• Homoeopathic Medicine of Typhoid Fever

    Typhoid Fever

    Prophylactic
    – Typhoidinum:
    Isopathic specific. Also suitable after the typhoid when recovery comes to standstill, it brings out the suitable reaction.

     

    First week

    Gelsemium: Mostly indicated in the first week, and especially in comparatively mild cases. Onset is insidious. Feels, sore bruised all over, as if pounded, headache, drowsiness and red face. Patient is dull, apathetic. Drooping eyelids. General languor and malaise. Feeling of great weight and tiredness in the entire body and limbs. Headaches are so violent that the patient cannot stand up, but lie perfectly exhausted. Better from lying in bed. The headache is relieved by passing a copious quantity of urine. Patient in general is thirstiess. Has a profuse, exhaustive sweat and is aggravated from motion. Relative bradycardia.

    Baptisia: Typhoid of unusually rapid onset. Typhoid fever in the first stages; it will often arrest the disease and bring about a rapid convalescence. Feverishness, with feeling all over as if bruised; the parts on which he is lying soon ache.

    Bryonia Alb: Most suitable in the early stages of typhoid before the vitality is greatly lowered. Complaints develop slowly. Malaise, awakens in the morning with a dull, congestive headache and a stupid feeling in the head; dullness of mind so that he cannot work, and this feeling gradually increases is languid and tired. Start out as remittent and run into a continued fever. Sluggish state of the mind, aggravated from motion, being talked to, wants to lie still in bed; very great irritability, from being aroused, from being disturbed, from controversy. Drinks large quantities at long intervals. The stools are generally constipated, but soft, mushy stools may be present and do not contra-indicate the remedy.

    Second week

    Arnica Mont: The tongue becomes shiny and sores appear about the teeth and lips. Patient is so sore that he can lie on one part only for a little while, and then he must get off that part or must be on the other side. Easy bleeding; from the various orifices of the body. “Stupor with involuntary discharges.” “Coma, insensibility.” “Lies as if dead.” Relapse of Typhoid. Severe toxic symptoms of graver form than the ordinary typhoid. Delirium; when spoken to answer correctly but unconsciousness and delirium at once return. Stupor with involuntary discharge of faeces. The stool is horribly offensive. “Nightly diarrhoea.” “Stool involuntary during sleep.”

    Baptisia: Face is mottled. Dark red with besotted dusky appearance. Sordes begin to appear on the teeth much earlier. Stupor; mind seems to be gone, he is in confusion. When roused, he attempts to say something and utters a word or two, and he is back in his state of stupor again. I-Je is in a constant argument with his parts. He seems to feel that there are two of him. He will begin talking about the other one in bed with him. Fevers, with drowsiness; pulse 120 and thready; lips parched and cracked; pasty tongue, heavily coated; great thirst; mind wandering; could not give a direct answer to any question; falls asleep in the middle of a sentence; delirious at night, and low muttering. Fetid, exhausting diarrhoea. Profound prostration; the tongue may have a brown streak down the center, the teeth are covered with sordes and the breath is foetid, and all exhalations and discharges from the patient are exceedingly offensive. There is tenderness in the ileo-caecal region.

    Bryonia Alb: Following the early sluggishness, there is a state of complete stupefaction. He becomes quite unconscious. Goes from a state of partial consciousness to one of complete unconsciousness. When aroused from this stage of stupefaction he is confused, sees images, thinks he is away from home and wants to be taken home. Sometimes he will lie and say nothing but he “wants to go home”. The delirium is of a low type. The face is puffed and purplish. A continued fever is observed. Pain in the chest, short, dry cough. Aggravated after 3 P.M. The delirium commencing about 9 P.M., and keeping up all night. “Fear of death.” Full of fear, anxiety, despair of recovery, great despondency. Both mental and bodily quîetness is required, wants to keep still. Wants the room dark. Complaints worse from getting excited, always worse from visitors. Dizziness is worse in a warm room, from too much clothing, worse from the warmth of the bed, wants the windows open, wants to breathe fresh, cool air. Lips parched, dry and bleeding. Dry, brown tongue. Sordes on the teeth. In acute stage ‘Bryonia’, patient have great thirst; he is apt to drink large quantities of water, at wide intervals. With this dry, brown tongue, however, he loses his taste for water and does not want it; dry mouth and thirstiess. Diarrhoea; is like the yellow, mushy stool. This is sometimes intermingled with mucus and slime, sometimes with blood, several times a day, but more frequent in the morning. Sometimes he has several stools in the morning that will satisfy for the whole twenty-four hours, or oniy one or two in the afternoon and five or six in the morning; during the night no stools at all, because when he keeps quiet in bed and comfortable he has not very much urging to stool; every motion or keeping upon the feet increases the urging to stool.

    Rhus Toxicodendron: It comes in when a putrid decomposition of fluids takes place. Corresponds to an early stage as well. It has restlessness, brown tongue and muscular soreness. Restlessness of Rhus is to relieve the muscular soreness. Triangular red tip to the tongue. The offensiveness of the discharges is less under rhus than under baptisia. Muttering delirium. Refusal to take the medicine for fear of being poisoned. The imagination is active, and the patients are disturbed in varied phases. There is often headache and nosebleed, which relieves the headache. There is diarrhoea of yellowish- brown stools of offensive odour, which may be involuntary. The abdomen is tympanitic and sensitive over the ileo-caecal region. There are pains in the back and limbs. It is especially indicated for backache that is severe. The spleen is also sensitive. The characteristics are the restlessness, the red-tipped tongue, offensive discharges, trembling of the chin and involuntary stools.

    Third week
    Arnica Mont: Stupor, patients do not know that they are sick, and care less; they go to sleep while answering questions; the head is hot body cool, and all over there is a bruised feeling; the  patient tosses about the bed to find a soft spot. The stools and urine are involuntary. Ecchymoses and bed sores, petechiae appear all over the body. Finally a condition of stupor arrives characterized by dropping of lower jaw.
    Arsenicum album: During typhoid fever when the case begins to look “bad”; but it is hardly ever indicated in the beginning of the disease. Prostration is accompanied by an irritability and anxiety. The patient is faint and weak, exhausted, with cold sweat and delirium. The mouth and teeth are covered with sordes; the mouth is sore. Diarrhoea; dark, offensive stools. Characteristic thirst. Restlessness, but it is rather a “prostrated restlessness” than a “rheumatic restlessness.” All the symptoms are worse after midnight. An extremely red tongue has always been a guiding and characteristic symptom. When the thirst, the prostration, the red tongue, the picture of complete exhaustion, the diarrhoea and the prostrated restlessness are present in any given case arsenicum is the only remedy to be thought of.

    Baptisia: In bad cases, the mouth and tongue swollen, raw, ulcerated, discharges putrid. Odour cadaverous. Odour of stool putrid. Feels as though scattered about, and she tosses about the bed to get the pieces together.

    Carbo Vegetabilis: When there is giving out of vital force and the patient lies pulseless and cold; especially below the knees. The discharges are horribly offensive. The characteristics are the great prostration, the desire for air; patient wants to be fanned àll the time and have the cold extremities, which are frequently covered with cold perspiration; the patient have a sunken hippocratic face, cyanosis, ecchymoses and bed sores.

    Lachesis: Indicated in the later stages of typhoid, where the patient is in a stuporous condition; lower jaw dropped. Low muttering or loquacious delirium. Offensive diarrhoea. The tongue is dry and catches on the teeth when it protrudes, also it trembles. Haemorrhages; the blood from the bowels is dark. Haemorrhages may occur from any orifice of the body.

    Muriatic Acid: Most suitable in latter stages. Great weakness. Great foetor of the breath, and ulceration of the mucous membrane. Salivary glands tender and swollen, mouth very sore. Putridity is prominent. Great weakness, patient slips down to the foot of the bed. The tongue is so dry that it rattles in the mouth. The diarrhoea is watery and often escapes while urinating; the pulse is feeble, irregular and intermits every third beat. Bed sores are prone to form; petechiae and oedema of ankles.

    Phosphoric Acid: Marked sensorial depression, indifference and perfect apathy. Nose bleed. The abdomen is distended and bloated; there is much rumbling and gurgling and painless diarrhoea, stools often containing undigested matter. There may also be intestinal haemorrhage. Tongue is dry and the teeth covered with sordes. Aversion to conversation and patient lies with a stupid, fixed, glassy stare.

    Phosphorus: Phosphorous has more sensorial excitement and more dryness of the tongue than Phosphoric acid. It is the main remedy when pneumonia complicates.

    Hyoscyamus: In the early stage of there is disease the delirium and later the symptoms of cerebral paralysis may call for hyoscyamus. If the delirium be furious or low and muttering, with picking at the bed clothes, and especially if subsultus tendinum be present, then Hyoscyamus is the remedy. Still later there may be dropping of the lower jaw, the patient being exceedingly weak and tremulous, with muscular twitchings as prominent symptoms. Involuntary stools.

    Pyrogen: Toxic state, not responding to symptomatic treatments. As an intercurrent remedy.

    Fourth week
    Cinchona: It is the remedy during convalescence.

    Aistonia scholaris: Anaemia, feeble digestion, are the general conditions suggesting this remedy.

    Characteristics are the gone sensation in stomach and sinking in abdomen, with debility. After exhausting fevers helps in convalescence.

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    Categories: Typhoid

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