The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 138 of 653gether with the sputa; next: pneumorrhagia, the evacuation oflarge quantities of blood; the formation of clots or sanguir^eousdeposits, by which the tissue of the lungs is not destroyed and tblood is not discharged externally; pulmonary apoplexy duringwhich the blood is likewise eftused into the pulmonary parenchymabut with destruction of the tissue. These distinctions are, however, of very little practical use, and for practical purposes itsufficient to distinguish hemoptysis and hemorrhage, according asa larger or smaller quantity of blood is expelled from the lungs.The formation of circumscribed coagula as well as apoplexy ottertoo many difficulties for a correct diagnosis in order to justifytherapeutic management based upon the latter.Of itself hemoptysis is not a very important disease. It oftenoccurs without any disturbance of the constitutional equilibrium,after violent exertions, in consequence of unimportant catarrhs,often in the case of pregnant females, and sometimes consists ofmere streaks of blood mixed with the mucus, at times in small detached portions of pure blood. As was said before, tuberculousindividuals are most commonly aftected, on which account the chesshould be carefully examined at every ever so trifling hemoptysisSlight pulmonary hemorrhages are not unfrequent accompanimentsof a chronic catarrh of the bronchial mucous membrane, as is soconmionly met with in emphysema of the lungs. If the quantity156 Diseases of the Lungs.of the expelled blood is somewhat more considerable, the hemorrhage is usually preceded by various indefinite phenomena, such apalpitation of the heart, oppression, sensation of heat in the chstitches in the chest, congestions of the head ; these symptoms gerally disappear again after the hemorrhage has set in.Pnelumorrhagia is almost always preceded by a short preliminarystage. For several days previous the patients often feel excited,uncomfortable, oppressed on the chest, hot in the head, disposedfainting fits ; the pulse is somewhat accelerated, the beats of theart are stronger. Real pains in the chest are seldom felt, and,felt, are not attributable to the hemorrhage, but to the morbid cditions that gave rise to it. Shortly before the hemorrhage thesymptoms of a violent pulmonary hypersemia become manifest."While a feeling of increased warmth in the chest is experienced,the respiration becomes at the same time oppressed, after which airritation and urging to cough are felt ; with the first turn ofa frothy, bright-red, pure blood is thrown up in various quantitiwhich is soon succeeded by a larger quantity attended with a couglike vomiting; or else the second hemorrhage may only occur aftera longer paroxysm of cough. The patient has a distinct sensationthat the blood is bubbling up in the chest ; the rfiles can be heeven without the ear being applied to the chest.As soon as the hemorrhage sets in, the hypersemic symptomsabate at once, after which the patient feels very weak and experiences a disposition to faint. The fainting is not so much the resof the quantity of blood lost, but is more commonly owing to themoral impression which every hemoptoe makes even upon the mostrobust individual.http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt