Chininum Sulphuricum chin-s.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

NERVES. CIRCULATION. Dorsal spine.

Worse

EXACT PERIODICITY. Cold, 10-11 A.M. Head to left.

Better

Yawning.

General

Neuralgias.

Particulars

Sensitive. Nervous. A net, fog or mote before eyes. Tinnitus. Deafness. Brow ague. Granular, brickred, urinary sediment. Vertigo, with tinnitus (Sal-ac.). Spine (cervico-dorsal) aches, or is tender. Anticipating chills. Delirium during heat. Increasing fever and prostration, with profuse nightsweats. Profuse sweat which >, but exhausts. Thirst in all stages. Clear apyrexia. Typical malaria. Itching. Petechiæ.

Related

Related: Chin.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Intermittent fever; paroxysms recur at the same hour every day, or every other day, or a little earlier each day; distinct stages, apyrexia, perfect.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Sulphite of Quinine

General

A dose of Chinin sulph in high potency sometimes arouses suppressed malaria, and brings back the paroxysm. Aside from its undoubted influence over malaria, it is indicated homeopathically whenever there is marked periodicity and spinal sensitiveness. Acute articular rheumatism. Polyarticular gout. Pruritus and congested conditions of the rectum. Symptoms of chronic interstitial nephritis. Retro-bulbar neuritis with sudden loss of sight. Thready vessels. Hiccough.

Blood

An immediate and rapid decrease in red blood cells and reduction in hemoglobin with increase in elimination of chlorides. Tendency to polynucleated leucocytosis.

Head

Pain in forehead and temples, increasing gradually at noon, of malarial origin, with vertigo and pulsation. Worse left side. Falling in street. Inability to remain standing. Amaurosis.

Ears

Violent ringing, buzzing, and roaring in ears, with deafness.

Face

Neuralgia commences under eye; extends into and around it. Pains return with great regularity; relieved by pressure.

Spine

Great sensitiveness of the dorsal vertebræ; pain on pressure. Last cervical sensitive. Pain extends to head and neck.

Urine

Bloody. Turbid, slimy, clay-colored, greasy sediment. Small amount of urea and phosphoric acid with excess of uric acid and abundance of chlorides, accompanied by subnormal temperature. Excessive flow. Albuminuria

Skin

Itching; erythema, urticaria, icterus, vesication, pustules, purpura. Great sensitiveness. Shriveled skin.

Fever

Chill daily at 3 pm. Painful swelling of various veins during a chill. Shivering even in a warm room. Anguish. Subnormal temperature.

Relationship

Compare: Chin salicyl (Deafness, tinnitus, and Meniere's disease). Ars; Eupat; Methyl blue. Camphor mono-bromide (is said to intensify the action of Quinine and render it more permanent). Baja, an East Indian drug, (said to be almost infallible in intermittent fever, quartan type; pulsating headache injected eyes, flushed face. Liver and spleen enlarged. Œdema). Also Pambotano, Mexican remedy for intermittent and tropical fevers.

Antidotes: Parthenum; Natr mur; Lach; Arn; Puls.

Dose

First to third triturations; also thirtieth potency and higher.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Sulphate of Quinine. (C 20 H 24 N 2 O 2 ) 2 H 2 SO 4 15 H 2 O. Trituration.

Clinical

Angina pectoris. Asthma. Brow ague . Cancerous ulcers. Cholera. Delirium. Diarrhœa. Dropsy. Dysmenorrhœa. Ear affections . Gangrenous and fetid suppurations. Gravel . Hæmaturia. Hæmoglobinuria. Hæmorrhages. Headache. Intermittent fever. Menière's disease. Neuralgia. Noises in the head . Parotitis. Pruritus vulvæ. Puerperal convulsions. Pyæmia . Rectum, prolapse of. Remittent fever. Rheumatism . Scarlatina. Spinal irritation. Spleen, enlarged. Typhus-fever . Urticaria. Varicose veins. Variola .

Characteristics

Sulphuric acid and Sulphur are themselves in the first rank of periodic remedies, and combined with the chief alkaloid of China they enhance the powerful periodic properties of that drug. In old-school practice the Sulphate of Quinine has almost entirely taken the place of the crude Bark as a remedy. Chin. sul . closely resembles China in its effects, but as it has been proved separately, and as observations of the effects of over-dosing have supplied many additional symptoms, the homœopathist has plenty of guidance in the selection of one in preference to the other. Chi. sul . is even more powerful as an antiseptic than China , and it is probable that it is in virtue of its property of antagonising the malarial poison that it suppresses intermittent fever when it does not cure. It only cures when the fever corresponds to its own type. When a fever is "suppressed" there is generally air unholy alliance between disease-force and drug-force, which is expended on some part of the organism, resulting at times in lifelong ill-health. The "Quinine cachexia" is well known ─ sallow complexion, emaciation, deafness and singing in the ears, enlarged spleen, disposition to shiver, and great debility. Periodicity is extremely well marked, the attacks returning at the same hour each day. In intermittents the onset may anticipate. Skin flaccid and sensitive to touch. Red rash over whole body, with severe stinging, followed by desquamation. Other prominent symptoms are: Headache extending from occiput to forehead. Whirling in the head like a mill-wheel. Twitching of left eyelid, < in the evening. Aphthæ in weakly people. Tartar on teeth. Hunger at night. Prolapse of rectum, especially in children. Hæmaturia and hæmoglobinuria. ("Black-water fever" has been developed through administering Chi. sul . in intermittents. Koch deserves much credit for showing that the worst features of African fevers are due to over-dosing with Quinine and not to the disease). E W. Sawyer ( Med. Advance , 1887) relates this instructive history: He learned from his cook that her brother (æt. 16) could not take a particle of Quinine without causing a profuse flow of blood with the urine, sometimes within half an hour, always without pain. This had followed every time his doctors had tried to "break his ague" with Quinine. A year later a farmer's wife, æt. 60, came to Dr. Sawyer to be treated for bloody urine unattended with pain or uneasiness. She attributed it to strain from walking two miles on a slippery road. She had been for months under Hygienist treatment without benefit, and was alarmingly weak from loss of blood. Rhus 200, Ham . 1x, Erig . 1x, Chi . 1x, Fer. mur . 2x were given in succession in vain. At last, calling to mind the case of the youth, he gave Chi. sul . in 1 / 16 gr. doses three times a day, and a prompt cure was effected. Chi. sul . causes painfulness and swelling of varicose veins during a chill. (Julius E. Schmitt cured a case on this last indication.) Great sensitiveness to external influences. All discharges debilitating. Weak and nervous; a little exercise = sweat from least exertion. Head gradually breaks into sweat when perfectly quiet. Chi. sul . is one of the medicines which have the "sinking sensation." Tyrrell had a patient in whom in any potency it caused her to become "deathly sick and faint, thought she would die, could not raise her head, felt she would sink through the bed ." Sacch. alb . produced in her the same symptoms, and she accused the doctor of having given her Quinine. ( Arsen . has "sinking sensation," "as if bed had gone from under her and she had alighted on the floor." Bell., Dulc., Rhus, Lach ., have "sinking through the bed.") Palpitation. Touch < ; pressure > . Wants to lie down. Motion = chilliness. Stooping = giddiness. Bending forward > . Sleeplessness and over-stimulation of nervous system.

Relations

See China. It is antidoted by: Arn., Ars., Carb. v., Ferrum, Hep., Lach., and especially Nat. mur., which antidotes effects of over-dosing with Quinine; Puls. Compare: Cinchon sul., Apis. (chill 3 p.m.); Ars. (pyæmia, spinal irritation, periodically returning neuralgias); Bry. (sweat from least exertion); Carb. an. (all discharges debilitating); Eup. perf. (sweat relieves all symptoms but headache); Nux (blue lips and nails with chill); Puls. (rheumatic erratic pains); Stann. (supra-orbital neuralgia); Staph. (head gradually breaks into sweat while perfectly quiet). In headache from before backward (Gels., Lac. c., Sang., Sil.).

Mind

Fits of anxiety; great anguish, sometimes in the morning while in bed, obliging the patient to get up sooner than he would otherwise wish, or soon after midnight, with cries, and a necessity for getting up. ─ Great moral depression; speechless melancholy; discouragement; inclination to weep and to despair. ─ Moroseness and ill-humour, with yawning and extreme dislike to labour. ─ Great indolence with lassitude. ─ Excitement like that which follows taking coffee, or wine. ─ Great liveliness. ─ Feeble apprehension; with weakness which induces falling, great heat of the skin, dryness of the mouth and of the throat, and constipation. ─ Inability to pronounce substantives, and slowness of reflection.

Head

Sensation of emptiness in the head, with heat in the face, thirst, or tinkling in the ears; head confused, with humming in the interior, with a feeling of intoxication and dulness, stupor with cephalalgia in l. side of the forehead; a sort of furor in the head, almost preventing walking, with loss of power to guide the limbs. ─ Delirium. ─ Great exaltation, with a kind of dementia. ─ Vertigo: on stooping; whirling, as if the head were failing backwards, aggravated by motion; least felt when lying down; as if intoxicated, with buzzing in the ear, heat of the skin and accelerated pulse; with cephalalgia and giddiness. ─ Cephalalgia, esp. in the evening, or else on walking in the sunshine, with lassitude, yawning, drowsiness, and moroseness. ─ Dull pain, with deafness, anguish, sweating, trembling of the limbs, and slowness of pulse, on l. side esp., with pulsation of the temporal arteries. ─ Great bodily excitement, paleness of face, violent thirst, nausea, weakness of the feet, and general perspiration in l. temple, with necessity for lying down, and amelioration on pressing the head against cold things. ─ Frontal cephalalgia: in the morning on awaking; esp. in the evening; in the afternoon, with heaviness of the head, and heat in the face; with tingling in the ears, and general heat; or else on the l. side, with vertigo, increase of appetite, thirst, nausea, flatulency, and great lassitude. ─ Aching of the head, in the occiput, on awaking in the night, and disappearing on getting up; in the forehead and orbits, < on turning the head or the eyes, from morning till evening, with heat in the forehead. ─ Expansive pain, esp. in the temporal region, < by motion and in the open air, as well as at night, with disturbed sleep. ─ Pulsation in the head. ─ Bubbling towards the head in the evening, esp. with pulsation of the arteries. ─ Pain as though the head were bursting. ─ Heat in the face. ─ Vertigo, tinkling, and buzzing in the ears. ─ Hardness of hearing. ─ Sparks before the eyes. ─ Pulse quickened and rapid. ─ Sleep disturbed and full of dreams, and escape of wind above and below. ─ Sensitiveness of the scalp.

Eyes

Sensibility of the eyes, with lachrymation. ─ Sight dimmed as by a fog, with dryness of the eyes. ─ Sparks before the eyes, black spots; sometimes only one side of an object is seen. ─ Obscuration of the sight, esp. when looking fixedly at an object. ─ Transient amaurosis.

Ears

Tinkling in the ears. ─ Buzzing, esp. in l. ear, sometimes occasioning deafness on that side. ─ Hardness of hearing, sometimes with violent headache.

Nose

Frequent bleeding at the nose. ─ Frequent sneezing.

Face

Pale colour, sickly look, air of suffering, with sunken eyes. ─ Earth-coloured face. ─ The white of the eyes discoloured and eyes dull. ─ Complexion icteric. ─ Redness of the face, sometimes with heat round the eyes, and lachrymation on looking at the light. ─ Heat of the face, esp. in the evening, also after taking coffee. ─ Bluish-coloured lips. ─ Eruption on the upper lip.

Mouth

Dryness, with heat, thirst, flesh-like smell in the mouth, and sensation of constriction in the œsophagus, of the mouth and gullet, with constipation and weakness of intellect. ─ Great paleness of the buccal cavity. ─ Erosion of the gums, and of the wall of the buccal cavity, with violent pain and gangrenous crusts. ─ Accumulation of mucus in the mouth, with nocturnal angina, augmented secretion of saliva. ─ Salivation. ─ Tongue coated with white mucus. ─ Yellow mucus at the posterior part. ─ Thick coating of a yellowish white. ─ Yellowish coating, esp. at the root, or else with dryness of tongue.

Throat

Pains in the throat: in swallowing, in the morning on getting up; in swallowing, and on moving the neck, violent in the morning. ─ Tickling in the gullet and the larynx. ─ Scraping in the throat, sometimes with dartings, or else with hoarseness (afternoon). ─ Sensation of dryness in the pit of the throat, with a feeling as though a foreign body were lodged there. ─ Burning in the throat, accumulation of viscid mucus in the throat, sometimes, esp. at night, awakening the patient and exciting coughing.

Appetite and Taste

Taste: bitter, sometimes with a clean tongue; clammy, sickly; earthy; empyreumatic. ─ Bread appears bitter. ─ Want of appetite, sometimes for many days. ─ Indifference for food and drink. ─ Want of appetite, with increased hunger. ─ Great appetite, with disagreeable taste of food; also with much thirst (sometimes chiefly in the evening). ─ Hunger with faintness, as from fasting, with good appetite, or want of appetite. ─ Great hunger, sometimes after a full meal, succeeded by insipidity of taste, and nausea. ─ Hunger after supper, accompanied by nausea. ─ Bulimy, sometimes at night.

Stomach

Risings: after a meal, with pressure in the abdomen and stomach, and oppression of the chest; empty, sometimes with nausea. ─ Bitter hiccough and retching. ─ Nausea with risings (empty or bitter). ─ Movement in the abdomen, and emission of wind, after a meal, with violent risings. ─ Disgust, with headache. ─ Disgust before a meal, with nausea, vomiting, cephalalgia, sleeplessness, nocturnal bulimy, diminished appetite, and tongue loaded, yellowish, dry, after a meal, with vomiting and increased bitterness in the mouth. ─ Nausea, with inclination to vomit. ─ Vomiting: during an intermittent fever, with pressure on the stomach; with disgust, pyrosis, sensation of constriction in the stomach, and swelling of the abdomen, which remains many days; insipid vomiting in the afternoon. ─ Fulness in the stomach, and tension of the abdomen. ─ Pressure on the stomach: with retching, borborygmi in the abdomen, and liquid stools; after every kind of food, even the lightest, causing restlessness at night; in the pit of the stomach, with diminution of appetite. ─ Cardialgia (cramp in the stomach), sometimes with inclination to vomit. ─ Pulling pain in the œsophagus, borborygmi in the abdomen, and emission of wind. ─ Sensation of heat in the pit of the stomach, and the precordial region, extending to the duodenum, with empty risings. ─ Heat in the stomach, throughout the cardiac region, and extending to the abdomen and chest.

Abdomen

In the hypochondria, tension, aching in the precordial region. ─ In the hepatic region, pains sometimes increasing towards evening; aching relieved by pressure; sensation as of subcutaneous ulceration, swelling. ─ In the region of the spleen: dull pain, dissipated by pressure; aching pain, tightness which compels the loosening of the clothes (sometimes in the two hypochondria); lancinations, swelling, with darting pains while walking, and on pressure. ─ Swelling and hardness of the splenic and hepatic regions, with lacinations, esp. on breathing deeply, sneezing, &c. ─ Pains in the superior part of the abdomen, from the stomach to the umbilical region, aggravated by pressure. ─ Violent colic. ─ Colic in the morning near the region of the stomach. ─ Tearing pains in the abdomen, with frequent, small, irritable pulse. ─ Cutting pains in the abdomen, without evacuation in the superior part of the abdomen, sometimes with great lassitude, in the superior part of the abdomen and umbilical region; sometimes in the evening with flatus, and movement in the abdomen, with loose, fetid stools, like pap, and emission of fetid wind, sometimes chiefly in the morning, on rising. ─ Inflation of the abdomen, sometimes with tension, risings, and emission of wind. ─ Tension of the abdomen, with pain on pressing upon it; sometimes, esp. in the evening, with incarceration of flatus, or else with emission of fetid wind. ─ Flatulent colic, meteoric swelling. ─ Movements in the abdomen, as if caused by diarrhœa, with emission of wind. ─ Great movement in the precordial region, with inflation of the abdomen. ─ Borborygmi in the abdomen; emission of wind. ─ Protracted inflammation of the mucous membrane of the intestines. ─ Intestinal phthisis, with nausea, retching, want of appetite. ─ Abdomen tense. ─ Continuous aching in the umbilical region. ─ Constipation. ─ Emaciation. ─ Hectic fever and alienation of mind.

Stool and Anus

Obstinate constipation, with great heat of the skin. ─ Falling in the street, momentarily, alternating with frequent stools. ─ Stools white and pap-like. ─ Stools hard, insufficient, indolent, sometimes in small fragments. ─ Stools soft, difficult to eject, sometimes with urgent want to evacuate, or else with a sensation as of something passing up from the hand to the shoulder. ─ Urgent inclination to evacuate, sometimes fruitless, or else with cutting pains, followed by an evacuation. ─ Evacuation copious, soft, sometimes with borborygmi in the abdomen, and abundant emission of wind; pap-like, loose, with cuttings, sometimes with abundant emission of wind, or else (in the morning after getting up) with fetid stools. ─ Many stools during the day. ─ Diarrhœa, sometimes with drawing and incisive pains in the small intestines. ─ Involuntary diarrhœic stools. ─ At the anus, sensation of heat, extending to the other intestines. ─ Increase of hæmorrhoidal phenomena, itching at the rectum, and tenesmus; flowing of arterial blood from the anus; bloody flux by the rectum.

Urinary Organs

Pressing inclination to urinate, with copious emission of urine like water. ─ Increased secretion and emission of urine; saturated, deposits crystals; like whey; pale, clear, with urgency to urinate, preceded by inflation of the abdomen, with difficulty of respiration. ─ In dropsical cases, copious, saturated, cloudy; or else with a very strong smell. ─ Diminution of urine, which is sometimes saturated, and with crystallisations. ─ Urine turbid, red, or else with a strong urine-like smell, readily becoming turbid, with mucous flocks, sediment clay-coloured and fatty; decomposing readily, with sediment of yellow sand and crystals. ─ Like water, sometimes crystallising. ─ Frothy urine, with a fine yellowish-white sediment, on taking cold. ─ Sediment yellowish-white, of a strong odour, clay-coloured, from urine clear as water; reddish yellow, in copious urinations. ─ Brick-dust sediment. ─ Gravel. ─ Crystals in the urine, which is copious; clear as water; with clay-coloured sediment, precipitated in urine as clear as water; with sediment of a reddish yellow, and urine more copious; in urine saturated, and more scanty. ─ Contractive smarting at the orifice of the urethra, after passing water in the evening. ─ Profuse hæmorrhage. ─ Hæmaturia and hæmoglobinuria.

Male Sexual Organs

Suppression or diminution of sexual desire. ─ Forcing pain in the direction of the groins.

Female Sexual Organs

Premature catamenia. ─ During the catamenia, violent shocks and squeezing in the abdomen, extending upwards from the umbilical region to the chest, with forcing pain in the direction of the groins. ─ Flow of blood from the vagina, with great heat and turgid condition of that part, following leucorrhœa during menstruation.

Respiratory Organs

Hoarseness every afternoon (4 o'clock), with constriction, or else swelling which closes the throat. ─ Irritation which provokes coughing. ─ Tickling at bifurcation of trachea. ─ Cough caused by a small painful spot in the throat. ─ Irritation in the throat, which provokes coughing, sometimes with difficulty of expectoration. ─ Violent cough, during the day, or else at night, difficult to loosen, both in the day and night. ─ Dry cough. ─ Loose cough. ─ On coughing, expectoration of gelatinous mucus.

Chest

Respiration short and difficult, on taking much exercise. ─ Oppression of the chest. ─ Respiration laboured, with swelling of the abdomen, disappearing quickly after making water. ─ Fits of nocturna! suffocation towards midnight, with swelling of the throat, which is almost closed. ─ Respiration difficult, rumbling, panting. ─ Calm sleep after the fit, and tendency of the symptoms to be reproduced by a prolonged cough. ─ Pains in the chest, on the r. side, all the morning. ─ Pain across the chest. ─ Pressure on the l. side of the chest, painful, esp. on breathing deeply, and on throwing the arms back; mitigated on leaning upon the arm, and bending the body forward. ─ Sensation as of being grasped by the hand behind the sternum. ─ Lancinations in the chest, in the direction of the heart, immediately after a meal; in the l. side of the chest, preventing a deep inspiration; which seem endeavouring to pass out of the chest, esp. on lying or sitting down, disappearing while walking or standing upright; in the r. side of the chest, extending upwards towards the shoulder, cutting short the breath, mitigated by bending forward. ─ Lancinating pains above the sternum, on breathing deeply, and moving quickly. ─ Palpitations of the heart. ─ At the exterior of the chest, pricking dartings on the skin (sometimes of the back and thighs, at night) in walking in the open air, followed by perspiration on the chest and back.

Neck and Back

At the neck, pains on both sides of the lateral muscles, extending to the larynx, with sensibility to pressure. ─ Indolent swelling in the neck. ─ Painful sensitiveness of the dorsal vertebræ to pressure, in lying down, esp. during the shivering stage of fever.

Upper Limbs

In the arm, after every stool, as if drops glided from the hand to the arm-pit. ─ Paralysis of the superior extremities; cracking of the shoulder-joint; tearings and shootings in the hand.

Lower Limbs

Paralysis of the inferior extremities; tearings in the legs. ─ Painful sensitiveness in the malleoli, and trembling of the limbs. ─ Œdematous swelling of the feet.

Generalities

It acts primarily on the nutritive system, afterwards on the other parts; affects chiefly the intestinal canal, then the brain, the genital and urinary organs, and finally the extremities and the skin. ─ Aching pains. ─ Darting and incisive pains. ─ Pulsative, tensive, burning, and expansive pains. ─ Tractive or jerking tearings. ─ Cracking of the joints. ─ Tearing pains, esp. in the legs. ─ Jerkings in the limbs, drawing pains in the hands, the feet, the forehead, &c. ─ Increase of symptoms every second day, or else every day at the same hour. ─ Every second day, there occur (amongst other symptoms) traction in the forehead, with anorexia, and stools of the consistence of pap; frontal pain at night, or rather in the afternoon, with heat, thirst, and perspiration. ─ Nervous crises; over-excitement of the nerves, with anxiety, lassitude, and even hysterical symptoms. ─ Spasms in the limbs; convulsions in the l. side, with vomiting of bile; diarrhœa, congestion in the head, and very severe cephalalgia. ─ Paralysis, at first of one side, afterwards general. ─ Lassitude, with continual yawning, attended by incapacity for, and extreme dislike to labour; and trembling of the limbs. ─ Great weakness and shattered condition of the system. ─ Wasting of the body, also with hectic fever, anorexia, constipation. ─ Abdomen tense, pressure in the umbilical region, nausea, vomiting, and dementia. ─ Falling away of flesh, and dropsy. ─ Trembling of the limbs, esp. of the feet, with painful affection of the malleoli. ─ Trembling, with general coldness.

Skin

Skin flaccid, or very sensitive to the touch. ─ Red rash over whole body with severe stinging, followed by desquamation. ─ Gangrenous inflammations; livid redness of the skin, with formation of a gelatinous membrane, or of scabs, on the surface. ─ Formation of a thick scurf, livid and humid, which becomes black and dry; now red and moist at the edges of the scabs, afterwards yellowish and softened. ─ Urticaria ab ingestis.

Sleep

Frequent yawning, esp. at night, or with stretching, shivering, oppression. ─ Arm as though bruised. ─ Pain in the back and tenderness to the touch of the cervical and dorsal vertebræ. ─ Drowsiness during the day. ─ Sleep profound and unrefreshing, agitated, with debilitating sweats, tossings, and extravagant dreams. ─ At night, in bed, much heat, with great thirst, headache and tinkling in the ears. ─ Sleeplessness, sometimes with copious sweat, also with dry heat, pricking in the skin, and sweat on the face.

Fever

Coldness of the limbs, sometimes with trembling. ─ Sensation of coldness with internal tremblings, paleness of the face, urgent inclination to urinate, with paleness of the urine in the evening. ─ Shiverings, even in a warm temperature. ─ Shivering in the afternoon, with heat in the face and urine, which deposits crystals. ─ Shivering and trembling in the evening, with accelerated rapid pulse, dryness of the mouth, thirst, disturbed sleep, and brick-coloured deposit in the urine. ─ Febrile attacks, with vertigo, dizziness, frontal pain, bitter taste of bread, nausea, vomiting, diarrhœa, colic, violent shivering, much heat, yawning, sneezing, and copious sweat; violent attacks with trembling and shivering, copious sweats, hæmorrhage, and pains in the left hypochondrium. ─ Attacks of one hour in duration, characterised by pallor, shivering and shuddering, with lips and nails of a bluish colour, and pulse spasmodic and small; afterwards general heat and redness of the face, pulse more marked (than before) and thirst, ending with a gentle perspiration. ─ During the shiverings, paleness of the face, cephalalgia, tinkling in the ears, thirst, increased appetite, difficult and painful evacuations, with great mental dejection; painful swelling of varices. ─ External heat, with dryness of the mouth and the gullet, obstinate constipation, and tendency to fall while walking in the street; also with perspiration on the chest, redness of the face, convulsive movements of the muscles, and rapidity of pulse. ─ Heat, which gives place to perspiration, chiefly in the evening. ─ Pulse: slow, esp. in the afternoon, or while the attack continues; full or small, but yielding and slow; frequent, like palpitations of the heart; quickened, esp. in the morning, or an hour after dinner ( i.e ., after dinner taken at noon, as the custom is in Germany, where this medicament was tested). ─ Sweat easily provoked, viscid, running down the chest, with speedy exhaustion after every exertion. ─ Sweat over the whole body, with general shivering (esp. at the back).

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Indifference, stupid expression, vacant stare, averse to answering questions. θ Typhus.
Great mental depression. θ Variola.
Despondency.
Semi-consciousness, she is partly insensible to pain. θ Spinal irritation.
Unconsciousness. θ Puerperal convulsions.
Unconsciousness, with red face, deep and noisy respiration, pulse full and very slow, recurring every other day at same hour. θ Intermittent apoplexy.
Decrease of imaginative faculty, with inability to remain standing.
Anxiety, downheartedness, moroseness, despondency, laziness, lassitude, and aversion to all kinds of work. θ Cholera.
Recurrence of feeling of impending evil.
Anguish and general sweat.
Loud sobbing and weeping. θ Spinal irritation.
Delirium all night while lying quietly on his back. θ Typhus.
Delirium as if from intoxication, with humming in ears.
Furious delirium, with screaming and jumping out of bed.
Furious delirium at night, with great restlessness, followed by stupor in morning.
Delirium during heat.

Sensorium

Apathy, with stupid facial expression. θ Typhus.
Head heavy and giddy, he wants to lie down. θ Periodical cervical neuralgia.
Dizziness and enlarged feeling of head.
Whirling in head like a mill-wheel.
Vertigo, with buzzing in ears, difficult breathing, and sickness at stomach.

Inner head

Pain in temple and forehead at noon, increasing gradually till temporal arteries throb obviously, with heat in head, tingling in ears, thirst, copious micturition, anxiety and great debility.
Frontal headache, where frontal bone verges towards top of head, a shaking pain, she feels every step, begins towards noon with chill.
Beating in vertex. θ Scarlatina.
Violent headache, particularly on left side, with throbbing of temporal arteries.
Heaviness in head as from a cold. θ Cholera.
Dull headache, with debility or with numbness.
Intermittent neuralgia at regular hours.
Intermittent headache, violent throbbing, with vertigo and heat in face, involuntary closing of eyelids from sheer prostration.
Headache with nausea, chilliness, cold feet, great prostration. θ Menorrhagia.
Violent attacks of left-sided hemicrania occurring in evening.
Headache, the pain is not severe, but day after day, and week after week, the brain is one continued ache.

Outer head

Sensitiveness and tightness of scalp, and soreness of roots of hair.
Distension of veins about head and neck. θ Puerperal convulsions.

Sight and eyes

Bright lights and sparks before eyes.
Black spot, size of pin's head, about eighteen inches from r. eye, and moving with eye, for some weeks.
Dimness of vision as from a net before eyes, and once as from a dark fog. θ Typhus.
Blindness ; amblyopia ; amaurosis.
Can only see objects when looking at them sideways.
Great sensitiveness of eye to light, with lachrymation in full glare of light.
Disk and retina both very anemic.
Eyes staring and lustreless. θ Spinal irritation.
Eyes lustreless and restless.
Dilatation of pupils.
Supraorbital neuralgia occurring daily.
Neuralgic twinges in supra and infraorbital nerves generally periodic in character.
Intermittent strabismus ; child would squint one day and be entirely well on the next.
Conjunctiva injected, lids red and swollen, pupils contracted, lachrymation, extreme photophobia, tearing in orbit and headache, with thirst and fever ; all appearing every second day.
At 12 o'clock, daily, violent paroxysms of pain in and around left eye, conjunctiva inflamed, photophobia, pupil contracted, lachrymation, pressure > pain ; aggravation lasts until 8 P. M.
A sudden attack of violent pain above left eye, at 8 P. M., four days in succession, accompanied by slight delirium, muscular twitching and excessive sensitiveness to light and noise.
Violent stitching, throbbing pain in left eye, extending to forehead and temple, with photophobia, lachrymation, and inflamed conjunctiva, beginning at 1 P. M. daily, and lasting until 7, followed by perspiration. θ Intermittent.
Lancinating pain under right eye, commences at 7 A. M., lasting until after 3 P. M., when it disappears, leaving a sensation within cranium as if there was water dropping.
Peculiar dryness of eyes.
Eyes close from weariness.

Hearing and ears

Violent ringing in ears during a chill.
Ringing in ears, especially noticed in left, seldom in right.
Ringing as of bells. θ Spinal irritation.
Buzzing in ears. θ Typhus.
Deafness from concussion of brain, especially of region of auditory nerve.
Hardness of hearing, with violent headache.
Tingling in ears, continually or only during headache, with giddiness when stooping.
(In sick :) Tinnitus, with injection of vessels along handle of malleus, with fulness in head and giddiness.

Smell and nose

Frequent epistaxis.
Violent epistaxis of young persons.

Upper face

Dull and stupid expression, with flushed face.
While writing sudden ache above left zygoma, also at temporal ridge.
Aching about left malar bone in evening.
Flushing of face, with redness of eyes and ears.
Face pale and suffering, lips and nails blue.
Very pale, anxious face. θ Spinal irritation.
Paleness of face, violent thirst, nausea, weakness of feet with deafness when walking, and occasional sweat over whole body.
Jaundiced hue of face and conjunctivæ. θ Intermittent.
Face emaciated, stupid. θ Typhus.
Attacks of prosopalgia, occurring at 10 A. M., 3 P. M. and 10 P. M.
Right-sided prosopalgia daily, from 7 A. M. until noon, accompanied by fever and lachrymation of right eye ; the suffering parts become moist.
Facial neuralgia, morning periodicity, pains usually commence on left side, but sometimes on right side, and occasionally on both ; attacks commence every morning, and continue from 7 to 12 o'clock ; pains are lancinating, commence under eye,
and soon extend into and around eye, causing considerable lachrymation ; pains > by pressure.

Lower face

Swelling of submaxillary region. θ Variola.

Taste, speech, tongue

Tongue flabby, coated white or yellow in centre, pale on margin.
Bitter taste with clean tongue.
Tongue and mouth dry ; bitter taste. θ Typhus.
Inability to pronounce names, and slowness of sense.

Appetite, thirst. desires, aversions

Thirst during chill and apyrexia.
Excessive thirst, with dryness of mouth and fauces, just before and during hot stage.
Real thirst mostly only during sweat.
Excessive repugnance to all food.

Eating and drinking

After eating, oppression, nausea and desire to sleep.

Hiccough, belching, nausea and vomiting

Nausea and loathing of food. θ Cholera.

Scrobiculum and stomach

Pressure in pit of stomach up into throat, and pressure in stomach, < after drinking water. θ Cholera.
After eating, pressure in stomach, followed by cutting in upper and middle abdominal region.
Even the slightest food causes pressure in stomach and a return of the usual symptoms.
Pain in epigastrium, < by pressure.
Swelling and sensitiveness of epigastrium.
Dyspepsia or cardialgia, with nausea, loathing of food, bitter eructations, bitter taste in mouth, vomiting of bile, oppression of stomach, heartburn or burning in stomach and œsophagus, and feeling of constriction and pulling sensation in stomach.
Severe cardialgia.

Hypochondria

Pain in region of liver, shortly before going to bed.
Severe pain in left hypochondrium, with shaking chill.
Pain in region of liver and spleen, on bending, taking a deep breath, or coughing. θ Intermittent.
Painful enlargement of spleen after intermittent.
Enlargement of spleen with dropsy.

Abdomen and loins

Pain in bowels, especially after eating. θ Cholera.
Griping and tearing in abdomen, extending to chest, with pressing towards groin during menses. θ Dysmenorrhœa.
Flatulent colic of an intermittent type.
Abdomen distended. θ Typhus. θ Variola.
Visceral obstructions, especially engorgement of spleen and liver.
Cecal region distended, gurgling on pressure. θ Typhus.
Relaxed condition of digestive organs of old people, under the form of dyspepsia.

Stools and rectum

Nightly diarrhœa.
Diarrhœa ; stools watery, slimy, dark, or even blackish, having an offensive smell.
Constipation or soft stools followed by weakness.
Involuntary diarrheic stools. θ Typhus.
Stool hard, resembling sheep dung.

Urinary organs

Burning in urethra during urination.
The urine soon becomes turbid, with slimy flocks and a clay-colored, greasy sediment.
Urine fatty and deposits a straw-yellow, brick-dust sediment.
Involuntary urination. θ Typhus.
Diabetes.
Albuminuria. θ Puerperal convulsions.
Phosphates increased.
Urine loaded with lithates. θ Supraorbital neuralgia.
Hæmaturia.

Female sexual organs

Menses too early and too profuse.
Violent uterine contractions sufficient to produce abortion.
Profuse menstruation followed by headache, with nausea, chilliness, cold feet and prostration.
Passive metrorrhagias, with diminished irritability.

Pregnancy. parturition. lactation

Two weeks after confinement, in consequence of fright, violent uterine neuralgia, returning at same hour every afternoon, accompanied by dyspnœa, small pulse, and clammy sweat on extremities, uterine region sensitive to touch.
The labor pains appear like tonic spasms, and are accompanied by convulsive twitches, unconsciousness after parturition, tetanic convulsions, in intervals convulsive action of muscles of face, eyes, etc. ; want of consciousness, oppressed
respiration, distended veins on head and neck, weak, rapid and intermitting pulse, and albuminuria.

Voice and larynx. trachea and bronchia

Intermittent aphonia.
More or less complete loss of voice, about 4 P. M. ; preceded by thirst, cough, constriction of neck, headache or neuralgia ; heat in head and frequent pulse.

Respiration

Can scarcely breathe from weakness. θ Intermittent.
Respirations 28. θ Variola.
Oppressed respiration. θ Puerperal convulsions.
Painful sense of pressure and weight on chest. θ Spinal irritation.
Anxiety and dyspnœa with intercostal pain. θ Typhus.
Respiration very much accelerated, abnormal rising and falling of thorax. θ Spinal irritation.
Respiration slow and irregular.

Cough

Troublesome, moist cough. θ Variola.

Inner chest and lungs

Oppression of chest.
Stitches in left side, below short ribs.
Lancinations in right half of chest, extending towards shoulder, arresting breathing, > by bending trunk forward.
Rattling of phlegm through entire right side of chest. θ Typhus.
Hemorrhage from lungs ; with diarrhœa, fever, cold sweat and prostration.
Pain in chest during chill.

Heart, pulse and circulation

Weak, rapid and intermitting pulse. θ Puerperal convulsions.
Pulse 100, very small, heartbeat not perceptible, sounds scarcely audible. θ Spinal irritation.
Pulse 120. θ Variola.
Palpitation from a little exercise.
Angina pectoris with marasmus.
Pulse : accelerated ; large ; full during chill and heat, weak and trembling at close of paroxysm, from fifty to sixty per minute ; slow, particularly after eating ; full or small, but weak and slow ; frequent during heat.

Outer chest

Stinging, tearing pain in intercostal space, between eighth and ninth ribs, right side, extending from spine to sternum, sensitive to pressure, < from 4 to 7 P. M., produces anxiety and dyspnœa. θ Typhus.

Neck and back

Every day at about 4 P. M. violent pain in lateral muscles of neck, which appear to him to be swollen and contracted, his head is giddy and heavy, and he wants to lie down. θ Periodical
cervical neuralgia.
Sensitiveness of last cervical and first dorsal vertebræ to pressure.
Spine painful on pressure in all stages of fever paroxysm.
Three upper dorsal vertebræ are sensitive and painful to touch ; pressure causes dyspnœa. θ Spinal irritation.
Periodical pain in back, returning about midnight and extending into head. θ Spinal irritation.

Upper limbs

Rheumatism of right shoulder.
Hands cold and cold sweat.

Lower limbs

Sciatic neuralgia, on right side, of many weeks duration.
Acute rheumatic pain in left ankle joint after taking cold, accompanied by fever and profuse sweat.
Paralysis of lower extremities, involuntary stools and urination, occurring every other day during fever epidemic.
Paralysis of lower extremities, first occurring at 6 P. M., then half and hour earlier every day, with headache, chill, heat and sweat.
Cutting pains in feet during chill, ankles swollen.

Limbs in general

Heaviness and aching in all limbs and especially in joints. θ Cholera.
Stiffness of nearly all joints, right wrist and knee joint very painful and much swollen. θ Acute rheumatism.
Acute articular rheumatism.

Rest. position. motion

Wants to lie down. θ Periodical cervical neuralgia.
Lying on back : delirium all night.
Bending : taking a deep breath or coughing ; pain in region of liver and spleen.
Bending trunk forward : > lancinations in chest.
Stooping : giddiness.
Motion : during fever produces chilliness.
While writing : sudden ache above left zygoma and at temporal ridge.
Walking : she feels every step, frontal headache ; deafness.
Exertion : the least excites sweat.
Exercise : palpitation.

Nerves

Great irritation of whole body.
Extreme restlessness.
Great sensitiveness against external influences ; general weakness. θ Cholera.
Feels weak and nervous, a little exercise gives him palpitation.
Lassitude and inability to attend to his duties, has lost all zest for sport and exercise.
Debility caused by considerable losses of fluids ; particularly after weakening loss of blood.
General weakness, especially of feet.
Weakness and trembling in limbs and slow pulse.
Trembling in extremities ; the power of will over them seemed to be very much hampered.
Subsultus tendinum. θ Typhus.
Twitching, or clonic spasm in limbs. θ Spinal irritation.
Epileptic attacks returning every seven days, of short duration.
Tetanic spasms with loss of consciousness during parturition and afterwards ; swollen veins on head and neck ; pulse frequent, intermittent and weak ; albuminuria.
Tetanic convulsions ; during intervals unconsciousness.
Falling in streets.
Paralysis.
Intermittent neuralgia, pain return with great regularity.

Sleep

Sleeplessness from over-stimulation of nervous system.

Time

All night : delirium ; high fever.
At night : furious delirium ; diarrhœa.
About midnight : pain in back returns.
In morning : stupor after delirium ; facial neuralgia.
At 8 A. M. : chill.
At 10 A. M. : attacks of prosopalgia.
At 7 A. M. until noon : right-sided prosopalgia ; facial neuralgia.
Towards noon : frontal headache, with chill.
At noon : pain in temple and forehead ; violent neuralgia in and about left eye ; chill.
Afternoon : uterine neuralgia.
At 7 A. M. until after 3 P. M. : lancinating under right eye.
At 3 P. M. : prosopalgia ; shaking chill.
About 4 P. M. : cervical neuralgia.
At 4 P. M. : aphonia ; chill.
From 4 to 7 P. M. : intercostal neuralgia <.
At 6 P. M. : paralysis of lower extremities.
From 12 to 8 P. M. : neuralgia around left eye.
At 1 to 7 P. M. : stitching, throbbing in left eye.
At 8 P. M. : attack of pain above left eye.
At 10 P. M. : prosopalgia ; dull ; fever reaches its height.
From 6 P. M. to 4 A. M. : duration of fever.
Evening : attacks of hemicrania ; aching under malar bone.

Temperature and weather

Heat : partially > symptoms in chill.

Fever

Paroxysms ushered in with a mere transitory, at times almost imperceptible chilly feeling, principally across shoulders and nape of neck, up and down spine, lasting for a few moments only, occurring at different times throughout day.
Chill, regular paroxysms at same hour.
Decided shaking chill at 3 P. M.
During chill, blue lips and nails, ringing in ears, pale face.
Internal chilliness.
Chilliness, especially in back, alternating with flushes of heat. θ Cholera.
Chill every third day at 10 P. M., with intense thirst and pain in chest, followed by heat with headache, afterwards profuse perspiration ; little thirst during heat and sweat.
Chill every third day at 10 A. M., with cutting pains in feet, and swollen ankles.
Quartan ; chill at 4 P. M. ; chilly and hot flashes in alternation for an hour, introducing a high fever, which lasts all night, with profuse sweat ; during fever motion produces chilliness ; constant burning in stomach ; thirst satisfied for a moment with a
swallow of cold water ; lips covered with colorless vesicles.
Quotidian ; chill at 8 A. M. ; chill, fever and sweat well marked, each lasting about two hours ; thirst for large draughts of cold water during whole paroxysm ; nausea continually and lasting till next chill.
Fever and ague, no symptoms during apyrexia except some lassitude ; paroxysms are regular and not attended with very obvious disturbances of any organ.
Distinct cold, hot and sweating stages, and perfect apyrexia.
Paroxysm anticipates about two hours each time, apyrexia clear.
Tertian ; chill at 12 o'clock, M. ; chill illy defined, lasting one-half hour, followed by intense fever, lasting ten hours, and terminating in scanty sweat ; constant frontal headache ; severe aching in limbs ; heat partially relieves
all symptoms, particularly the chilliness.
Fever and ague with spinal irritation, cervical and dorsal vertebræ very tender to touch, pains in loins, thighs, and lower limbs generally, convulsive movements and jerks of single muscles, slight cramps, often only of muscles of left side, dyspnœa and oppression of chest, noises in
ears with vertigo and dulness of mind.
Fever sets in about 6 P. M. and reaches its height about 10, continues until about 4 A. M., when sweat usually follows, with great prostration.
Fever with fulness in head, ringing in ears, together with hardness of hearing, dimness of vision, jaundiced hue of face and conjunctiva. θ Intermittent fever.
Fever heat with delirium, fulness of head, ringing in ears, and hardness of hearing.
Strong heat over whole skin, with accelerated pulse.
Great heat of skin and dryness of mouth and fauces.
Violent heat with frequent yawning and sneezing.
Heat gradually breaks into sweat while perfectly quiet.
Profuse perspiration, especially on back and neck, when he sleeps.
Sweat easily excited through least exertion.
Sweat relieves all symptoms but headache, which is increased.
Debilitating sweat.
Typhus with great prostration, stupid facial expression, headache, diarrhœa, nosebleed, alternate chill and fever, aversion to move.

Attacks, periodicity

Chill comes at 10 or 11 A. M. or between 3 and 10 P. M.
Paroxysms return every other day, or anticipates one to three hours every day.
Stages of chill, fever and sweat well marked and distinct.
Attacks of prosopalgia : at 10 A. M., 3 P. M. and 10 P. M.
Every other day : at same hour, unconsciousness ; conjunctivitis ; paralysis of lower extremities ; chill.
Every seven days : epileptic attacks.
Daily : supraorbital neuralgia ; stitching ; throbbing pain in left eye ; prosopalgia ; uterine neuralgia ; cervical neuralgia ; paralysis of lower extremities.
At regular hours : neuralgia ; chill.
Periodic : neuralgic twinges in supra and infraorbital nerves ; ophthalmia ; facial neuralgia ; pulmonary hemorrhage ; pain in back ; nervous and congestive paroxysms ; trismus ; paraplegia.
Intermittent : neuralgia ; headache ; strabismus ; colic ; uterine neuralgia ; pulse.
Anticipates about two hours each time : fever paroxysm.
Half an hour earlier every day : paralysis of lower extremities.
Four days in succession : violent pain above left eye at 8 P. M.
For some weeks : black spot before right eye.
Of many weeks' duration : sciatic neuralgia.
Day after day and week after week : continuous headache.

Locality and direction

Left : headache and throbbing of temporal arteries ; hemicrania ; neuralgia around eye ; pain above eye ; stitching, throbbing in eye ; ringing in ear ; sudden ache above zygoma ; aching about malar bone ; pain in hypochondrium,
with chill ; stitches below short ribs ; acute rheumatic pain in ankle joint ; cramp in muscles in fever and ague, with spinal irritation.
Right : black spot before eye ; lancinating under eye ; ringing in ear more seldom than in left ; prosopalgia, with lachrymation of eye ; lancinations in half of chest ; stinging, tearing in intercostal space, between eighth and ninth ribs ; rheumatism
of shoulder ; sciatic neuralgia ; wrist and knee joint pain and swollen.

Sensations

Internal bad feeling, as of coming illness. θ Cholera.
As of water dropping in cranium ; as if swollen and contracted, lateral muscles of neck.
Pain : in temple and forehead ; in epigastrium ; in region of liver ; in left hypochondrium ; in bowels ; in chest, during chill ; in lateral muscles of neck ; in right wrist and knee joint ; in back ; in lower limbs.
Violent pains : above left eye.
Lancinating : under right eye ; in face ; in right half of chest, towards shoulder.
Cutting : in upper and middle abdomen ; in feet during chill.
Stitches : in left eye, forehead and temple ; in left side, below short ribs.
Stinging : in intercostal space.
Tearing : in head ; in orbit ; in abdomen ; in intercostal space.
Neuralgia : in head ; in eyes ; around eyes ; in face ; of uterus ; sciatic, right side.
Rheumatic pain ; in right shoulder ; in left ankle joint.
Shaking pain : in frontal region.
Griping : in abdomen.
Burning : in stomach ; in urethra.
Soreness : of roots of hair.
Aching : in brain ; above left zygoma and at temporal ridge ; about left malar bone ; in all the limbs.
Throbbing : headache ; in left eye, forehead and temple.
Beating : in vertex.
Stiffness : of joints.
Pressure : in pit of stomach up into throat ; in stomach ; on chest.
Constriction : in stomach ; of neck.
Tightness : of scalp.
Pulling sensation : in stomach.
Heaviness : in head ; in all the limbs.
Numbness : with headache.
Tingling : in ears.
Heat : in head ; in face.
Dryness : of eyes ; of mouth and fauces.

Tissues

"Debility of ganglionic nutritive fibres."
"Builds up and prevents destruction of nerve tissue." [Obs. "Bina and his disciples found that Chininum sulfuricum, in solutions of one to ten thousand, acts fatally to infusoria, vibriones, etc., but not on fungi of mould and on salt water ameba, prevents the fermentation
of lactic acid and of alcohol, but not the diastatic action on starch and on the digestive juices ; that it destroys the movements of the white blood-globules in the protoplasma, and thus prevents their emigration in inflammations ; that it diminishes the quantities of urea, and
diminishes and retards the change of tissue in the animal body."]
Phthisis intestinalis, nausea, gagging, loss of appetite, distension of the abdomen, constant pressure in the umbilical region, constipation, emaciation, hectic fever and delirium.
Intermittent fever in cachectic persons by loss of blood or from continued and long prostration.
Angina pectoris, where marasmus is a prominent symptom.
Fever with regular type, complete intermissions.
Periodical recurrence of nervous and congestive "paroxysms, trismus, paraplegia, ophthalmia, pulmonary hemorrhage, etc
Diminished pulse and propelling power in arterial system, injures the muscular fibres.
Fever complicated with gastric troubles and torpidity of the bowels.
Erethism of the circulatory system.
Prostration with hyperesthesia.

Touch. passive motion. injuries

Great sensitiveness against external influences. θ Cholera.
Pressure : > neuralgia around left eye ; > facial neuralgia ; < pain in epigastrium ; intercostal space sensitive ; last cervical and first dorsal vertebræ sensitive ; dorsal vertebræ painful ; spine painful ; on dorsal
vertebræ causes dyspnœa.
Touch : uterine region sensitive ; third dorsal vertebræ painful ; three upper dorsal vertebræ painful and sensitive ; skin sensitive.

Skin

Inflammation of skin.
Skin flaccid and sensitive to touch.
Deadness and livid redness of skin, with formation of a gelatinous pseudo-membrane or thin superficial scurf.
Urticaria eruption over body.
Red rash over whole body, with severe stinging followed by desquamation.
Gangrenous and fetid suppurations.
Cancerous ulcers, thick, livid, humid crust, which becomes dry and black, with red, humid and finally yellowish dilated margins.
Recommended in plague, by Lorbacher.
Sudamina and red spots in typhus.
Confluent smallpox, eruption hemorrhagic ; pulse 120, respiration 28, abdomen distended but painless, submaxillary region swollen, moist, troublesome cough, great mental depression.

Stage of life, constitution

Cachectic persons weakened by loss of blood.
Suits weakly, florid, sanguine and nervous constitutions.
Boy, æt. 10 ; enlargement of spleen.
A boy, æt. 13 ; epileptic attacks.
A boy, æt. 13 ; intermittent paralysis of lower limbs.
Boy, æt. 15, growing very fast, and undergoing changes incident to puberty ; lassitude.
Young P., æt. 16, jeweler ; periodical cervical neuralgia.
A youth, æt. 17 ; enlargement of spleen.
A young lady, inclined to hysteria.
A robust brunette, æt. 23 ; spinal irritation.
Woman, æt. 24, nervo-sanguineous temperament ; intermittent fever.
Mrs. A., æt. 25, blue eyes, auburn hair, mirthful temperament ; chronic intermittent.
A woman, æt. 26 ; intermittent cephalalgia.
A primipara, æt. 28, lymphatic, chlorotic ; puerperal convulsions.
A woman ; intermittent paraplegia.
A woman, two weeks after confinement ; intermittent uterine neuralgia.
A woman, in first month of pregnancy ; epileptiform spasms.
A very sensitive lady, in seventh month of pregnancy, subject to hysteria ; intermittent ophthalmia.
A weakly, hectic woman, mother of four children, pregnant ; diarrhœa, with night sweats.
Plethoric woman, æt. 30 ; intermittent apoplexy.
A young soldier, of middle stature, good constitution and sanguine temperament ; typhus.
A man, of plethoric habit ; intermittent prosopalgia.
Two men, with general dropsy and enlarged spleen.
Man, æt. 30, bilious temperament ; intermittent fever.
J., æt. 30, clerk ; suborbital neuralgia.
A woman, æt. 31 ; in sixth month pregnancy ; intermittent fever.
A man, æt. 34 ; acute rheumatism.
Mr. B., lawyer, æt. 36, during past ten years had many attacks of intermittent fever, which have been cut short by sulphate of quinia ; suborbital neuralgia.
A robust man, æt. 36 ; intermittent ophthalmia.
Robust man, æt. 40, choleric temperament ; intermittent ophthalmia.
Man, æt. 42, blonde, weakly constitution, subject to gastric troubles ; typhus.
A woman, æt. 48 ; menorrhagia followed headache.
A woman, æt. 48 ; intermittent fever.
A woman, æt. 50 ; intermittent prosopalgia.
A weakly, short, thick-set man, æt. 50 ; intermittent pulmonary hemorrhage and diarrhœa.
Man, æt. 59, choleric temperament, large and strong ; intermitting colic.
Man, æt. 60, nervo-bilious temperament ; intermittent fever.

Relations

Antidotes : Arnic., Arsen., Carb. veg., Ferrum, Hepar, Laches., Natr. mur., Pulsat .
Compare : Apis (chill at 3 P. M.), Arsen . (pyæmia, spinal irritation), Bryon . (sweat from least exertion), Carb. an . (all discharges are
debilitating), Eupat. perf . (sweat relieves all symptoms but headache), Nux vom . (blue lips and nails with chill), Pulsat . (rheumatic, erratic pains), Stannum
(supraorbital neuralgia), Staphis . (head gradually breaks into sweat while perfectly quiet).

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

Characteristic

Adapted to persons of dark complexion, bilious temperament; cachectic, weakened from loss of blood.

Whirling in the head like a windmill.

Ringing in the ears, especially the left (especially the right, Cinch.).

Intermittent neuralgia, pains return with great regularity

Weak and nervous, a little exercise produces palpitation.

Spine extremely sensitive and painful to pressure, especially in the cervico-dorsal region.

Great weakness, especially of lower extremities.

"It will change an intermittent or remittent into a continued fever, and I have known it to cause typhoid and pneumonia (by suppressing the original disease)."—Hale.

Aggravation

Contact (dorsal vertebræ); when covered (sweats profusely).

Type

Tertian; rarely quotidian. Every fourteen days. Each attack anticipating from one to three hours (Ars., Bry., Cinch., Nat., Nux). A perfect regularity both in the invasion and progress of the paroxysm, is always guiding.

Time

10 or 11 A. M.; 3 and 10 P. M

All periods, except night. Variable type. Every fourteen days. Anticipating one to three hours.

Chininum sul.

10 A. M., 3 and 10 P. M. Regular paroxysms, tertian type. Anticipates two and a half hours every day.

Cinchona.

Cause

Marsh miasm; malaria. Acute intermittents of supposed malarial origin.

Chill

With thirst. Decided shaking chill at 3 P. M. (Apis, Ced.); chilliness, with paleness of the face, pain in the forehead and temples, and ringing in the ears at 11 A. M. Violent shaking chill followed by heat, then sweat for several hours. Violent chill with trembling in the limbs, so that she could scarcely walk; after going to bed she had violent heat with frequent yawning and sneezing, which was followed by a copious sweat. Violent paroxysm with shaking chill and severe pain in left hypochondrium; chilliness for an hour, with blue lips and nails (Cinch., Nux), paleness of the face and pain in the middle dorsal vertebræ; increased hunger and constipation.

Without thirst. Chill increased by drinking. External and internal coldness.

With thirst, paleness of face, lips and nails blue. Dorsal vertebræ painful on pressure.

Heat

With excessive thirst. Intense heat over the whole skin, with redness of the face. External heat, with dryness of the mouth and fauces, obstinate constipation. Heat which passes over into sweat; over whole body; which gradually breaks into sweat, while perfectly quiet (Staph.). Delirium during heat. Flushes of heat in the face, with thirst at 4 P. M. "Great enlargement of veins of arms and legs."

Without thirst. General, with distended veins, congestive headache, desire to uncover, but chilly when uncovered.

With thirst, hot, dry skin, dry mouth and fauces; flushed face; delirium. Pain in spine on pressure.

Sweat

With thirst. Sweat breaks out over the whole body from time to time, even during perfect quiet. Profuse sweat on the least motion (Bry.). Sweat during the morning sleep, so profuse that the bed was soaked with it. Profuse, exhausting sweats; nightly diarrhœa (nightly diarrhœa before the paroxysm,

Puls.). Sweat often begins in latter part of hot stage, and relieves all symptoms of head and chest. (Nat.—sweat relieves all symptoms but headache, which is increased, Eup.). Drink- ing is grateful and affords relief. Most perspiration on parts pressed by clothing, back, axillary and perineal regions.

With great thirst. Sweats profusely on being covered. Night-sweat very profuse.

With great thirst. Sweats profusely during perfect quiet; morning sweat. Pain in lumbar vertebræ and sacrum on pressure.

Tongue

Flabby; white or yellow coating in the centre, pale on the margin (reverse of Ant. t.). Taste bitter, with clean tongue.

Pulse

Large; full during chill and heat. Weak and trem- bling at close of paroxysm, ranging from 50 to 60 per minute.

Apyrexia

Constant excessive thirst during the entire apyrexia, which in daily fever is short, the paroxysm closely re- sembling a remittent or continuous fever. But whether it be short or long, always distinguished by great debility and prostration

(Ars.); the perspiration is exhausting (all the discharges are de- bilitating and weakening, Carbo a.). Canine hunger more marked, if possible, than in Cinchona, even in nervous enfeebled patients. Light exercise readily produces palpitation. Obstruc- tions of the portal system are especially marked, and the spleen swollen and painful. Ringing and burning in the ears, accom- panied with vertigo and a sensation of enlargement of head.

Hiccup may become a troublesome symptom in any stage, but especially in apyrexia. Urine fatty and deposits a straw-yellow, brick-dust sediment; urates in large quantities. Spine painful on pressure in all stages of paroxysm. The sensitiveness of the spinous processes of the dorsal vertebræ should be borne in mind, for Quinine acts specifically upon the spinal cord and the nerves proceeding from it.

Cinchona.

With no thirst. Sweats easily. Pain and soreness of hypochondria, worse on pressure and motion. Hepatic region swollen and sensitive. Jaundiced.

Different stages of paroxysm follow in regular succession.

Contra-indicated where there is much thirst during cold and hot stages. Perspiration always profuse, or Cinchona is contra-indicated.

Chininum sul.

With great thirst. Apyrexia short; sweat hardly ceases before chill begins again. Pain all down the spinal column on pressure. Spleen swollen and painful.

Cold stage may be long, light, irregular, or wanting in acute cases.

Contra-indicated where there is no thirst during cold or hot stages. Perspiration must succeed the heat, or will be contra-indicated.

Where the indications for any remedy are not very clear, the paroxysm incomplete but regular, Chin. sul. 30th or 200th may clear up or cure the case. The highest potencies are often antidotal when the symptoms are similar.

"In recent intermittents, there may or may not be a chill, but there must be fever, and it must be followed by sweat—and it generally is profuse and exhausting—or Quinine will be utterly useless." "As a rule, chronic, long-lasting intermittents are only aggravated by Quinine."—BURT.

The cachexia produced by long continued massive doses of Chin. sul., such as rheumatism of the extremities, chronic diarrhœa, ascites and organic disease of the liver and spleen, although now a constitutional malady, requires antidotal treatment. This may be most speedily removed by Arn., Ars., Carbo v., Fer., Lach., Nat., Puls., as indicated by symptoms of each individual case.

Samuel Swan, M. D., of New York, has reported some bad cases of quinine cachexia, cured with Chin. s. 10 m. and cm. potencies.—See last paragraph Hahnemann's Chronic Diseases,

Vol. I, p. 195–196, as authority.

Chin. s. is often indicated in intermittent fever, and when indi- cated will cure more promptly and more safely in the potencies than in the crude form. There is little doubt that it is oftener prescribed than indicated, and that it will, in a majority of cases, suppress the paroxysm—without reference to time of appearance, whether with or without chill, heat, sweat, thirst, etc., etc.—there is as little doubt. But Morphine will also suppress pain and diar- rhœa, quite as effectually as Quinine will the fever paroxysm, and the homeopathic physician, half-read or not read at all, in his

Materia Medica, "borrows both the theory and the Quinine from his allopathic brother, for the same reason that he borrows his hypodermic syringe and morphine," with which to relieve the pain and diarrhœa, viz., it is a "short cut" to palliate the pain, relieve and thus retain his patient, and avoid the necessity of studying the case. There is a wide difference between suppress- ing and curing a fever paroxysm, or any other disease. The homeopath can and ought to cure, not "break up the chill," "suppress" or "cover up" the disease. Leave the "breaking up of the paroxysm" to the allopath who invented the phrase; "rational (?) medicine" can do it "scientifically."

John Ellis, M. D., when Professor of Practice in Cleveland College, in treatment of "congestive chill," ad- vised: "That 25 or 30 grs of Chin. s. given during the intermission, will rarely fail to prevent a return, or to rescue the patient from death."

"Not that Quinine may be given in such cases, but that it must be given." Also, "That in recent cases of 'pernicious' fever, two-thirds of our patients will die in spite of any known homeopathic remedy or remedies in the ordinary doses."—

College Note Book.

L. M. Jones, M. D., of Michigan' who has had an extensive experience in the treatment of "congestive chill," on the other hand says: "It has fallen to my lot to treat a num- ber of cases of 'congestive chills,' first and last. In my early practice

I treated a few cases with Quinine, but it was not satisfactory; and since then I have relied on the attenuated homeopathic remedy, and never lost a case. Nux has been more frequently indicated in the cases I have met with than any other remedy."—Private Letter.

Dr. Lippe says: "I lived for ten years in the country, where ague prevailed, and never resorted to Quinine. I cured my cases. I have always been of the opinion that a physician who professes to be a homeopath must cure all his cases of intermit- tent fever with homeopathic potentized remedies, under the law of the similars."

I am convinced that every case of "congestive chill," like

Asiatic cholera, can be cured more safely and speedily by the potentized remedy than in any other way, if it can be cured at all; and the mortality under homeopathic treatment will never approach 66 per cent.; the record of the dominant school.

Prodrome

Great thirst and canine hunger; headache and debility.

Premonitory symptoms are wanting.

Clinical

"I have recently made several satisfactory cures with Chin. s. Two or three of them with one dose each of the 200th, and as many others with the 6th. I think this is an important remedy with us, and that it succeeds better in attenuation than in the crude form. The crude drug never gave me such satisfaction. Some of the indications in a number of recent cases were clear intermissions, regular paroxysms, clean or tolerably clean tongue, and profuse sweats."—H. V. MILLER.

Analysis

Regular paroxysm; clear apyrexia; anticipating from 1–3 hours; clean tongue; painful congestion of spine; thirst in all stages; profuse exhausting sweat.

As in Natrum and Arsenic the potencies will always cure when the remedy is indicated. We must not overlook the fact that it is in the psoric and tubercular patient that we find the obstinate and chronic types of fevers, and no amount of crude quinine or any other drug, will cure such cases, though it may suppress the paroxysm and irretrievably injure the patient.