinating pains.
  • great restlessness and anguish, with fear of death.
  • Great prostration, sunken countenance, sallow or livid complexion, nausea and vomiting, dizziness, headache, delirium.
  • Small, feeble, intermittent pulse ~ she wants more covering, wants to be wrapped up.

Baptisia

  • Septicaemia, with typhoid symptoms.
  • Fetid lochia, with much prostration.
  • Distended abdomen, fulness, flatulence, rumbling, feels as if vomiting would relieve.
  • Sharp shooting pains in bowels.
  • urine scanty, dark red.
  • Oppressed breathing on lying down, difficult breathing, but no constriction of chest.
  • Restless, uneasy, indescribable sick feeling all over.

Belladonna

  • Distended abdomen, with stitching and digging pains ~ the pains are sudden —coming on quickly and ceasing as quickly after continuing a longer or shorter time ~ violent spasmodic colic, as if the parts were clasped with claws, or painful pressing downwards towards the sexual organs.
  • The abdomen is sensitive to contact chills in some parts, heat in others, or else burning heat, especially about the face and head, with red face and eyes ~ aching in the forehead, with throbbing of the carotids.
  • Dry mouth, with red tongue and thirst ~ difficult deglutition, with spasm of the fauces.
  • Sleeplessness, with tossing about, or sopor, with furibund delirium, or other cerebral symptoms.
  • The lochia are scanty, watery, and slimy, or offensive, or entirely suppressed.
  • Metrorrhagia,, with coagulated fetid blood.
  • The breasts are swollen and inflamed, or flaccid and without milk.
  • Involuntary flow of urine.
  • Constipation, or diarrhceic slimy stools (if bell. , be insufficient, try hyosc.)

Bryonia

  • Distended abdomen, sensitive to contact and motion.
  • The least motion aggravates her sufferings.
  • Her head aches as if it would split open ~ sitting up (as if in bed) causes nausea and fainting.
  • Constipation, the stools being hard and dry, as if burnt.
  • Violent fever, with burning heat of the whole abdomen ~ burning thirst, with desire for cold drinks ~ irritable, vehement, or apprehensive dread of the future.

Calc. carb.

  • Leucophlegmatic condition.
  • The feet feel cold and damp, the head and upper part of the body are in profuse perspiration.
  • Constant aching in the vagina, stitches in the neck of the uterus, menses have always been too profuse and return too often and too soon.

Cantharis

  • Great heat and burning in the abdomen.
  • Abdomen swollen and tympanitic above, but yields a dull sound below.
  • Constant painful urging to urinate, passing but a few drops at a time, which are often mixed with blood ~ burning in the uterine region.
  • Debility, restlessness, and trembling of the limbs.

Carbolic acid

  • High fever alternating with oft-recurring chills of short duration, followed by profuse sweat, with restlessness.
  • Increased tenderness over uterine region and in right iliac fossa.
  • Pulse filiform ~ diarrhoea, involuntary stools of great fetor (foul smell).
  • Lochia suppressed.
  • Craving for food and drink.

Chamomilla

  • A fit of anger induced the disease.
  • Mammae flaccid and empty. ~ Scanty lochia.
  • Abdomen distended and sensitive to contact ~ coliclike labor pains ~ general heat, great thirst. ~ Whitish diarrhoea.
  • Urine pale and abundant.
  • Excessive crossness and impatience.

Cimicifuga

  • Suppression of lochia from a cold or mental emotion, with severe paroxysmal pains in abdomen, delirium with great headache, buzzing in ears, face bluish or sudden faintness, face becomes ashy white, weakness and prostration so great that she believes herself dying.
  • Great thirst ~ lochia suppressed or watery, mixed with small clots, cold chills and prickly sensation in mammae.

Coccullis

  • Paralytic pains in the back and paralysis of the lower extremities.
  • Sensation as of sharp stones in the abdomen on motion.
  • Head and face hot ~ feet cold ~ metallic taste ~ shivering over the mammas.

Coffea

  • Puerperal fever from mental excitement.
  • Frequent crawling, with feverish warmth, tongue moist, no thirst.
  • Delirious talking, eyes open and shining.
  • Violent abdominal pains, with oversensitiveness, sleeplessness, despair.

Colocynth

  • The disease is caused by violent chagrin.
  • Severe colics pains, causing her to bend double, with great restlessness.
  • Feeling in the whole abdomen as if the intestines were being squeezed between stones.
  • Hot head, red face, glistening eyes, dry heat.
  • Hard, full, and hurried pulse.
  • Delirium, alternating with sopor.

Hyoscyamus

  • The disease is developed by emotional disturbance.
  • Spasmodic symptoms, jerks of the extremities, face, and eye lids, etc.
  • Typhoid state, with delirium ~ patient throwing off the bedclothes, wishing to be naked.

Kreasote

  • Stitches in the vagina, proceeding from the abdomen, causing her to start at every pain.
  • Putrid, excoriating, very offensive lochia, repeatedly almost ceasing, only to freshen up again.
  • Urine fetid, clouded, brown ~ putrid stools.
  • Abdomen distended and tense, like a drum ~ laborlike pains in abdomen, with drawing in upper abdomen extending to small of back, and pressing towards the lumbar vertebrae, with flushes of heat in face and palpitations ~ painful sensation of coldness in abdomen.

Lachesis

  • Lochia fetid, urine suppressed, unconscious.
  • Abdomen swollen, cannot bear the least pressure, not even that of the clothes, upon the uterine region.
  • Sensation as if the faeces were ascending to the chest.
  • The pain in the uterus relieved for the time being by a flow of blood, but returns soon afterwards.
  • Exacerbation after every sleep.

Mercur.

  • Lancinating, boring, and pressing pains.
  • Very sensitive about the pit of the stomach and abdomen ~ moist tongue with intense thirst.
  • Profuse sweat without relief ~ worse all through the night.

Nux vomica

  • Bruised sensation in the neck of the uterus.
  • Frequent desire to urinate, with pain ~ scalding and burning.
  • Suppression or too profuse discharge of offensive lochia, with violent pains in small of back.
  • Constipation ~ nausea ~ desire to vomit, or actual vomiting.
  • Spasmodic pains in the thighs and legs, with going to sleep in these parts.
  • Red face ~ dull headache and vertigo, dimness of vision, ringing in the ears, and fainting turns.

Opium

  • In cases originating in fright, flushed face, delirious, soporous ~ in her lucid intervals she complains of the sheets being too hot for her.
  • She is sleepy, but cannot sleep.
  • Coldness of the extremities.
  • Discharge of fetid matter from the uterus.

Platina

  • Painful sensitiveness and continual pressure in the region of the mons veneris and genital organs after labor, she cannot bear the touch of the napkin.
  • Voluptuous tingling in the vulva and abdomen.
  • Profuse discharge of thick black blood ~ constipation.

Rhus tox.

  • Lochia vitiated and offensive, lasting too long or often returning ~ milk vanishes, with general heat.
  • Restless, she cannot lie still, changes constantly her position, which affords a few moments relief.
  • Slow fever, dry tongue, loss of power in lower extremities.

Secale cor.

  • Strong tendency to putrescence.
  • Discharge of sanious biood, with tingling in the legs and great prostration.
  • Urine suppressed ~ offensive diarrhoea.
  • Voice hollow, with difficult breathing, feeble and inaudible.
  • Burning fever interrupted by shaking chills ~ cold limbs ~ cold sweat over the whole body ~ gangrene.

Terebinthina

  • Metritis and peritonitis puerperalis, with tendency to mortification.
  • Lochia checked, terrible burning in uterus, abdomen fuller than usual.
  • Headache, with thirst ~ brown dry tongue nausea, and vomiting ~ distended abdomen, sore to touch.
  • Pulse small, frequent, with general debility.

Veratrum viride

  • Premonitory stage of puerperal inflammation. ~ Sudden suppression of milk and lochia.
  • Intense fever, restlessness ~ excessive pain, tenesmus, tympanitis ~ skin cold and clammy ~ quick, weak pulse.

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