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The Science of Therapeutics - Classical Homeopathy Online

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Full text <strong>of</strong> "<strong>The</strong> <strong>Science</strong> <strong>of</strong> <strong>The</strong>rapeutics: According to the Principles <strong>of</strong> Homeopath...Page 102 <strong>of</strong> 653a copious exudation upon the mucous membrane, on which accountit is also described as angina membranacea. It is only in the preent century that the anatomy, cause and course <strong>of</strong> this disease habeen studied with more particular care. Consequently the literatu<strong>of</strong> croup has become very extensive; owing to the importance <strong>of</strong> adisease which so <strong>of</strong>ten terminates fatally.Croup is almost exclusively a disease <strong>of</strong> children between theages <strong>of</strong> two and seven years, or between the first and seconddentition. It occurs even less frequently before the second thanafter the seventh year; the cases which are said to have occurred among adults are so rare that it is doubtful whether theywere genuine croup. Moreover such cases scarcely ever provefatal, BO that the fact <strong>of</strong> their being croup cannot be confirmedpost-mortem examinations. According to all statistical tables boyare more frequently attacked than girls ; from 60 to 70 per cent,all cases are boys. As regards the influence <strong>of</strong> constitution andvarious other points in croup, opinions difler. Rilliet who can imany respects be regarded as an authority in croup, asserts positively that most children who are attacked with croup, are <strong>of</strong> alymphatic habit. In this respect he differs from a number <strong>of</strong> physicians who maintain that robust, well-fed children are most liabto croup. Upon close examination we fiiyl however that these twoviews only differ in appearance. A lymphatic constitution is <strong>of</strong>tedisguised under a full habit, bright complexion, appearance <strong>of</strong>muscular strength; whereas a marked disposition to eczema, togastric catarrhs, to angina with copious exudation and subsequenthypertrophied swellings, distinctly betray a bad foundation. Hencit is not perfectly healthy and vigorous children that are predisposed to croup, which is still more evident from the following prpositions derived from actual experience. Most <strong>of</strong> the childrenattacked with croup belong to scr<strong>of</strong>ulous and tuberculous familieswhere croup has been a prevailing disease for several generationsMoreover croup is much more frequent in the country where theground is level, than in cities, and here again more frequent inLaryngotracheitis Crouposa. 118lower strata <strong>of</strong> the population. We shall show afterwards, however, haw in the country so many circumstances combine for thedevelopment <strong>of</strong> tuberculosis, and how similar circumstances prevaiamong the lower strata <strong>of</strong> citj-population. In this respect we canaccount for the frequently observed fact that croup is an hereditdisease or that several members <strong>of</strong> a family are attacked at onceshortly one after the other, or that the same individual is attacseveral times in succession. It cannot be denied that if a childbeen once attacked with croup, it retains an increased dispositioto inflammatory affections <strong>of</strong> the larynx.True croup is secondarily met' with, although very rarely, asan accompaniment <strong>of</strong> measles,- typhus, tuberculosis. In a case <strong>of</strong>measles catarrhal croup is easily confounded with true croup ; thmeasle-catarrh is apt to commence with croupy cough which maycontinue for several days. <strong>The</strong> croup which is sometimes observedin a case <strong>of</strong> scarlatina, is something entii^ely different from trcroup; it is a diphtheritic disease the true characteristics <strong>of</strong> whave already been described in the first volume.http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt

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