_Ipecac_ and _Colocynthis_ are to be given in alternation, and repeated as often as every 30 minutes, for the first three or four doses, then as the patient gets easier, at longer intervals. A dose every hour will suffice as soon as the symptoms begin to abate. The application of hot cloths or even mustard, over the abdomen, frequently palliates the sufferings, and does not interfere with the action of the medicines. Fever of a low typhoid type some times sets in after an attack of cholera morbus, and terminates fatally. This ought never to occur under Homoeopathic treatment. For such fever give _Baptisia_, a dose every hour until the fever subsides, which will occur generally in six or eight hours; if not, and the patient complains of headache, or is delirious, or dizzy, or feels a fullness in the head, give _Macrotin_ in alternation with the _Baptisia_. Keep the patient very quiet and free from noise, as far as possible. _Sleep_ is a great restorer in any case, but particularly so in this.
This comes on with pains in the head and back, aching in the joints, yawning, followed by coldness of the hands and feet, blueness of the nails and skin of the hands, general chilliness, sometimes "shaking." This lasts from a few minutes in some cases, to several hours in others. The chill is followed by a fever, which is generally severe and long continued, in proportion to the length and severity of the chill. The fever is followed by free perspiration, when it subsides and leaves the patient in a comfortable condition. This state is called the _Intermission_. This continues from a few hours to twenty-four, or longer, when another chill comes on followed by fever and sweats as before. During the chill and fever, the patient often suffers great pain, and is sometimes delirious. Young children frequently have convulsions when the chill sets in. _These_ convulsions of children, though alarming, are not often dangerous.
As soon as the first symptoms of the chills appear, such as the headache, pain in the back and bones, coldness of the hands, nose and ears, give _Aconite_ and _Baptisia_ alternately, giving the first three doses every ten minutes, the next three doses every fifteen minutes, and then once in half an hour until the patient begins to sweat freely, when the medicines should be discontinued. If there is nausea or vomiting present, let the patient have lukewarm water freely in large draughts, until he vomits it up several times. As soon as the sweating commences, give _Arsenicum_ and _Macrotin_ alternately every hour during the intermission, except during sleeping time. On return of the chill, should it appear a second time, use the _Aconite_ and _Baptisia_ as before, and follow them with _Arsenicum_ and _Nux Vom._ every two hours. This course of treatment will cure a majority of cases, but some require _Cinchonia_. That Cinchonia is a specific for intermittent fevers in many of their forms, no one will deny. It is the Homoeopathic remedy for many cases, and should be prescribed. The injurious effects that are often attributed to Quinine, are, I have no doubt, attributable not to that remedy, but to the _drugs_ that are used prior to giving the _Chinium Sul_. I have used it in more than two thousand cases, and have never been able to see any evil consequences follow its _proper_ use. It should be given _from the beginning of the chill to the end_ of the paroxysm, and continued during the whole time of the intermission: _i. e._ until the time arrives for the next chill, _time_ being important in the use of this remedy. Use the first decimal trituration, and give grain doses (equal to 1-10th of a grain of the drug) every half hour till the time the next chill would occur, if it pursued its regular course, allowing the patient six or seven hours time in each twenty-four, for sleep.[1] Though from two to four grains of the pure _Chinium Sulphuricum_ is all the patient would get, very few cases that do not yield to a course of the former treatment here recommended, will have the third paroxysm after this _China_ treatment is commenced and pursued as here directed. For children the dose may be one-half or one-fourth that of the adults. If a trituration of the medicine cannot be got conveniently, four grains of the _Quinine_ may be put into a four ounce vial of water, shaken well every time, and a teaspoonful taken at a dose. Abstinence from food as far as practicable, and quiet is of much importance in this disease, but the patient may use water freely.