Fever chapter in Homoeopathic Medical Repertory by Murphy

Homoeopathic management of different types of fever by using Homoeopathic Medical Repertory by Dr Robin Murphy 

Dr Rumsheed N BHMS MD(Hom)

Fever (also known as pyrexia, from the Greek pyretos meaning fire, or a febrile response, from the Latin word febris, meaning fever, and archaically known as ague) is a frequent sign that describes an increase in internal body temperature to levels above normal. Fever is most accurately characterized as a temporary elevation in the body’s thermoregulatory set-point, usually by about 1–2 °C (1.8-3.6 °F)

Fever is caused by an elevation in the thermoregulatory set-point, causing typical body temperature (generally and problematically considered to be 37 °C ±1 °C, or approximately 99 ±2 °F; see below for specifics) to rise, and effect or mechanisms are enacted as a result. A feverish individual has a general feeling of cold despite an increased body temperature, and increases in heart rate, muscle tone and shivering, all of which are caused by the body’s attempts to counteract the newly-perceived hypothermia and reach the new thermoregulatory set-point.

Fever differs from hyperthermia in that hyperthermia is an increase in body temperature over the body’s thermoregulatory set-point, due to excessive heat production or insufficient thermoregulation, or both.

A fever is considered one of the body’s immune mechanisms to attempt a neutralization of a perceived threat inside the body, be it bacterial or viral. Carl Wunderlich discovered that fever is not a disease, but the body’s response to a disease.

Types – Fever classification

Grade °C °F
low grade 38–39 100.4–102.2
Moderate 39–40 102.2–104.0
high-grade 40–41.1 104.0–106.0
Hyperpyrexia >41.1 >106.0

The last is a medical emergency because it approaches the upper limit compatible with human life. In most of the time, fever types can not be used to find the underlying cause. However, there are specific fever patterns that may occasionally hint the diagnosis:

Pel-Ebstein fever: A specific kind of fever associated with Hodgkin’s lymphoma, being high for one week and low for the next week and so on.

Continuous fever: Temperature remains above normal throughout the day and does not fluctuate more than 1 °C in 24 hours, e.g. lobar pneumonia, typhoid, urinary tract infection, brucellosis, or typhus.

Intermittent fever: Elevated temperature is present only for some hours of the day and becomes normal for remaining hours, e.g. malaria, kala-azar, pyaemia, or septicemia. In malaria, there may be a fever with a periodicity of 24 hours (quotidian), 48 hours (tertian fever), or 72 hours (quartan fever, indicating Plasmodium malariae). These patterns may be less clear in travelers.

Remittent fever: Temperature remains above normal throughout the day and fluctuates more than 1 °C in 24 hours, e.g. ineffective endocarditis.

A neutropenic fever, also called febrile neutropenia, is a fever in the absence of normal immune system function. Because of the lack of infection-fighting neutrophils, a bacterial infection can spread rapidly and this fever is therefore usually considered a medical emergency. This kind of fever is more commonly seen in people receiving immune-suppressing chemotherapy than in apparently healthy people.

Fever is a common symptom of many medical conditions: 

Causes:

  1. Infectious disease, e.g. influenza, common cold, HIV, malaria, infectious mononucleosis, or gastroenteritis
  2. Various skin inflammations, e.g. boils, pimples, acne, or abscess
  3. Immunological diseases, e.g. lupus erythematosus, sarcoidosis, inflammatory bowel diseases
  4. Tissue destruction, which can occur in hemolysis, surgery, infarction, crush syndrome, rhabdomyolysis, cerebral hemorrhage, etc.
  5. Drug fever : Directly caused by the drug, e.g. lamictal, progesterone, or chemotherapeutics causing tumor necrosis
  6. Reaction to incompatible blood products
  7. Cancers, most commonly renal cancer and leukemia and lymphomas
  8. Metabolic disorders, e.g. gout or porphyria
  9. Thrombo-embolic processes, e.g. pulmonary embolism or deep venous thrombosis
  10. Persistent fever which cannot be explained after repeated routine clinical inquiries, is called fever of unknown origin. 

‘Fevers’ is the 27th chapter in homoeopathic medical repertory.

This chapter begins with the rubric fever remedies in general and ends with the rubric warm covering aggravation. The total number of rubrics in this chapter is 148. Rubrics on infectious diseases, stages of fever along with modalities and accompaniments can be found in this chapter.

INFECTIOUS DISEASES: 

AFRICAN fever – TER 

AIDS: Is a disease caused by a virus transmitted in body fluids, in which there is severe loss of cellular immunity that leaves the sufferer susceptible to infection and malignancy.

AIDS acquired, immune deficiency syndrome – ARS, carc, echi, ferr-p, gels, MED, MERC, phos, syph, THUJ, tub 

INTESTINAL ANTHRAX: exposure of the digestive system to anthrax usually by consuming meat products that contains anthrax bacillus. It is a severe and often fatal form of anthrax characterized by fever, vomiting, abdominal pain and bloody diarrhea followed by toxemia, shock and death.

ANTHRAX, intestinal – anthr 

BACTERIAL, infections – ars, pyrog, thuj 

BUBONIC PLAGUE: is a form of plague transmitted by rat fleas, characterized by fever, delirium and formation of buboes

BUBONIC plague – ars, bapt, BUFO, carb-an,  carc, CINNB, HEP, hippoz, kali-i, lach, merc, nit-ac, sil 

CANDIDA ALBICANS (sometimes referred to as monilia): Is a fungus that is normally present on the skin and in mucous membranes such as the vagina, mouth, or rectum. The fungus also can travel through the blood stream and affect the throat, intestines, and heart valves.

CANDIDA albicans, infection – calc, calc-p, chin,   lyc, med, puls, nat-p,  nit-ac,  sep,  thuj 

CATARRHAL FEVER: An archaic term for common cold. Catarrhal means increasing flow of mucous.

CATARRHAL, fever  – ACON, apis,  ars,  asc-c,  asc-t,  bad, BELL, BRY,  cact,  con,  cupr-m, dros, dulc,  eug,  gels,  ferr-p,  HEP,  kali-c,  kali-i,  MERC,  nux-v,  puls,  rhus-t,  sabad,  spig 

CEREBROSPINAL FEVER(meningococcal meningitis): Is an acute infectious disease affecting children and young adults, caused by neisseria meningitidis; characterised by nasopharyngeal catarrh, headache, vomiting, convulsions, stiffness in the neck (nuchal rigidity), photophobia, constipation, cutaneous hyperesthesia, a purpuric or herpetic eruption, and the presence of Kernig’s sign.

CEREBRO-spinal, fever  – APIS,arg-n, BELL, cic,  cimic, GELS,  ign,  nat-m,  NAT-S,  nux-v,  OP,  phos,  rhus-t, VERAT-V,  zinc 

CHICKENPOX:  Is a highly contagious illness caused by primary infection with varicella zoster virus (VZV).Is an acute infectious disease marked by an eruption of non- scarring vesicles. There is usually a slight fever which lasts from a few days to a week.

CHICKENPOX, infection – ANT-C, ant-t, bell, carb-v, led, merc,   PULS,  RHUS-T, sep, SULPH,  thuj 

CHLAMYDIAL INFECTION: Chlamedia causes wide variety of disease in man and animals.eg: trachoma, proctitis, inclusion conjunctivitis, non-specific urethritis, ornithosis and LGV etc

CHLAMYDIAL, infection med,  sulph,  thuj

CHOLERA: is an acute infection caused by Vibrio Cholerae.. it involves the entire bowel , producing profuse, painless watery diarrhea, muscular cramps,dehydration, oliguria, acidosis and collapse.

CHOLERA, infection  – ars, CAMPH,  canth,  carb-v ,CUPR,  cupr-acet,  cupr-ar,  grat,  hydr-ac,  ip,  laur, op, phos, podo,  psor,  sec, tab, VERAT,

CHOLERA, infection prophylactic – camph, cupr, verat 

CHOLERA INFANTUM: Is a fatal form of gastroenteritis occurring in children; not true cholera but having similar symptoms of gastro-enteritis, intestinal flu, stomach flu – inflammation of the stomach and intestines; can be caused by Salmonella enteritidis

CHOLERA, infantum  – AETH, GUAI,

CHOLERA MORBUS: Acute gastroenteritis occurring in summer and autumn and marked by severe cramps, diarrhea, and vomiting.

CHOLERA, morbus  – ARS, GUAI, PODO, VERAT

DENGUE FEVER : Is a  acute febrile diseases, found in the tropics, and caused by four closely related virus serotypes of the genus Flavivirus, family Flaviviridae. It is also known as breakbone fever. Dengue is transmitted to humans by the Aedes aegypti or more rarely the Aedes albopictus mosquito, which feed during the day.                                                                       The disease manifests as a sudden onset of severe headache, muscle and joint pains (myalgias and arthralgias—severe pain that gives it the nick-name break-bone fever or bonecrusher disease), fever, and rash.

DENGUE, fever – acon, bry, EUP-PER, rhus-t,

DIPHTHERIA : Is a life-threatening disorder caused by a highly contagious bacterial infection caused by the bacterium Corynebacterium diphtheriae.

Diphtheria is especially dangerous when it affects the throat, where it can produce a thick gray membrane that may grow large enough to obstruct breathing. The most serious complications are caused by a toxin produced by the diphtheria bacterium that can damage the heart, nervous system and, less often, the kidneys.

DIPHTHERIA – APIS, ARS, BROM, KALI-BI,  KALI-CHL, LAC-C, LACH, LYC, ,  PHYT,  RHUS-T

ENCEPHALITIS: (brain fever, cephalitis): an acute inflammatory disease of the brain due to direct attack by a virus or hypersensitivity initiated by a viral infection. Symptoms include apathy, double vision, extreme muscular weakness, headache, drowsiness or convulsions, and perhaps neck rigidity.

ENCEPHALITIS, brain – acon, BELL, bry, camph, con, cupr, cupr-ar, hell, hyos, merc, op, phos, sil, tub

GONORRHEA:  a specific infectious inflammation of the mucous membrane of the urethra and adjacent cavities, due to neisseria gonorhheae. It is characterized by pain, burning urination, a profuse muco-purulent discharge, and may be accompanied by complications such as prostatitis , periurethral abscess, epididymitis, cystitis, purulent conjunctivitis. It may also cause arthritis, endocarditis and salpingitis.

GONORRHEA, (see Diseases, chapter)

HECTIC FEVER: Is a fever of irritation and debility, occurring usually at the advanced stage of exhausting disease, as a in pulmonary consumption.

HECTIC fever – ACET-AC, ARS, ARS-I, CALC, CAPS, IOD, KALI-AR, LYC, PHOS, SANG, SEP, SIL, TUB 

INFLUENZA(epidemic catarrh, epidemic catarrhal fever, grippe, epidemisches scnupfenfiber ):  an epidemic, often pandemic disease characterized by inflammation of the mucous membrane of the respiratory tract, runny nose , mucopurulent discharge, fever, pain in the muscles and prostration.

INFLUENZA, infection – ARS, BAPT, BRY, EUP-PER, GELS, PHOS, RHUS-T 

MALARIA:  Is an infectious disease caused by a parasite, Plasmodium, which infects red blood cells. Malaria is characterized by cycles of chills, fever, pain and sweating , transmitted by the bite of the infected female anopheles mosquito.

MALARIA, fever – ARN, CEDR, CHIN, EUP-PER, PSOR, TER 

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

MARSH fever – ARS, CHIN, IP, NAT-M 

MEASLES (morbili, rubeola): a disease which begins with coryza, cough, conjunctivitis and spots in the mouth (Koplik’s spots). A few days later chills , fever and a red maculopapular rash appears first on the face or behind the ears. Three days later eruption fades and is followed by a branny desquamation.

MEASLES – ACON, APIS, BRY, EUPHR, MORBILL, PULS, SULPH

MEASLES, ailments after – CAMPH, CARB-V, MORBILL, PULS 

MENINGITIS(cerebrospinal fever): inflammation of the membranes of the brain or spinal cord.

MENINGITIS, brain – APIS, BELL, HELL, STRAM, ZINC

MONONUCLEOSIS:  Is a viral infection causing fever, sore throat, and swollen lymph glands, especially in the neck.  It lasts usually of 2 or 3 weeks and has a favorable prognosis.

MONONUCLEOSIS, infection –  apis, bar-m, bell, bism, CALC, CARC, cist, dulc, GELS, hep, iodof, kali-i, MERC, merc-i-r, phos,  phyt, sil-mar

MUMPS (epidemic parotitis, parotiditis): inflammation of the parotid gland. It is charecterised by the swelling of the parotid and salivary glands.                                                                                                                                      

MUMPS, infection – BAR-C, BELL, CARB-V, CIST, JAB, MERC, PULS

PLAGUE, (see Generals, bubonic)

POLIOMYELITIS, (see, Nerves, chapter) 

PUERPERAL FEVER (childbed fever, puerperal sepsis):  septicemia occurring within 3 weeks after abortion or childbirth. Symptoms include chills, abdominal tenderness and pain, rapid pulse and respiration, and fever.

PUERPERAL, fever – ARS, BELL, BRY, CROT-H, VERAT-V 

PYEMIA: presence of pus in the blood, which  is associated with fever and possibly septicemia.

PYEMIA – ANTHR, ars, calc, crot-h, hippoz, LACH, PYROG 

RABIES, hydrophobia (see Generals)

RHEUMATIC FEVER: is an inflammatory disease that occurs in children and young adults as a result of infection with group A streptococci.

RHEUMATIC, fever  – AUR,  BELL, BRY, CALC-P, CAUST, COLCH, FERR-P, FORM, IOD,  KALI-BI, KALM, LYC, RHUS-T, SPIG 

SCARLET FEVER ( scarlatina): an acute contagious disease commencing with vomiting or chill, followed by a high fever, rapid pulse, sore throat, swollen neck glands and the appearace of a red rash. The rash lasts for 5- 6 days. The tongue looks red like a strawberry. The kidneys are often involved. It is caused by hemolytic streptococci.

SCARLET, fever – AIL, AM-C, APIS, BELL, ECHI, LACH, LYC, MERC, NIT-AC, RHUS-T, TER

SCARLET, fever, ailments after – AM-C, AM-M, BELL, CHAM

SEPTIC FEVER: is fever associated with infection either as local abscess or cellulitis or as a septicemia or bacteremia. The infective agent may be a bacteria, virus, fungus, protozoa or even algae.

SEPTIC, fever –  ANTHR, ARN,  ARS, BAPT, BRY, CROT-C, CROT-H, ECHI, KALI-P, LACH,  LYC, MUR-AC,  PHOS,  PYROG, SULPH,  TARENT-C 

SMALLPOX, infection, (see disease,chapter) 

SPOTTED FEVER (cerebrospinal meningitis, tick fever): a malignant epidemic fever , with lesions of the cerebral or spinal membrane.

SPOTTED, fever – CIMIC, dig, eup-per, sil, 

STAPHYLOCOCCUS, infections – ANT-C,  ars, dulc,  echi, hep, iris, kali-bi,  nit-ac, ph-ac, rhus-t, sil, 

STREPTOCOCCUS, infections – ail, arn,  ars,  bell,  sul-ac,  x-ray 

TINEA, (skin-  tinea)

TROPICAL, fever – CEDR, chin, gels, PSOR, ter

TUBERCULOSIS (pthisis, consumption, TB): an infectious disease caused by mycobacterium tuberculosis. It can affect any area of the body

TUBERCULOSIS – AGAR, CALC, CALC-P, HEP, IOD, KALI-C, KALI-S, LYC, PHOS, PSOR, PULS, SENEC, SIL, SPONG, STANN, SULPH, THER, TUB, ZINC

TYPHOID FEVER (ship fever, enteric fever, putrid fever): a systemic infectious disease carried by salmonella typhi, which enters the body via food & water and lodges in the spleen and intestine. The principal lesions are enlarged spleen and mesenteric lymph nodes. The intestinal mucous membrane is also affected by a catarrhal inflammation.

TYPHOID, fever- AGAR, APIS,  ARN,  ARS,  ARUM-T, BAPT, BELL, BRY, CALC, CARB-V, CHIN, CHLOR, COLCH, CROT-H, ECHI, FERR, GELS, HYOS, LACH, LYC, MERC-CY, MUR-AC, NIT-AC, OP, PHOS,  PH-AC, RHUS-T, STRAM,  SULPH, TER, VALER,  VERAT, ZINC, 

VIRAL, infections  – carc,  gels, 

WORMS, from – CINA,  indg,  ip,  merc,  sabad, spig, sulph 

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

YELLOW, fever  – ARS, CADM-S, CANTH, CARB-V, CROT-H, LACH, MERC 

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

ZYMOTIC, fever – ARN,  ARS, BAPT,  BRY, CARBN-S, CROT-H, ECHI, KALI-P, LACH,  LYC, , MUR-AC, PYROG, RHUS-T,SULPH, 

DIFFERENT TYPES OF FEVER

CONTINOUS FEVER:  Temperature remains above normal throughout the day and does not fluctuate more than 1 °C in 24 hours, e.g. lobar pneumonia, typhoid, urinary tract infection, brucellosis, or typhus.  

CONTINUED fever (see Typhoid) 

HIGH, fever – CON, ARN, ARS, BAPT, BELL, CARC, CON, GELS,MEZ, NAT-M, ,  PULS,  PYROG, RHUS-T, SEC

Intermittent fever: Elevated temperature is present only for some hours of the day and becomes normal for remaining hours, e.g. malaria, kala-azar, pyaemia, or septicemia. In malaria, there may be a fever with a periodicity of 24 hours (quotidian), 48 hours (tertian fever), or 72 hours (quartan fever, indicating Plasmodium malariae). These patterns may be less clear in travelers.

INTERMITTENT fever chronic –  ARS, CALC, CHIN, FERR, KALI-S, LYC,  NAT-M, NAT-S,  NIT-AC, PSOR,  PYROG, SULPH, TARENT, TU

  • apoplectic –  NUX-V
  • back, pain in small of –  LACH
  • cachectic persons  – CALC,  hydr
  • dropsy, with  – AUR-M
  • after suppressed –  CALC
  • liver, complaints, after  –  LACH
  • liver, complaints, after enlarged, with – NIT-AC
  • malarial – ARN,  CHIN
  • marsh fever  – ARS, CHIN, IP,  NAT-M
  • marshy regions in warm seasons and tropical countries  – CEDR
  • menses, after  – NUX-V
  • monthly attacks  – NUX-V
  • paralysis follows  – RHUS-T
  • prosopalgia, suppressed by quinine  – STANN
  • quinine, after abuse of – CALC, CHIN, CHIN-S, IP, PULS
  • quartan, fever  – BUFO, CIMX, NUX-V,
  • quotidian, fever  – ARS
  • spleen, enlargement of  – CEAN
  • tertian, fever  – ANT-C, EUP-PER, NUX-V
  • quotidian 11 a.m. – CACT
  • quotidian hour, at same – cact,  CEDR,  aran
  • quotidian scrofula, profuse saliva with, chronic  –  CALC
  • fever relapsing, fever quinine, after  – ARS
  • fever spoiled –  calc,  ferr,  ip, SEP, tarent
  • stages distinct  – CHIN,  CHIN-S,  petros
  • stomach, derangement of –  CACT
  • water, working in cold – CALC

 IRREGULAR (see intermittent, stages)

LOW, fever  – ARS,  BAPT

 RELAPSING FEVER :  Any of a group of infectious diseases due to various species of Borrelia, marked by alternating periods of fever and apyrexia, each lasting from five to seven days.

RELAPSING, fever  – CALC, FERR, PSOR, SULPH 

Remittent fever: Temperature remains above normal throughout the day and fluctuates more than 1 °C in 24 hours, e.g. infective endocarditis.

REMITTENT, fever  –  ACON, ARS, BELL, BRY, CHAM, MERC

STAGES OF FEVER

STAGES, chill followed by heat –  ACON, CAPS, CYCL, HYOS,  IOD,  IGN,  IP, LYC, NAT-M, NUX-V, PULS,  RHUS-T, SANG, SULPH

then sweat  – ARS, CHIN, IP, NUX-V, PULS 

chill, then sweat, without intervening heat  – CAPS, CAUST, LYC, MEZ, PETR, THUJ 

heat, followed by chill  – CALC, NUX-V, PULS, SEP, STANN 

COMPARISON OF THE RUBRICS: 

MURPHY’S REPERTORY BOGER’S REPERTORY KENT’S REPERTORY
Bilious fever Fever – Pathological types- BILIOUS fever
Bubonic plague Inguinal & pubic region- Buboes Abdomen- Bubo
Candida albicans Sensation and complaints in general – fungoid growth  
Catarrhal fever Fever – Pathological types- Catarrhal fever Fever- Catarrhal fever
Cerebrospinal fever   Fever- Cerebrospinal fever
Chickenpox, infection Skin & exterior body- Chickenpox Skin – eruption- Chickenpox
Cholera infection Stool – Rice water like Rectum – cholera
Cow pox vaccinia Back – eruption – cervical region – cowpox like
Diphtheria Throat & gullet – DiphtheriaLarynx & trachea – Diphtheria Throat – membrane – exudation, diphtheria
Encephalitis Head- inflammation – Encephalitis Head- inflammation of brain
Erysipelas with Head – erysipelasSkin & exterior body- erysipelas Head – erysipelasFace – erysipelas

Skin- erysipelas

Exanthematic ,fevers(see measles,  scarlet fever ) Fever – Pathological types- infectious ,grippal,  exanthematous Fever – exanthematic fevers ,measles
Gastric fever Fever – Pathological types-Gastric fever Fever- Gastric fever
Gonorrhea Genitalia- male organs – gonorrhea Urethra – discharge gonorrheal
Hectic fever Fever – Pathological types-Hectic fever Fever – Hectic fever
Influenza Sensation and complaints in general – influenza
Intermittent fever Fever – Pathological types- Intermittent fever Fever  – Intermittent fever
Malaria Fever – chill – shaking (ague) Fever- chill – exposure after – malarial
Measles Skin & exterior body- measles Fever – exanthematic fevers, measles
Meningitis Head – inflammation – meningitis Head – inflammation – meninges
Plague Sensation and complaints in general –plague Abdomen – bubo
Puerperal fever Fever – Pathological types- Puerperal fever Fever- Puerperal fever
Rabies Sensation and complaints in general- hydrophobia Mind – hydrophobia
Rheumatic fever Fever – Pathological types- Rheumatic fever
Scarlet fever Fever – Pathological types-Scarlet fever
Septic fever Fever – Pathological types-Septic fever Fever – Septic
Small pox infection Fever – Pathological types- small pox Skin – eruptions – small pox
Typhoid fever Fever – Pathological types- Typhoid fever Fever – continued fever
Worm fever Fever – Pathological types- worm fever
Yellow fever Fever – Pathological types- Yellow fever Fever – Yellow fever
Zymotic fever Fever – Zymotic fever

 

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