This section is from the book "Hartmann's Theory Acute Diseases And Their Homoeopathic Treatment", by Charles J. Hempel. Also available from Amazon: Theory of acute diseases, and their homoeopathic treatment.
Having spoken of a typhus stupidus, we ought to allude to a remedy which is closely allied to Phosphoric acid, and is yet too much neglected in typhus, we mean Acidum muriaticum. There are two symptoms which indicate this remedy exclusively, they are the following: the patient constantly settles down in the bed with moaning and groaning during sleep, and this settling down takes place again even after the patient has been raised, with constant muttering in the waking state, and inability to collect his senses; the second characteristic symptom is: the paralytic condition of the tongue, with great dryness in the mouth and fauces; even when fully conscious, the patient is not able to move his tongue as he would like; the tongue feels heavy and too long, so that he is unable to raise it. The accompanying symptoms, such as burning heat, obliging the patient to uncover himself, accompanied with anxious uneasiness in the body, the tossing about, and the frequent waking from sleep; the loss of appetite, aversion to nourishment, etc., are not sufficiently definite to indicate any one remedy in particular. The intermission of the pulse every third beat, and the profuse quantity of watery urine, might perhaps be considered as characteristic indications for Muriatic acid. As a general rule, Acidum muriaticum is a great remedy in typhus stupidus.
The principal specific in typhus, especially in a well marked typhus abdominalis and putridus, is Arsenic. Diseases of the mucous membranes, which have developed themselves out of gastric, bilious, and mucous fevers, constitute the greater part of the curative sphere of Arsenic; diseases with intermittent type likewise correspond to Arsenic; this is another reason why Arsenic is a great remedy in typhus, with well-marked exacerbations. The homoeopathic physician will think of Arsenic even in the commencement of typhus, if unimportant symptoms, such as a single vomiting, a diarrhoeic stool, a little pain, etc., should be accompanied with great debility, obliging the patient to lie down, and with drowsiness, the sleep being nevertheless disturbed by restlessness and anxiety, with burning heat. Soon after the seated, characteristic, burning pains in one side of the abdomen make their appearance, with sensation as if a heap of incandescent coal were deposited in that region, with coldness of the limbs, and parchment-like, dry, hot skin, panting for drink, petechias, and white miliaria. The patient complains of giddiness, with buzzing in the ears, and hardness of hearing; the countenance is pale, livid, and distorted in a peculiar manner; aphthae form in the mouth, with frequent inclination to vomit, occasioning a faint feeling every time the inclination occurs; meteorism, with burning and excoriating alvine evacuations, consisting of a yellow water, with cadaverous smell, and passing off without the patient being conscious of it.
Further observations will have to show whether small doses of Arsenic are as efficient in typhus as larger (the second, third, sixth attenuation). As for ourselves, we have cured our patients with the lower attenuations, repeating the dose less frequently as the improvement progressed more rapidly. It ought to be noticed that many typhus patients do not complain of pain in the bowels until pressure is made upon the part; in this case the pain is very rarely burning, but on the other hand so much more characteristic as a therapeutic indication.
Carbo vegetabilis holds almost the same rank with Arsenic in those forms of typhus for which Arsenic is such an admirable specific. We have found Carbo not only indicated in the last stage, characterized by decomposition of the fluids, ulceration of the intestinal canal, decubitus gangraenosus, stupor, with rattling, cold sweat over the whole body, hippocratic countenance, small, weak pulse; but also in the second stage, which is, in fact, its principal sphere of activity. In the third stage it has been used with great success by many practitioners. The principal indications for its use are the following: burning stinging in the inmost parts of the abdomen, with great anguish and troublesome flatulence coming on after every meal, and ao-companied by loose stools, with tenesmus, burning, light-coloured, bloody, and having a putrid smell. The appetite is not entirely extinct, the patient has a great desire for salt food and coffee, complete aversion to meat; the patient is afraid of taking any nourishment, on account of the above-named symptoms, together with burning in the stomach, arising from it. There is nightly agglutination of the eyelids; the patient suffers with hardness of hearing, tingling in the ears; (Carbo is a very important remedy for the anguish which is occasioned by violent congestions of the chest and head, and accompanied by burning skin;) bleeding of the nose, with stoppage of that organ, which is maintained by a constant formation of scurfs; eruption around the nose, and the blackish-looking chapped lips; the patient sleeps with his limbs drawn up; it is a restless sleep and frequently interrupted by waking. On raising the head the patient feels giddy, and is extremely unhappy and oppressed. Carbo is a most important remedy in typhus abdomin-alis during the ulcerative stage.
When the above-mentioned symptoms occur, Rhus, Acidum nitr., Phosphorus, and Lycopodium ought likewise to be considered. Rhus and Nitric acid when the pains are not very burning; Acidum nitricum is indicated when certain parts of the abdomen are very sensitive to pressure, with dragging, stinging pain in the rectum, evacuations of green mucus, difficult urination, tendency to collapse; Lycopodium deserves consideration when the urine is burning.
An incomparable remedy in the first stage of the disease is Staphysagria, when the following symptoms occur: sordes on the teeth, pale and bleeding gums, with painful swelling of the gums, and rapid decay of the teeth; vanishing of thoughts and ideas, weakness of memory, dulness of mind, great indifference and ill humour; vertigo, with stupifying headache; dimness of the eyes, itching, stinging, and heat in the canthi; fulness in the pit of the stomach, with frequent hickup and vomiting; tension across the hypochondria, oppressing the breathing; pressure, weight, and tension in the abdomen; cutting pain in the bowels, with nausea; copious diarrhoeic stools. As a general rule, Staphysagria is the best remedy, if the sexual organs are involved, and if the characteristic pains in the chest, heart, and spinal marrow, the various gastric troubles, the fetid-smelling sweats, the weariness and bruised feeling in the limbs, the morning and evening febrile erethism occur; all those symptoms point to a deep-seated affection of the nervous system, the complete development of which is frequently prevented by Staphysagria.