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Pyrogen
1. PYROGEN
I
DR VANITA JOHARI
MD (HOM), MSC (COUNSELLING PSYCHOLOGY)
PROF & HOD, DEPARTMENT OF HOMOEOPATHIC MATERIA MEDICA.
SMT CHANDABEN MOHANBHAI PATEL HOMOEOPATHIC MEDICAL COLLEGE, MUMBAI.
2. A CASE OF 12 YEAR OLD BOY WITH
FEVER
A 12 year old boy was brought for
treatment
He was suffering from high fever since
3-4 days, with cough and general
malaise
His condition was deteriorating very
quickly
The symptoms were not clear enough
for any prescription
Pyrogen was prescribed & it cleared
picture and brought out symptoms and
help improving generals
3. PYROGEN.
Also called Pyrexin. Sepsin.
A product of the decomposition of
chopped lean beef in water, allowed
to stand in the sun for two or three
weeks
Pyrogen is defined as "a chemical
non-living substance formed by living
bacteria, living pus-corpuscles, &
living blood- or tissue-protoplasms
from which these corpuscles spring."
4. SPHERE OF ACTION
BLOOD, LYMPH
HEART AND
CIRCULATION
SENSORIUM AND
MIND
GIT
FEMALE GENITALS
SKIN
5. CAUSATION
Blood poisoning.
Ptomaine poisoning.
Sewer-gas poisoning.
Typhoid fever (remote effects of).
Dissecting wounds.
Purperium
Suited to - Face: burning; yellow;
very red; pale, sunken, and bathed
in cold sweat; pale, greenish, or
chlorotic.-Circumscribed redness of
cheeks.
6. GUIDING SYPTOMS
IT IS Aconite of the typhous or typhoid quality of pyrexia,"
and wherever poisoning by bacterial products
Sepsis is the essence of the action of Pyro. H. C. Allen gives
this indication for its use in septic states:
"When the best selected remedies fail to relieve or
permanently improve "-analogous to the action of Pso. and
Sul
As Pyro. is a product of carrion, the carrion-like odour of
bodily emaciations, secretions, and excretions
7. PHYSICAL GENERALS
The bed feels hard (Am.) ; PARTS LAIN ON FEEL SORE AND
BRUISED (Bapt.) ; rapid decubitus (Carb. ac).
GREAT RESTLESSNESS; must move constantly to > the soreness of
parts (Arn., Eup.).
Tongue: LARGE, FLABBY; clean, smooth as if varnished; fiery red;
dry, cracked, articulation difficult (Crot, Ter.).
Taste: SWEETISH; TERRIBLY FOETID; pus-like; as from an abscess.
Vomiting: persistent; brownish, coffee-ground; offensive, stercoraceous;
with impacted or obstructed bowels (Op., Plb.).
Diarrhoea: horribly offensive (Psor.) ; brown or black (Lep.) ; painless,
involuntary; uncertain, when passing flatus (Aloe, Olean.).
8. GUIDING SYMPTOMS
No appetite. Great thirst for small quantities, but the least
liquid was instantly rejected.-> Drinking very hot water
"Constipation, from impacted of faeces in fevers; stool large,
black, carrion-like."
Chill begins in back, between scapulae." "Severe general
chill of bones and extremities.“
Pulse abnormally rapid, out of all proportion to
temperature
Ulcers, deep, burrowing wounds, extremely painful and
discharging freely.
9. MIND
Loquacious; can think and talk faster than ever before
Delirious on closing eyes; sees a man at foot of bed.
Sensation as if she covered the whole bed; knew her head
was on pillow, but did not know where the rest of her body
was.
Feels when lying on one side that she is one person, and
another person when turning on the other side.
Sensation as though crowded with arms and legs.-
Hallucination that he is very wealthy; remaining after the
fever.
Unable to sleep for brain activity and crowding of ideas
Whispers in sleep.Kept awake by purring of heart.
Dreams: of various things; of business.
10. FEVER
Chill begins in back. Chill commences with pains in the limbs.
Shivers and begins to move about restlessly. No fire would warm;
sits by fire and breathes the heat from it
Heat stage: temperature rises gradually and as gradually
subsides with soreness, bed feels hard
Great heat with profuse hot sweat, but sweating does not cause a
fall in temperature.
Perspiration on upper part of body; > motion; >. Perspiration
horribly offensive, carrion-like; disgust up to nausea about any
effluvia arising from her own body.-Cold sweat over body.
Pulse abnormally rapid, out of all proportion to temperature
Mental, delirium, loquacity, Mania of Grandeur, …
Appetite, thirst, tongue, taste, diarrhea, weakness…
Frequent calls to urinate with fever
11. FEVER WITH…
Excruciating, bursting, throbbing headache
Diphtheria with extreme fetor.
Urine Albuminous, containing casts; horribly offensive, carrion-like.
Puerperal peritonitis with extreme fetor; Septicaemia following
abortion; foetus retained, decomposed.
Expectoration: rusty mucus; horribly offensive. Neglected
pneumonia
Heart tired as after a long run; increased action < least motion,
Cardiac asthenia from septic conditions.
Ecchymosis. Skin pale, cold, of ashy hue.-Obstinate, varicose,
offensive ulcers of old people
Menses horribly offensive; carrion-like.-Menses last but one day,
then a bloody leucorrhoea, horribly offensive.-
12. RELATIONS
Compare: Septicaemin (B. Sanderson says bacteria and
pus cells produce the same chemical result; Pyro. and
Sept. may therefore he identical
Malar. (the vegetable Pyrogen);
Lach. In typhoid with soreness, bed feels hard, Bap.,
Arn., Rhus. > Motion and stretching limbs,
Uterine haemorrhage, Ipec. ("if Ipec. fails when
indicated give Pyro.,"
Black stools, Lept.
Constipation, Op., Sanic., Pb.
Vomits water as soon as warm in stomach, Pho.
Varicose, offensive ulcers of old persons, Pso. Secale
cor