Diagnosis

Tensive, throbbing pains in the region of the spleen, extending to the shoulder, oppression of breath, constriction of the stomach, worse on turning to the left side or during motion; sometimes perceptible enlargement in the region of the spleen, painful when touched. Oppression, anguish, cough, dyspeptic symptoms, vomiting, eructations, etc. There may be vomiting of blood even at the commencement. The fever is attended with great thirst, and is generally of a remittent character.

Causes

The causes producing inflammation of the spleen, are similar to those already enumerated under the head of inflammation of the liver. We may also mention the abuse of quinine, and living in a marshy region. It is more frequent among persons of middle age and old people, and also in men, than in women.

Treatment.* - In acute splenitis, accompanied with much fever, Aconite is an invaluable remedy and should be given alone every one or two hours, or if in alternation, with some other remedy indicated, such as, Bryonia, belladonna or China, every two or three hours. If the pain still continues after the fever has in a measure subsided, the appropriate remedies should be given.

* For general directions as to the administration of remedies, see page 12.

Dose

Two drops, or twelve globules, in a tumbler of water, or three globules, dry on the tongue, given as above directed.

Nux-vom. is indicated, where there is a sensation of swelling, and increase of the stinging pain to contact Or motion; nausea, aversion to food, fainting spells, vomiting of blood, pains in the stomach, retention of stool, dyspeptic symptoms, etc. It is particularly useful after China or Arnica, where these remedies have only produced a temporary amelioration, the constipation and pressing gastralgia continuing nearly the same.

China is a very important remedy and may often be given at the very commencement of the disease alone, or in alternation with Aconite. It is generally however given after the fever has been in a measure subdued by Aconite, and where the frequent vomiting of blood has produced great weakness, and also when there are lancinating, tearing pains, with hardness and painful swelling of the spleen, the patient being unable to lie on the affected side. The fever is frequently of an intermittent character, and characterized, by dry, burning heat, aversion to food, nausea and bitter taste, thirst, and restlessness.

Arnica

Generally after China, when that is not quite sufficient; and when there are pressive shooting pains, typhoid symptoms, apathy and stupor.

Arsenicum - may be useful after China; or where there are diarrhceic stools with discharge of dark coagulated blood, burning pain in the spleen with anguish and pulsation in the pit of the stomach.

Bryonia - particularly, if the constipation and sticking pains continue after the use of China, Arnica, and Nux. Pulsatilla may with advantage be alternated with Bryonia, where there are sticking pains, increased by motion, and the part is visibly swollen.

In the chronic form of the disease. Nux, Mercury, Bryonia, Sulphur, Calcarea, Carb.-v. or Iodine may be given.

Dose

Two drops of the tincture, or twelve globules, in a tumbler of water, a tablespoonful at a dose, or three globules or a powder, dry on the tongue. In acute cases give every two or three hours, gradually increasing the intervals as the symptoms abate. In the chronic form of the disease a dose may be taken morning and night.

Diet

Same as in Inflammation of the liver.