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When there is violent throbbing below the pit of the stomach, or pains with pressure in the region of the stomach, nausea, burning eructations, painful distension of the abdomen, red and yellow stools, pain in the back and limbs, paralysis of the legs, pressure and soreness of the eyes, parched red or brown tongue, or a discharge of bloody saliva from the mouth, confusion of the head, gloom, stupidity and delirium. Rhus-tox.

When the skin is of a reddish yellow, inclining to brown; the face bloated ; eyes of a dark red and the vessels congested, or a staring wild look; coldness of the limbs, with clammy perspirations; lips dark, tongue brown or black; pulse small and tremulous ; vomiting of a brownish or blackish substance, followed by great exhaustion; excessive pains in the stomach, and the region painful to the touch; burning pains in the abdomen; diarrhoea, with dark brown, black, or putrid stools; restless tossing about in bed, great anguish, loss of consciousness and speech. Arsenicum.

Or the Arsenicum may be given in alternation with Veratrum, as the pathogenesis of the two drugs are almost identical ; the latter drug is more particularly indicated if there is a flow of saliva from the mouth, or if the tongue is blackish and cracked, or lobulated.

There are other remedies recommended in different stages of yellow fever, such as Mercurius, Nux-Vom., Sulph., Cantharides, etc., some of which are highly extolled.

Nux Vomica.—When there is a burning in the stomach and vomiting of bile; a white or yellow tongue; eyes more yellow than congested, with lachrymation ; abdomen tender; bowels constipated; bilious diarrhoea, pain low down in the back.

Mercurius.—Pains in the region of the liver; burning pain in the stomach; tongue foul and slimy, or swollen; griping, colic pains in the bowels; bloody, bilious or mucous discharges; anxiety and fear of death.

Cantharides is indicated by a burning, stinging sensation in the throat, stomach and bowels; and stranguary, that is, a desire and frequent unsuccessful attempts to urinate, with extreme pain and burning of the parts.

Use Sulphur during convalescence, once or twice a day, particularly if the recovery is slow, and there is a want of capiliary circulation.

Administration.—It will be perceived that this disease varies very much in its attack, and that the changes are also rapid and manifestly great. The drugs, therefore, should be selected with great caution, and should not be hurried by frequent repetition; give• the drug indicated, and wait a reasonable time, say three or four hours, unless another should be indicated. If the medicines are repeated at short intervals, another might be required in a few minutes after: and thus a complication of drug symptoms would be the result, which, by being confounded, would tend to mislead and confuse.

Diet And Regimen.—The diet during the attack should be mild and unirritating; the drinks, cold water and mucilaginous beverages; the apartments should be well ventilated. During convalescence, the diet may be liberal, generous broths and solid food of easy digestion, may be taken.

CHAPTER II.

CONGESTION.

Congestion, (from Congero, to amass,) "a collection of blood or other fluid." The term congestion is usually applied when the vessels are over distended and the motion of the circulating fluid is slow. 1

Congestion may be divided into Sthenic and Asthenic. "The former commonly affects the young, the active, and those of sanguine temperament. It comprehends a rich state of the blood, and an active condition of the nutrient functions. Its tendency is to cause general febrile excitement, active haemorrhage, fluxes, and inflammation." The latter comprehends that form of congestion depending upon laxity of fibre and want of contractility and tone; generally affects those weakened by age, excesses, or previous disease; and tends to produce passive haemorrhages, disturbed functions, structural changes, varicose veins, dropsies, etc.

It is also further distinguished by the terms general and local. General congestion depends upon a plethora, fullness of habit in those who have a good appetite, and indulge without a proper regard to exercise and healthful evacuations. By local congestion is understood a congested state of a part, as, of the head, lungs, liver, spleen, etc., and generally results from a want of action; an inequilibrium of the circulating fluids; from mechanical pressure or local irritation; excessive use of intoxicating drinks; bruises from falls, etc.; and mental emotions, such as joy, grief, terror, or fear.

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Treatment.—The principal remedies for Sthenic congestion, are Aconite, Bell., Arnica, Bryonia, Aurum, Arsenicum, Nux-Vom., etc. For AsthenicChina, Ferrum, Opium, Coffea, Graph, Mosch, Capsicum, Carbo- veg., etc.

I. COJVGESTIOJ V OF THE HEAD. (Congestio ad caput.)

Diagnosis.—Congestion of the vessels of the head is generally characterized by beating and throbbing of the temporal arteries; giddiness; a heavy dull feeling; headache; partial blindness when stooping or suddenly turning around; a degree of confusion and indistinctness; roaring in the ears ; occasional sparkling before the eyes and unrefreshing sleep.

Treatment.—When congestion of the head occurs in a full plethoric habit, with the face flushed; headache, especially above the eyes ; and particularly if there is an aversion to light and sound. Aconite.

When the face is flushed ; eyes red; roaring in the ears and dizziness; or severe pressing pain in the forehead, increased by the least motion or noise. Belladonna.

When there is a degree of heaviness in the head or a stupifying pain; pain in the head with nausea, or pain in one part of the head more than another, such as the frontal posterior, or semilateral headache and soreness of the scalp. Nux-Vomica.

And the above drug is especially indicated when the congestion results from the use of intoxicating drinks, the suppression of piles, or from excessive mental labor.

When there is a loss of consciousness and stupefaction of the senses; or when the patient lies as if asleep and is hard to be aroused, as if intoxicated, with the face sunken

When the congestion is associated with unconsciousness and loss of speech, or a constrictive headache, particularly of the upper part of the forehead. Hyosciamus.

When there is a " painful compressive sensation in both sides of the head;" a jarring undulating feeling, as if the brain were loose; bleeding at the nose (which frequently occurs) affording no relief. Bryonia.

When the pain is of an exhausting character, especially on one side of the head, or pain commencing in the posterior part of the head, thence to the root of the nose; heaviness of the head; face pale, and pains relieved by pressure or exercise. Pulsatilla.

When there is a constrictive pain in the head, or pains of a burning and stitching character, worse at night. Mercurius.

When there is a degree of pressure, rather in successive shocks; or severe pain as if the brain would be torn to pieces; face pale or alternately red and pale.

Veratrum.

When caused by joy. Goffea. When caused by fright or fear. Opium. When caused by violent anger (especially in children.)

When caused by debilitating losses. China. Ferrum. When caused by constipation.

and pale, or bloated and red.

Opium.

When caused by a fall or blow.

Cham. Arnica.

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