The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 141 of 653out any marked disturbances; blood will not often be coughedup in consequence. Infarctions of larger size or greater numberscarcely ever exist without a group of tolerably characteristicsymptoms. The precursory symptoms resemble those of pneumorrhagia, and are scarcely ever wanting. The occurrence of internalhemorrhage is marked by a sudden oppression on the chest, sometimes attended with tolerably acute, but not always definitelylocalized pains. The pulse is always hurried and is always smalland weak. A copious spitting of blood may take place, but it maylikewise be entirely wanting, nor is it generally very considerabNevertheless important general symptoms soon make their appearance, such as fainting, pallor of the countenance, cold sweat ; ithe appearance of such symptoms that justifies the supposition ofinternal hemorrhage, although very little blood is lost externallOnly^ in acute and severe cases death may result very suddenly ;otherwise the final result is determined by other circumstances:whether the extravasation is simply re-absorbed, which it takesweeks to accomplish ; whether a reactive pneumonia or pleuritissets in ; whether the pleura is broken through and hsemathorax isdeveloped; whether the infarction terminates in inflammation,abscess or gangrene; or whether an oedema of the lungs of sufficient importance will result.It is very seldom possible that pulmonary infarctions can bediagnosed with certainty. Their occurrence, most commonly ne^rthe base of the lungs, renders them very seldom accessible to physical diagnosis; and if occurring near the periphery, they frequedevelop uncertain symptoms. A circumscribed dulness not covering the extent of a pulmonary lobe, nor situated in the region whtuberculosis is usually localized or pneumonia exists, if the resatory murmurs are either absent in that locality, or mucous rfileare heard, of course suggests the supposition that infarctions mahave formed. Of more value are the general symptoms, greatdyspnoea and oppression of the chest, with pallor of the countenaand syncope, even sopor, without an opportunity being given toaccount for these symptoms by the presence of other morbid processes, more particularly if these symptoms affect persons afflicwith heart-disease.It is easily conceivable that pulmonary infarctions must modify16( Diseases of the Lungs.the course of pulmonary hemorrhage in a specific manner. Thesymptoms accompanying pulmonary hemorrhage will not suddenlydisappear after the hemorrhage ceases, but the above-describedsequelae and anatomical lesions occasioned by the infarction willnow step into the foreground together with all their characteristphenomena. This circumstance has to be well weighed, lest thehemorrhage should be regarded as resulting from the pneumoniaoccasioned by the infarction, and we should be led to imagine thathose sequelae had only been covered up by the hemorrhage, and inreality represent the primary disease.The treatment has to aim in the first place at arresting the hemorrhage, and after that at removing the subsequently remainingconsequences of the hemorrhage. "We commence with indicating anumber of medicines that have been practically tested in pulmonarhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt