There is another kind of sub-inflammatory fever which is characterized by drawing, tearing pains, sensation of lameness or numbness, the tendons, ligaments or bones, are principally affected, there is no swelling, night exacerbation; the spinal column and the head are involved in the attack, the pains extend like labour-pains from the small of the back into the thighs, making the least movement impossible, and the night intolerable: such an attack yields to Chamomile.

Dulcamara is closely allied to Rhus as a remedial agent in rheumatic fevers. It deserves a preference over Rhus, if the fever was not occasioned by wet, but by a sudden retrocession of sweat in a draft of air or some other kind of exposure. A peculiar exciting cause is not always required to make the exhibition of Dulcamara necessary; the exhibition of that remedy is justified when rheumatism is prevalent in the community, and the following group of symptoms occurs: sticking, drawing, or tearing pains in the limbs, with bloatedness of those parts and a sensation as if they had gone to sleep; violent fever with great heat; dryness and burning of the skin; badly smelling sweat which affords no relief, restless tossing about in the sleep, occasioned by a painful sensation of swelling in the nape of the neck and occiput, which does not allow one to lie quiet; drawing pain in the whole, or only in parts of the head, involving the ears.

Ranunculus bulbosus is another remedy in rheumatic fevers which has been too little considered heretofore, and is related to China in this respect, that the lancinating pains and the pains as if bruised are readily excited by contact, movement, or change of position, and that they are sometimes aggravated by the contact of a cool current of air. The fever, which is a continuous remittent fever, has evening exacerbations with a full hard pulse which should not induce the practitioner to interfere with the action of Ranunculus by exhibiting another remedy. The rheumatic fever for which Ranunculus is the specific, wanders from one part to another without affecting any particularly; it has, however, one peculiarity, which consists in the heat affecting only one side, with cold hands and feet.

Rhododendron chrysanthum is closely allied to Ranunculus. The Rhododendron fever is not very intense, for it does not even amount to an erethism of the vascular system, and consists of alternate chilliness and heat, accompanied with pressing pains in the head from within outward, and drawing in the limbs; at night a dry heat of the body sets in, with sleepless restlessness; towards morning the pains abate, and a slight general sweat makes its appearance. Characteristic indications for Rhododendron are a nightly drawing tearing in the periosteum, which is aggravated by bad, changing weather, at night when in bed and during rest; these symptoms disappear under the use of Rhododendron, as we know from experience.

Sulphur corresponds to rheumatic fevers which are characterized by a drawing sticking or a drawing tearing both in the limbs and joints, the latter being slightly swollen; the pains abate by external warmth, and grow worse in cold; the pains are relieved by motion, excited by rest; Sulphur is particularly useful when the pains are seated. Sulphur corresponds particularly to rheumatic fevers with alternate chilliness and heat, an apprehensive oppressive sensation in the pit of the stomach, pains in the head and nape of the neck, violent stitches in the small of the back; the night-sleep, which is of itself restless, is moreover disturbed by the violent headache, which cannot be relieved by any change of position. The accompanying fever is a continuous remittent fever, with exacerbations every evening, consisting of a slight chilliness which commences a few hours before falling asleep, and is not relieved by the warmth of the bed, no matter how much covering the patient may put on. Not until a few hours have elapsed, great warmth makes its appearance, which results in a sourish-smelling sweat towards morning. Generally the fever is accompanied with entire loss of appetite, or with inclination to nothing but sour things, great thirst, with feeling of dryness in the mouth, sour eructations, bloatedness of the abdomen and pit of the stomach, with sensitiveness to pressure of those parts, and insufficient, hard stool.

Characteristic indications for Arnica in those fevers are a tearing with tension in the parts which are affected by the rheumatism, but especially a lameness, and pains as if bruised, redness and swelling of the affected part, aggravation of the pains by the slightest motion, which is nevertheless made necessary by the uneasiness experienced in the affected parts, owing to which the same position cannot long be endured. Arnica is especially applicable in those febrile rheumatic affections of the thorax, which are relieved by movement, and resemble the .pains, especially in the posterior portion of {he thorax, which are experienced in consequence of a bruise or fall. Chilliness and heat exist simultaneously, if one part feels warm, the other feels cold.

Cocculus corresponds to those rheumatic fevers where only one side of the body is affected, and a paralytic drawing, with painful stiffness in the joints, is experienced, which is aggravated by every movement, even of a part which is not affected. Cocculus is a distinguished remedy in rheumatic affections of the chest, characterized by stinging, and a pain as if sprained in the articulations of the chest and dorsal vertebrae. If the paralytic drawing pain affect the back, the pain is generally worst early in the morning, is aggravated by walking, stooping, or talking, and is not relieved till the patient has been lying down for some time. The fever consists of frequent paroxysms through the day of alternate heat and chilliness, with congestion to the face, which constantly remains pale.

Nux is a good remedy for drawing, tearing pains, especially in the dorsal, lumbar, sacral, and abdominal muscles, in the latter muscles a sensation of numbness and as if bruised being experienced at the same time; those pains are distinguished by nightly exacerbations, and do not admit of the slightest movement, or else require a constant change of position; they are accompanied with a feeling of heat over the whole body which deprives the patient of sleep, with excessive sensitiveness to all external impressions, costiveness, and shifting of flatulence in the abdomen.

As regards the following remedies, we content ourselves with merely mentioning their names, leaving it to the physician to consult the Materia Medica for a more accurate knowledge of the symptoms.

A most useful remedy in such cases, especially after an abuse of Mercury, is Lachesis. This remedy is indicated in pain and stiffness of the joints, with swelling; the pains are aggravated by movement and contact, evening and night; sweat affords no relief.

Indigo promises to become useful in rheumatic fevers.

Causticum may be consulted when the pains are drawing and tearing.

Euphorbium, when the pains are tearing or sticking, with sensation of pressure; they are aggravated by rest, relieved by movement.

Carbo vegetabilis, when the pains are drawing, tearing, with sensation of lameness, and arrest of breathing, characterizing the affection of the chest, flatulence.

Mezereum for tearing, drawing, and tensive pains in the long bones, with night exacerbation, and especially if Mercurius in allopathic doses have been previously given for syphilis. This latter indication applies likewise to Carbo vegetabilis.

Valeriana is excellent in rheumatic fevers, when the joints are principally affected. There are other remedies for rheumatic fevers, which we do not mention on account of the little use which has been made of them in practice.

The most frequent metastasis occurring in rheumatic fevers is to the pericardium; as we shall treat of that affection more in detail hereafter, we content ourselves with barely mentioning in this place the principal remedies for it, viz., Belladonna, Spigelia, Arsenic, Cannabis, Bryonia.

Rheumatic as well as catarrhal fevers may exist simultaneously with other acute affections, complicating them and making the use of other remedies beside those here mentioned necessary; frequently, however, one of the above-mentioned remedies is likewise indicated by the complication of the symptoms.*

* An interesting remedy for rheumatic fevers, which Hartmann has omitted to mention, is Guajacum. In the second number of the Examiner, Vol. IV., we hare recorded a most remarkable case of rheumatism which Dr. Schellhammer cured by two doses of Guajacum. The symptoms were: violent stitches in the outer side of the right calf, which soon extended as far as the right ankle joint, and became so violent that the patient fell down, and was, since that period, no longer able to walk. By mismanagement, the patient was reduced to the brink of the grave, until Schellhammer effected a complete cure. When Schellhammer was called, the symptoms were: violent tearings and lancinations in the whole of the affected side, extorting constant shrieks day and night; cough, with expectoration of fetid pus; aversion to food; nausea and vomiting every morning; swelling of the limb, it was drawn up, stiff and immoveable; interstitial distention and softening of the tibia and tarsus; hot skin, tongue coated, vehement thirst. - Hempel.