External Applications in Anthroposophic Nursing

Lemon Applications for Fever

Kind of substance

Lemon

Guiding principle for the application

Lemons are suitable for relieving fever, e.g., with agitation, dazed feeling, headaches or circulatory weakness. Many different external applications can be used:
1. Lemon slices on the soles of the feet
2. Whole-body washes
3. Wrapped chest compresses
4. Wrapped hand or wrist compresses
5. Calf compresses
6. Heart and forehead compresses

Guiding Principle for the substance

Indications

  • Fever with agitation, dazed feeling, headaches, circulatory weakness, chills

Instructions

Lemon is a suitable treatment in case of fever – e.g., with restlessness, dizziness, headaches and circulatory weakness – due to its versatile external applications:

  • Lemon slices on the soles of the feet
  • Whole-body washing
  • Circular chest compresses
  • Wrist compresses
  • Calf compresses
  • Heart and forehead compresses

Particularities
  • Ensure warm feet, e.g., by giving a footbath in bed



1 – Lemon slices on the soles of the feet
Materials
  • 2 slices of lemon for each foot (organic)
  • Socks or gauze bandages to fix them in place


Applying the lemon
  • Put 1 slice of lemon each in the arch of the foot and 1 slice each under the ball of the foot
  • Fix the lemon slices in place with gauze bandages or put on socks, then press down the slices a little.
  • Duration: approx. 1 hour, if the patient sleeps, also longer



2 – Whole-body wash
Materials
  • Bowl
  • Mug/glass
  • Fork
  • Fruit knife - ½ lemon
  • Water, about 2°C (3.6°F) below the patient’s body temperature


Applying the lemon
Preparing the lemon solution:
  • Hold the half lemon with the fork in the water and cut into the skin all around; press with the bottom

of the glass.
  • Only partially uncover the patient, wash and immediately dress and cover him again: work from the

head to the feet, include the back down to over the buttocks.
  • Have the patient rest afterwards, dressed and loosely covered.



3 – Wrapped chest compress
Materials
  • Substance cloth
  • Middle cloth
  • Outer cloth
  • ½ lemon
  • Hot water (60–80°C or 140–176°F)
  • Bowl
  • Mug
  • Knife and fork


Applying the chest compress
  • Prepare the patient (see the “General instructions” under “Guidelines”)
  • Place the outer and middle cloths at thorax level on the bed so that the upper edge of the cloths is at armpit height without cutting in
  • Pour the hot water into the bowl
  • Hold the half lemon with the fork in the water and cut into the skin
  • Press out the fluid with the bottom of the mug
  • Roll up the substance cloth from both sides and dip it into the water
  • Have the patient sit up and free their upper body
  • Wring out the inner cloth and unroll it from the middle of the patient’s back to both sides
  • Have the patient lie back on the prepared towels
  • Unroll the substance cloth over the chest from both sides.
  • First mold on the middle cloth, making sure that the edges are sealed.
  • Do the same with the outer cloth
  • Duration: approx. ½ hour


Follow-up
  • Remove all the cloths, wash out the substance cloth and hang everything up to dry



4 – Wrapped wrist compresses
Particularities
  • Only in case of chills

Materials
  • 2 substance cloths: torn cloths, approx. 10 cm wide, 25 cm long, folded into 4 layers
  • Roll up 2 guest hand towels, folded lengthwise, from one side
  • ½ lemon
  • Hot water (60–80°C or 140–176°F)
  • Bowl
  • Mug
  • Knife and fork
  • 2 pieces of sticking plaster
  • 2 hot-water bottles
  • An additional cover, if needed


Applying the wrist compresses
  • Place the 2 hot-water bottles in the bed
  • Prepare the lemon solution:
  • Pour the hot water into the bowl
  • Hold the half lemon with the fork in the water and cut into the skin
  • Press out the fluid with the bottom of the mug
  • Dip a substance cloth into the bowl, wring it out and wrap it around the patient’s wrist as hot as possible
  • Wrap the guest hand towel closely around it and fix it in place with sticking plaster
  • Do the same with the other wrist
  • If needed, cover with the second cover
  • Duration: approx. 15 minutes


Follow-up
  • Wash out the substance cloth and dry all the cloths



5 – Wrapped calf compresses
Particularities
  • Alternatively, a circular lemon chest compress is just as suitable, especially for children

Materials
  • ½ lemon
  • Water, 2°C (3.6°F) under the patient’s body temperature
  • Bowl
  • Mug
  • Knife and fork
  • Substance cloth
  • Middle cloth
  • Outer cloth


Applying the compress (the patient must have warm feet)
  • Place all three cloths next to the bed (rolled up from one side)
  • Lemon solution: pour the hot water into the bowl
  • Hold the half lemon with the fork in the water and cut into the skin
  • Press out the fluid with the bottom of the mug
  • Dip a substance cloth into the bowl and wring it out
  • Wrap it on closely, from the metatarsophalangeal joints up to below the knee (leave no air pockets)
  • Do the same with the middle and outer cloths
  • Then do the same with the other leg
  • When the cloths are warm, remove them, wash them out, dip them back into the lemon solution and put them on again
  • After about 30 minutes in total (2–3 times applied), take a longer break, depending on the condition of the patient


Follow-up
  • Wash out the substance cloth hot, then dry all the cloths; the solution can remain standing for several hours.



6 – Heart and forehead compresses
Peculiarities
  • A few drops of Arnica Essence (Weleda) can be added to the lemon solution, especially when treating elderly people

Materials
  • A substance cloth large enough to cover the application area, folded to 4 layers
  • Guest hand towel


Applying the heart and forehead compresses
Prepare the lemon solution:
  • Pour the water (approx. 1–2°C (1.8–3.6°F) below the patient’s body temperature) into the bowl
  • Hold the half lemon with the fork in the water and cut into the skin
  • Press out the fluid with the bottom of the mug
  • Dip a substance cloth into the bowl and wring it out, place it on the patient and cover with the guest hand towel


Follow-up
  • Wash out the substance cloth and re-use

Evidence
Well-proven in many patients
Dosage
One to several times daily, as needed
Onset of effect
Immediate
Length of therapy
According to the patient’s fever and condition

Instructions to download

Author

Red.