The Therapeutics of Fevers

Ammonium Muriaticum am-m.

Allen (1879)In every bookSave

Characteristic

Suitable to those who are fat and sluggish; or body large and fat but legs thin (see Lyc.).

Watery, acrid coryza, excoriating the lip (Cepa); mouth and lips sore and excoriated (Nat. m.).

Stools: like scrapings of meat or copious, consisting of coagulated blood; green, slimy, yellow, watery or undigested.

The various affections of the bowels have much flatus (Aloe, Carbo v., Lyc., Pod.).

Obstinate constipation accompanied by much flatus.

Hard, crumbling stools require great effort in expulsion; crumble from the verge of anus (Mag. m.); vary in color, no two stools alike (Puls.).

Hemorrhoids: sore and smarting; with burning and stinging in the rectum for hours after stool (Æsc., Sul.); especially after suppressed leucorrhœa.

During menses : diarrhœa and vomiting ; bloody discharge from the bowels (Phos.); neuralgic pains in the feet ; flow more profuse at night (Bov.—on lying down, Kreos.).

Leucorrhœa ; like white of egg, preceded by griping pain about the navel ; brown, slimy, painless, after every urination.

Sensation of coldness in the back, between scapulæ (Lachn.).

Hamstrings feel painfully short when walking ; tension in joints as from shortening of the muscles (Caust., Cimex).

Offensive sweat of the feet (Alum., Graph., Psor., Sil.).

Blood seems in constant ebullition. Chills alternating with heat every half hour.

Aggravation

From uncovering during fever paroxysm (Acon., Nux).

Type

No periodicity.

Time

3 till 4 A. M.—5, 6 and 7 P. M.

Septimani.—Chill and fever followed by profuse sweat every seventh day (Cinch., Sul.).

Prodrome

Thirst; sleeplessness.

Chill

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; warm covering does not relieve the coldness. Chill with external coldness day, evenings and nights; worse from uncovering, dares not uncover on account of chilliness (Nux). Chill alternating every half hour, with heat and bloated red face (yellowish, mahogany-red, Eup. perf.). Severe pain in lumbo-sacral region.

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 ending in sweat, which is most profuse in face, palms of hands and soles of feet.

Sweat

Without thirst; day and night; following heat. Increased transpiration; every movement makes him sweat (Bry., Sul., Ver.—when sitting quietly, Staph.). Sweat on the lower part of the body. Night-sweat, most copious after midnight and towards morning, in bed. Fever paroxysms begin with chilliness, then heat, and end with sweat.

Analysis

Chill < by uncovering (Nux); alternating every half hour with heat and bloated red face. The intestinal flatus, meat scrapings and stools of coagulated blood indicate it in enteric or continued fever.