The Therapeutics of Fevers

Capsicum caps.

Allen (1879)In every bookSave

Characteristic

Adapted to the phlegmatic diathesis; per- sons with light hair, blue eyes, nervous, but plethoric habit; lax fibre and weak muscles; awkward, indolent, easily offended.

Children, dread the open air, are always chilly; refractory, clumsy, fat, unclean and disinclined to work or think.

Homesickness (of the indolent, melancholic) with red cheeks and sleeplessness, hot sensation in fauces.

Lack of reactive force, especially with fat, indolent persons, who are constitutionally opposed to physical exertion.

Desires to be let alone; wants to lie down and sleep.

Constriction: in fauces; throat; nares; chest; bladder; urethra; rectum.

Burning and smarting sensation, as from cayenne pepper, in throat and other parts, not > by heat.

Every stool is followed by thirst, and every drink by shud- dering.

Every chill is attended with thirst and every drink with shuddering.

Relations

Cina follows well in intermittent fever.

The constricting, burning, smarting pains differentiate from Apis and Belladonna.

Compare : Carbo an., Ign.

Aggravation

From eating; drinking; cold open air. Night, after midnight.

Amelioration

Warmth; during the day.

Type

Periodicity strongly marked. Quotidian; rarely tertian. Malarial fevers of the topics.

Time

Evening; 5 to 6 P. M.; 10:30 A. M.

5 to 6 P. M. every day. 10:30 A. M.

Different times of day. Every other day.

Prodrome

Thirst some time before chill (Cinch.—thirst and bone pains 1 to 6 hours before chill, Eup., Nat.).

Thirst, without bone pains. Thirst during chill with pain in back and limbs.

Bone pains in arms and legs. Thirst for lemonade, and acid drinks—not water.

Chill

With great thirst. Chill begins in the back, between the shoulder-blades (Polyp.—in lumbar region, Eup. purp.); worse after drinking. Shivering and chilliness after every drink. Chill : with pain in back and tearing in limbs, extorting cries and causing patient to bend double; > by jugs of hot water or hot irons to the back; lessened by walking out-of-doors; with painful swelling of spleen; contracted pupils; contraction of the limbs (Cimex); anxiety, giddiness and headache; intolerance of noise (Bell.); ptyalism and mucus vomiting; in the open air, particularly in a draft, extremely sensitive to cold air (Bar., Camph.); inward burning and external chill.

Chill followed by sweat; or by heat with sweat and thirst (Ant. c.). Chill spreads gradually until extreme points are reached, then as gradually declines. During chill, coldness of chest, with a sensation of water dropping down the back.

"As the coldness of the body increases, so also does the ill-humor."—HAHNEMANN.

Commencing in back between the shoulders; worse after drinking, relieved by putting jugs of hot water to back; must have something hot to back.

Violent chill with general coldness of body.

Eup. purp.

Commencing in back, lumbar region, passes up and down spine with bone pains, blue lips and nails. Nausea as chill is leaving.

Violent shaking, with comparatively little coldness of body.

Capsicum. Eup. purp.

Heat

Without thirst; lessened by motion. Sweat and heat simultaneously (Ant. c.); face alternately pale and red; internal heat with violent burning (Ars.) followed by chill with thirst during chill. Headache with pain in the back, relieved by walk- ing about (Rhus). Glowing hot cheeks, with cold hands and feet. Heat of the ears, and hot, red tip of the nose, towards even- ing. General heat; anxiety; uneasiness; dullness of the mind and intolerance of noise.

Fever at 11 A. M. (following chill at 10:30 A. M.), lasting all night, without subsequent sweat. Fever (after very short chill at 11 A. M. or 12 M.) lasts all night with great thirst. Great sleepiness after fever (Apis, Pod.); especially after eating; could scarcely be prevented from going to sleep.

Light, transient, or mixed with sweat. No thirst in heat. Heat.—Protracted and well marked, with thirst.

Headache; intolerance of noise; sleepiness after. Head light, as if falling to left side.

Sweat

Without thirst; violent; copious; lessened by motion.

Sweat with the heat, or after the chill, without previous heat

(Caust.). Coming on soon after fever commences, and continu- ing with it. Sweat in axilla (Bov.). Acrid sweat; so acrid that it caused the hands of any person brought in contact with it to burn and tingle. Cold on thighs.

General; copious, or alternating with heat. Sweat.—Light, mostly on forehead and head.

Chill, heat and sweat, all relieved by motion. Neither stage relieved by anything.

Capsicum is a valuable remedy in intermittents occurring in midsummer; its symptoms are clearly defined and ought not to be confounded with any other remedy. The chill beginning in the back between the scapulæ; relieved by hot irons or jugs of hot water and lessened by motion, is characteristic. It is oftener indicated than used—just the reverse of Quinia.

Capsicum, Cinchona, Eupatorium perf. and Natrum mur., have thirst some time before paroxysm begins; "knows the chill is coming, because he wants to drink." It is a chief symptom of the prodrome in each. Both Capsicum and Cinchona are wanting in the bone pains and backache so characteristic of Eupatorium and Natrum.

Tongue

Burning blisters, and flat, lardaceous, spreading ulcers on the tongue. Taste sour; of putrid water. Desire for coffee, but it nauseates. Better while eating; worse after. Ap- petite unimpaired.

Apyrexia

Clear comparatively; chill is predominant; in mucous, flabby constitutions; sometimes dysenteric diarrhœa of slimy, burning stools, attended with qualmishness of the stomach, and fullness at the epigastrium.

Intermittents attended with painful enlargement of spleen and torpidity of abdominal nervous centres. Fevers from or after abuse of Quinine.

Capsicum.

Analysis

Thirst before the chill (Cinch., Eup., Nat.) but no bone pains.

Chill; with great thirst < after drinking. Shivering and chilliness after every drink, > by heat to back.

Heat; without thirst, > by motion. Sleepy after fever and after eating (Apis, Pod.).

Sweat; without thirst, acrid; or after chill, or heat with sweat (Ant. c.); > by motion.

Midsummer fevers.