THE THERAPEUTICS OF FEVERS

1. THE THERAPEUTICS OF FEVERS

2. The therapeutics of fever is otherwise known as “Allen’s fever”. Author : Dr. H.C. Allen. Introduction : The first edition of the book was published in 1879, where as the second edition was published in 1884. This book contain vast knowledge and prolonged experience of the author and his colleagues in the treatment of fevers, according to Dr.Hahnemann’s teaching (i.e.) according to natures law of cure. This book deals with all type of fevers (i.e.) typhoid, typhus, acute, sporadic, epidemic, intermittent, and, malignant type of malarial fevers, etc.

3. The philosophical concept: Based on Dr.Hahnemann’s principle natures law of cure. Even though this repertory is deals with all type of fevers, the name of the fevers are considered as pathologically diagnostic terms. For the repertorization using this repertory and Homoeopathic prescription, every individual is considered as unique one, and the prescription is considered according to the individual characteristic features and miasmatic nature, especially psora, because of that family history has given more importance. The remedy selection is according to the subjective and objective symptoms and miasmatic symptoms obtained from the sick individual.

4. Plan and construction : At the beginning preface is mentioned, in the preface author is mentioning about the introduction of this book. The book is divided in to three sections, the first part deals with principles, under this 19 principles are mentioned and explained. The second part is therapeutic part, it deals with indications of remedies, there are 147 medicines are mentioned. Under each medicines the indications are mentioned in the following sub headings. 1, Characteristics. 2, Aggravation. 3, Amelioration.

5. 4, Relation. 5, Type. 6, Time. 7, Cause. 8, Chill. 9, Heat. 10, Sweat. 11, Concomittants 12, A pyrexia. 13, Analysis. 14, Prodrome, 15, tongue. 16, pulse.

6. There is no uniformity in the order of sub headings and these sub headings are not strictly followed in all medicines. Under some medicines comparative study of some medicines are mentioned (P.161, 276, 292 ), under some medicines example cases are mentioned (P.336). Third part is the repertory part, their main rubrics are mentioned as headings, and are arranged as type, time, cause, prodrome, stages of fevers, modalities and concomittants. Totally 47 headings (main rubrics) are mentioned. Under every heading (main rubric) sub rubrics are arranged alphabetically. Grades : There are three grades are mentioned. Bold letters- 3 marks, Italics – 2marks, Roman – one mark.

7. Preface : The author says the first edition of this book was published in 1879. After an extended experience in the treatment of intermittent has conclusively verified the teachings of Hahnemann (i.e.) the treatment of intermittent according to the principles mentioned in homoeopathy. According to Hahnemann’s teaching the most obstinate and intractable (un manageable) cases occur chiefly in psoric or tubercular patients, and the more deep the discrasia the more protracted the fever. Another clinical fact which has been verified by observations of Homoeopathic physicians, that the use of massive dose of quinine and Peruvian bark suppress the symptoms, it is injurious and increasing the suffering.

8. Hahnemann’s lesion in the chronic diseases on the treatment of acute syphilis must applied to fevers. As per organon of medicine acute diseases are generally only a transitory (lasting few days) out break, an explosion of latent (hidden or inactive) psoric affection. This volume includes the therapeutics of typhoid, typhus and fevers of every grade and name, from acute sporadic and epidemic intermittent to the malignant type of malarial fevers of the tropics. For the use of this book individual characteristic features are considered not the fevers (i.e.) the diagnostic names of the fevers. The individual with

9. his or her peculiar idiosyncrasies (abnormal susceptibility to an agent) and constitutional inheritance (hereditary) with which we have to deal. The symptoms of the latent psoric affection must be analyzed fully and completely as the symptom of the “Transitory out bust” (lasting few days) the fever paroxysm. As a rule family history is much more suggestive of the curative remedy (miasmatic nature) in fevers, than the rapid pulse, high temperature, so family history should be care fully studied. The miasmatic approach is the key to unlock the secret of the severity of the attack or the relapsing tendency of the fevers. It is the experience of the author that, if the

10. remedy be selected from the totality of the objective and subjective symptoms and miasmatic nature, the patient may be cured in any stage of fever. After the preface the author explained detaildly about cause, varieties of fevers, case taking, treatment, sanitation and diet for fevers, under the following headings (principles). The principles are the following : 1, The cause. 2, Malarial theory (marsh miasm). 3, The psoric diathesis. 4, Similia is the never failing guide. 5, Examination of the patient. 6, The genus epidemicus.

11. 7, When to administer the remedy. 8, The similimum. 9, Analysis of a case. 10, The potency. 11, Characteristics. 12, The clinical case. 13, Typhoid, typhus, continued fever. 14, The anamnesis. 15, The name : Its use and abuse. 16, The true case of typhoid. 17, The tendency relapse. 18, Sanitation the sick room. 19, The diet of the typhoid.

12. 1, The cause : Physicians rarely, doubtlessly formulate a theory for the cause of intermittent or other fevers (identified causes through investigations). If the treatment adapted according to the theory of cause and name of the disease, instead of totality of symptoms – subjectives and objectives presented by the patient, the result will be failure. Homoeopathically we are not able to offer an intelligent explanation of the cause of sporadic, epidemic, intermittent fevers. The causes for the fevers are also according to Hahnemannian principle, exciting and fundamental causes. So phenomina of the individuals are considered.

13. 2, The malarial theory (marsh miasm –a tract of wet land polusion) : The malarial theory says the prevailing occurrence of epidemics due to the poison truly exists. Epidemic attack is due to the result of decaying vegetables and other organic matter and is found along rivers, with low, swampy (wet), alluvial (wasted up) shores, subject to over flow, near-bodies of stagnant water, cellers (under ground – which is covered) or freshly plowed vergin soil near marshes, particularly or leeward side of prevailing winds (protecting screen against weather). It is confined (limited boundary) near the earth seems to spread in a horizontal direction, and its progress may be cut off by walls, hedges (small trees serving as a fence) high banks, and dense forests.

14. Fever may be exist on the dry or even on a sandy soil, and in rocky mountainous regions, where it is more extensive and severe. Fever may be present at high ranged plases also, some plains (areas) are entirely free from or visited a very mild form. The fevers occur in a sporadic form where miasma (pollution) never prevails, and patients had never been in a malarial region. The investigations (pathological) never detect miasm, the internal cause of all fevers in an individual and is un known, because of that we cannot identify a antidote for the poison which creates fever.

15. If we doubt the existence of such agent (poison) in the production of the intermittent fever. If the Homoeopath implemented the "law of cure” in order to antidote the poison, the Homoeopath will resects fully decline. But the success in the treatment of intermittent or other fevers, if the treatment is based on objective and subjective phenomina and under lying miasmatic basis. 3, Psoric diathesis : Another cause for intermittent and especially for the most obstinate (not easily remedied) type – a cause almost universally neglected or over looked by majority of the Homoeopathic physician is found in inherited discrasia (hereditary disorder) of the patient,

16. the psoric or tubercular diathesis. Hahnemann says (in his book chronic diseases –page – 75. Intermittent fevers even when there are no causes about, either sporadic, epidemic or endemic, the form, duration and type of fever are vary, quotidian (every day), tertian (third day), quartan (every third day including fourth) or seven days, every evening chill with blue nails, every evening chills, every evening heat with with a rush of blood to the head, with red cheeks, also at time an intervening (intermittent) chill. Intermittent fevers of several week duration

17. followed by a moist eruption lasting several weeks, but which is healed again during a like period of intermittent fever, and alternating thus for several years. Epidemic intermittent fevers probably never seize (affect forcibily) an individual who is free from psora, so that when ever there is susceptibility to them, it is to be accounted a symptom. This is true not only intermittent but of typhoid, typhus and all types of continuous fevers. All fevers that tend to protracted, low malignant type, occurs in the psoric or tubercular patient, and the more deeply the psoric, the more malignant the attack.

18. 4, Similia is the never failing guide : There is great satisfaction to be able to explain the cause of intermittent fever (modern way), another question is why all persons subjected to the same exposure are not attacked. The latest investigations are only useful to aid us in a sanitary way in preventing the disease or modify its severity. But it could never be of the slightest benefit in its Homoeopathic treatment. When once we departs from Hahnemann’s method of individualization each case we will be at doubt. The successful treatment of intermittent fever requires that the physician should, “not only be certain but sure about individualization”.

19. So for Homoeopathic prescription in fevers the objective and subjective symptoms of the individual, and the signs and symptoms produced by the medicines during drug proving must have similarity, then only we can select a remedy. 5, Examination of the patient : The first step for individualization is successful and perfect case taking. For which the signs and symptoms are collected from all plains and dimensions of the sick individual. In fevers case taking following are to be considered: a, The symptoms occurring before and during the chill. b, Heat sweat and pyrexia.

20. c, The time of occurrence of paroxysm. d, The parts of the body in which the chill first appeared. e, The regularities of its stages. f, The degree or absence of thirst. g, The time of its appearance. h, The constitutional ailment aroused by the fever. Besides the pathologically diagnostic terms. The totality of the phinomina is important. Because their attacks consist solely of heat, others are characterized by cold only, succeeded or not by perspiration, while yet others freeze the body of the patient, and inspire him not withstanding with a sensation of heat or even create him a feeling of cold

21. although he seems very worm to the touch, in many, one of the paroxysm is confined to shivering or cold, which is immediately succeeded by a comfortable sensation, and that which comes after it consist of heat followed by perspiration or not. In one case it is heat which manifest it self first and cold succeeds, in another be the cold and heat give place to apyrexia, while next paroxysm which some times which does no occur before an interval of several hours, consist merely of perspiration, in some cases no trace of perspiration is perceptible, while in others the attack is composed solely of perspiration, with out either heat or cold or of perspiration that follows during the heat alone.

22. Along with that innumerable differences relative to the accessory symptoms(i.e., concomitant symptoms) the particular kind of head ache, the bad taste in mouth, the stomach sickness, the vomiting, the diarrhoea, the absence of degree of thirst, the kind of pain felt in, sleep, delirium, spasm, changes of temper, etc, which manifest them selves before, during or after the cold, hot or sweating stage, with out taking in to account a multitude of their deviation. These are usually intermittent fevers that are very different from one another, each of which demands naturally the mode of Homoeopathic treatment most appropriate to it’s individuality.

23. It is not treated individualizing way, the characteristic symptoms are destroyed and may converted incurable one. The types of fevers intermittent, remittent, bilious, malarial, typhoid, etc, is a single symptom, there is no value. We must collect all the evidences of disturbed health both local and general, i.e., the subjective and objective characteristic symptoms, on which to make a remedy selection. 6, The genus epidemicus : Generally the epidemic diseases are treated using genus epidemicus, according to the common characteristic symptoms obtained from many individuals. Same as above the epidemic fevers and epidemic

24. intermittent fevers are treated according to the totality obtained from common characteristic symptoms obtained from many individuals. What Dr. Hahnemann pointed out is , epidemics of intermittent occurring in places where such fevers are not epidemic, partake (part) of the nature of chronic diseases and are composed of a series of acute attacks. Each epidemic posses a peculiar uniform characters common to all individuals attacked by the epidemic disease. By observing complex of symptoms peculiar to all patients, this common character will be found in point out the Homoeopathic remedy for all cases in general.

25. 7, When to administer the remedy : The prevailing practice is administering the remedy during the paroxysm of fever, but it is wrong one , very rarely it will provide perceptible results, but usually it will obscure the disease. If we want to do any thing during paroxysm just prescribe sac lac. The safest, scientific, most satisfactory method of administration of medicine in fevers are mentioned in Aph : 236, 237, 238 and 245. In Aph 236, it is mentioned, the medicine is most epicacious when it is administered a short time after the termination of paroxysm, when the patient is partially recovered from it. During the intermission the medicine will have

26. to develop the curative effect in the organism with out violent action or disturbances. While the effect of medicine though specifically adapted to the case given before the next paroxysm, would coincide with the renewal of the disease, there but creating such counteraction (opposite) and distress in the organism as to deprive (degrade) patient of much strength, and even danger to life. But the medicine is given just after termination of the attack, when the fever has entirely subsided before the premonitory symptoms of the next paroxysm have to appear, the vital force of the organism is in the most favorable condition to be gently modified by the medicine, and restore the healthy action. Aph : 237: If the feverless interval is very brief

27. (short) as in some severe fevers or if it is disturbed by the after effect of the preceding paroxysm, the dose of the Homoeopathic medicine should be administered when the perspiration diminishes or when the subsequent stages of the paroxysm declines. Aph : 238 : One dose of appropriate remedy may prevent several attacks, and may actually have restored health, nevertheless, we may perceive threatening indications of a new attack, and in this case only the same medicine should be repeated, provided the complex of the symptoms continue to be same. After exhibition of proper remedy, the next paroxysm be earlier and more severe or later or milder than preceding one, the action of the remedy

28. should not be interfered with, wait for the succeeding paroxysm, which may be lighter still or not returned at all. Aph : 245 : Perceptible and continued progress of improvement in acute or chronic disease is a condition in which as long as it lasts, invariably counter indicates the repetition of any medicine, whenever, because the beneficial effects, which the medicine continues to exert is rapidly approaching it’s perfection. Under these circumstances every new dose of any medicine even of the last one that provided beneficial, would disturb the process of recovery. 8, The similimum : “The more perfect the similimum the quicker and surer the cure”. If the similmum is selected properly only we will get good

29. results otherwise get failure, i.e., the quality not the quantity that cures. In order to get exact similimum, the phenomena should be obtained during apyrexia, pyrexia, in it’s stages of cold, heat and sweat, note if any stage is absent, which stage is most marked, obtain bizarre, singular, exceptional phenomena, because they are the characteristics and rank high. 9, Analysis of a case : a, Time of paroxysm is identified (i.e.) every other day, in the afternoon, etc. b, Prodrome (premonitory symptoms). c, Chill details are obtained – when, which part, or as a whole, weather thirst present during chill must be identified.

30. d, Heat – Partially, as a whole, thirst during heat, coldness during heat, details should be obtained. e, Sweat – Break out of sweat, how long persist, partially or as a whole, thirst details during sweat should be obtained. f, Other accompanying symptoms during fever, pains, stomach disorder, sleep details, coating of tongue, ect, should be analyzed, mentals during all stages. ( in this analysis author mentioned some symptoms and corresponding medicines to analyze). 10, The potency : Potency is to be selected according to Dr.Hahnemann’s principles, i.e., according to the susceptibility of the patient (age, duration of illness, physical and mental health

31. severity of illness). 11, Characteristics : Usually in the fevers and many other affections we pay too much attention to the local manifestations of disease and to local symptoms of the drug and too little to general symptoms of the patient and constitutional action of the remedy. Because of that we fail to get a true picture of the disease, i.e., the totality of symptoms, subjective and objective and fall in to the routine practice of treating the disease instead of patient. In the ‘masked intermittent’ (un developed or hidden) also where the character of the disease is

32. not marked by the usual chill, heat and sweat, our only guide is the constitutional symptoms of the patient. In this way we may relive a multitude of ailments, as well as intermittent. 12, The clinical case : Most of us thinking in fever cases we will not wait for the Homoeopathic remedy to act, hence must resort (revert) to ‘Quinine’ but in fevers also if the remedy is not fault, i.e., similimum one it act promptly. 13, Typhoid, typhus, continued fever : The Homoeopaths will not phase the disease but the sick individual. The investigations for the disease and the history, etiology, symptomatology, diagnosis and

33. and prognosis by the investigations are only useful for the pathological diagnosis of the disease. The treatment performed accordingly only releave the patient. The medicines selected according to the law of similars, i.e., the Homoeopathic medicines only capable of cure the malady. The Homoeopathic medicine is applied accordingly to the pathological diagnosis will leads to disaster. The highest success and lowest mortality only to attain by the accurate selection of similar remedy on strict Homoeopathic principles. 14, The anamnesis : In fevers also case taking and case recording is to be done according to the

34. principles of case taking mentioned in aph – 83 to 104 of Organon of medicine. Because the first prescription in fevers are very important, if it is similar one it will travel in curative way, if not the disease will be crushed by first blow. So the first step in treating fevers is through case taking and recording. The strict individualization is the key stone of Homoeopathic prescription in fevers. It is axiomatic (universally received principle), that the similar remedy will cure or cut short a typhoid or other fever in any stage. If the first remedy be the similimum and it only palliates, relieve for a time but does not cure, the

35. constitutional has been over looked or neglected, and must be included in the totality of symptoms, to identify the miasm study the family history is very important. The exactly similar remedy once found should not be changed until the change of symptoms forms a new picture of disease, to be again met by it’s similimum. Allow the first selected remedy, selected according to symptom totality to act, if we interrupt it may leads to serious disaster. If the first one is not acted study carefully the case again and select another remedy. 15, The name, it’s uses and abuse : Typhoid

36. fever is designated by group of symptoms which appear sporadically, epidemically, some times annually, because of that the name is given as typhoid, typhus, a more severe form, ship fever, camp fever, war – typhus, etc, more contagious and malignant due to bad sanitation, where persons exhausted by exposure, ill treatment etc, crowded together in ill – ventilated rooms or prison, treatment houses, holders of vessels or when some organic disease assumes a febrile type. The group of symptoms by which we name the fever are termed diagnostic. These symptoms are not useful for Homoeopathic purpose. But the therapeutics are based on the individualizing characteristic symptoms. We have no specific remedy for typhoid , so any medicine can called according to the individuality. If the disease is epidemic one called for specific genus epidemicus.

37. 16, True cause of typhoid : According to Hahnemanian teaching the author says psoric miasm is the cause for acute and chronic diseases and all type of fevers. Because an individual with psoric back ground mostly prone to derangement of vital force. So severe mental shock, anger, fear, mortification (destroyed vital function), grief, financial reverses, all dynamic in character may convert a mild to severe or even fatal form of typhoid. 17, Tendency to relapse : The tendency to relapse is found in all acute diseases and in most fevers, ‘out bust of latent psora’, assumes a periodicity occurring every 3, 5, 7, 14, 21, 28 days and pertain to the patient not the fever, in typhoid,

38. typhus and some malarial fevers the relapse assumes a weakly or monthly aggravations. If the original cause(psora) is not considered during treatment it will produce relapse. After the first relapse, when the symptoms are taken for the second prescription, along with the symptoms miasm should be considered, for that carefully examine the family history. If treatment is done on this way we can prevent future relapse. 18, Sanitation – the sick room : The temperature as for as possible should be adapted to the comfort of sick, the rooms freely ventilated in the day time, especially the sun shines and at the time obendence of fresh pure air maintained, a room with a southern exposure is preferable. If a cool or even cold room should be preferred by the patient, the attendants

39. and nurses should protect themselves with proper clothing. To disinfect the room flood it with fresh air, protect the patient from drafts and undue exposure. Bathing is essential in every stage of typhoid especially during the fever exacerbation, the worm or tepid (leuke worm) bath is most beneficial and generally most grateful. The bath cloth or wet towel, not a sponge should be used, and if very sensitive or perspiring under the clothes. Never use cold or ice bath to reduce the temperature, it is always harmful often fatal. The bedding should be well aired and frequently changed as quietly and gently as possible.

40. Never waken a sleeping patient , but never forget that the stupor or delirium is not sleep. 19, Diet of the typhoid : Absolute rest of the digestive organs is just as necessary for safe and speedy recovery in continued fevers, enforce feed is un wise. Pure water, ad libitum is the best and safest diet for the fever patient, until the tongue is clean – the appetite natures call for food – returns. Best results are generally obtained by intake of hot water. Never use cold or ice water internally to the patient. Food may be varied to suit the taste of the patient , by adding the juice of orange, grape,

41. raspberry, strawberry, water melon, currant (seedless dried grapes), etc, but not lemon or vinegar. As the tongue cleans appetite returns, rice water, dried apple water or toast water may be allowed, stale (old) bread well toasted should be put in to boiling water and allowed to cool in an earthen vessel, barley, cracked wheat or oat meal gruel well cooked may be allowed later.

42. Repertory part 1, Type : Mostly the rubrics are mentioned in pathologically diagnostic terms, along with that few general rubrics are mentioned. (ex) autumnal, bilious, epidemic, intermittent, malarial, menses after the, monthly, periodicity marked, quartan, typhoid, typhus, etc. 2, Time : Seasons, Fraction of a day related rubrics, particular time related to each paroxysms, and stages of fever are mentioned. (ex) autumn. Day, evening, fore noon, mid night, morning, night, paroxysm returning at : 1 am, 1 to 2 am, etc. Fever with out chill returning at: midnight,12 to 3 am, 2 p.m, 2 to 3 p.m, etc.

43. 3, Cause : Attack brought on by : Exciting factors are mentioned. (ex) air in open, anger, anthrax, fright, gonorrhea, weather cold, damp rainy, etc. 4, Prodrome : conditions occurring during : Mental and physical changes (symptoms) occurring, and changes (symptoms) occurring on anatomical parts and other clinical symptoms occurring during fever conditions are mentioned. (ex) anguish, anxiety, appetite loss of, bones pain in, cough, diarrhoea, face heat of, head ache, irritable, neck pain in, weakness, etc. 5, Commencement of chill : chill begins in : The anatomical parts where chill begins are mentioned. (ex) arms, back, hand, vertex, etc.

44. 6, Chill location of : chill parts affected location of : The anatomical parts where chill located are mentioned, along with that extensions of chill are mentioned. (Ex) abdomen, arms, ascends, back, hands, etc. 7, Chill aggravated : Factors which aggravate chill are mentioned. Arms motion of, eating after, rest during, warmth in, etc. 8, Chill ameliorated : Ameliorating factors of chill are mentioned. (ex) air in open, covering by, motion on, sleep after, etc. 9, Symptoms during the chill : Only three rubrics are mentioned. Chill absent, chill predominates, chill in general.

45. 10, Chill character of : Few characters of chill are mentioned. (ex) alternating with heat or sudden cold sweat, coldness icy, shaking, etc. 11, Chill symptoms during : Other symptoms occurring during chill are mentioned (concomitants), (ex) abdomen bloated, anxiety, bones pain in, cough, elbows pain in, hunger, hysteria, mouth dryness of, etc. 12, Chill followed by : The symptoms which follows chill are mentioned. (ex) anxiety internal with short breath, chest spasmodic pain, head ache frontal, sweat, taste bitter, etc. 13, Heat aggravated by : Factors and time factors aggravate the fevers are mentioned.

46. (ex) air in open, drinking by, evening towards, mid night after, smoking by, stooping when, etc. 14, Heat ameliorated by : Factors and time ameliorates the fevers. (ex) air in open, eating after, sitting when, etc. 15. Heat absent : No sub rubrics are mentioned but medicines are mentioned for main rubric. 16, Heat in general : No sub rubrics are mentioned but medicines are mentioned for main rubric. 17, Heat symptoms during : Heat during other symptoms are mentioned. (ex) abdomen coldness in, air cold sensitiveness to, anxiety with, apple desire for, bones pain in, diarrhoea, ears cold of, face redness of, food aversion to, hands cold, etc.

47. 18, Heat followed by : The symptoms which follows heat are mentioned. (ex) chill, colic, debility, headache, etc. 19, Heat characteristic of : Characters of heat and few locations are mentioned. (ex) abdomen of, anxious of whole body, bed in, burning, dry, etc. 20, Sweat aggravated : Factors aggravating sweat are mentioned. (ex) air exercise in the, bed getting out of, room in, sleep during, etc. 21, Sweat ameliorated : Factors ameliorating sweat are mentioned, (ex) air in open, drinking after, morning in the, sleep in, etc. 22, Sweat followed by : Symptoms following sweat are mentioned, (ex) chill, cough, hunger, etc.

48. 23, Aggravation while sweating : Directly medicines are mentioned. 24, Amelioration while sweating : Medicines are mentioned under main rubric, with one sub rubric. 25,Sweat absent : Medicines are mentioned under main rubric. 26, Sweat in general : Medicines are mentioned under main rubric. 27, Sweat predominate : Medicines are mentioned under main rubric and fraction of the day as sub rubrics, (ex) day during the, evening, morning, night. 28, Sweat produced by : Factors produce sweat are mentioned, (ex) awakening on, eating, etc.

49. 29, Sweat character of : Characters of sweat are mentioned, (ex) acrid, bed in, bloody, debilitating from least movement, profuse, ect. 30, Sweat time of : Fraction of the day and few other factors are mentioned, (ex) afternoon, day during the, evening during the, noon, sleep during, etc. 31, Sweat location of : Anatomical parts are mentioned, (ex) abdomen, axilla, body all over the, face, hands, etc. 32, Sweat symptoms during : Symptoms during sweat are mentioned,(ex) abdomen distention of, anxiety, bones pain in, etc.

50. 33, Sweat suppressed : Medicines are mentioned under main rubric. 34, Aggravation after sweat : Medicines are mentioned under main rubric. 35, Amelioration after sweat : Main rubric contain medicines with one sub rubric, limbs pain in. 36, Appetite, taste, tongue, etc. Symptoms of : Appetite details, few rubrics of digestive system, then taste related rubrics, tongue related rubrics are mentioned, (ex) appetite good, appetite voracious, breath putrid, desire for apple, eructation's sour, gums loose and spongy, hungry but cannot eat, etc. 37, A pyrexia symptoms during : Symptoms occurring during a pyrexia are mentioned.