The Therapeutics of Fevers

Hyoscyamus Niger hyos.

Allen (1879)In every bookSave

Characteristic

Persons of sanguine temperament; who are irritable, excitable, nervous, hysterical.

Diseases with increased cerebral activity but of a non-inflammatory type, as in hysteria or delirium tremens.

Convulsions: of children from fright or the irritation of intestinal worms (Cina); during labor or the puerperal state; after eating, child vomits, sudden shriek then insensible.

Spasms: without consciousness, very restless; every muscle in the body twitches, from the eyes to the toes (with consciousness, Nux).

Delirium: with restlessness, jumps out of bed, tries to escape; makes irrelevant answers; thinks he is in the wrong place; talks of imaginary wrongs, but has no wants, makes no complaints.

In delirium, Hyoscyamus occupies a place midway between Belladonna and Stramonium; it lacks the constant cerebral congestion of the former, and the fierce rage and maniacal delirium of the latter.

Fears: being left alone; poisoned; bitten; sold; to eat; to take what is offered.

Bad effects of unfortunate love; with jealousy, rage, incoherent speech, or inclination to laugh at everything; followed by epilepsy.

Lascivious mania; immodesty, will not be covered, kicks off the clothes, exposes the person; sings obscene songs, lies naked in bed and chatters.

Cough: dry, nocturnal, spasmodic; < when lying down, relieved by sitting up (Dros.); < at night, after eating, drinking, talking, singing (Dros., Phos. — > when lying down, Mang. m.).

Paralysis of bladder; after labor, with retention or incontinence of urine; no desire to urinate in lying-in women (Arn., Op.).

Spasmodic affections are apt to be epileptoid in character.

Intense sleeplessness of irritable, excitable persons; from business embarrassments; often imaginary.

Relations

Compare Bell., Stram. and Verat.

Phos. often cures lasciviousness when Hyos. fails.

Aggravation

Evenings; night; during menses; mental affections; jealousy, unhappy love; when lying down.

Amelioration

Stooping (head); sitting up (cough).

Type

Tertian; quartan. Remittent, malarial, typhoid.

Time

11 A. M.—alternate days.

Chill

Without thirst. Commencing in the feet and running up the spine to nape of neck. Coldness runs from small of back to the nape of the neck (commencing in hands and feet, and running up the spine to nape of neck, Gels.). Chill from feet upward. Shivering over the whole body, with burning redness of face and cold hands. Whole body cold, with burning redness of face; chill alternating with heat (Bell.); cannot bear to be talked to (Cina, Sil.), or hear the least noise (Caps., Gels.). Sudden chilliness; coldness of spine; body cold and stiff, cannot get warm in bed; congestive chills with cold extremities.

Heat

With thirst. Burning heat all over, skin hot and dry to touch, with distended veins (Bell., Cinch.). Heat over whole body; much thirst, lips sticky. Burning heat without external redness; the blood burns in the veins (Ars., Rhus). The skin burning hot to the examining hand, which leaves a burning in place touched (Bell.). Heat along the whole spine, which runs up the back. Epileptiform convulsions (Stram.). Sleeplessness. Throw bed clothes off, not because they are warm, but will not remain covered. Heat, dry, nocturnal, disturbs sleep.

Sweat

Profuse, general perspiration, mostly on legs. Sweats during sleep. Sweat on back and pit of the stomach. Sweat cold, sour.

Tongue

Coated brown or red, partially paralyzed, protrudes it with difficulty (Lach.). Taste bad, putrid, offensive. Thirst, drinks but little at a time. Dread of water (Lys.).

Apyrexia

Extreme weakness; illusions of vision, spots before the eyes; mouth dry, difficult to swallow liquids, hiccough, nausea; vertigo and pressure in the head. Short, dry hacking cough at night.

Analysis

The mental symptoms and the delirium, in all fevers, are the peculiar guides.

Restless, sleepless, desire to escape.

Lascivious mania; jealousy; rage; fear.

Spasms and convulsions.

Fever: pneumonia, scarlatina, rapidly becomes typhoid; sensorium clouded, staring eyes, grasping at flocks or picking bed clothes, teeth covered with sordes, tongue dry and unwieldly, involuntary stool and urine; subsultus tendinum.