TWO CASES OF INTERMITTENT FEVER TREATED WITH CARBO VEG

By A. W. K. Choudhury, Calcutta.

CASE 1- Patient: Mahommedan, male adult, aged about 30 years. Disease: Intermittent fever, with gum boil (on the outer side of the posterior right lower molar), suffering about four day’s.

13-07-93. Characters of the fever:

Type – Duotidian.

Time – Afternoon (4 P.M.) or before evening.

Prodrome- Languor.

Chill – Thirst, of large quantity, increasing the chill; headache, lasting about an hour, drinking in which two or three times.

Heat – Excessive, lasting about two hours; no thirst; headache; wants to be fanned.

Sweat – None, or very little.

Apyrexia – Not complete, having heaviness of head and bitter taste in mouth.

Bowels – Open.

Tongue – Costed in center (yellowish brown); bitter taste; spitting always.

Nose – Bleeding; blood sometimes in clots and sometimes liquid.

Spleen – Enlargement of.

Drugged previously allopathically for fever and cough, the drug most probably containing Quinine; yesterday gum-boil opened with gum lancet.

Treatment – Carb. Veg., 12; half a drop a dose; every three hours in remission. Six doses given.

14-07-93. Morning. Yesterday had no fever all day, but very slight feverishness about 2 P.M. chill slight, lasting about half an hour; no thirst during chill, but drunk once before it; then heat excessive, lasting whole night, requiring to be fanned no thirst during heat; no sweat, or very slight sweat; dry cough before and during chill; apyrexia at morning to-day; one normal stool yesterday afternoon and one normal stool to-day, morning, but he does not think his bowels clear; apyrexia little better having no heaviness of head, but bitter taste in mouth; spitting; nose bleeding very little before last evening; swelling and pain of gums less; no bad smell of mouth.

Treatment – Carbo veg., 12; one-half drop a dose; each dose to be taken every four hours in remission. Six doses given.

15-07-93. No fever yesterday; dry cough less, and that was before last evening; three normal stools yesterday and one normal stool to-day, morning; no spitting to-day; no bitter taste of mouth; no bad smell of mouth; no complaints yesterday; no epistaxis.

Treatment – Carbo veg., 12; half a drop a dose; each dose to be taken every six hours. Four doses given.

Diet – Handmade at bread and milk.

16-07-93. 8 A.M. No fever yesterday; no fever now; two dry cough before evening yesterday; no bitter taste and no bad smell of mouth; no spitting; slight pain in gum at the root of the posterior molar; no epistaxis.

Treatment – Carbo veg., 12; half a drop a dose; each dose to be taken every 12 hours in remission.

Diet- Rice, chicken broth and milk.  

19-07-93. 6 A.M. Had slight heat yesterday at about 3 P.M., continuing till evening; the heat was only indicated by the pulse; no other complaints.

Treatment – Carbo veg., 12: half a drop a dose; to be taken twice daily. Four doses given.

20-07-93. Better yesterday before evening; no cough; very slight heat indicated by pulse.

Treatment – Carbo veg., 12; half a drop a dose; to be taken twice daily. Four doses given.

23-07-93, 9 A.M. No complaints yesterday or day before yesterday; bowels open normally daily twice.

Treatment – Carbo veg., 12; one-half drop a dose; B.D. Four doses given.

01-08-93. No more medicine given and patient coninuing well.

Writing in October, 93. Patient has had no relapse and going on well.

Remark- After the 16^th date I was about to stop the medicine, and it was stopped till the 19^th, when the state of the patient’s health compelled me to continue it for four or five days more.

CASE 2- Patient: Girl about 12 years; color fair. Disease: Intermittent fever since day before yesterday.

15-07-93. Character of the fever:

Type – Duotidian.

Time – After 8 A.M.

Prodrome – Nothing mentioned.

Chill – With thirst.

Sweat – Moist on upper part of body.

Apyrexia – Not complete; pulse feverish.

Tongue – Coated in the center, and the posterior part yellowish brown.

Bowels – Costive.

Spleen enlarged and tender.

Nose – Bleeding before this fever now and then.

Treatment – Carbo veg., 12; one-half drop a dose; each dose to be taken every three hours in remission. Six doses given.

16-07-93. 9 A.M. No fever yesterday; critical perspiration at about 9 P.M. lasting half an hour; yesterday two hard stools consisting of hard balls; no complaints now; no stool to-day, morning.

Treatment – Carbo veg., 12; one-half drop a dose; each dose every four hours in remission. Six doses given.

Diet – Soup and milk.

17-07-93. 8 A.M. Had feverish heat after 1 P.M. yesterday and lasted till before 5 P.M., most probably three hours; had no chill; slight perspiration twice, once at evening and another at about 8 P.M., on forehead and axillae, etc.; yesterday passed three scanty, hard stools consistiong of small, hard balls; had no thirst during the heat mentioned above, and lightness of head; no fever now; took milk only.

Treatment – Carbo veg., 12; one-half drop a dose; each dose every six hours in remission. Four doses given.

18-07-93. 7:30 A.M. Had fever yesterday at about 2 P.M., no chill, heat slight, ended with sweat (seen after 9 P.M.), cold; had two stools consisted of hard balls, these two stools cleared of the bowels more than what was done day before yesterday.

Treatment – Carbo veg., 12; one-half drop a dose; to be taken as above. Four doses given.

5:30 P.M. No fever yet; no stool.

19-07-93. 8 A.M. No fever yesterday and last night; one hard stool after last evening, consisting of small, hard balls; no epistaxis during this whole course of fever; enlargement of spleen the same.

Took milk only yesterday.

Treatment – Carbo veg., 12; one-half drop a dose; each dose every six hours. Four doses given.

20-07-93. 8 A.M. No fever yesterday and as yet; two hard stools after yesterday, day time, stools consistiong of small balls; no complaints; sweated once copiously, at about 2 P.M., when she was sleeping.

Treatment – Carbo veg., 12; one-half drop a dose; each dose every twelve hours. Four doses given.

Diet – Rice, chicken broth and milk.

21-07-93. 7:30 A.M. No fever yesterday; two normal stools yesterday afternoon and one normal stool to-day, morning.

Medicine as above.

Diet as above.

22-07-93. 6:10 A.M. No fever yesterday; two normal stools yesterday; one after 3 P.M. and the other after 9 P.M.

Medicine stopped

Diet as above.

23-07-93. Morning. No fever yesterday; going on well; two normal stools yesterday, one in the morning and the other at about 9 A.M.

Medicine stopped.

Diet as above.

Writing in October, 93. No relapse; paticnt going on well.