Lachesis: Thin discharge from the nose which is acrid. Throat dark red, grey deep with bluish tinge; membrane more marked on the left, affection going to the right. Swelling of glands about the neck; drowsiness feebleness of pulse. Cold extremities. Worse after sleep. Swallowing liquid or saliva very painful. Give in 200 dilution every two hours.
Lac Caninum: Unlike Lachesis it changes sides starting on one side, frequently the left; the soreness and swelling suddenly shifts to the opposite side only to return in a few hours to the starting point. The membrane is greyish, yellow and curdy. If ulcers are formed, they show like silver glass; paralysis of the throat so that the fluids return by the nose when drinking.
Belladonna. For inflammatory condition of the throat. Intense throbbing pain with headache and convulsions.
Crotalus: When there is persistent epistaxis (bleeding from the nose). Blood coming from the nose and mouth escaping from mucus membranes of the buccal cavity.
Naja: When the larynx is invaded. The patient grasps at the throat with a sensation of choking, fetid breath and short hoarse cough with raw feeling at larynx or upper part of the trachea.
Lycopodium: Aggravation from 4 to 8 p.m. The right side is mostly affected. The child awakes from sleep frightened or cross and angry. Fan-like motion of alae nasi is its red line symptom. Feeling of contraction in throat, nothing goes down; food and drink regurgitate through the nose.
Apis: When there is oedema of the throat, with stinging pains, or it may be violent or may he painless, aggravation from heat. Blisters on the border of the tongue. Drowsiness and dullness.
Enlarged vulva: Puffy, glossy, bright red parts. Scanty urine, puffiness about eyes.
Carbolic Acid: With high fever, great burning but no pain in fauces which look fiery red and covered with diphtheric patches. Pulse extremely fast.
Merc. Cyanatus: In very bed a cases of malignancy. Diptheria with suddenness of the attack, extreme prostration and threatening collapse; small rapid and intermittent pulse. Membrane is greenish and spreads to the nose involving a large surface. Give one dose only of IM or CM dilution.
Bromium: When due to overheating or by wrapping the child in the summer or at night.
Diptherinum: Should be used as intercurrent remedy. It should be given in 200 potency. The treatment may start with this remedy. Bleeding from the nose with extreme weakness. Collapses almost at the beginning. Pulse weak, rapid and vital reaction very low. Swallows without pain but fluids are vomited or returned by the nose. Breath and discharges very offensive.
Phytolacca: When the pain shoots from throat into ears on swallowing; great pain at the root of tongue when swallowing; burning as from a coal or a fire or a red hot iron; dryness; difficult to swallow, with trembling of the hands, sensation of a lump in the throat; continuous desire to swallow. Dark red, blue or ash colored membrane. Cannot drink hot fluids.
Gelsemium: Excellent remedy for diphtheric paralysis, no matter where the trouble is localized. Parlaysis, of the pharynx as a result of diphtheria.
Arum Triph: Burning, smarting, rawness of the throat and mouth with acrid discharges from the nose which excoriate nostrils and upper lip.
Cantharis: This is indicated where there is frequent urination with scolding before, during and after micturition. There is albumin, blood and/or casts in the urine.
Kali Bich: Is indicated when the pains are sticking, intermittent, shifting from one locality to another and confined to small spots in each instance. Tongue coated thick like yellowish brown fur, vuula relaxed with sensation of plug in throat.
Muriatic Acid: Diffused, deep redness of throat; uvula swollen; tonsils and fauces swollen, unable to swallow, voice hoarse, sub maxillary glands swollen, dark putrid blood from the nose; not much fever but great prostration.
Nitric Acid: Eating and drinking practically impossible. Exudate covers uvula. Pricking as from splinter, piece of glass or hot wire. Salivation; fever; prostration and coughing. Strong smelling urine like that of horse's.
