Cocculus ranks on a par with Nux, when the gastric symptoms, such as: loss of appetite, aversion to any kind of food or drink, inclination to vomit and nausea unto fainting, bitter eructations, painful oppression in the pit of the stomach, and constrictive spasms in the abdomen in the direction of the inguinal ring, frequent, small, diarrhoeic feculent evacuations, are accompanied by heat of the upper part of the body, chills of the lower limbs, cold feet, burning heat in the whole countenance, burning thirst, sudden attacks of violent anguish, etc. This remedy deserves consideration whenever typhus de-velopes itself out of a severe illness, or is brought on by frequent chagrin. In this case it is indicated by frequent attacks of a disagreeable burning heat and redness of the cheeks, by evening exacerbations characterized by hot hands and a sensation of dry heat over the whole body, with nightly sleeplessness and delirium; by frequent shiverings in the day-time, with great debility, obliging one to lie down; great sensitiveness of feeling, extreme ill humour, depression of the vital energy, tremor of the limbs, paralytic immobility of the limbs, hemiplegia, sudden attack of anguish with shortness of breath and palpitation of the heart.

Arnica is a valuable remedy not only in typhus gastricus, but also in genuine typhus, if stinging pains with pressure be felt in the head, especially the forehead, with frequent bleeding at the nose which does not afford any relief, with continuous general heat, external and internal chilliness, and unquenchable thirst during night. Arnica is likewise an excellent remedy in typhus stupidus, when the patient is entirely unconscious of himself, like one, whose brain has been violently concussed; the patient does not stir, nor is any delirium present.

China may prove useful for the following symptoms: tearing pains in the head with pressure, especially at night, accompanied with anguish, fear, uneasiness with subsequent sleeplessness, congestion of blood to the head with heat, fulness, vertigo, buzzing in the ears, hardness of hearing, pale, sunken countenance; dryness of the mouth, yellow coating of the tongue, slimy bitter taste, great desire for cold water; heartburn after eating but little, empty retching, car-dialgia, constrictive flatulent colic deep in the abdomen, and pressing of the flatulence from within outward, with tension and anxiety below the hypochondria, and diarrhoeic, slimy stools containing undigested food; white and turbid urine; oppression of breathing, especially in the evening, with uneasiness in the chest and a small, feeble pulse; general chilliness and rather cool extremities. All these symptoms, which are characteristic indications for China, point to a rather acute as well as slow typhus gastricus, and likewise to a difficult convalescence, arising from a depression of the vital forces by exhausting evacuations and secretions.

Digitalis likewise corresponds to a typhus gastricus. Even before the physician has thought of the disease, Digitalis is indicated by a constant desire to urinate, with scanty emission of a dark-brown urine, especially at night; the patient complains of dizziness and vertigo when rising. This condition of things, which is not very alarming of itself, frequently precedes the outbreak of the real typhus for days and weeks. The disease generally sets in with a painful stiffness in the 11 back and limbs which is most intense after dinner. Weight and indolence in the limbs easily supervene, requiring the patient to lie down. The first symptoms generally denote a depression of the vital energies, with slow, sluggish pulse. Characteristic and infallible indications for Digitalis, are: a yellowish complexion, constant desire to urinate, disturbing sleep, alternate chills and heat, burning of the head, face and ears, redness of the cheeks, anguish, excessive dread of the future; optical illusions; violent vomiting of bile, with crampy pains in the stomach sometimes relieved by eructations; painful pressure in the region of the liver, etc.

§ 78. The remedies which we shall mention in the following paragraphs, are no less efficient in the treatment of typhus than any of the preceding, and may have to be used in any variety and stage of typhus as the symptoms may require. In order to avoid the necessity of constantly recurring to the same remedy in describing the various groups of symptoms for which it may be required in the various stages and forms of typhus, we will mention at once the whole series of the symptoms to which the remedy corresponds in typhus generally.

Stramonium is particularly indicated by muscular spasms, spasms of the facial muscles, pharynx, especially when drinking or generally when swallowing, distortion of the eyes, tremor of the limbs, even of the tongue when protruding it. It will be found efficient in that form of typhus which is occasioned by spinal irritation; the fever increases to a great degree of violence with exacerbations at different periods of the day, especially in the afternoon and at midnight, accompanied with loss of consciousness, trembling, small, rapid, and frequently intermitting pulse. The delirium, if present, is generally of a bland character, a sort of unintelligible muttering; the patient is either in a state of sopor or sleeplessness; stool and urine are frequently retained. These symptoms denote evidently a typhus stupidus for which Stramonium has been employed, with success. It may likewise prove useful in typhus erethicus. Closely related to Stramonium and useful in typhus stupidus, is Hyosciamus. This remedy deserves attention when the fever has set in suddenly without any precursory symptoms, or perhaps with a sudden swoon (see Veratrum). In spite of the burning febrile heat of the whole body with evening exacerbations, without thirst, putrid taste in the mouth, red, dry tongue: the pulse is small, slow and weak. The patient tosses from side to side owing to the violent erethism of the nervous system, he has no sleep; if any sleep should take place, it is frequently disturbed with startings as if by fright, grinding of the teeth, profuse sweats, which disappear again as soon as the patient wakes and cannot, therefore, be considered critical; the skin is dry, parchment-like, the extremities are cold, the whole body feels weak and exhausted, there is great anguish as precedes the eruption of miliaria; the patient is entirely stupid and unconscious, or else there is muttering delirium, absurd talk and flocci-legium. Hyosciamus is likewise suitable for the following symptoms: excessive wakefulness, subsultus tendinum, slight convulsive movements of the limbs; quick, full, and hard pulse, with distention of the veins all over the body, and burning heat; constant delirium with open eyes; desire to escape, without knowing why; rattling breathing, distortion of the features and eyes; demeanour as of a maniac; scanty emission of urine, which needs not to depend upon a spasm of the bladder, but may be occasioned by a diminished secretion; the involuntary emission of stools and urine during an absence of consciousness is no counter-indication of Hyosciamus, inasmuch as that phenomenon may occur in consequence of a paralytic weakness of the sphincter muscles, and of an entire absence of mind in the patient with consequent absence of all volition. These two symptoms hold a prominent rank among the physiological effects of Hyosciamus upon the healthy organism.