The Therapeutics of Fevers

Antimonium Crudum ant-c.

Allen (1879)In every bookSave

Characteristic

Gastric complaints from over-eating; stomach weak, digestion easily disturbed; thick, milky-white coating on the tongue.

Young people disposed to obesity (Calc.). Old people with morning diarrhœa suddenly get costive; alternate diarrhœa and constipation (Nux).

Sensitive to cold; < after taking cold.

Child is fretful, peevish, cannot bear to be touched or looked at; sulky, does not wish to speak (Ant. t., Iod., Sil.); angry at every attention.

Great sadness, with weeping.

Loathing life; abject despair, suicide by drowning.

Anxious, lachrymose mood, the slightest thing affects her (Puls.). Irresistible desire to talk in rhymes or repeat verses.

Headache: after river bathing; from taking cold; alcoholic drinks; deranged digestion, acids, fat, fruit; suppressed eruption.

Longing for acids and pickles.

Gastric and intestinal affections: from bread and pastry; acids, especially vinegar; sour or bad wine; after cold bath- ing; over-heating; hot weather.

Constant discharge of flatus, up and down, for years; belch- ing (Alum), tasting of ingesta.

Mucus: in large quantities from posterior nares by hawk- ing; from anus, ichorous, oozing, staining yellow; mucous piles.

Disposition to abnormal growths of skin; finger nails do not grow as rapidly; crushed nails grow in splits, like warts, and with horny spots.

Large horny places (corns) on soles, which are very sensi- tive when walking, especially on stone pavements.

When symptoms re-appear, they change locality, or go from one side of body to the other.

Aversion to cold bathing; child cries when washed or bathed with cold water; causes headache; suppressed menses; colds or fevers from swimming or getting wet

(Rhus).

Cannot bear heat of sun; $<$ from exertion in sun; ex- hausted in warm weather.

Aggravation

After eating; cold bathing; sour wine or acids; heat of sun or fire; extremes of heat or cold.

Amelioration

During rest; in the open air; a warm bath.

Type

Quotidian; double quotidian; tertian. Remittent of children. Continued: typhoid.

Time

12 M. or afternoon. Sweat at same hour every other day.

Prodrome

Ushered in by gastric disturbances; with great melancholy, sadness, and a woeful mood.

Great sadness, and a woeful mood.

Thirst and diarrhœa at night.

Chill

Without thirst (Apis, Puls., Cinch.). Violent shak- ing 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 (Meny.); even in a warm room, cold and chilly during the day (chill worse in warm room or near a stove, Apis---chill < external heat, motion, Ipec.). Painful coldness of nose during inspiration, as if inhaling cold air. Great desire to sleep (wants to sleep during hot stage, Apis). Drawing pain in sacrum.

Predominant, followed by sweat, then heat; or chill and sweat simultaneous; or chill and sweat, or sweat and heat, alternating.

Heat and sweat in usual order, but apt to run into each other. One-sided coldness. No two chills alike.

Heat

When sweat sets in with the heat; great heat for an hour, then sweat ceases suddenly, followed by dry heat for two hours, or even all night. Heat with sweat. Heat with thirst followed by sweat. Great heat from the least exercise, especially in the sun. Heat at night, before midnight, with cold feet. During heat, pain in chest. Vomiting during the heat (Nat. m.).

Sweat

Sets in simultaneously with or immediately after the chill (Pod.). Sweat in the morning when awaking which causes shrivelling of tips of fingers (Canch., Ver.). Sweat which returns at precisely the same hour every other morning. Sweat alternating with chilliness, or vice versa. Sweat soon disappears, dry heat remaining. After sweat is over heat and thirst return.

Tongue

Thickly coated: milky white is characteristic. Taste bitter. Great desire for pickles. Saliva saltish. Hunger, which eating does not relieve.

Thickly coated; milky-white. Diarrhœa or constipation.

No thirst in any stage.

Pulsatilla.

Coated with yellow mucus; feels sore, as if scalded. Diarrhœa. Thirst before chill.

Antimonium crudum will often relieve, where Pulsatilla or

Ipecacuanha seem indicated and fail. One of the few remedies where sweat follows chill and is followed by heat. Gastric symp- toms usually present; acts promptly and cures completely.

Relapses often occur from derangement of stomach. Quotidian or tertian fever with loathing, nausea, vomiting, cutting in bowels and diarrhœa or constipation (Puls., but no constipation).

Pulse

Irregular; rapid, then slow; changing every few beats.

Apyrexia

Predominance of gastric symptoms (Ipec., Puls., Nux). Want of appetite, nausea, vomiting and bitter taste in mouth (Ipec.); tension and pressure in region of the stomach; belching with taste of ingesta, pain in bowels with diarrhœa, or constipation: aversion to food; longing for acids, particularly pickles; (longing for salt, Nat. m.); disgust for drink and food; increasing sweat.

Antimonium crud.

Analysis

The sad, woeful, suicidal mood. The gastric de- rangements from over eating. Tongue thickly coated; milky- white.

Aversion to food and drink.

Craving for acids, especially pickles.

Paroxysm mixed: chill predominates; followed by sweat, then heat; or chill and sweat, or sweat and heat; no thirst in any stage.

Frequent relapse from gastric derangement, in all types of fever, especially from over eating during typhoid convalescence.