Belladonna is indicated in the commencement of the disease, where it is occasioned by fright or chagrin, where convulsive twitching of the limbs, and a general feeling of restlessness is present, especially in the limbs; or where it commences with fainting turns which are followed by extreme sensitiveness of all the organs; or where there is a continual drowsiness increasing to lethargy, with snoring, during which the countenance changes from cold and pale to red and hot, disturbed sleep, anxious and restless when awake, with internal heat and headache. Where also the inflammatory symptoms indicating Aconite are present, the two remedies should be given in alternation, a dose of each every two hours.

Belladonna, is also particularly indicated where in the progress of the disease the delirium becomes more furious; there are visions while awake, starts as from affright, internal burning heat, without thirst, distension of the veins and throbbing of the arteries of the head, pressing pain in the temples, intolerance to noise; the eyes may be congested; the tongue is red, burning hot, and parched, the mouth and throat dry, deglutition diflicult, abdomen distended and sensitive to the touch, and frequent diarrhceic stools. Where these symptoms appear Belladonna should he given, prepared in the same manner as the Aconite, every two hours.

Bryonia is a most valuable remedy in Typhus, and is frequently indicated. It is often appropriate in alternation with Rhus. Its indications are a bruised, aching sensation throughout the whole body. The most downy bed would feel hard. Beating, pressing pain in the forehead from within outward, particularly painful when looking up or moving the eyes, burning sensation of the head, notwithstanding the forehead may be covered with a cold sweat, moaning during sleep, heat and frightful dreams. In the commencement of the disease where heat alternates with chilliness, the former in the morning, the latter in the afternoon, and where there is moderate thirst, vertigo, increase of headache and excessive erethism of the nervous system, and where gastric symptoms are present, such as bitter taste, yellow coating of the tongue, nausea, vomiting, and difficult stool, Bryonia is strongly indicated. This remedy is also indicated where in the progress of the disease the heat becomes permanent, and is accompanied with delirium, but little complaint of pain, yet grasping at the head, delirious talk of business, face red and bloated, lips dry and cracked, white miliary eruption and constipation.

Dose

Mix two drops or twelve globules in a glass half full of water and give a teaspoonful once in two or three hours.

Rhus tox. is a very important remedy, particularly in the "versatile" and stupid forms of Typhus, especially the latter, and also where the convalescence is slow, the pulse continuing feverish, and the diarrhoea and oppression of the chest not entirely removed.

In the precursory stage there is chilliness even near the fire, colic and diarrhoea, bruised sensation in various parts, white-coated tongue, nausea, vomiting of mucus, and vertigo; a stiff and lame sensation when at rest, numbness of the parts on which the patient lies, and a stinging, drawing and rigidity in the nape of the neck and back. As the disease advances there is great weakness and prostration, sleeplessness, great restlessness at night with anguish or heavy sleep, with murmurs, snoring, dry heat, sleep disturbed by troublesome dreams, frequent starting and throwing off the clothes. Talkative delirium, frequent desire to run away, stupefying headache, vertigo on rising up. As abdominal typhus gradually develops itself, the heat and violent delirium become continuous, the cutting in the abdomen and diarrhoea are followed by pain in the limbs, great weakness, tongue and lips blackish, cheeks burning red, sopor, with muttering, snoring, and small accelerated pulse. The eyes are red and uninfluenced by outward impression, the odor from the mouth is fetid, the stools involuntary, and the urine whitish and turbid. Oppression of the chest strongly indicates Rhus.

Dose

Give it prepared as Bryonia, a dose every two hours, unless in alteration with Bryonia cr some other remedy, when it should be taken every four hours.

Opium

Is indicated where there is a constant desire to sleep, or a lethargic sleep with labored respiration and snoring, hard full pulse.

Dose

It should be given, prepared as Bryonia, a dose every two or three hours.

Hyosciarmca - Excessive wildness, great nervous excitability, furious delirium with visions, or apathy and stupidity, fixed and dull eyes, surrounded by a livid circle, or red and sparkling eyes with pupils either dilated or contracted.

Dose

Same as Bryonia.

Stramonium

Violent pain in the head, with fainting, delirium, violent tossing, illusions of sight, loss of consciousness, dilated and insensible pupils, lethargic sleep and snoring.

Dose

Same as Bryonia. These three remedies, it is often advisable to alternate with Aconite, Arsenicum or Muriatic-acid.

Phosphorus, is principally indicated when the disease arises from cold or onanism. In the precursory stage there are rheumatic pain in the limbs, worse morning and evening, and aggravated by cold air or the touch, and sometimes accompanied with a general sensation of sickness, a weary bruised feeling, tightness of the head, palpitation of the heart, and pain in the stomach and bowels. As the disease progresses, there is a small, hard, quick pulse, profuse sweat; sleep interrupted by shrieks, moaning, stitches, and rattling in the chest, oppressive cough and bloody expectoration, painfulness of every part of the body. The above group of symptoms occurring in Typhoid Pneumonia are very accurately covered by this remedy. There may also be painful sensitiveness in the abdomen near the right hip, sometimes accompanied by half liquid bloody stools, beating pain in the head, and discharge of blood from the nose.

Dose

A powder or three globules every three hours.

Phosphoric-acid - Great prostration, flighty, even when awake, aversion to conversation, always on the back, in a drowsy state, replying to questions incoherently, or not answering at all, low muttering delirium, dryness of the tongue, dry and burning skin, loose evacuations generally passed involuntarily and sometimes bloody; frequent, weak, and sometimes intermitting pulse. The remedy should be alternated with Rhus, a powder or three globules every three hours.

Arsenic

If in connection with the above symptoms there is a rapid sinking of the vital powers, great prostration of strength, countenance deathly, eyes dull and glassy, pulse scarcely perceptible, burning thirst and diarrhoea, give Arsenic, a powder or three globules every hour. Should the evacuations be fetid, cold perspiration on the face and extremities, rattling respiration, Carbo-veg. should he given in alternation with the Arsenic, a dose of each every hour.

As the urgent symptoms abate the intervals should be lengthened to three or four hours.

Muriatic-acid is an important remedy in Typhus-stupidus, where there is sliding down in the bed, with moaning and groaning during sleep, and constant muttering when awake, with inability to collect the senses, paralytic condition of the tongue, with dryness of the mouth and fauces. Where these symptoms occur it is generally best to give the acid in alternation with Opium, a dose of each every four hours. Where the acid is given alone, it should be given once in three hours. Sufficient may be dissolved in a tumbler of water to make it slightly tart, and a tablespoonful given at a dose.

Besides the remedies already enumerated, we will mention a list which may at times be found highly serviceable. For particular indications, see Materia Medica at the close of the book. Arnica, Camphor, China, Coffea, Cantharides, Cocculus, Ipecac, Ignatia, lachesis, Lycopodium, Nux-vom., Pulsatilla, Mercurius, Vera-trum, Sulphur.

Diet

During the early part of the disease the diet should be of a farinaceous character, as the disease progresses however, if symptoms of rapid prostration are present, such as weak or flickering pulse, feeble voice, and great general weakness, we should endeavor to support the strength by means of broth, beef-tea, wine-whey or brandy. The nourishment should be given a few spoonfuls at a time and repeated once in two or three hours. The stimulants should be given a little at a time and repeated as the strength of the patient requires them. For the manner of preparing beef-tea, wine-whey, etc, see Index. During convalescence be careful and not overload the stomach, for if the patient is allowed to indulge to the full extent the cravings of hunger a relapse may take place.

For Cerebral Typhus or brain fever the principal remedies are Acon., Bell., Bry., Hyos., Op., Rhus.

For typhoid lung fever. Ip., Bry. and Rhus, or Ars., Chin., Hyos., Phosphor, Phos.-ac., Sulph., Laurocerasus.

For Abdominal Typhus, Rhus or Bry. or Ars., Chin. and Merc., or Arn., Carb. v., Nux-vom., Puls, and Sulph., Canth. and Phos.