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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 197 <strong>of</strong> 653face becomes flushed, the temperature <strong>of</strong> the body increases, thepulse is accelerated, a warm perspiration breaks out in the faceover the whole body ; sensitive women and delicate girls are soviolently shaken by the cough that the urine spirts out involuntarily during an attack.After the dry cough has lasted for some time, a muco-albuminoidsubstance is usually secreted, mixed with a little saliva and containing here and there detached lumps <strong>of</strong> a gray, pearly mucus(sputum margaritaceum), which the most careful auscultation isunable to discover by the presence <strong>of</strong> rhonchi in the bronchia ; tpart <strong>of</strong> the trachea, where this little lump adheres, is stopped uand the respiratory murmur at this place is entirely absent ; butsoon as the little lump is expelled, the normal respiratory murmais again heard in this place, whereas the obstruction may againBronchitis Chronica. 227occur at some other spot. Percussion, at every point <strong>of</strong> the thoraelicits a proper resounance. <strong>The</strong> expulsion <strong>of</strong> this little lump issometimes a sign that the cough is going to terminate which, whenviolent, sometimes ends in vomiting.After the paroxysm is over, the patients feel very languid, soon,however, fall asleep and wake with little or no cough ; they remaalmost entirely or altogether free from cough during the day, therespiratory mucous membrane likewise remaining unaffected, untilat bed-time or in the first hours <strong>of</strong> the night they are again attacked by a paroxysm <strong>of</strong> cough.<strong>The</strong> secondary form <strong>of</strong> titillating cough either supervenes duringthe course <strong>of</strong> acute catarrhal diseases, such as coryza, influenzameasles, acute bronchitis, and, in company with these diseases, ran acute course, or else it accompanies, as a chronic cough, chrobronchial catarrh, emphysema or tuberculosis. Even when associated with these diseases, the titillating cough is recognized aresult <strong>of</strong> a constant irritation which is felt, for a longer or shtime, at different hours <strong>of</strong> the day as well as night, or even durthe early morning-hours, and finally ceases and is replaced by acommon catarrhal or tubercular cough which always has a catarrhalexpectoration ; whereas the titillating cough is generally dry, oattended with only a trifling expectoration. <strong>The</strong> titillation is oexperienced at the places indicated by the patient to whom it issource <strong>of</strong> real distress.Sometimes this titillating cough sets in with a sort <strong>of</strong> typicalregularity.Course, TerminaHons and JPrognosta. <strong>The</strong> primary titillatingcough generally runs an acute course, more especially if iwas caused by a cold, by excessive exertions <strong>of</strong> the respiratoryorgans or by epidemic influences. <strong>The</strong> fever which accompanies it,is sometimes so violent that a speedy localization in one or theother part <strong>of</strong> the respiratory apparatus may be apprehended. Thisis particularly the case with children who are unable to explainthemselves regarding the seat <strong>of</strong> the trouble. However the subsequent course <strong>of</strong> the symptoms, particularly the free intervalswhich <strong>of</strong>ten last for hours, and the return <strong>of</strong> the continual titilhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt

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