Lycopodium, of which mention has been made above, is not only applicable to a few single symptoms in typhus, but to typhus generally. It has been suecessfully employed in those fevers when they were characterized by constipation, waking with ill humour, scolding, screaming, and various improper manners. Characteristic indications for Lycopodium are: nervous erethism, without heat of the head or redness of the face, circumscribed redness of the cheeks, great debility, sweats which do not relieve, and a red, dry tongue.

In order to enable the beginning practitioner of homoeopathy to select Lycopodium with a tolerable degree of certainty, we shall try to define the group of symptoms for which Lycopodium is more particularly adapted. The Lycopodium typhus commences with a concealed chilliness which continues for several days, is worse towards evening, the skin being cold to the touch all over, and the sleep not being particularly disturbed by the coldness; in a few days the chilliness gives way to a burning heat all over the body, accompanied with shortness of breathing, slight thirst, fulness of countenance, frequent startings from sleep, and vertigo when rising, as if everything turned in a circle. Gradually the sleep becomes more and more restless, disturbed with fancies and a number of confused dreams, occasioning a constant tossing about, shrieking, and waking; the patient, even when of a mild temper, becomes irritable and sensitive, vehement; tightness and dulness of the head, difficulty to think, selection of wrong words when talking, and a slight delirium supervene. The skin remains dry, even when the fever increases; the tongue becomes dry, heavy, is painful as if burnt, without thirst, or but little desire for water; the patient is extremely faint and debilitated; frequent ineffectual urgings for stool make their appearance, accompanied with frequent but scanty discharges of burning, dark brown urine, especially at night. These fevers are always accompanied with shortness of breath, congestion of blood to the chest, palpitation of the heart.

Natrum muriaticum has likewise been recommended in typhus characterized by weakness, dryness of the tongue, and great thirst. Characteristic indications for Natrum mur. are: typhus following upon exhausting diseases; typhoid symptoms may be prognosticated when the patient is unable to recover his strength, complains of bruised feelings in the limbs, depriving him of his night's rest by arresting .as it were the breathing; extreme mental and physical debility, continuous febrile heat, with evening exacerbation; quick, full pulse; hurried, oppressed breathing; constant palpitation of the heart, with anguish, headache, as if the head would burst, especially in the forehead, with such a violent throbbing in the forehead that the patient sometimes loses his senses and becomes delirious; the complexion is livid, the tongue dry and heavy, so that he is scarcely able to talk; aversion to food; a good deal of thirst - which, when quenched, occasions a distention of the abdomen, and a good deal of rumbling and cutting in the bowels, sometimes even an inclination to vomit, and small watery stools; there is a copious secretion of urine, which deposits a brick-dust sediment.

§ 77. Some physicians have recommended Sulphur in the treatment of typhus. In our opinion Sulphur ought only to be given for the purpose of restoring the susceptibility of the organism to the action of one or the other of the remedies which we have indicated for typhus. In this respect Sulphur acts like Opium and Mercury, and should be employed when the following indications for its use are present: the typhus is a consequence of some acute cutaneous disease; or the patient has been affected in former times with some chronic cutaneous affection: it is likewise useful when Pulsat., Mere, and Nux, although they seemed to correspond to the symptoms, had no effect, or when the action of the specific remedies is prevented by the abuse of spirits to which the patient was addicted previous to his illness. Sulphur is likewise indicated when the patient is of a scrofulous habit and had been complaining of pains in the limbs previous to the invasion of typhus; it may also be usefully employed when a violently burning miliary eruption frequently makes its appearance in one or the other part of the body during the course of the disease; or, finally, in gastric fevers with typhoid symptoms. More particular indications are the following: continuous profuse sweats which afford no relief; the sleep at night is disturbed with fanciful ravings; even when the patient wakes the fancies continue to crowd upon the patient, the head feels dizzy and benumbed, which the patient is unable to account for; he is extremely timid, inclines to start, is out of humour, and easily vexed; hardness of hearing; sunken eyes surrounded with blue margins; pale and wretched complexion; dry and chapped lips; dry, parched, bright-red tongue; and taste as of blood in the mouth; Sulphur is, moreover, characteristically indicated by the painfullness of the abdomen to the touch, with sensation as if it were sore and raw inside; there is no diarrhoea, but sometimes such a violent urging that the stools frequently pass off involuntarily; this same statement applies to the urine which is very rarely of the same colour, and generally changes in colour from time to time.

Spigelia, Digitalis, and the Muriate of magnesia, afford in many cases essential benefit in treating the ailments which often remain after typhus. We have already spoken of Digitalis. Magnesia muriatica removes the pains as if bruised all over, the great debility and weight of the limbs, the ill humour consequent upon that condition of the limbs, especially when occurring in individuals whose nerves are weak even in a state of health; the restless sleep at night which is frequently disturbed by anxious dreams, nightmare; the sensation of oppressive weight in the head, which frequently lasts a long while, and is accompanied with vertigo and a dull and dreary feeling.