EENT and fever remedies

What are common causes of otitis externa?

Swimming and irritation from excessive cleaning

What population is most affected by otitis media?

Young Children

Why do antibiotics often fail long-term otitis media?

The cause is often viral or related to food intolerances/allergies

What serious complications can acute otitis media lead to?

Petrous bone inflammation and meningeal infection

What is a key clinical responsibility when treating ear conditions?

Close supervision due to risk of rapid progression

what is the onset pattern in Belladonna earaches?

Sudden onset, high fever, often around 3PM

What are the facial features in Belladonna earaches

bright red face, hot head, cool extremities, glassy eyes

What is the pain quality in Belladonna earaches?

Throbbing pain, worse with jarring

Which ear is more commonly affected in Belladonna

Right ear

What is the emotional state in Chamomilla earaches?

Angry, irritable, inconsolable, must be carried

What are the behavioral signs in Chamomilla

Capricious, “pick me up, put me down,” one red cheek

What aggravates Chamomilla ear pain

touch, teething, worse around 10pm

Which ear is more commonly affected in Chamomilla

Right ear

Why must eye inflammation by monitored closely?

The cornea is extremely sensitive and deterioration can be rapid

What symptoms require ophthalmology referral

Visual changes, pain, hyperemia

What are common inflammatory eye conditions?

Conjunctivitis, keratitis, scleritis, uveitis, iritis, retinopathy

What are eye emergencies

Retinal detachment, corneal infection, iritis w/photophobia, sudden vision loss

What type of discharge is seen in Euphrasia conjunctivitis

Watery, acrid, burning eye discharge

What are the lid symptoms in Euphrasia?

Red, burning, itchy lids; swelling; photophobia

What environmental factors aggravate Euphrasia?

Wind and sunlight

what nasal symptom accompanies Euphrasia

Bland nasal discharge

What are the lid symptoms in Apis

Swollen lids, periorbital edema

What type of conjunctivitis is seen in Apis

Bright red conjunctivitis

what is the tear quality in Apis

HOT, watery tears

what temperature modalities affect Apis

worse with heat, better with cold

What are common nasal conditions in EENT?

Allergic rhinitis, sinusitis, rhinitis medicamentosa

What is nasal discharge in Allium cepa

Profuse, watery, acrid, excoriating; worse on left side

what aggravates and relieves Allium cepa symptoms

worse in warm room, better in open air

what is the eye discharge in Allium cepa

bland, watery

What other symptoms accompany Allium cepa

Sneezing, raw throat, hoarseness, headache with coryza

What is the discharge quality in Kali bic?

thick, green/yellow, ropy/stringy, gluey

What is the pain location in Kali bic sinusitis

Root of the nose

What happens when nasal crusts are removed in Kali bic

Raw, sore spots remian

what is the general constitution of Kali bic patients

CHILLY/COLD

what are common throat conditions in EENT?

Pharyngitis, laryngitis, infected adenoids

What must be ruled out in children with throat symptoms

Epiglottitis - potentially fatal airway swelling

what is the pain quality in Hepar sulph throat

splinter-like, sharp pains shooting to ear

what is the emotional state in Hepar sulph

irritable, angry, hypersensitive to pain

what temperature modalities affect Hepar sulph

Better with warm drinks, worse with cold

What is the throat appearance in Phytolacca

Dry, dark red throat with inflamed tonsils

What is the pain pattern in Phytolacca

shooting pain to ears when swallowing; pain when sticking out tongue

what temperature modalities affect Phytolacca

Worse with hot drinks, better with cold drinks

what are the throat symptoms in Merc sol

red, swollen throat with infected tonsils

what are the oral symptoms in Merc sol

bad mouth odor, drooling, excess salivation

what is the temperature sensitivity in Merc sol

alternates between hot and cold

what other symptoms is common in Merc sol

night sweats

What is a fever?

A state of elevated core temperature that is often part of the host defensive response to invasion by pathogens

What is the febrile response?

A complex physiologic reaction involving a cytokine-mediated rise in core temp and other systemic changes, with an upper limit around 41-42°C (105.8–107.6°F)

Who popularized 98.6°F as a normal body temp and set 100.4°F as the upper limit of normal?

Wunderlich, in 1868

What factors commonly affect normal body temperature?

Time of day (lowest in the morning), food, excitement, anxiety, clothing, and physical activity

How high can temperature rise with exercise or seizure

Strenuous exercise can raise temperature to about 103°F, and extreme exercise or seizure can raise it to about 107°F

Name the principal pyrogenic cytokines involved in fever

IL‑1α, IL‑1β, TNF‑α and TNF‑β, IL‑6, and IFN‑α

What is a key clinical point about suppressing fever?

There is no consensus on when fever or its mediators should be suppressed and fever can enhance specific and nonspecific

Why is fever considered beneficial biologically?

Fever is conserved across many animal species and has been shown to increase resistance to viruses, fungi, and bacteria.

What temperature ranges are generally tolerated in children, and when is there greater concern?

Children often tolerate temperatures up to 104–105°F; temperatures at or above 106°F are more concerning and require close monitoring of hydration and behavior

What general treatment principle is emphasized for fevers in this presentation?

Treat the person, not just the number; observe behavior, hydration, and the whole symptom picture.

What is the homeopathic treatment principle for fevers mentioned in the slides?

Homeopathy treats the individual symptom picture rather than the disease label, and many different remedies may be used depending on the person’s presentation.

Which three remedies are listed as common first-stage choices for fever?

Aconitum, Belladonna, and Ferrum phosphoricum

What historical reference for intermittent fevers is cited?

Homeopathic Therapeutics of Intermittent Fevers by H.C. Allen, 1879

What is the typical onset pattern for Aconite fever?

Sudden onset, high fever after exposure to cold, dry wind

What is the M/E state in Aconite fever?

Intense fear of death, anxiety, restlessness

what kind of thirst is seen in Aconite?

Thirst for cold drinks

When is Aconite fever typically worse?

Around 12AM

what are key physical signs in Aconite fever?

red hot face, full bounding pulse, dry burning heat

what is the typical onset time for Belladonna fever?

Sudden onset around 3pm

what are the facial features in Belladonna fever

Bright red, hot face; heat of head with COLD HANDS + FEET

what are the neurological signs in Belladonna fever?

Delirium, febrile convulsions, twitching in sleep

What kind of pain is associated with Belladonna?

throbbing, pulsating pain

what aggravates Belladonna symptoms?

Jarring, light, noise

In which populations is Ferrum phos most indicated?

Young children and elderly with pale, low vigor

What is the typical stage of illness for Ferrum phos?

Early stage of fever w/o clear symptoms

What is the M/E state in Ferrum phos?

Lazy but not weak, not restless of anxious

What kind of discharges may be seen in Ferrum phos?

Nosebleeds or blood-streaked dischargess

What is the typical onset time for Pulsatilla fever?

around 2pm

What is the emotional presentation in Pulsatilla?

Weepy, clingy, wants to be held and comforted

What is the thirst pattern in Pulsatilla?

thirstless

What environmental factors affect Pulsatilla?

Better in fresh air, worse in hot/stuffy rooms.

What kind of discharges are seen in Pulsatilla?

Thick, bland discharges

What is the chilliness pattern in Bryonia fever?

Very chilly, prefers warmth

What is the motion sensitivity in Bryonia?

Symptoms worsen with motion, even eye movement

What is the thirst pattern in Bryonia?

Thirst for large quantities of cold drinks at long intervals

What is the M/E state in Bryonia?

Irritable, grumpy, wants to be quiet

What is the preferred position in Bryonia?

Lying on painful side 

What is the onset pattern in Gelsemium fever?

Gradual onset, often in summer

What are the key physical signs in Gelsemium?

Tremulous weakness, droopy eyes, chills up and down back

What is the thirst pattern in Gelsemium?

Thirstless

What is the M/E state in Gelsemium?

Dull, droopy, dizzy, dumb; wants to lie down and rest

What can precipitate Gelsemium symptoms?

Anticipation or bad news

What is the hallmark symptom of Eupatorium fever?

Sever body aches, bone pain as if broken

What time do chills typically start in Eupatorium?

between 7-9am

What is the motion response in Eupatorium?

Restless due to pain but no relief from motion

what condition is Eupatorium classically used for?

Intense flu with body aches

When is Oscillococcinum typically used for

Early stages of flu before characteristic symptoms appear

Can Oscillococcium be used preventively?

Yes, prophylactically during flu season and repeated at first signs