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Medical ArticlesThe Human Comedy
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Category: ADMINISTRATION OF REMEDIES.
Source: An Epitome Of Homeopathic Healing Art
Intermittent Fever, Ague or Chill Fever.
This comes on with pains in the head and back, aching in the joints,
yawning, followed by coldness of the hands and feet, blueness of the
nails and skin of the hands, general chilliness, sometimes "shaking."
This lasts from a few minutes in some cases, to several hours in others.
The chill is followed by a fever, which is generally severe and long
continued, in proportion to the length and severity of the chill. The
fever is followed by free perspiration, when it subsides and leaves the
patient in a comfortable condition. This state is called the
_Intermission_. This continues from a few hours to twenty-four, or
longer, when another chill comes on followed by fever and sweats as
before. During the chill and fever, the patient often suffers great
pain, and is sometimes delirious. Young children frequently have
convulsions when the chill sets in. _These_ convulsions of children,
though alarming, are not often dangerous.
As soon as the first symptoms of the chills appear, such as the
headache, pain in the back and bones, coldness of the hands, nose and
ears, give _Aconite_ and _Baptisia_ alternately, giving the first three
doses every ten minutes, the next three doses every fifteen minutes, and
then once in half an hour until the patient begins to sweat freely, when
the medicines should be discontinued. If there is nausea or vomiting
present, let the patient have lukewarm water freely in large draughts,
until he vomits it up several times. As soon as the sweating commences,
give _Arsenicum_ and _Macrotin_ alternately every hour during the
intermission, except during sleeping time. On return of the chill,
should it appear a second time, use the _Aconite_ and _Baptisia_ as
before, and follow them with _Arsenicum_ and _Nux Vom._ every two hours.
This course of treatment will cure a majority of cases, but some require
_Cinchonia_. That Cinchonia is a specific for intermittent fevers in
many of their forms, no one will deny. It is the Homoeopathic remedy
for many cases, and should be prescribed. The injurious effects that are
often attributed to Quinine, are, I have no doubt, attributable not to
that remedy, but to the _drugs_ that are used prior to giving the
_Chinium Sul_. I have used it in more than two thousand cases, and have
never been able to see any evil consequences follow its _proper_ use. It
should be given _from the beginning of the chill to the end_ of the
paroxysm, and continued during the whole time of the intermission: _i.
e._ until the time arrives for the next chill, _time_ being important in
the use of this remedy. Use the first decimal trituration, and give
grain doses (equal to 1-10th of a grain of the drug) every half hour
till the time the next chill would occur, if it pursued its regular
course, allowing the patient six or seven hours time in each
twenty-four, for sleep. Though from two to four grains of the pure
_Chinium Sulphuricum_ is all the patient would get, very few cases that
do not yield to a course of the former treatment here recommended, will
have the third paroxysm after this _China_ treatment is commenced and
pursued as here directed. For children the dose may be one-half or
one-fourth that of the adults. If a trituration of the medicine cannot
be got conveniently, four grains of the _Quinine_ may be put into a four
ounce vial of water, shaken well every time, and a teaspoonful taken at
a dose. Abstinence from food as far as practicable, and quiet is of much
importance in this disease, but the patient may use water freely.
 NOTE.--The Eclectic Physicians use equal parts of Quinine and
Prussiate of Iron, with marked success in agues, giving from one to
three grains of the mixture at a dose, every two hours, or oftener, for
ten or twelve hours, and some times more, during the intermission. An
intelligent Homoeopathic Physician informs me that he has used with
_uniform_ success, a _trituration_ of this mixture of Quinine and
Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to
one of the Mixture, giving the trituration in doses of about one grain
every hour through the chill, fever and intermission. Very few cases had
a second chill after taking the prescription. I have used this
trituration successfully in a few cases.
In some cases, the chill is irregular and indistinct, the patient is
thirsty during the chill, and the cold stage is long in proportion to
the length of the fever, the surface pale and more or less bloated.
_Arsenicum_ is the remedy, and should be given from the commencement of
the chill, and every hour until the fever subsides, then every three
hours during the intermission. In chronic cases, where the patient has
been drugged with mercurials and cathartics, together with larger doses
of Quinine, and is still suffering under the disease, _Pulsatilla_ and
_Macrotin_ in alternation, will, in nearly every case, effect a cure.
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