Homoeopathic Treatment Protocol for Fever By Dr Biju G Nair

Homoeopathic  Treatment Protocol for Fever

By 

Dr Biju G Nair

Fever

Fever makes patients scared because health media propagated that fever can kill a person. Homoeopaths know that fever is a good sign and it is psoric. No fever can kill a patient. The reason for fever can even kill your patient. In bacterial and viral infections fever is really a grace for patients. When temperature rises germs will die. Even in non-infective fevers rise of temperature has its psoric role to save patients. When a high rise of temperature damages the thermal power plant of the body, the hypothalamus then it should control with drugs. Febrile seizures are the most misinterpreted and mismanaged clinical condition. Seizure is the mechanism of body to get rid of excessive heat. Seizures even for 15 minutes don’t cause any damage to brain cells and it doesn’t cause epilepsy in future. All these facts are just facts only. Parents get scared by seeing seizures and their anxiety rises along with the mercury column of thermometer. Fever is a thing to be managed at once is the ground reality because people are afraid of it. At the rise of a body temperature a physician is unable to narrate the facts and figures regarding fever and seizures. So let us see how homoeopathic drugs shall select to reduce temperature.

Step 1 - Investigation for confirmation

Step – 2:  Drug as per the course of Disease

Drugs to Reduce Temperature

Belladonna 1M: Symptoms of belladonna in fever are the most said one. Every homoeopath knows it. Headache congestion and redness are the key symptoms. As a drug Bell can prescribe without any symptom to reduce temperature and headache but it must give within 12 hours of the initial rise of temperature. It is a drug that is having alternative action so should be given in 2 consecutive doses. If we give one dose only the primary action will follow with an aggravation of temperature in secondary action. As belladonna is of highly psoric nature stand in the shadow of calc carb it is preferable to give in high potency and a better option is 1M. If belladonna failed to reduce temperature in any acute case that means it was not prescribed in 1M potency/it was not repeated at least once or it was not just a case of fever! Belladonna 1M is the most prescribed drug for fever in my clinic since my first day of practice. There are contractors and sub-contractors preparing belladonna 1M in and around my clinic since 2000! Believe Belladonna 1M 2 doses than me.

Pyrogen 200: Pyrogen is a drug for infective fever preferably bacterial. Pyrogen never gets an entry to your case record on day one or 2 of a fever cases. There will be an infection either in lower respiratory tract or in intestine in pyrogen cases. As you know it is an artificial sepsin. So, sepsis must be there when you are prescribing pyrogen. A yellow discharge from nose, a yellow expectoration or highly turbid urine with pus along with fever indicates pyrogen. It can only reduce temperature except in urinary tract infection where it can reduce pus cells too. Clean tongue and deletions  about his body are its medicinal or remedial symptoms so not worth mentioning here. 

Acetanilidum 3x: This drug’s other name is antipyrin or antifebrinum. It can be used as a panacea for fever with skin symptoms except in viral exanthema. (in viral exanthema PULS 1M is the medicine, not a drug). It is a drug to reduce temperature in febrile hear diseases like pericarditis. Fever in blood cell dyscretia like leukaemia also comes under this drug. Remember, it can only reduce temperature not cure pericarditis or blood dyscretia.

Canchalagua Q: Canchalagua is a panacea for relapsing or intermittent fevers. It is just like china in fever. Then why can’t you prescribe china is definitely a question. Why because china is not giving the expected result, where canchalagua is overtaking china in clinical trials. Clinical trial? At which institution? Yes I expect that question. I have an answer. It is my experience and you can also make such a study in your clinic and publish the failures if any.

Baptisia Q: Baptisia is the most prescribed drug in fever cases. Typhoid and baptisia has been branded together since the invention of this drug. I have nothing to say about typhoid and baptisia in typhoid. It is a proven fact that even a layman can consume, prescribe and get out of typhoid with flying colours. I have only one word about baptisia in fever that is of an “enteric origin”. When a fever associates with an enteric symptom you must think of baptisia Q. Then what about pyrogen? Don’t worry Baptisia stands next to pyrogen. Both are bacterial origin. Just send your patient for a routine blood examination plus platelet count. If TC is increases and platelet is intact confirm it as a bacterial enteric fever. Bottle fed baby’s fever will yield to baptisia very well as there is every chance of salmonella infection.

Phos 200: Nothing to say about phosphorus in drug level as it is a well-known remedy with its unique features. When you are frustrated in fever cases even after prescribing all your fever drugs, just stop all drugs and prescribe a dose of Phos 200 and keep off your hands. If you ask for an indication of Phos then I can say that appetite of your patient will be normal or even it increased.

Stramonium 200: Fever with deliriumis a well-known symptom of stramonium. Grinding of teeth, severe thirst, coldness of palms, and coldness of soles and history of febrile seizures are the additional symptoms of stramonium. I don’t know how you could appreciate dry heat but if you could appreciate it there is no other way to proceed further without prescribing few doses of stramonium. 

When you get a case of fever treated by your homoeopathic colleague just praise him and give a dose of sepia 200. Sepia is the last word when you prescribed the whole materia medica to your patient. A better advice in night calls on fever case in much prescribed case is just to stop all medicines for next 6 hours and to switch over to tepid sponging.   Removal of all clothes and opening windows will favor your patient than giving a dose of Homoeopathic medicine. Management of dehydration should do along with management of fever. 

Step 3: Medicine for disease

Viral Fever

Gels 30 TDS 3 days  - Slow onset, heaviness of head thirst less with upper respiratory symptoms but no lower respiratory tract symptom. Trembling may be present (without UTI)

Eupatorium 200 TDS 5 days – Suspected cases of dengue with chills and severe body pain and head ache. LBA is prominent there will be headache even after fever.

Eupatorium 3x 2 hrly 2 days – Viral fever of gastric origin vith much vomiting and body pain accompanied by chill.

Bry 200 TDS  3 days – Slow onset and fever started from exposure to sudden change of temperature. Thirst with dry cough and constipation.

PULS 1M 2 dose BD  - Fever with joint pains, thirst less   and chilly. Yellow expectoration with loose cough.

Uncaria Tomitosa 30 BD 5 days – When viral infection is confirmed by intact TC and reduced Platelet count. Joint inflammation with much prostration and colitis.

Bacterial Fever

Nat Mur 200 2 dose BD – Fever blisters with cough and lachrymation. Relapsing fevers

Ars iod 3x TDS 5 days – Night fevers with dry cough and yellow nasal discharges. Tendency to recurrent cold end in fever and bronchitis.

Tub 1M 1 dose – When fever not subsided even after 5 days. Night fevers.

Ferrum Phos 6x 2 hrly for 2 days – on first day of fever where symptoms are not diagnostic of any medicine.

Pneumococcin 200 1 dose – To prevent pneumonia in cases with history of pneumonia.

Phos 200 1 dose – When well selected remedies failed to produce a favorable result.

Pyrogen 200 1 X s.o.s – Cases with yellow nasal discharge and fever where secondary infection is confirmed.

Step 4: Fever - Remedy to prevent complication/ Recurrence

Lyco 200 1 dose if convalescence prolongs.

Tub 10 M 1 dose if recurrence of bacterial infection anticipates in cases with history of repeated bronchitis.

Naja 30 4 doses BD or Dulcamara 200 4 Doses BD in cases with history of repeated  Bronchitis or bronchial asthma immediately after each cold & fever.

Gels 1M: If you anticipated GB syndrome.

Objectives in Self limiting  Acute Diseases

A. Cut short duration of disease

Select a medicine that covers the later symptoms of the disease.

Ledum Pal, Urtica Urens or Phytolacca in Chikun Gunya to prevent reactive arthritis and foreign body arthritis.

Crotalus Horridus in Leptospirosis to prevent hepato renal failure.

Opium or Carbo Veg  in Typhoid to avoid coma vigil and graying of hairs.

PULS in Measles to prevent orchitis and oophritis or Sub Acute Sclerosing pan encephalopathy (SSPE)

Use auxiliary methods and dietary restriction and supplementation. ORS, IV.

Allow Grandma’s Medicines and methods. If patient is comfortable with a traditionally practicing method then let them practice it.

It is easy to cut short the Duration of Bacterial Disease than Viral Disease

B. Prevent complications and sequele

Use Ant Tart and Thuja in Chiken Pox to prevent bronchitis

Use Crotal Hor 30 if you are anticipating meningitis in ASOM.

Use Helleborus if you are anticipating Meningitis in Chicken Pox or any other acute diseases

Use organ remedies of the target organ of complication.

Use Veratrum Vir 200 in frequent doses if you are anticipating Pneumonia.

Use Pneumococcin 200 in fever with h/o pneumonia.

Use terebinthina 3x if you are anticipating black water fever in Malaria.

C. Prevention of Recurrence

Nat Sulph 1M to prevent recurrence of Br. Asthma.

Lyssin 200 to prevent   recurrence of  Dust allergy

Spongia 30 & Calc Carb 200 to prevent Moon phases asthma.

Psorinum 200 or Tub 200 to prevent recurrence of tonsillitis.

D. Resilience

Sulphur 1M to bounce back to previous state except in skin disease.

Chinninum Ars 30 to re establish appetite and to reduce weakness after fever.

Sterculia Q to get rid of weariness after fever.

Mancinella 30 to save the hairs from acute disease.

Step 5:  Potency and dose

(Mentioned along with each Drug/medicine)

Step 6:  Logical Philosophic Guideline

All acute Diseases including epidemic fevers are Self limiting.

So no need of Miasmatic Constitutional Remedies, but if Possible it is well and good.

Indisposition needs no medicine or acute totality or Just A/f.

Step 7. The End point.

When the expected complication not appeared or managed it very well.

If there is no constitutional Problem with system. (No Scope for  a long term Management!)

Managing chronic cases either with drug or medicine ONLY is a Medical Crime.

A humble request to my brothers and sisters, please exam your patients. Use thermometer and stethoscope as and when required though it wont help you to reach at a similimum. Happy monsoon!

Dr.S.G.BIJU MD (Hom)

www.drbijuonline.com