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Wednesday, 1 February 2017

            Repertory a guide to fever

We have both general and specific clinical repertories for treating fever. In general repertories, we have “ Boenninghausen’s therapeutic pocket book”. In cases with not well-marked characteristics and “ Boger Boenninghausen’s characteristics Materia Medica and repertory” in cases where we have a complete symptom. 
In clinical repertories, we have unmatched contribution of Boericke, Murphy etc, and in regional repertories, we have specifically Dr WA Allen’s and HC Allen’s repertories on intermittent fevers.

Understanding terminology under types of fever:

Handful part of modern repertories constituted of the terms which we no longer use in our practice. So, prescribing on the basis of these becomes difficult, but not impossible. It may be possible that some terms like “Mediterranean fever, winter fever, febricula etc” may not be used today but understanding their symptom presentation can help one identify them with the newer types of fevers discovered recently.
Understanding of each in the form they presented in the 18th-19th century is useful, as it helps us in understanding our limits.
Eg: what we have as hectic fever for tuberculosis is different form a TB case secondary to AIDS. So it will help us in knowing where the case has deviated from its decided course and hence the pointer to change your course of action.
Fevers is the 25th chapter in Homeopathic clinical repertory (Robin Murphy).
This chapter begins with the rubric fever remedies in general and ends with the rubric zymotic fever.
The total number of rubrics in this chapter is 148. on various types, stages, along with modalities and accompaniments. 
Bubonic plague:  is one of three types of bacterial infection caused by yersinia pestis. Three to seven days after exposure to the bacteria flu like symptoms develop. This includes fever, headaches and vomiting. Swollen and painful lymph nodes occur in the area closest to where the bacteria entered the skin. Occasionally the swollen lymph nodes may break open.

Candida albicans:  is a dimorphic fungus that grows both as yeast and filamentous cells and one of the few species of the Candida genus that cause the infection candidacies  in humans. C. albicans is responsible for 50–90% of all cases of candidacies in humans.

Hectic fever: it is a fever of irritation and debility , occurring usually at the advanced stage of exhausting disease, as in pulmonary consumption.

MARSH fever: An intermittent fever of persons residing in marshy areas and attended with alternating cold and hot fits or spells.

Plague: it is an acute infection disease caused by pateurella pestis characterized by fever, prostration and suppurative lymphadenitis.

Puerperal fever: (childbed fever , puerperal sepsis): septicemia occurring within 3 weeks after abortion  or childbirth. Symptoms include chills, abdominal tenderness and pain, rapid puls and respiration and fever.
Scarlet fever: (Scarlatina) An acute contagious disease commencing with vomiting or chill, followed by high fever, rapid pulse, sore throat, swollen neck glands and the appearance of a red rash. Tongue looks red like a strawberry.

Yellow fever: is a tropical viral disease transmitted by mosquitoes, which affect the liver and kidneys causing fever and jaundice, and is often fatal.

Zymotic fever:  zymotic relating to fermentation. Is an obsolete term in medicine, formerly applied to the class of acute infections maladies, presumed to be due to some virus or organism which acts in the system like a ferment.


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