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.
Opium is another valuable remedy in typhus. It is particularly indicated by the following symptoms: loss of consciousness and sopor; the patient lies with open eyes, and is speechless; the limbs are rigid; the pulse is quick, full, and hard; the face is dark red, and puffed; the respiration laboured, snoring and rattling; all these symptoms afford an image of a true typhus stupidus (apoplecticus), Opium will be found efficient in that condition of the patient. If this condition have lasted too long, and a slow, feeble, intermittent pulse set in, and those parts which were bloated collapse, Opium will not do any good. Nor will any other remedy. Death will soon take place. If the patient should be lying with his eyes closed, without sleeping; if the hearing and taste of the patient should not have entirely disappeared; if the patient should still give a sign of life when spoken to; if there should only be the highest degree of sopor, without a complete paralysis of all the functions and organs: in such a case it might perhaps be possible to reanimate the vital energies and the mental powers. This result could only be accomplished by one remedy, which acts by exciting the olfactory nerves, it is Spiritus nitri dulcis, which should be applied to the patient's nose every minute at first, and afterwards less frequently, as the signs of a restored vitality increase. As soon as the patient's consciousness has returned, the Spiritus nitri. dulcis ceases to do good, and Rhus, Nux, Belladonna, Pulsat., Acid, phosphoricum, or some other remedy will have to be employed.
Camphor has been employed with great success in typhus by many homoeopathic physicians. By some Camphor has been found useful after Rhus, especially when the following symptoms occurred: violent delirium, hot and tight and dull head; cold, clammy skin, with colliquative sweats; great debility, inclination to diarrhoea. More particular indications for Camphor are the following: the febrile paroxysm sets in with a sudden loss of sense, falling down without consciousness, spasmodic stretching of the body, twitchings of the facial muscles, and shortness of breath. After these symptoms have disappeared, the patient complains of a constrictive, beating headache, with burning hot forehead, cold hands and feet; the headache increases by every change of position; vertigo sets in, as if the patient would fall over, with loss of consciousness, weak and scarcely perceptible pulse; these symptoms are gradually followed by heat, which is first felt in the face, and then over the whole body, hands and feet remaining cold; loss of thirst; scanty and rare emission of turbid urine, depositing a thick sediment.
Cina is said to be very useful in typhus, since it has a powerful stimulating action upon the nerves of the abdomen. Cina corresponds most accurately to a worm fever, with typhoid symptoms; when such symptoms occur, Cina is probably of importance only in the commencement, when burning heat of the face, redness of the cheeks, increased desire for cold drinks, slight delirium, restlessness, tossing about, prevail, especially in the evening and at night; between the exacerbations the patient shows a sort of indifference to either agreeable or disagreeable things, although he calls for a good deal; he complains of a numb and stupifying pain in the head, with sensation as if the head were screwed in; this pain increases to such a degree that it causes convulsions and contortion of the limbs.
Hellebore has been recommended in typhus, which has developed itself out of some other disease; for instance: out of scarlatina, measles, cholera, gastric and worm fever, etc. Hellebore corresponds more or less to the following symptoms: internal chills in the evening, in bed, with burning heat over the whole body, especially the head, with glowing cheeks, absence of thirst, sometimes even aversion to drink. Particular indications for Hellebore are: the febrile symptoms which have been mentioned in the preceding paragraph, and which are accompanied by the following symptoms: bloatedness of different parts of the body, with heaviness in the same; sopor, with numerous fancies, and tossing to and fro; hypochondriac mood, and dulness of sense; the scalp feels bruised, with oedema of the whole body; dark, turbid urine.
Among the symptoms of Lachesis we distinguish the following typhoid condition: chilliness every evening, with drawing in the back, and in the lower limbs from below upwards; dry heat at night; loss of appetite and exhaustion. In a few days the following symptoms supervene: vertigo when sitting up in the bed; the eyelids feel paralyzed, and it is difficult to open them; bitterness in the mouth; simple pain in the chest and dry cough, tearing in the left thigh and back. After these symptoms have lasted some time, a soporous condition sets in after the patient has passed a very restless night, characterized by a sort of stupified lying on the back, from which the patient only wakes by shaking him violently, and talking to him with a loud voice; his tongue is very heavy when talking; sunken countenance, the lower jaw is hanging down; the pulse is seventy, soft, unequal; some sweat, with coolness of the legs and feet; the tongue is red, smooth, dry, and he protrudes it with great difficulty. He emits a copious quantity of brown-red urine.
Secale has been found efficient by several homoeopaths in typhus arising from other diseases, as well as in that arising from an irritation of the spinal marrow. The patients gradually lose their appetite, desire to drink continually, especially cold water, are in a constant state of fever, which consists principally of dry heat, with hurried pulse; they are very restless, sleepless, debilitated; they complain of wandering pains in the back and small of the back, gradually assuming a spasmodic character, and flying from one part to another; those spasms are of a tonic character in the feet and hands, clonic in the facial muscles, with subsultus, tremulousness, jerks; the spasms in the muscles of the chest occasion asthma. Secale is a distinguished remedy in that stage of the fever; if repeated every two or three hours the spasmodic pains soon disappear, after which another remedy may be exhibited, unless the delirium and the fever should have subsided under the influence of Secale.