PYROGEN (A product of Sepsis)

Description :
For sapremia or septicemia : puerperal or surgical ; from ptomaine or sewer gas infection ; during course of diphtheria, typhoid or typhus ; when the best selected remedy fails to > or permanently improve.
The bed feels hard (Arn.) ; parts lain on feet and bruised (Bapt.) ; rapid decubitus (Carb. ac.).
Great restlessness ; must move constantly to > the soreness of parts (Arn., Bellis, Eup.).
Tongue : large, flabby ; clean, smooth as if varnished ; fiery red ; dry, cracked, articulation difficult (Crot., Ter.).
Taste : sweetish ; terribly fetid ; pus-like ; as from an abscess.
Vomiting : persistent ; brownish ; coffee-ground ; offensive, stercoarceous ; with impacted or obstructed bowels (Op., Plb.).
Diarrhea : horribly offensive (Psor.) ; brown or black (Lep.) ; painless, involuntary ; uncertain, when passing flatus (Aloe, Olean.).
Constipation : with complete inertia (Op., Sanic.) ; obstinate from impaction, in fevers ; stool, large, black, carrion-like ; small, black balls, like olives (Op., Plb.).
Fetus : or secundines retained, decomposed ; dead for day, black horribly offensive discharge ; "never well since" septic fever, following abortion or confinement. To arouse vital activity of uterus.
Lochia ; thin, acrid, brown, very fetid (Nit. ac.) ; suppressed followed by chills, fever and profuse fetid perspiration.
Distinct consciousness of a heart ; it feels tired ; as if enlarged ; purring, throbbing, pulsating, constant in ears, preventing sleep ; cardiac asthenia from septic conditions.
Pulse abnormally rapid, out of all proportion to temperature (Lil.).
Skin : pale, cold of an ashy hue (Sec.) ; obstinate, varicose, offensive ulcers of old persons (Psor).
Chill¬†;¬†begins on the back, between scapulńᬆ; severe,¬†general, of bones and extremities, marking onset of septic fever¬†; temperature 103 to 106¬†; heat sudden, skin dry and burning¬†; pulse rapid, small, wiry, 140 to 170, cold clammy sweat follows.
In septic fevers, especially puerperal, Pyrogen has demonstrated its great value as a homŇõopathic dynamic antiseptic.

Relations :
Antidote : Nux vomica for the agg. from overaction of a single dose or for bad effects of repeated doses ; Rhus, Eup. per. for the aching, restlessness and bone pains.
Compatible¬†: Arn., Bap., Rhus, Eup. per. in typhoid and other fevers with muscle soreness, bed feels hard. Ars., Ech., Lach., Malar. (the vegetable Pyrogen), Ant. t., Bapt., Brom., Lyc., Phos., fan-like motion of Alńá nasi. Bry., cough < by motion and in warm room. Ipec., uterine hemorrhage (if Ipec. fails when apparently well selected). Bap., Psor., offensive diarrhea. Lept., Psor., black stools. Opium, Plumb., Sanic., constipation, hard black balls Nit. ac., Sec., thin, offensive lochia. Phos., water is vomited as soon as warm in stomach. Bell., Melil., throbbing, bursting headache. Carbo v., Ech., Psor., offensive varicose ulcers of old people. Hep., Sil., Calc. sulph., tendency to profuse suppuration. Sulph., Psor., patient continually relapsing after the apparent similimum.

Aggravation :
Motion, moving the eye ; in a warm room ; rising from lying or sitting up (cough relieved by sitting up ; < by lying down, Clarke).

Amelioration :
Heat, hot bathing or drinking hot water ; binding affected part tightly ; stretching out limbs ; walking, changing position.

Mind :
Loquacious ; can think and talk faster than ever before (S).
Irritable (S).
Delirious on closing eyes ; sees a man at foot of bed.
Whispers ; in sleep.
Sensation as if she covered the whole bed ; knew her head was on pillow, but did not know where the rest of her body was.
Feels when lying on one side that she is one person, and another person when turning on the other side.
Sensation as though crowded with arms and legs.
Hallucination that he is very wealthy ; remaining after fever.
Increased buoyancy of spirits, although he felt ill.
Great depression.
Muttering delirium.
Anxiety, restlessness.
The muttering delirium sets in early, leading to unconsciousness and death.
The signs of infection are horror, delirium, stupefaction.
Brain active during the night, could not sleep, was making speeches and writing articles.

Head :
Staggers as if drunk on rising in morning (S).
Dizziness on rising up in bed.
Pains in both mastoids, < right ; dull throbbing in mastoid region (S).
Great throbbing of arteries of temples and head ; every pulsation felt in brain and in ears, the throbbing meet on top of brain (S).
Painless throbbing all through front of head ; sounds like escaping steam (S).
Frightful throbbing headache > from tight band.
Excruciating, bursting, throbbing headache with intense restlessness (often accompanied with profuse nose-bleed, nausea, and vomiting).
Sensation as if a cap were on.
Rolling of head from side to side.
Forehead bathed in cold sweat.
Throbbing of carotids and vessels of the neck ; a distinct, wave-like throb from the clavicles upwards.
Child with cerebro-spinal meningitis was so sick that at one time it seemed as though she could not recover ; there was automatic motion of the right arm and right leg ; rolling the head from side to side ; this kept up until it would turn her around from left to right till her feet would get on the pillow or touch the headboard ; she was brought out of this condition with Pyrogenium.
Dull headache.
Cerebral symptoms are not usually severe, but there is often a low form of delirium.
Dizziness, headache.
Heavy headache, uncomfortable.
Morning headache.
Pulsation felt in head, painless throbbing.

Eyes :
Left eyeball sore, < looking up and turning eye outward (S).
Projecting eyes.
Lids seem dry and roughened as if filled with sand ; mucus collecting in inner canthi ; agglutinated and crusty borders on waking in the morning.
Sticky and inflamed eyes.
Intense photophobia, lies with fists pressed tight in eyes.
Phyctenular keratitis, both eyes < by light.

Ears :
Loud ringing, like a bell, felt ear ; ringing and roaring in right ear < at night.
Ears cold.
Ears red, as if blood would burst out of them.
Sound as of escaping steam, a puffing, purring sound.
Loud ringing in right ear lasting but a few minutes.

Nose :
Nose-bleed ; awakened by dreaming of it and found it was so.
Sneezing : every time he puts hands from under covers ; at night.
Nostrils closing alternately (S).
Cold nose.
Fan-like motion of alńá nasi.
Sneezing at night, nostrils closing and alternating from side to side.
Thick, gluey discharge from nose < right.

Face :
Face : burning ; yellow ; very red ; pale, sunken, and bathed in cold sweat ; pale, greenish, or chlorotic.
Circumscribed redness of cheeks.
Hectic flush in afternoon and evening, coming on regularly at 3 or 4 P. M.
And lasting till midnight ; then face covered with large drops of cold perspiration.
Face assumes a pinched and anxious expression.

Mouth :
Tongue : coated white in front, brown at back ; yellowish brown, bad taste in morning (S).
Tongue clean, smooth, and dry ; first fiery red, then dark red and intensely dry ; smooth and dry ; glossy, shiny as if varnished ; dry, cracked, articulation difficult.
Tongue dry and not a particle of moisture on it.
Has had no thirst since he has been sick.
Better taste in the mouth ; tongue dry down the centre.
Taste : took one dose of Pyrogen cm. (Swan) in the afternoon.
During the evening a terribly fetid taste, as if mouth and throat were full of pus, which lasted 24 hours ; sensation as of a borken abscess in the mouth.
A nauseating, offensive taste in morning, for many days during proving.
Tongue dry and brown.
Bad taste in the mouth.
Sticky saliva.
Pasty, furred tongue.

Throat :
Diphtheria with extreme fetor.
Relaxed throat.
Elongated uvula.
Ulcerated tonsils.

Larynx :
Usually cough.
Coughing when expiring.
Cough attended with rusty expectoration.
Cough every time I move or turn over in bed.
Coughed up yellow sputa through the night.
Cough severe after rising.
Coughing, spitting up large masses of phlegm from larynx.
Cough < by motion.
Cough more in a warm room.
Coughing causes pain in back of head.
Burning in larynx bronchi on coughing.
Cough up yellow sputa through the night.

Appetite :
No appetite or thirst (19th day).
Complete loss of appetite.
Great thirst for small quantities, but the least liquid was instantly rejected.
Drinking very hot water, > thirst and vomiting (dog).
No appetite, yet nourishment is freely taken and digested.
Poor appetite for breakfast.
No appetite, as stomach and bowels feel so full.
No appetite for dinner.
Unusual appetite for chocolate.

Stomach :
Belching of sour water after breakfast.
Nausea and vomiting.
Vomiting : persistent ; brownish, coffee-ground ; offensive, stercoarceous ; with impacted or obstructed bowels.
Vomiting and purging.
Vomits water when it becomes warm in stomach ; vomiting >.
Urging to vomit ; with cold feet.
Stomach feels too full ; < after eating and > by frequent sour eructations.
Nausea > by drinking very hot water and by vomiting.
Vomiting is not infrequent.
Nausea on first rising.
Beaching some water after breakfast.
Stomach and bowels feel too full to eat.

Abdomen :
Full feeling and bloating of abdomen.
When lying on left side bubbling or gurgling sensation in hypochondria, extending back to left of spine.
Pain in umbilical region with passage of sticky, yellow, offensive stool.
While riding in a buggy aching in left of umbilicus ; < drinking water ; > passing flatus.
Soreness of abdomen so severe she can breathe with difficulty, and hardly bear any pressure over right side.
Very severe cutting pains right side going through back, < by every motion, talking, coughing, breathing deep ; > lying on right (affected) side ; groaning with every breath.
Great distension of the abdomen, with high temperature lochial discharge intensely offensive, as if rotten.
Irregular action of the bowels.
Sensation of cold in abdomen.
Sensation of heaviness in abdomen.
Ascites (Bright's disease).

Stool and Anus :
Feculent and thin mucus, and finally bloody diarrhea and tenesmus (dog).
Two soft, sticky stools, 8 to 9 A. M.
Involuntary escape of stool when passing flatus.
Profuse watery, painless stools, with vomiting.
Stool, horribly offensive, carrion-like.
Stool very much constipated, large, difficult, requires much effort ; first part balls, last part natural, with streaks of blood ; anus sore after.
Constipation : hard, dry accumulated feces ; stool large, black, carrion-like ; small black balls like olives.
Congestion and capillary stasis of gastro-intestinal mucous membrane, shedding of epithelium, bloody fluid distending intestines (dog).
(Sweat about anus removed ; fistula relieved).
Usually diarrhea.
Irregular action of the bowels.
No stool today, very unusual.
Sticky yellow stool.
Passing flatus, sometimes involuntary.

Urinary Organs :
Urine scanty ; only passed twice in twenty-four hours.
Urine : yellow when first voided ; after standing, cloudy with substance looking like orange peel ; red deposit on vessel hard to remove ; deposits sediment like red pepper with reddish cloud on vessel.
Got up three times in night to urinate.
(Bright's disease).
Urine contains albumin and casts ; horribly offensive, carrion-like.
Frequent calls to urinate as fever comes on.
Intolerable tenesmus of bladder ; spasmodic contractions, involuting rectum, ovaries, and broad ligament ; [cured in a case of Yingling's with Pyrogen cm. (and higher) ; patient's next period came on naturally and painlessly, whereas before menses had been painful and extremely offensive].
Irregular urination.
Action of the kidneys irregular.
Aching in region of the kidneys.
Urinated only twice to-day.
Very unusual ; usually several times a day, normal in quantity.
Urine loaded with albumen.
Red lime inside of vessel, hard to remove.
Sediment like red pepper that floats at the bottom.

Male Sexual Organs :
Testes hang down relaxed ; scrotum looks and feels thin.

Female Sexual Organs :
Puerperal fever, with offensive lochia (cured).
Puerperal peritonitis with extreme fetor ; a rotten odor.
Parts greatly swollen (Bright's disease).
Menses horribly offensive ; carrion-like.
Menses last but one day then a bloody acrid leucorrhea, horribly offensive.
Hemorrhage of bright red blood dark clots.
Septicemia following abortion ; fetus or secundines retained, decomposed and horribly offensive.
(Has cured prolapsus uteri, with bearing down > by holding the head and straining as in the act of labor).
Abscess of left ovary, acute throbbing pain, great distress, with fever and rigors (Pyrogen cm. (Swan) produced an enormous flow of white creamy pus with general >).
Lochia : thin, acrid, brown, or fetid ; suppressed, followed by chills, fever, and profuse fetid perspiration.
It has cured prolapsus uteri, with bearing down, > by holding the breath and straining, as in the act of labor.
Pain starting in the uterine region and passing upward to the umbilicus.
It was the reverse (a cork-screw pain) ; this was momentarily > by holding the breath and bearing down, as, in labor ; momentarily > by pressing the hands against the vulva, then she said she would have to turn loose, as it made her worse.
Lillium had previously failed in the case.
Pain starting in the umbilicus or a little above, and passing down towards the uterus, but at midway of abdomen it would be intercepted by the same kind of a pain starting from the uterus and passing upward till they would meet midway between the umbilicus and uterus, then gradually die out till another would come as before ; > momentarily by drawing her knees up to her chin and grasping her arms around them and holding them tight.
Intolerable tenesmus of the bladder, it was more of a spasmodic contraction than anything else ; at the same time this condition would be reflected to the rectum and this strong desire to defecate without ability to do so would also involve the ovaries and broad ligaments.
Nux vom. and Lillium tig. had no effect whatever.
Severe chill ; dull frontal headache ; restless, pale, anxious.
Sharp shooting pains through abdomen.
Pain in head severe ; she clasped it with her hands as if she had received a sudden blow and cried, "Oh ! my head", became very restless, said she was going to die, and did not want the baby, of whom she was very fond, near her.
Face pallid, with offensive viscid perspiration ; abdomen sensitive to pressure ; lochia and milk ceased.
Thirsty for frequent small drinks.
Pulse 140, weak, small ; temperature 103.
Pyrogen cm. 6 doses in water one half hour apart.
She made a good, though slow recovery.
Puerperal septicemia.
Mrs. T. B., pale, slender, delicate, but in good health ; primipara ; was successfully delivered April 10th, 1901. One the 20th found her with a temperature of 102 ; lochia scanty, pale, offensive ; but she felt well and had no pain. Fever increased in severity gradually for several days, until temperature reached 105 and 106, with a pulse of 120-130 ; still she insisted she felt well and would not go to bed. Several remedies, Bapt., Bell., Ech., Tar., were given without effect. Finally a severe shaking chill followed in a few hours by another sent her to bed, and the nurse was recalled. Pyrogen was given. Following day temperature 102 ; lochia reappeared in natural color ; the abdominal sensitiveness ceased and in two or three days disappeared entirely. She rapidly recovered.
Mrs. W. S. C., a slender woman ; primipara ; delivered June 10th, instrumental. Severe peritoneal laceration, which was repaired. The morning of the third day had shake ; cutting spasmodic pain in uterus, which was swollen and sensitive ; lochia dark, profuse, clotted ; both iliac regions sensitive to pressure < left side. Belladonna gave no relief. Fever continued to rise ; lochia darker, more offensive, containing threads and clots. The odor and other symptoms indicating approaching sepsis she received Pyrogen with very gratifying results, and a rapid recovery.
Carrie, aged 16 years, been sick two or three months under allopathic care. Breath, perspiration, expectoration, menses, urine and feces horribly offensive, carrion-like ; disgust up to nausea about an effluvia that arise from her own body ; soreness of the chest and abdomen, menses last but one day and a sanguineous leucorrhea that is of the same odor ; pulse 106, with a bad cough, worse coming into a warm room ; large, fleshy, pale, greenish or chlorotic face, mother having just died of consumption. Pyrogen cm., one dose, and better in en hours, and on November 12th cough, odor and soreness nearly all gone, pulse 80, tongue clean. Sac. lac., and she remains well to this writing. - Wakeman.

Respiratory Organs :
Wheezing when expiring.
Cough : expectorating large masses of phlegm from larynx ; < by motion ; < in warm room ; cough, burning in larynx and bronchi ; pain in occiput ; stitching in small of back, only noticed in the chair ; coughs up yellow sputa through night.
Cough > sitting up, < lying down.
Expectoration : rusty mucus ; horribly offensive ; bloody sputa.

Chest :
Pain in right lung and shoulder, < talking or coughing.
Neglected pneumonia : cough, night-sweats, frequent pulse, abscess had burst discharging much pus of mattery taste (rapid recovery under Pyrogen, three doses).
Chest sore, purple spots on it.
Severe contracting pain within lower sternum, sometimes extending to rib-joints and up to throat, as if esophagus were being cramped.
Ecchymoses on pleura (dog).
J. A. W., aged 61. An old solider full of rheumatic aches and pains ; complaining much.
April 7, 1895. Rode twenty-two miles in a big wind storm, chilling and disagreeable, on the 5th. Taken to bed at once. Hot and cold flashes, < moving about. Aching and sore all over. Bones ache. Very restless and nervous. Impatient. Head feels big, full and aches all through head and down neck ; < coughing. Nasal discharge fluent and thin. Lungs sore and painful ; < coughing. Coughs considerably, some little expectoration, < at night.
Pulse 84. Bowels not moved since the 4th. Urine scant. Chilly when moving. When first taken sick, and when riding in the storm, his toe nails felt as if they were flying off, first one, then another. This feeling was very marked and disagreeable.
Pyrogen cmm., three doses, two hours apart.
Within twelve hours the pains were all gone and he had a good night's rest. Sat up next morning feeling "better and freer from pain than in four months." A very rapid prompt cure. - Yingling.
Respirations are rapid and shallow.
Pain in the chest, and perhaps orthopnŇõa, from pleuritic affections.
Pain in the region of the left nipple, as if in the heart which was going to ache.

Heart :
Pain in region of left nipple, as if in the heart ; increased action ; pulse 120.
Heart tired as after a long run ; increased action < least motion.
Never free from weary sensation about the heart.
Every pulsation felt in head and ears ; a painless throbbing.
Sensation as if heart were enlarged ; distinct consciousness of a heart.
Sensation as if heart were too full of blood.
Sensation as if the heart were pumping cold water.
Violent, so persistent that it became very tiresome.
Palpitation or increased action without corresponding increase of temperature.
Palpitation < by motion ; < lying on affected (left) side.
Loud heart-beats, audible to herself and others.
Could not sleep for whizzing and purring of heart ; when she did sleep was delirious.
Cardiac asthenia from septic conditions.
Ecchymoses on heart and pericardium (dog).
Palpitation < from motion > remaining quiet ; pulse 160-170 per minute.
Tired feeling about the heart, as after a long run, feel as if I would like to take it out and let it rest ; it would be such a relief if it would stop its throbbing ; temperature not raised.

Back and Neck :
Pains in back in lumbar region.
Bubbling sensation or gurgling in the left hypochondrium, extending back to the left side of the spine, felt when lying on the left side.
Pain in small of back.
Weak feeling in the back.
Stitching pain in the back on coughing.
Throbbing of vessels of neck running up in waves from clavicles.

Limbs :
Aching : in bones ; all over body as from a severe cold ; with soreness of flesh, head feels hard ; > motion (S).
Cold extremities.
Numbness of hands, arms, and feet, extending over whole body.
Automatic movements of right arm and right leg, turned the child round from right to left till feet reached the pillow ; repeated as often as she was put right (cerebro-spinal meningitis).

Upper Limbs :
Pain in shoulder-joint ; in front, passing three inches down arm (S).
Hands and arms numb.
Hands cold and clammy.
Dry eczema and clammy.
Dry eczema of hands.
Profuse exudation in axillary region.
Pain in left shoulder-joint, in front, passing down the arm from two to three inches, lasting till going to bed.

Lower Limbs :
Aching about knees, deep in bones, while sitting by a hot fire ; > by walking.
On going to bed aching in patella ; > flexing leg.
Aching above left knee as though bone broken (S).
Aching above knees in bones, > stretching out limbs.
Tingling in right little toe as though frost-bitten.
Feet and legs swollen (Bright's disease).
Numbness of feet.
Aching : in bones ; all over body as from a severe cold ; with lameness and soreness of muscles ; bed feels hard ; > motion < from motion.
Cold extremities ; feet bathed in cold sweat.
Numbness of hands, arms, and feet, extending over whole body.
Edema of legs, in case of Bright's disease.
Aching pains in legs, as if in the bones.

Skin :
Mrs. I., aged 35, mother of two children, swelling of calf of leg ; vesication formed on top of left foot, followed by a large ulcer, which eventually covered the whole foot. As the diseased process extended up the leg, several abscesses formed in succession, the swelling continuing to spread to the hip. About three inches below the trochanter a large abscess burrowed in the soft tissues, discharging great quantities of pus when opened.
Restless, unable to lie in one position ; motion caused great pain, but moving gave > ; must be continually moved, every hour or two every night, which a dose of Rhus failed to >. The feet, ankles and abdomen very much swollen ; urine scanty, with red sandy sediment ; constant sensation of repletion ; is very thristy yet unable to drink ; hungry, yet the least food causes repletion ; very peevish, whines like a child. Swelling and pain still increasing ; face and neck yellow, emaciated and wrinkled ; temperature 103, pulse 120. After Ars., Rhus, Lyc. and Nux v. failed to give any >, Pyrogen cmm., one dose, followed by placebo every hour ; improvement began and continued for four days, when a copious, painless, watery, offensive diarrhea began ; another dose of Pyrogen was given and the patient went on to a rapid recovery.
Skin and conjunctiva becomes jaundiced.
Soon after the rigor, sometimes a subcutaneous abscess forms, or discolorations and pustules are seen on the skin.
Jaundice appears.
Bed sores easily form and skin shows a tendency to slough on very slight pressure.
Patches of superficial gangrene frequently occur, without provocation ; Erysipelas.
Skin pale, cold, of earthy ashy hue.
Obstinate, varicose, offensive ulcers of old people.

Nerves :
Great nervousness and restlessness.
Could not lie long in one place without moving ; yet moving gives no relief.
Great debility in the morning.
He staggered when attempting to walk.
Nervous weakness attending convalescence from septic fever.

Sleep :
Dreamed he had nosebleed, and on waking the nose had bled all over the pillow.
Restless sleep, with moaning.
Unrefreshing sleep.
Disturbed sleep.
Slept awhile ; woke to roll and tumble in every conceivable position.
Unable to sleep from brain activity and crowding of ideas.
Restlessness > after sleep.
Cries out in sleep that a weight is lying on her.
Whispers in sleep.
Kept awake by purring of heart.
Dreams : of various things ; of business ; of his patients and the remedy which cured them.
Dreamed all night of the business of the day.
Can lie but a few minutes in any position.
Could not sleep till dawn brain too active could not keep my eyes shut.
Cries out in sleep as if in pain.

Fever :
"In all cases of fever commencing with pains in the limbs" (Swan).
Shivers and begins to move about restlessly ; temperature rises gradually and as gradually subsides (dog).
Chills running up and down the spine in successive waves ; heat gives no relief.
Temperature rises rapidly to 104¬įF., and sinks rapidly from heart failure (dog, fatal dose).
Constant terrible aching all over the body ; bed feels hard, must move frequently in search of a soft place.
Chilly at times and a little aching ; a little feverish.
After dinner, ache all over, chilly at night, bed feels hard.
After getting into bed, chilly, teeth chatter ; woke 10 P. M. in perspiration on upper part of body ; > motion (S).
Feels hot as if had a fever, but temperature was only 99¬į F., feels like 150¬į.
Frequent calls to urinate as soon as fever came on ; urine clear as water.
Every other day dumb ague.
Perspiration horribly offensive, carrion-like ; disgust up to nausea about any effluvia arising from her own body.
Cold sweat over body ; Fevers caused by : sewer gas poisoning ; surgical infection ; dissecting wounds, blood poisoning, or absorption of pus by medicated topical application.
Delirium when closing the eyes ; sees a man at the foot of the bed or in the farther part of the room ; hand cold and clammy ; abdomen so sore that she can scarcely breathe ; bowels so sore cannot bear any pressure over the right side ; < from sitting up in bed ; vertigo on rising up in bed.
N. B., child 4 years old, resided in a house in which plumbing was being prepared. A few days after was attacked at 2 A. M. with¬†: Vomiting and purging¬†; stools profuse and watery. Cold extremities, ears and nose¬†; forehead bathed in cold perspiration. Tongue heavily coated, yellowish-gray¬†; edges of tip very red. Great prostration. Great restlessness mental and physical¬†; pulse 140, small and wiry¬†; temperature 99. Great thirst for small quantities, but the smallest quantity was instantly rejected. Later in day stool was horribly offensive, of a carrion-like odor¬†; face pale, sunken, bathed in cold perspiration. Tongue dark red and free from the heavy coating of early morning, intense thirst, but water < both vomiting and purging. After Ver., Ars., Carbo v. and Bap. had been given, with no improvement, the patient evidently sinking, impossible to count the pulse, thinking perhaps sewer-gas poison may have been the factor, and the clean, fiery red tongue called my attention to Dr. Burnett's cures in the HomŇõopathic World with Pyrogen. I gave two doses on the tongue with prompt and permanent relief.
Miss E. B., aged 14, complained of feeling weary, unable to go to school. Applying thermometer, found temperature 102, pulse 108, and her father sent for me. I found tongue abnormally red, thin, white fur at base. Has a slight epistaxis in the morning which Bryonia >, but failed to affect the fever. As there was absolutely no pain and very few symptoms, she was allowed to wait a few days on placebo. Sewer-gas was now discovered as the cause ; Pyrogen, one dose, was given with rapid recovery.
Inclined to talk all the time at night during the fever ; cold sweat over the body ; pain in the small of the back ; desires to urinate ; it is scant ; talks to herself ; urging to vomit, with cold feet ; restlessness > after sleeping ; purple spots on the chest ; cries out in her sleep that some one or a weight is lying on her ; heart beats hard, has a laborious action ; sensation as if the heart was too full of blood ; it beats very loud, heart sounds can be heard some distance from the thorax, always can hear her heart beat ; could not sleep last night for whizzing and purring of heart, when she did fall asleep was delirious. Sensation as if a cap were on her head. When she awakens and finds it there she knows that she is all right, that she is not delirious ; > after vomiting ; whispers in her sleep ; whispers to herself, if you ask her what she said does not answer ; sensation as if she covered the whole bed ; she knew that her head was on the pillow, but she could not tell where the rest of her body was.
She feels when lying on one side that she is one person and that when she turns to the other side she is another person ; sensation as though the fever would not run in each alike, that is to say, she felt as though she was existing in a second person, or that there were two of her.
Coldness and chilliness all day that no fire would warm ; sits by the fire and breathes the heat from the stove ; chilly whenever leaving the fire ; at night when the fever came on he had a sensation as if his lungs were on fire and that he must have fresh air, which soon brought relief.
Sensation as though he was crowded by his arms and legs ; when turning over in bed they were still crowding him ; as soon as the fever came on he commenced to urinate ; he can tell every time when the fever is coming on because of this urgency to urinate. The urine is clear as spring-water. Very severe pain in the right side ; knife-like pains going through to the back ; < from every motion, from coughing or talking or taking a long breath ; > from lying on the affected side ; groaning with every breath ; redness of the face and also of the ears, it looked as if the blood would burst out of them. After the fever leaves he still has the hallucination that he is very wealthy and he has a very large sum of money in the bank, and this was the last to leave him this idea that he had the money.
I can hardly mention Pyrogen without becoming enthusiastic, on account of the wonderful results that I have had from it in blood poisoning. In any kind of septic infection, either puerperal or traumatic, Pyrogen will do wonders, when the symptoms correspond. It is similar to Anthracinum in some respects.
An old woman dying with gangrene inoculated one of her nurses ; the nurse had chills, high fever and red streaks running up the arm following the course of the lymphatics. Pyrogen rapidly removed the whole process. - Boger.
The palmar surface of the left forearm was torn to the bone by a buzz-saw.
It was dressed by adhesive plaster, which was put on so tightly that it had to be removed in 24 hours, replaced by another and a few stitches taken ; but the whole hand began to swell, became very painful, gradually grew worse for eighteen days, during which patient had few hours sleep. Whole hand and forearm were enormously swollen, almost black in color and mortification threatened. Amputation was now decided.
At this stage a homeopathic physician found in addition to the symptoms above the patient delirious and excited ; he could not lie down, for the bed was too hard, nor could he rest the arm on anything, for everything on which it lay also seemed too hard. Pyrogen 50m. In a few hours he was sleeping quietly, temperature reduced and pain lessened. Improvement was rapid and steady to complete recovery.
Slight elevation of temperature, severe rigor, followed by sweating. The rigors are usually severe, and they occasionally occur with the regularity of ague.
Pulse becomes weak and rapid.
Pulse felt in head and ears, painless throbbing.
Fever of the intermittent type, with the usual accompaniments of loss of appetite, restlessness, thirst.
Rigors cease after the first few days, but the temperature usually maintains a remittent character.
Puerperal fevers.
Typhoid fever.
Burning in the face.
Blood was throbbing all through every part of head and body could feel it even in my fingers.
Chilly all night.

Generalities :
Cannot lie more than few minutes in one position, > change.
Debility in morning, staggered on trying to walk (S).
Aching all over, bed feels hard.
Great muscular debility ; rapid recovery in a few hours (dog).
Restlessness, turning in bed, groaning.
Pains in limbs and general uneasiness.
Soon after the initial rigor, pain and swelling of one or more joints occurs.
Peculiar sweet smell about the patient, as in diabetes.
A sudden attack of pleurisy occurring in any one with otorrhŇõa.
Pyremia may be suspected.
General lassitude.
Malaria, pains in limbs, especially in legs and back, with headache, distress in stomach, like a heavy wad.
Restlessness, when beginning to move and during motion.
Restless and moaning, persons dying, especially from scarlet fever or diphtheria, often enables them to recover.
Great nervousness and restlessness, wants to be covered or rocked.
Great aversion to being washed.
Cries when washed.
Will not sleep in bed, but wants to be held in lap and kept in slight motion ; wakes when the motion is stopped or on attempting to lay her down.

Aggravation :
Restlessness > when first commencing to move (Rhus < when first commencing to move).

Amelioration :
From hard rocking in a chair.