Pyrogenium pyrog.

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

BLOOD. Heart. Circulation. Muscles.

Worse

Cold damp. Motion: Constant change of position. Hard rocking.

Better

Heat. Hot bath. Pressure.

General

Aching, BRUISED, SORE and prostrate; yet restless. Bed seems hard. Bone pains. Foul, taste, secretions, odor of body, etc. Rosy, red streaks. Decomposition or sepsis.

Particulars

Rapid ideation. Loquacious. Excited. Feels as if he covered the whole bed. Anxious and sensitive. Confused. Sense of duality. Hallucinations. Violent, throbbing headache. Pains are > during hot stage. Throbbings, < neck (Bell. Spi.). Sudden pulsation, with fever and intense restlessness. Rolls head side to side. Throbbing headache, > tight band. Sensation as of a cap on the head. Disgust at his own body odor. Fiery red, smooth tongue. Sweet taste. Nausea, > very hot drinks. Adhesive urinary sediment. Purring at heart. Feels heart; as if tired, big or full. PULSE QUICK, OUT OF ALL PROPORTION TO TEMPERATURE (Lil-t. Thyr.) or the reverse. Quickly oscillating temperature. The nails threaten to fly off. Chilly, wants to breathe heat of fire. Chills start between scapulæ; felt in bones; with sweat; at night. Fever, at menses. Puerperal sepsis. Slowly advancing hectic. Sweat, without relief; cold. Wants to inhale heat of fire.

Related

Follows: Lach. Related: Anthraxin. Ars. Bap. Echi.

Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica

H. C. Allen · Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica · homeoint.org / Medi-T HTML text; edition not stated by the mirror (first edition 1898, Allen d. 1909)

Keynote

For sapraemia or septicemia; puerperal or surgical from ptomaine or sewer gas infection; during course of diphtheria, typhoid or tyhpus; when the best selected remedy fails to > or permanently improve. The bed feels hard (Arn.); parts lain on feel sore and bruised (Bapt.); rapid decubitus (Carb. ac.). Great restlessness; must move constantly to > the soreness of parts (Arn., Eup.). Tongue: large, flabby; clean, smooth as if varnished; fiery red; dry, cracked, articulation difficult (Crot., Ter.). Taste: sweetish; terribly fetid; pus-like; as from an abscess. Vomiting: persistent; brownish, coffee-ground; offensive, stercoraceous; with impacted or obstructed bowels (Op., Plb.). Diarrhoea: horribly offensive (Psor.); brown or black (Lep.); painless, involuntary; uncertain, when passing flatus (Aloe, Olean.). Constipation: with complete inertia (Op., Sanic.); obstinate from impaction, in fevers; stool, large, black, carrion-like; small black balls, like olives (Op., Plb.).[sheep dung?] Foetus: or secundines retained, decomposed; dead for days, black; horribly offensive discharge: "never well since" septic fever, following abortion or confinement. To arouse vital activity of uterus. Lochia: thin, acrid, brown, very fetid (Nit. ac.); suppressed, followed by chills, fever and profuse fetid perspiration. Distinct consciousness of a heart: it feels tired; as if enlarged; purring, throbbing, pulsating, constant in ears, preventing sleep; cardiac asthenia from septic conditions. Pulse abnormally rapid, out of all proportion to temperature (Lil.). Skin; pale, cold, of an ashy hue (Sec.); obstinate, varicose, offensive ulcers of old persons (Psor.). Chill: begins in the back, between scapulae; severe, general, of bones and extremities; marking onset of septic fever; temperature 103 to 106; head sudden, skin dry and burning; pulse rapid, small, wiry, 140 to 170; cold clammy sweat follows. In septic fevers, especially puerperal, Pyrogen has demonstrated its great value as a homeopathic dynamic antiseptic.

Relations

Compare: Ars., Carbo v., Carb. ac., Op., Psor., Rhus, Sec., Ver. Latent pyogenic process, patient continually relapsing after apparent simillimum.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Artificial Sepsin

General

This remedy was introduced by English Homeopathists, prepared from decomposed lean beef allowed to stand in the sun for two weeks and then potentized. The provings and most of the clinical experience have been obtained from this preparation. But, subsequently, Dr. Swan potentized some septic pus, which preparation has also been proved and clinically applied. There does not seem to be any marked difference in their effects.

Pyrogen is the great remedy for septic states, with intense restlessness. "In septic fevers, especially puerperal, Pyrogen has demonstrated its great value as a homeopathic dynamic antiseptic. " (H. C. Allen). Hectic, typhoid, typhus, ptomaine poisoning, diphtheria, dissecting wounds, sewer-gas poisoning, chronic malaria, after-effects of miscarriage, all these conditions at times may present symptoms calling for this unique medicine. All discharges are horribly offensive-menstrual, lochial, diarrhœa, vomit, sweat, breath, etc. Great pain and violent burning in abscesses. Chronic complaints that date back to septic conditions. Threatening heart failure in zymotic and septic fevers. Influenza, typhoid symptoms.

Mind

Full of anxiety and insane notions. Loquacious. Thinks he is very wealthy. Restless. Feels if crowded with arms and legs. Cannot tell whether dreaming while awake or asleep.

Head

Painless throbbing. Fan-like motion of alæ nasi (Lyc; Phos). Bursting headache with restlessness.

Mouth

Tongue red and dry, clean, cracked, smooth, as though varnished. Throat dry, articulation difficult. Nausea and vomiting. Taste terribly fetid. Breath horrible.

Stomach

Coffee-grounds vomiting. Vomits water, when it becomes warm in stomach.

Abdomen

Intolerable tenesmus o both bladder and rectum. Bloated, sore, cutting pain.

Stool

Diarrhœa; horribly offensive, brown-black, painless, involuntary. Constipation, with complete inertia (Opium); obstinate from impaction. Stools large, black, carrion-like, or small black balls.

Heart

Tired feeling about heart. Palpitation. Sensation as if heart were too full. Always can hear her heart beat. Pulse abnormally rapid, out of proportion to the temperature pain in region of left nipple. Conscious of heart.

Female

Puerperal peritonitis, with extreme fetor. Septicæmia following abortion. Menses horribly offensive. Uterine hæmorrhages. Fever at each menstrual period, consequent upon latent pelvic inflammation. Septic puerperal infection. Pelvic calculitis. Inflammatory exudate. Post-operative cases, with overwhelming sepsis.

Fever

Coldness and chilliness. Septic fevers. Latent pyogenic condition. Chill begins in back. Temperature rises rapidly. Great heat with profuse hot sweat, but sweating does not cause a fall in temperature.

Extremities

Throbbing in vessels of neck. Numbness of hands, arms, feet. Aching in all limbs and bones. Bed feels too hard (Arn). Great debility in the morning. Soreness; better by motion (Rhus). Rapid decubitus of septic origin.

Skin

Small cut or injury becomes much swollen and inflamed-discolored. Dry.

Sleep

Seems to be in semi-sleep. Dreams all night.

Modalities

Relief from motion.

Relationship

Compare: Streptoccin (anti-febrile action; septic symptoms in infectious diseases). Rapid in its action, especially in its effect on temperature; Staphyloccin in diseases where the staphylococcus is the chief bacterial factor, as acne, abscess, furuncle; empyæma, endocarditis, etc. ; Sepin-A toxin of Proteus vulgaris, prepared by Dr. Shedd, same symptoms as Pyrogen, of which it is the main constituent; Echinacea; Carbo; Ars; Lach; Rhus; Bapt.

Complementary: Bryon.

Dose

Sixth to thirtieth and higher potencies. Should not be repeated too frequently.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

Diseases originating in ptomaine or sewer gas infection.

The bed feels hard, parts lain on sore and bruised, must move to relieve the soreness.

Tongue: large, flabby, clean, smooth as if varnished; fiery red, cracked, difficult articulation; vomiting, persistent, brownish coffee ground, offensive, stercoraceous.

Diarrhœa; horribly offensive, brown or black; painless, involuntary.

Distinct consciousness of a heart; it feels tired; as if enlarged; purring, throbbing, pulsating, constant in ears, preventing sleep.

I have not used this remedy myself, but (if Allen's "Keynotes" are reliable) it must be of great value in affections of the most serious nature. A remedy recommended so highly, by such authority, for septicæmia, puerperal and surgical, and for diseases originating in ptomaine or sewer gas infection should not be passed lightly over. Let me quote: The bed feels hard (Arnica), parts laid on feel sore and bruised (Baptisia), rapid decubitus (Carbol. acid)." "Great restlessness, must move constantly to > the soreness of the parts (Arnica, Eupator. perf)." "Tongue: large, flabby; clean, smooth as if varnished ; fiery red; dry, cracked, articulation difficult."

Diarrhœa; horribly offensive (Psorin.), brown or black (Leptand.), painless, involuntary, uncertain when passing flatus (Aloe, Oleander).

Did you ever meet such an array of symptoms in typhoid? I have, and when we remember that typhoid is often traced to defective drains, sewver gas, etc., as its cause, this remedy, if these symptoms are reliable, ought to be invaluable. The other symptoms given by Allen are just as valuable if true, and if not true the sooner they are proven to be untrue the better.

So far as prejudice again using such remedies is concerned, we should be as honest as was James B. Bell when he said of Psorinum -"Whether derived from purest gold or purest filth, our gratitude for its excellent services forbids us to enquire or care." As might be expected, Anthracinum is more like this than any other remedy. In all cases simulating septic fever or poisoning Arsenicum, Anthracinum and Pyrogen should be remembered. The horrible burning pains of the first two are prominent.

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

Pyrogen. Pyrexin. Sepsin. A product of the decomposition of chopped lean beef in water, allowed to stand in the sun for two or three weeks. Dilutions; (which should be made, according to Burnett, direct and without glycerine).

Clinical

Abscess. Anus, sweating near. Bed-sores. Bright's disease. Constipation. Diarrhœa. Dysentery. Eczema. Enteric fever . Fistula. Headache. Heart, rapid action of; consciousness of; failure of. Hectic fever . Indian continued fevers. Influenza. ─ Intestines, ulceration of; obstruction of. Labour: puerperal fever. Ovary, abscess of . Peritonitis. Phthisis pulmonalis. Ptomaine poisoning. Puerperal fever. Pyæmia . Sepsis. Spine, Pott's curvature of . Tabes mesenterica. Tuberculosis. Typhilitis. Ulcers, varicose; obstinate. Varicosis.

Characteristics

John Drysdale was the first, in 1880, to suggest the use of this substance as a medicament ( On Pyrexin or Pyrogen as a Therapeutic Agent , Baillière, Tyndale & Cox). Burdon Sanderson has stated ( B. M. J ., February 13, 1875) that "only liquids which contain bacteria or have a marked proneness to their production" are capable of setting up pyrexia. This remark struck Drysdale, and though, of course, he could not endorse the "only" of the statement ─ many drugs known to homœopaths set up fever ─ he saw that the fact might be turned to account. Sanderson further defines Pyrogen as "a chemical non-living substance formed by living bacteria, but also by living pus-corpuscles, or the living blood- or tissue-protoplasms from which these corpuscles spring." In Sanderson's experiments with Pyro . the following effects were observed. ( 1 ) From a non-fatal dose: The animal shivers and begins to move about restlessly. The temperature rises from 2° to 3° C., the maximum being reached in three hours. Thirst and vomiting come on, followed by feculent and thin mucous, and finally bloody diarrhœa and tenesmus. In five hours these symptoms begin to subside, and the animal recovers with wonderful rapidity. When death occurs it is from heart failure. In non-fatal cases with gastro-enteric symptoms the temperature gradually rises for four hours, and as gradually subsides: in fatal cases it rises rapidly to 104° F., then rapidly declines to below normal. ( 2 ) From a fatal dose: There is intestinal hæmorrhage, purging, collapse, and death. After death extravasations of blood are found in heart, pleura, and pericardium; the spleen is enlarged and full of blood. Mucous membrane of stomach and small intestines is intensely injected with detachment of epithelium and exudation of bloody fluid, which distends the gut. The blood is dark, the corpuscles being in clumps instead of rolls, and many being dissolved in the liquor sanguinis. White corpuscles partially disintegrated. Drysdale prepared a tincture of Pyro . ─ which he preferred to call Pyrexin , since it is not a mere fever- producer : others have called it Sepsin ; but this is too close to Septicæmin , a name given to a related and perhaps identical nosode: I have chosen to retain the name Pyrogen , by which the remedy is best known in homœopathy ─ and put his own suggestion into practice. His success was very encouraging, but as he continued to use the Ø tincture and lowest attenuations the difficulty of keeping the preparation was not small; and the remedy did not come into extensive use till Burnett published his pamphlet on Pyrogenium in Fevers and Blood-poisoning in 1888. Burnett used chiefly the 6th centesimal dilution, which is perfectly harmless, and which will keep indefinitely. Heath, who made one of the preparations used by Burnett, gave some of it to Swan, of New York, who ran it up into the high infinitesimals. Much of the American experience is with Swan's attenuations, including a proving by Sherbino ( Med. Adv ., xxv. 369), whose symptoms I have marked (S) in the Schema. The remainder of the symptoms of the Schema are for the most part clinical. Yingling ( H. P ., xiii. 402) collected symptoms from many reported cases, and arranged them with the symptoms of the proving. (Yingling erroneously describes Pyro . as prepared from "pus from septic abscess." This is Septicæmin . He refers, however, to Burnett's pamphlet and to cases cured with Pyro ., leaving the actual substance referred to not in doubt. H. C. Allen, who published the proving and most of the cases in Med. Adv ., rightly describes Pyro . as a "Product of Sepsis"). Drysdale's original cases include a number in which threatened typhoid was averted, a case of tabes mesenterica cured, and one of ulceration of the colon greatly benefited. Burnett's were cases of fully developed typhoid all cut short at the height by Pyro . 6 given every two hours. In his pamphlet is included a successful experience of Dr. Shouldham's with Pyro . 6 in two cases of diphtheritic sore threat. I have had ample opportunity of observing the power of Pyro . over typhoid fever, and typhoid and hectic states, including one of discharging abscess connected with Pott's disease of the spine. T. M. Dillingham reports ( Med. Adv ., xxvii. 367) the case of a young German Jewess who had been under treatment at various hospitals for Bright's disease, and at the Hahnemann Hospital of New York among Others. To this she was readmitted on March 14, 1890, when she first came under Dr. Dillingham's care. The urine showed an enormous amount of albumen and a variety of casts. Feet and legs greatly swollen, face puffy. Throbbing headache, often accompanied by profuse nose-bleed, nausea, and vomiting; < motion and light; abnormally bright eyes, widely dilated pupils. Bell . gave temporary relief; but on May 31st the condition was desperate. Dillingham then learned that the trouble dated from a large abscess resulting from a lanced, badly cared-for felon of the left thumb. She was ill six weeks with this abscess, having, as her doctors said, "blood poisoning." Soon after this her face and feet began to swell. On May 31st the condition was this: Feet, legs, and genitals greatly swollen. Frightful throbbing headache, > by tight band constantly worn. > By heat; very fond of the hot bath . Headaches had terrible aggravations lasting two to four days, during which time she could neither lie in bed nor sit up, but was in constant motion, groaning and crying piteously for help. Pyro . cmm, Swan, one dose was given, and no other medicine, although the patient on one occasion begged for something to stop the pain. In the course of June she began to mend, and on October 20th was discharged cured. In Sherbino's proving he was cured incidentally of a consciousness of the heart and its working, and palpitation from least excitement or anxiety, < beginning to move; congestion to head as if apoplexy would ensue. Cactus had done no good. Sherbino cured: ( 1 ) a case of puerperal fever with Pyro ., being led to its selection by the very high pulse rate. ( 2 ) Relapse of typhoid, pulse 140, temperature 102° F.; both were normal in twenty-four hours. ( 3 ) Young lady, 17, fever, aching bones, bed felt very hard. Numb, paralytic feeling. As the fever left the pulse kept mounting up . Pyro . cmm, Swan, repeated as often as effect ceased, cured. ─ Pyro . is one of the germinal remedies of the materia medica. When once the idea of its essential action is grasped an infinity of applications become apparent. As Drysdale put it, "The most summary indication for Pyro . would be to term it the Aconite of the typhous or typhoid quality of pyrexia," and wherever poisoning by bacterial products ( e.g ., in the hectic of phthisis) is going on Pyro . will be likely to do good. Sepsis is the essence of the action of Pyro . H. C. Allen gives this indication for its use in septic states: "When the best selected remedies fail to relieve or permanently improve " ─ analogous to the action of Pso . and Sul . in other conditions. Also: "Latent pyogenic process, patient continually relapsing after apparent simillimum." As Pyro . is a product of carrion, the carrion-like odour of bodily emaciations, secretions, and excretions is a keynote for its use. Other leading indications are: Restlessness; must move constantly to > the soreness of parts. "Constipation, from impactum of fæces in fevers; stool large, black, carrion-like." "Chill begins in back, between scapulæ." "Severe general chill of bones and extremities." In all cases of fever commencing with pains in the limbs," Swan. Pulse abnormally rapid, out of all proportion to temperature." Pyro . 5, five drops in water night and morning, assisted in the cure of a case of anal fistula in a case of Burnett's ( On Fistula , p. 66). Under its action a sweating at the seat which the man had had for many years disappeared; and the skin of his hands, which were subject to dry eczema, assumed a much cleaner aspect. J. S. Hunt ( H. W ., xxxi. 54) reports five cases of varicose ulcers, all of which healed quickly under Pyro . Bellairs ( H. W ., xxxiv. 298) gave Pyro . 200 to an elderly woman who suffered for years with an ulcerated leg, which was riddled with deep, burrowing wounds, extremely painful and discharging freely. Hep., Sil., Ars., Ham ., did no good. Under Pyro . once or twice a day "a large boil" formed on the calf of the leg and discharged its contents, after which the various ulcers healed up directly. The symptoms are > by heat (drinking hot water; hot bath). > Tightly binding head. > Stretching out limbs; walking about; turning over or changing position. Heart's action and cough < by motion. Eyeball < moving eye. Cough < motion and in a warm room. < Sitting up in bed; rising. (Cough > sitting up; < lying down.)

Relations

Compare: Septicæmin (B. Sanderson says bacteria and pus cells produce the same chemical result; Pyro. and Sept. may therefore he identical, but I think it best to keep them distinct); Malar. (the vegetable Pyrogen); Lach. In typhoid with soreness, bed feels hard, Bap., Arn., Rhus. > Motion and stretching limbs, Rhus. Cough < by motion and in warm room, Bry. Uterine hæmorrhage, Ipec. ("if Ipec. fails when indicated give Pyro.," Yingling). Offensive diarrhœa Pso. Black stools, Lept. Constipation, Op., Sanic., Pb. Lochia thin, fetid, Nit. ac. Vomits water as soon as warm in stomach, Pho. Throbbing headache, Bell. Varicose, offensive ulcers of old persons, Pso. Skin ashy, Sec. Suppuration, Hep.

Causation

Blood poisoning. Ptomaine poisoning. Sewer-gas poisoning. Typhoid fever (remote effects of). Dissecting wounds.

Mind

Loquacious; can think and talk faster than ever before (S). Irritable (S). ─ Delirious on closing eyes; sees a man at foot of bed. ─ Whispers; in sleep. ─ Sensation as if she covered the whole bed; knew her head was on pillow, but did not know where the rest of her body was. ─ Feels when lying on one side that she is one person, and another person when turning on the other side. ─ Sensation as though crowded with arms and legs. ─ Hallucination that he is very wealthy; remaining after the fever.

Head

Staggers as if drunk on rising in morning (S.). ─ Dizziness on rising up in bed. ─ Pains in both mastoids, < r.; dull throbbing in mastoid region (S). ─ Great throbbing of arteries of temples and head; every pulsation felt in brain and in ears; the throbbings meet on top of brain (S). ─ Painless throbbing all through front of head; sounds like escaping steam (S). ─ Frightful throbbing headache > from tight band. ─ Excruciating, bursting, throbbing headache with intense restlessness (often accompanied with profuse nosebleed, nausea, and vomiting). ─ Sensation as if a cap were on. ─ Rolling of head from side to side. ─ Forehead bathed in cold sweat.

Eyes

L. eyeball sore, < looking up and turning eye outward (S). ─ Projecting eyes.

Ears

Loud ringing, like a bell, l. ear (also r.) (S). ─ Ears cold. ─ Ears red, as if blood would burst out of them.

Nose

Nose-bleed; awakened by dreaming it and found it was so. ─ Sneezing: every time he puts hand from under covers; at night. ─ Nostrils closing alternately (S). ─ Cold nose. ─ Fan-like motion of alæ nasi.

Face

Face: burning; yellow; very red; pale, sunken, and bathed in cold sweat; pale, greenish, or chlorotic. ─ Circumscribed redness of cheeks.

Mouth

Tongue: coated white in front, brown at back; yellowish brown, bad taste in morning (S). ─ Tongue: coated yellowish grey, edges and tip very red; large, flabby; yellow brown streak down centre. ─ Tongue clean, smooth, and dry; first fiery red, then dark red and intensely dry; smooth and dry; glossy, shiny; dry, cracked, articulation difficult. ─ Taste: terribly fetid, as if mouth and throat full of pus (produced by dose of Pyro . em, Swan); sweetish. ─ Breath horrible; like carrion.

Throat

Diphtheria with extreme fetor.

Appetite

No appetite (S); or thirst. ─ Great thirst for small quantities, but the least liquid was instantly rejected. ─ > Drinking very hot water. ─ Thirst and vomiting (dog).

Stomach

Belching of sour water after breakfast (S). ─ Nausea and vomiting. ─ Vomiting: persistent; brownish, coffee-ground; offensive, stercoraceous; with impacted or obstructed bowels. ─ Vomiting and purging. ─ Vomits water when it becomes warm in stomach. ─ > By vomiting. ─ Urging to vomit; with cold feet. ─ Stomach feels too full (S).

Abdomen

Full feeling and bloating of abdomen (S). ─ When lying on l. side bubbling or gurgling sensation in hypochondria, extending back to l. of spine (S). ─ Pain in umbilical region with passage of sticky, yellow stool. ─ While riding in a buggy aching in l. of umbilicus; < drinking water; > passing flatus down ward. ─ Soreness of abdomen so severe she can hardly breathe, or bear any pressure over r. side. ─ Very severe cutting pains r. side going through back, < by every motion, talking, coughing, breathing deep; > lying on r. (affected) side; groaning with every breath.

Stool and Anus

Feculent and thin mucous, and finally bloody diarrhœa and tenesmus (dog). ─ Two soft, sticky stools, 8 to 9 a.m. ─ Involuntary escape of stool when passing flatus (S). ─ Profuse watery, painless stools, with vomiting. ─ Stool horribly offensive, carrion-like. ─ Stool very much constipated, large, difficult, requires much effort; first part balls, last part natural, with streaks of blood; anus sore after (S). ─ Constipation: hard, dry accumulated fæces; stool large, black, carrion-like; small black balls like olives. ─ Congestion and capillary stasis of gastro-intestinal mucous membrane, shedding of epithelium, bloody fluid distending intestines (dog). ─ (Sweat about anus removed; fistula relieved.)

Urinary Organs

Urine scanty; only passed twice in twenty-four hours (S). ─ Urine: yellow; after standing, cloudy with substance looking like orange peel; red deposit on vessel hard to remove; deposits sediment like red pepper (S). ─ Got up three times in night to urinate (S). ─ (Bright's disease of kidneys.). ─ Urine albuminous, containing casts; horribly offensive, carrion-like. ─ Frequent calls to urinate as fever comes on. ─ Intolerable tenesmus of bladder; spasmodic contractions, involving rectum, ovaries, and broad ligaments; [cured in a case of Yingling's with Pyro . cm Swan (and higher); patient's next period came on naturally and painlessly, whereas before menses had been painful and extremely offensive.]

Male Sexual Organs

Testes hang down relaxed; scrotum looks and feels thin.

Female Sexual Organs

Puerperal peritonitis with extreme fetor; a rotten odour. ─ Parts seriously swollen (Bright's disease). ─ Menses horribly offensive; carrion-like. ─ Menses last but one day, then a bloody leucorrhœa, horribly offensive. ─ Hæmorrhage of bright red blood with dark clots. ─ Septicæmia following abortion; fœtus or secondines retained , decomposed. ─ (Has cured prolapsus uteri, with bearing down, > by holding the head and straining, as in the act of labour.). ─ Abscess of l. ovary, acute throbbing pain, great distress, with fever and rigors ( Pyro . cm, Swan, produced an enormous flow of white creamy pus with general > ). ─ Lochia: thin, acrid, brown, or fœtid; suppressed, followed by chills, fever, and profuse fetid perspiration.

Respiratory Organs

Wheezing when expiring (S). ─ Cough; with large masses of phlegm from larynx; < by motion; < in warm room; cough = burning in larynx and bronchi; = pain in occiput; = stitching in small of back, only noticed in the chair; coughs up yellow sputa through night (S). ─ Cough > sitting up, < lying down. ─ Expectoration: rusty mucus; horribly offensive.

Chest

Pain in r. lung and shoulder, < talking or coughing. ─ Neglected pneumonia: Cough, night-sweats, frequent pulse, abscess had burst discharging much pus of mattery taste (rapid recovery under Pyro . cm. three doses). ─ Chest sore, purple spots on it. ─ Severe contracting pain within lower sternum, sometimes extending to rib-joints and up to throat, as if œsophagus being cramped. ─ Ecchymoses on pleura (dog).

Heart

Pain in region of l. nipple, as if in heart; increased action; pulse 120 (S). ─ Heart tired as after a long run; increased action < least motion (S). ─ Every pulsation felt (painlessly) in head and ears (S). ─ Sensation as if heart enlarged; distinct consciousness of heart (S). ─ Sensation as if heart too full of blood. ─ Feels as if the heart were pumping cold water (Yingling). ─ Violent, tiresome heart action. ─ Palpitation or increased action without corresponding increase of temperature. ─ Palpitation < by motion. ─ Loud heart-beats; audible to herself and others. ─ Could not sleep for whizzing and purring of heart; when she did sleep was delirious. ─ Cardiac asthenia from septic conditions. ─ Ecchymoses on heart and pericardium (dog).

Neck and Back

Throbbing of vessels of neck running up in waves from clavicles. ─ Weak feeling in back; stitching pain on coughing (S).

Limbs

Aching: in bones; all over body as from a severe cold; with soreness of flesh, head feels hard; > motion (S). ─ Cold extremities. ─ Numbness of hands, arms, and feet, extending over whole body. ─ Automatic movement of r. arm and r. leg, turned the child round from r. to l. till feet reached the pillow: repeated as often as she was put right (cerebro-spinal meningitis).

Upper Limbs

Pain in shoulder-joint; in front, passing three inches down arm (S). ─ Hands and arms numb. ─ Hands cold and clammy. ─ Dry eczema of hands.

Lower Limbs

Aching above knees, deep in bones, while sitting by a hot fire; > by walking (S). ─ On going to bed aching in patella; > flexing leg (S). ─ Aching above l. knee as though bone broken (S). ─ Aching above knees in bones, > stretching out limbs (S). ─ Tingling in r. little toe as if frost-bitten. ─ Feet and legs swollen (Bright's disease). ─ Numbness of feet.

Generalities

Cannot lie more than few minutes in one position, > change (S). ─ Debility in morning, staggered on trying to walk (S). ─ Nervous, restless (S). ─ Aching all over, bed feels hard. ─ Great muscular debility; rapid recovery in few hours (dog).

Skin

Skin pale, cold, of ashy hue. ─ Obstinate, varicose, offensive ulcers of old people.

Sleep

Slept awhile; woke to roll and tumble in every conceivable position (S). ─ Unable to sleep for brain activity and crowding of ideas (S). ─ Restlessness > after sleep. ─ Cries out in sleep that a weight is lying on her. ─ Whispers in sleep. ─ Kept awake by purring of heart. ─ Dreams: of various things; of business.

Fever

"In all cases of fever commencing with pains in the limbs" (Swan). ─ Shivers and begins to move about restlessly; temperature rises gradually and as gradually subsides (dog). ─ Temperature rises rapidly to 104° F., and sinks rapidly from heart failure (dog, fatal dose). ─ Chilly at times and a little aching; a little feverish (S). ─ After dinner, ache all over, chilly all night, bed feels hard (S). ─ After getting into bed, chilly, teeth chatter; woke 10 p.m. in perspiration on upper part of body; > motion (S). ─ Feels hot as if he had a fever, but was only 99° F., feels like 105°. ─ Cold and chilly all day. ─ No fire would warm; sits by fire and breathes the heat from it; chilly whenever he leaves it; at night when the fever came on he had a sensation as if lungs on fire, must have fresh air, which gave > . ─ Frequent calls to urinate as soon as fever came on; urine clear as water. ─ Every other day dumb ague. ─ Perspiration horribly offensive, carrion-like; disgust up to nausea about any effluvia arising from her own body. ─ Cold sweat over body.

Lectures on Homoeopathic Materia Medica

James Tyler Kent · Lectures on Homoeopathic Materia Medica · homeoint.org / Séror HTML text (Kent d. 1916; public domain)

Fever

The potencies prepared from Heath's 3d of decomposed beef have been used by the author for many years against all forms of septic fever and sequelae, when the symptoms agree.

Violent chill intermingled with heat and sweat, or dry heat with marked aching in the limbs; restlessness, > by motion and heat. The sore bruised condition is as marked as in Arnica and Baptisia ; the aching in the bones like Eupatorium, the restlessness, > by motion and heat like Rhus.

Pains all aggravated sitting. Complaints come on from becoming cold, and from cold damp weather.

These features are found in hectic fevers in the last stages of phthisis, as well as septic fevers. It aborts puerperal fever in a few hours when clearly indicated. In cases of typhoid where there is the confusion like - that found in Baptisia and the heat is too intense for that remedy, Pyrogen should always be considered.

When the temperature reaches 106° and there is great soreness and aching this remedy will make great changes in a single day; but if the pains are > by motion and heat it will abort the fever.

When the pulse is extremely high, and the temperature not correspondingly high this remedy will be useful. On the other hand, when the pulse and temperature are out of rhythm either way this remedy should be considered if the case is of septic origin. Great pain when the flow from an open abscess becomes scanty. Violent burning in an abscess (Ars., Anthr., Tarent. cubensis).

Offensiveness prevails extensively; even putrid and cadaveric odors of body, breath, sweat and discharges. Fevers from sewer gas poisoning; erysipelas from infection and surgical fevers. It cures many chronic complaints that date back to septic conditions. She has not been well since a puerperal fever many years ago, is a good reason for thinking of Pyrogen.

A young man of good inheritance suffered from blood poison and made a poor recovery, and for several years was affected with abscesses in various parts. He was pale and sickly, rheumatic and stiff; at this time there was an abscess of the calf slowly forming. He took Pyrogen and made a rapid and complete recovery. This time the abscess did not open. He has remained in good health now ten years.

It has cured Bright's disease that could be traced to septic origin It is a most useful remedy when there is threatening heart failure in septic and zymotic fevers. Septic hemorrhage, when the blood is dark. It will often save life in the most dangerous and rapid septic fevers.

Loquacity; can think and talk faster than ever before, especially during fever.

Irritable. Delirium and confusion of mind about his body and limbs ( Bapt.).

Sensation as though he covered the whole bed.

Knew her head was on the pillow, but did not know where the rest of the body was.

Feels when lying on one side she is one person, and another when turning on the other side.

Sensation as though crowded with arms and legs.

These symptoms are much like Baptisia, but if the temperature runs very high Baptisia will not meet the condition so well as Pyrogen.

Head

Violent congestion of the head with pressing pain and pulsation, > by pressure.

Copious sweat on the head.

Pain in occiput on coughing; in the morning on walking.

The eyeballs are sore to touch, on turning them outwards or upwards.

Septic bleeding from nose.

Fan-like motion of aloe nasi (Lyc.).

Face pale, sunken, and covered with cold sweat.

Cheeks red and burning hot.

Mouth

The mouth is foul, and the taste putrid.

The tongue is coated, and brown.

Brown streak down the center.

Sordes on the teeth.

Putrid odor from mouth.

Vomiting of bile, blood; of putrid masses.

Vomits water when it becomes warm in the stomach.

Stercoraceous vomiting.

Coffee ground vomiting.

Thirst for cold drinks during chill and heat.

Abdomen

Distension and great sensitiveness of abdomen.

Inflammation of peritoneum, intestines and uterus, of septic origin.

Rumbling in bowels.

Pain on deep breathing.

Cutting, colicky pain.

Pain in right side going through to the back < on every motion, talking and breathing; > by lying on right side; groaning with every breath.

Copious, liquid, putrid stools.

Involuntary stool.

Profuse, watery, painless stool.

Stool carrion-like.

The difficult constipated stool also like carrion in odor.

Constipation with hard dry, black, putrid stools; small black balls like olives.

Putrid bloody stools.

Soft narrow stools with great straining.

Haemorrhage from bowels.

Urines

Urine scanty or suppressed.

Red deposit, hard to wash off.

Albuminous urine containing casts.

Putrid urine.

Frequent calls to urinate as the fever comes on. Intolerable tenesmus of the bladder; spasmodic contractions, involving rectum, ovaries, and broad ligaments (case cured by Yingling).

Involuntary urine and stool in septic fevers.

Women

Uterine haemorrhage.

Putrid, scanty lochia.

Suppressed lochia.

Violent chill; puerperal fever.

Menses lasting one day, then bloody leucorrhea.

Septic fever following abortion.

Prolapsus of uterus.

Chest

Wheezing when expiring.

Weak and husky voice, and hoarseness.

Cough with large masses of mucus from larynx, < by motion, and in warm room.

Cough causes burning in larynx and bronchi.

Putrid, thick, purulent expectoration.

Cough < by lying, > by sitting up.

Bloody or rusty expectoration.

Cough, with copious, offensive night sweats.

It is a great palliative in the last weeks of consumption.

Abscesses in lung.

Heart failure in septic fevers, < by least motion.

Every pulsation felt in distant parts.

Anxiety and sinking sensation in region of heart.

Distinct consciousness of the heart.

Aching at the bifurcation of the trachea.

Oppression of chest and heart.

Fullness in region of heart.

Feels as if the heart were pumping cold water (Yingling).

Palpitation. Loud heart beats.

Sensation of purring of the heart.

Rapid irregular fluttering pulse.

Back

Pulsation in the neck.

Weak feeling in the back. Stitching in back on coughing.

Pain in all the limbs with great restlessness.

Aching in bones all over the body. Soreness of the muscles and the bed feels hard, > by motion.

Limbs

Cold extremities.

Numbness of extremities. Hands and arms numb.

Hands cold and clammy. Pain in the thighs during chill and fever.

Pain in the knees and legs during chill and fever, ameliorated from walking, and from heat. Aching in legs while sitting, > by walking.

Aching above knee as if bone were broken, > by stretching of limbs and motion. Feet and legs dropsical. Numbness of feet.

Skin pale, cold, of ashy hue. Obstinate varicose offensive ulcers of old people. It has cured many, old fever sores with putrid, thin, bloody discharges. Carrion-like perspiration. Putrid odors of the body. Must be covered in all stages.

Chill ameliorated by warm bed. The chill is quotidian; it comes in the evening, generally at 7 P.M. The periodicity is regular. Cold sweat on the body. Hot sweat with high temperature. The sleep is full of frightful dreams. Persistent thoughts prevent sleep. Suffocation in sleep. Cries out in sleep from oppression of chest.

The Therapeutics of Fevers

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

General

A Product of Sepsis. A Nosode.

For sapræmia or septicæmia : puerperal or surgical ; from ptomaine or sewer gas infection ; during course of diphtheria, typhoid or typhus ; when the best selected remedy fails to > or permanently improve.

** last but a day, then a bloody leucorrhœa of the same horrible odor.

Fœtus : or secundines retained, decomposed ; dead for days, black ; horribly offensive discharge, “ never well since ” septic fever, following abortion or confinement.

Lochia ; thin, acrid, brown, very fetid (Nit. ac.); suppressed, followed by chills, fever and profuse fetid perspiration.

Distinct consciousness of a heart; it feels tired ; as if enlarged ; purring, throbbing, pulsating, constant in ears, preventing sleep ; cardiac asthenia from septic conditions.

Pulse abnormally rapid, out of all proportion to temperature.

Skin ; pale, cold, of an ashy hue (Sec.); obstinate, varicose, offensive ulcers of old persons (Psor.).

Relations

Compare : Arn., Ars., Bap., Carbo v., Op., Rhus, Sec., Ver.

Latent pyogenic process, patient continually relapsing after apparent similimum.

Type

Septic and zymotic; tends rapidly to malignancy. Puerperal and surgical fevers, with a rapid tendency to septic typhus.

Time

Forenoon; 10 or 11 A. M. most marked. When distinctly remittent, evening fever lasts all night. Every alternate day.

Cause

Sepsis intestinalis from eating ice cream, cheese, sausage, or canned meats undergoing the putrefactive process; sepsis following abortion, labor or surgical operations; septicæmia. Sewer gas poisoning.

Prodrome

Bone pains: aching in the limbs, or over the entire body as from a severe cold; with great muscular soreness; the bed feels hard. Coldness and numbness of hands and feet, of arms and legs.

Chill

Begins in the back between scapulæ (Caps., Eup., Polyp.).

Chilliness. Chilly all night; the bed feels hard.

Chilly when getting into bed, teeth chattered.

Chilly as soon as he touches the cold sheets (Aran.).

Coldness and chilliness all day that no fire would warm; sits by the fire and breathes the heat from the stove; chilly when leaving the fire; at night when fever came on had a sensation as if lungs were on fire, must have fresh air, which relieved.

Chilly, with increased action of the heart.

Intense restlessness, must move constantly to > the aching bones and sore muscles.

Heat

Feels hot, as if he had a fever, as if temperature was 105, but actually was only 99.

Frequent urging to urinate as soon as fever came on; urine profuse and clear as spring water; could tell when fever was coming on from frequent calls to urinate.

Great throbbing of temporal arteries, every pulsation felt through the head.

Circumscribed redness of the cheeks.

Sweat

Cold sweat over the entire body.

Perspiration horribly offensive; carrion-like (Psor.).

Profuse, offensive, exhausting perspiration.

Sweat: of single parts; of chest and neck; of genital organs; of affected parts; during sleep, stops when he wakes; fetid, cold, viscid, musty.

Tongue

Large, flabby, leaves imprint of teeth; white, or yellowish-white, brown on base; heavy, yellowish-gray fur; tip and edges red; clean and smooth as if varnished; fiery red, then dark red and very dry; yellow-brown streak down centre; dry in central third from base to apex; dry, cracked, articulation difficult (compare, Arn., Ars., Crot., Ter.).

Taste: bitter; fetid in mouth and throat as if full of pus; breath horribly offensive.

Analysis

For the first use of Pyrogen in typhoid and septic conditions we are indebted to our English homeopathic brethren. It is adapted to the most malignant type, cases in which we formerly zig-zagged a cure with Arsenic, Carbo veg., Rhus or Terebinth are met directly by this powerful nosode. But it is in puerperalism that it bids fair to occupy a unique place in our therapeutics; here it is almost without a rival, in prompt and effective action, when the best selected remedy fails to > or improve.

Prodrome; aching and soreness of the limbs.

Chill; begins between scapulæ; as soon as he touches the cold sheets; the bed feels hard.

Heat; frequent urging to urinate as soon as the chill comes on; circumscribed redness of the cheeks.

Sweat; profuse, exhausting, carrion like; cold, musty; viscid; of single parts

Chill: begins in the back, between scapulæ; severe, general of bones and extremities; marking onset of septic fever; temperature 103 to 106; heat sudden, skin dry and burning; pulse rapid, small, wirey, 140 to 170; cold clammy sweat follows.

In septic fevers, especially puerperal, Pyrogen has demonstrated its great value as a homeopathic dynamic antiseptic.