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Relations
Dr. Wright-Hubbard[18] considers that Pyrogenium is related to Calcarea sulphurica. Calcarea sulphurica, she says, is given in some of the books, notably in Kent's, as one of the great remedies for those cases where the seemingly indicated remedy does not act and for those cases which need to be followed with a deeper influence. Calcarea sulphurica for instance is one of the rare remedies which has hilarity in its mental make-up, particularly towards twilight at 6 p.m. Pyrogenium too, in its first stages, together with loquacity, has great gaiety. Moreover, of course, Pyrogenium has a tendency to septic abscesses and is a magnificent remedy for crops of boils which can be traced back to prodromes of blood poisoning in the past. Also in peritonitis, if one has the temerity to prescribe before sending for the surgeon, Pyrogenium will often be called for, as will Calcarea sulphurica, where there has been a vent for the pus and where it keeps forming and coming in large quantities long beyond the time when healing should be present.
There are also certain respiratory analogies between Pyrogenium and Calcarea sulphurica. For instance, they both have lung abscess and some of the many symptoms agree fairly well. Pyrogenium has the strange keynote as if the heart pumped cold water, whereas Calcarea sulphurica has as if the bronchial tubes were pumped full of hot water. They also have in common a slight symptom of the head — the sensation of a cap on the head.
Think of these two remedies, Pyrogenium and Calcarea sulphurica, when you find cases in the spheres of the respiratory, gynaecological, or dermatological diseases which have any of these symptoms.
Compare
Septicaemin (B. Sanderson says bacteria and pus cells produce the same chemical result. Pyrogenium and Septicaemin may therefore be identical, but I think it best to keep them distinct)
Uterine haemorrhage, Ipecac ("if Ipecac fails when indicated give Pyrogenium", Yingling).
Throbbing headache, Bell.
Varicose, offensive ulcers of old persons, Psor.
Skin ashy, Sec.
Suppuration, Hep (Clarke).
- Echi., Carb-an, Ars., Lach., Rhus-t., Bapt.
- Sepsin — a toxin of Proteus vulgaris, prepared by Dr. Shedd, same symptoms as Pyrogenium of which it is the main constituent.
- Malar (the vegetable Pyrogenium); Lach.
- In typhoid with soreness, bed feels hard, Bapt., Arn., Rhus-t.
- > motion and stretching limbs, Rhus-t.
- Cough worse by motion and in warm room, Bry.
- Offensive diarrhea, Psor
- Black stools, Lept.
- Constipation, Op., Sanic., Plb.
- Lochia thin, fetid, Nit-ac.
- Vomits water as soon as warm in stomach, Phos.[19]
Differentials
- With Baptisia:[20]
- The symptoms are much like Baptisia, but if the temperature rises very high, Baptisia will not meet the conditions so well as Pyrogenium. (Kent).
- With Belladonna:
- Pyrogenium does not often resemble Belladonna but it can have a red face and an intensely hot skin. Pyrogenium usually differs from Bell in being more mentally alert and there is less delirium. In fact, Pyrogenium has more often to be differentiated from the Phosphorus group. Sometimes in severe infections such as peritonitis or osteomyelitis the distinction may be virtually impossible. Fortunately the two are complementary and may be prescribed alternately — a justifiable procedure in such circumstances. Other differences between Pyrogenium and Bell are that Pyrogenium may be very restless and have offensive odours — features rarely found in Bell.[21]
- With Ipecac:
- Pyrogenium resembles Ipecac very closely in uterine haemorrhage. If you have an Ipecac case and that remedy fails you, think on Pyrogenium. (Tyler)
- With Rhus toxicodendron:
- Rhus toxicodendron is < beginning movement, > continued movement.
Clinicals[22]
Allen: Fevers from septic onset. When Baptisia, Echinacia, Rhus toxicodendron fail to relieve.
Septic fever. It is the first remedy to be thought of in a case of septicemia, either puerperal or surgical or from any other cause . . . think of this also in fevers caused by sewer gas poisoning, surgical infections, dissecting wounds, blood-poisoning or absorption of pus.
Complaints from cold, damp weather — or from getting cold.
Chronic complaints that date back to septic conditions.[23]
Pyrexia.
Blood poisoning. It occupies an important place in every case of blood-poisoning be it from diphtheria, typhoid, typhus or any other malignant disease to which human flesh is subject (Choudhury)
Puerperal fever.
Influenza with fever, violent pulsations, intense restlessness — constant movement.[24]
Abscesses, whitlows, (Crot; Lach; Anthr; Sil; Ars; Hep; Pyrogenium; Tarent-c). Hunt reports of having cured many cases of varicose ulcerations with Pyrogenium that refuse to heal under other drugs. These facts sufficiently vindicate the truth of Dr. Allen's famous statement "When the best selected remedy fails to relieve or permanently improve, Pyrogenium is indicated" (Choudhury).
Perforated appendix where there is a sudden drop in temperature and rise in pulse rate (give before surgery).
Septic miscarriages. American doctors find one of their most dramatic uses for Pyrogenium in sepsis after delivery, with offensive discharges, and where part of the placenta has been retained. They say that they give Pyrogenium and it "pops out."[25]
In uterine bleeding when the blood is bright red and the patient has a clean tongue accompanied by nausea, Ipecac is indicated, but if there is no response, Pyrogenium may be effective (Foubister).
Other Pyrogeniums
Swan potentised the contents of a septic abscess and called it Septicaeminum, which from its origin is obviously another Pyrogenium. The only information I can find is as follows: A supply was given to a soldier fighting in the South African (Boer) War, with instructions to take a globule every four hours if attacked by anything like sinking or typhoid fever. The young man wrote home that "Septicaeminum is like magic in diarrhoea and dysentery in camp life" and asked for more as his supply was largely drawn on by his friends.[26]
Shortly after World War II we admitted a number of patients into the Royal London Homoeopathic Hospital suffering from osteomyelitis, children who had received antibiotic treatment with sterile pus still flowing. They all cleared up on homoeopathic treatment with intercurrent doses of individual 30C potencies of their pus. It has long been customary in homoeopathic practice to consider potentised pus as a remedy when the discharge is profuse and chronic (Foubister).
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