FEBRIS PUERPERALIS [Confinement & Postpartum - Puerperal fever]:

-Lilienthal.S


Aconite [Acon]
SYNOCHAL FEVER, pulse hard and rapid, skin dry and hot, thirst intense for cold drinks; red and hot face, short breath, difficult and sighing respiration; lochia suppressed; mamma lax and empty; sharp shooting pains through whole abdomen, which is distended and tender to the touch; restlessness of mind and body; predicts death; sleeplessness; urine dark and scanty.
Ailanthus [Ail]
MALIGNANT PUERPERAL FEVER; ichorous and foetid lochia; deliria; diarrhoea; eruption all over body; constant thirst, longing for brandy; soreness, irritability, pricking and tingling everywhere.
Apis-mell [Apis]
PELVIC CELLULITIS; stinging, thrusting pains; great tenderness over the uterine region, with bearing-down pains; absence of thirst; urine scanty; dyspnoea; great restlessness, tossing and turning without the least relief; high fever, pulse rapid and soft; pungent heat of body while feet and hands are cold; patient feels strangely, as if about to die; lochia and milk suppressed.
Arnica [Arn]
Bruised sensation all over, hot head and cool body; soreness of parts after labor. THE GREAT PROPHYLACTIC AGAINST PYAEMIA IN CHILDBED FEVER, by giving one dose of Arn. during third stage of labor and another dose when labor is finished.
Arsenicum [Ars]
METRITIS IN CHILDBED, WITH SIGNS OF DISSOLUTION OF BLOOD; burning, throbbing, lancinating pains; great restlessness and anguish, with fear of death; great prostration, the least effort exhausts her; sunken countenance, sallow and livid complexion; nausea and vomiting; dizziness, headache, delirium; small, feeble, intermittent pulse; she wants more covering, wants to be wrapped up.
Baptisia [Bapt]
Puerperal fever (SEPTICAEMIA) with typhoid symptoms; foetid lochia with much prostration; distended abdomen, fulness, flatulence, rumbling, feels as if vomiting would relieve; sharp, shooting pains in bowels; urine alkaline, foetid, highly colored and scanty; foetid, exhausting diarrhoea; oppressed breathing on lying down, difficult breathing, but no constriction of chest; restless, uneasy, indescribable sick feeling all over.
Belladonna [Bell]
Puerperal fever, particularly after a violent emotion or after suppression of milk; PUERPERAL PERITONITIS, at the onset, a hot steam seems to issue from the body of the patient; great sensitiveness of the abdomen after delivery; distended abdomen with stitching and digging pains, coming on quickly and ceasing as suddenly after having lasted some time; violent spasmodic pains, as if the parts were grasped with claws, or painful pressing downward as if everything would be pushed through the genital organs; when lying still or well covered up cold creeps run down the body at intervals; if not delirious she is rather dull and stupid, feels sleepy and dreamy, yet does not sleep soundly; extreme sensitiveness to the least jar; of bed or floor; lochia scanty, watery, slimy, offensive or entirely suppressed; metrorrhagia with coagulated foetid blood; post-partum retention of urine which only passes drop by drop, or involuntary urination and defaecation; breasts swollen and inflamed, or flaccid and without milk (Hyosc. may be tried where Bell. fails).
Bryonia [Bry]
Puerperal fever, particularly when the breasts are distended with milk, deep inhalations are painful; stitches in distended abdomen; lochial discharge profuse, often offensive, or, when suppressed, sensation as if head would burst; the least motion painful, and even sitting up in bed causes nausea and fainting; burning thirst for large quantities of cold drinks; constipation, stools hard and dry as if burnt; apprehension of danger, irritable, vehement.
Calcarea-carb [Calc]
Leucophlegmatic condition; the feet feel cold and damp, the head and upper part of the body are in profuse perspiration, CONSTANT ACHING PAINS IN THE VAGINA, stitches in the neck of the uterus; menses have always been too profuse and return too often and too soon.
Cantharis [Canth]
Great heat and burning in the abdomen; debility, restlessness and trembling of the limbs; abdomen swollen and tympanitic above, but yields a dull sound below; constant painful urging to urinate, passing but a few drops at a time, which are often mixed with blood; burning in the uterine region.
Carbolic-acid [Carb-ac]
High fever alternating with oft-recurring chills of short duration, followed by profuse sweat, with restlessness; increased tenderness over uterine region and in right iliac fossa; pulse filiform; diarrhoea, involuntary stools of great foetor, lochia suppressed; craving for food and drink.
Chamomilla [Cham]
Puerperal fever with great restlessness, excitement, sore breasts, absence of milk; mucous, greenish, watery diarrhoea; profuse lochia with laborlike pains, going through from back to front; periodical discharge of clotted blood per vagina; abdomen distended and sensitive to contact; coldness of limbs; urine pale and abundant; general heat and thirst.
Cimicifuga [Cimic]
Suppression of lochia from a cold or mental emotion, with severe paroxysmal pains in abdomen, delirium with great headache, buzzing in ears, face bluish or sudden faintness, face becomes ashy-white, weakness and prostration so great that she believes herself dying; great thirst; lochia suppressed or watery, mixed with small clots, cold chills and prickly sensation in mammae.
Cocculus [Cocc]
Paralytic pains in the back and paralysis of the lower extremities; sensation as of sharp stones in the abdomen on motion; head and face hot; feet cold; metallic taste; shivering over the mammae.
Coffea [Coff]
Puerperal fever from mental excitement; frequent crawling, with feverish warmth, tongue moist, no thirst; delirious talking eyes open and shining; violent abdominal pains with oversensitiveness, sleeplessness, despair.
Colocynthis [Coloc]
The disease is caused by violent chagrin; severe colicky pains, causing her to bend double, with great restlessness; feeling in the whole abdomen as if the intestines were being squeezed between stones; delirium, alternating with sopor; hot head, red face, glistening eyes, dry heat; hard, full and hurried pulse; marked pulsation of heart and of all the arteries.
Crotalus [Crot-h]
Puerperal fever resulting from septic absorption, with TENDENCY TO PUTRESCENCE; lochia very offensive from retained decomposing matter, surface cold, especially extremities; trembling of tongue; pulse small and rapid; torpor and coma; blue, bloated features; after-pains with lochia.
Hyoscyamus [Hyos]
Puerperal fever with emotional disturbances; spasms, jerks of extremities, face, eyelids; frequent discharge of clotted blood accompanied by partial convulsions; typhoid state with delirium; great hyperaesthesia of skin, patient throwing off the bedclothes, tries to go naked, to run away.
Kali-carb [Kali-c]
Sharp, cutting stitches in abdomen during perfect rest; tympanitis; great exhaustion with stupor, does not care for any- thing, pulse very rapid and small; urine scanty and dark, loaded with urates; pain like a weight in small of back, (<) walking.
Kreosotum [Kreos]
Stitches in the vagina, proceeding from the abdomen, causing her to start at every pain; putrid, excoriating, very offensive lochia, repeatedly almost ceasing, only to freshen up again; urine foetid, clouded, brown; putrid stools; abdomen distended and tense, like a drum; laborlike pains in abdomen, with drawing in upper abdomen extending to small of back and pressing towards the lumbar vertebrae, with flushes of heat in face and palpitations; painful sensation of coldness in abdomen; stitches and dwindling away of mammae; constipation.
Lachesis [Lach]
Lochia foetid, urine suppressed; unconscious; abdomen swollen, cannot, bear the least pressure, not even that of the clothes, upon the uterine region; sensation as if the pains were ascending to the chest; the pain in the uterus relieved for the time being by a flow of blood, but returns soon afterwards; exacerbation after every sleep; skin alternately burning hot and cold.
Mercurius [Merc]
Lancinating, boring and pressing pains; very sensitive about the pit of the stomach and abdomen; moist tongue with intense thirst; profuse sweat without relief; (<) all through the night.
Nux-vomica [Nux-v]
Bruised sensation in neck of uterus; frequent ineffectual desire to defaecate; frequent and painful desire to pass urine which is scalding and burning; suppression or too profuse discharge of offensive lochia, with violent pains in small of back, (<) by attempting to turn in bed; nausea, vomiting; spasmodic pains in thighs and legs, with numbness; red face; dull headache and vertigo; dimness of vision, ringing in ears, fainting; insomnia or frightful dreams; despondency.
Opium [Op]
In cases originating in fright, flushed face, delirious; over- excitement of all the senses, even distant sounds annoy her; TENDENCY TO STUPOR; in her lucid intervals complains that sheets are too hot for her; she is sleepy and cannot sleep; pulse full and slow; anxious breathing; coldness of extremities; discharge of foetid matter from uterus.
Platina [Plat]
Painful sensitiveness and continual pressure in region of the napkin; voluptuous tingling in vulva and abdomen; profuse discharge of tarry blood; constipation; everything seems strange to her, low-spirited; body, except the face, feels cold.
Pulsatilla [Puls]
Overexcitability and tearful disposition, paralytic heaviness of limbs; painfulness of joints; great sensitiveness of abdominal walls and laborlike pains in abdomen; suppressed lochia; watery diarrhoea; strangury or discharge of clear or dark urine in drops; tearing and stinging in abdomen; putrid taste in mouth; giddiness with loss of sight; (<) evenings.
Rhus-tox [Rhus-t]
Lochia vitiated and offensive, lasting too long or often returning; metritis with typhoid symptoms; milk vanishes; restless and feverish, she cannot lie still, changes position constantly which affords a few moments' relief; slow fever, dry tongue, loss of power in lower extremities, (<) after midnight.
Secale-corn [Sec]
STRONG TENDENCY TO PUTRESCENCE; discharge of sanious blood, with tingling of legs and great prostration; lochia dark, very offensive, scanty or profuse; painless or accompanied by prolonged bearing-down pains; retention or suppression of urine; offensive diarrhoea; voice hollow, with difficult breathing, feeble and inaudible; burning fever interrupted by shaking chills; cold limbs; cold sweat over whole body; gangrene.
Sulphur [Sulph]
At the very commencement, patient exhausted from labor causes an adynamic inflammation from the start; weak feeling in genitals; corroding lochia; shortness of breath; restlessness; mental anxiety; (<) at night or towards morning.
Terebinthina [Ter]
Bearing down in uterine region; burning like fire about hypogastrium; burning on urinating, urine cloudy and dark, having a muddy appearance; abdomen tympanitic and sore to touch; headache with thirst; brown, dry tongue, nausea, vomiting; pulse small and frequent; great prostration; tendency to mortification in inflamed parts.
Veratrum-alb [Verat]
Nausea with vomiting, profuse diarrhoea; coldness of abdomen or more or less burning; cold sweat extending from head downward; dyspnoea with dryness and constriction of chest; lochia suppressed with nymphomania, fainting on least motion.
Veratrum-vir [Verat-v]
Early or premonitory stage of puerperal affections; sudden suppression of milk and lochia; intense fever, restlessness; excessive pain and tenesmus; tympany; skin cold and clammy; quick, weak pulse.
Zincum [Zinc]
Nymphomania from suppression of lochia and milk; great sensitiveness of external and internal genitals; can only urinate while sitting bent backward; lameness and deadness of extremities.

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