The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 131 of 653Ulcers of the Larynx, 147vocal chords, complete aphonia sets in. The painful sensations inthe larynx and the painfulness to contact are seldom very consideable ; the violent cough comes mostly in paroxysms and is frequenaccompanied by vomiting and gagging ; the sputa are often streakewith blood. The presence of emaciation, fever which sets in everyday almost at fixed hours, night-sweats, muscular debility, a cerdegree of ansemia entitle us, if the objective signs are still doto conclude with a high degree of probability that a tubercular dease is developing itself in the lungs ; perfect certainty can ontained if the presence of tubercles in the lungs can be demonstra5) Typhous ulcers. The typhous ulcer arises from a typhous infiltration of the mucous follicles and of the surrounding mucousmembrane by necrosis ; the ulcer is shaggy, irregular and surrounby badly-colored borders. It is the same process as takes place othe intestinal mucous membrane. These ulcers are seated on thesides of the epiglottis, and on the mucous lining in front of, anbetween the ary tsenoid cartilages. They are mostly flat ; but ifdip down to the subjacent tissues, they may expose the cartilageand by necrosis lead to perforation into the oesophagus.The typhous ulcer usually breaks out in the second or third week.Hoarseness or a hoarse cough announce a localization of the typhous process.According to Dr. Maurice Haller the voice of the patient, as soonas the typhous process becomes localyzed in the larynx, is raiseda higher pitch ; this higher pitch of the voice is not lasting, bit continues until the typhous process is terminated. The paroxysmal hoarse cough is mostly dry, the pains are slight.The typhous ulcers are dangerous on account of the frequentlysupervening csdema of the glottis, and on account of the perforation which may even take place during the period of convalescence(perichondritis).As soon as the typhous process becomes extinct, the ulcers in thelarynx disappear.6) Syphilitic ulcers. They almost always break out on the pharyngeal mucous membrane, whence they extend to the epiglottis andthence to the larynx. They are small, shaggy, with raised edgesand a lardy base. If they penetrate to the subjacent tissues, themay cause necrosis of the cartilages. On healing they form cordshaped cicatrices whose contraction causes stenosis of the larynxand aphonia. The syphilitic character of the ulcers is diagnosedby the simultaneously-existing or a previous attack of syphilis.148 Diseases of the Larynx and Trachea.7) Lupous ulcers sometimes spread from the pharyngeal mucouamembrane to the larynx, contracting the larynx and causing stenosis and aphonia.http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt