The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 117 of 653case small, deep, rounded ulcers form, which very readily penetrathe mucous membrane and propagate the affection to external organs. We observe moreover fungoid growths of single follicles,even polypi ; cicatrizations and contracting cicatrices, thickeniand callosities of the mucous membrane. Of special importanceare the subsequent changes, especially cicatrices which may leaddangerous accidents.The great differences of the anatomical lesions depending upontheir nature, locality and extent, render it self-evident that itimpossible to draw a true and striking picture of laryngotrachealcatarrh. Hence we shall have to confine ourselves to a delineatioof the leading symptoms. The absence of almost every objectiveaid in establishing our diagnosis, is often seriously felt^ nor icertain whether the laryngoscope has as yet led to striking resulalthough we are willing to admit that this means of investigationhas a bright future before it. The most important symptoms ofthe disease are : pain, alterations of the voice, cough, embarrasre^ration.The pain is scarcely ever very considerable, and if it is describas acute, we may be sure that ulcers have formed. It is scarcelyever continuous, but is excited by talking, singing, running, sudchanges of temperature, and most easily by coughing. Sometimesit is a soreness, at other times the pain is stinging, burning, ging, and inclines to exacerbate towards morning. An annoyingfiensation is the feeling as if there were dust or a foreign bodyiLaryngotracheitis Chronica. 131the throat, or the patients complain of a periodically returningtickling in the larynx.The voice is variously altered. "We may lay it down as a rulethat every persistent change in the voice points to chronic laryncatarrh. The hoarseness runs throughout its whole series of gradations, from simple roughness of voice to complete aphonia. Itscarcely ever continues all the time in the same degree of violenit may even disappear entirely for a while, and then be excitedanew by some unusual exertion in using the organs of voice. Sometimes the hoarseness is only perceived during singing. However,it is not by any means a characteristic symptom of chronic laryngotracheal catarrh. A sudden cracking of the voice or an inabilitto raise the voice beyond a certain pitch, is often met with.Cough is a very common symptom in this affection. Sometimesit amounts to no more than a hawking occasioned by a titillationin the larynx or oppressed breathing ; at other times it tormentsthe patient for days, after which it often intermits for a whilesometimes it breaks out in regular paroxysms which most commonly set in in the morning after rising and abate again after smquantities of mucus have been expectorated. There is nothingcharacteristic in the sound of the cough, except that a rattlingmucus is most generally heard in the trachea or glottis, and thathttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt