The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 213 of 653to a deficiency of air. The cut surface has the same color as infirst stage, or more usually it has the color of rust. When the limpinges upon it, the cut surface shows distinct granulations whiare still more apparent on the surface adjoining the thorax and acaused by the firm exudation-plugs in the pulmonary cells. In spiof its density, the pulmonary tissue is much more easily torn.The transition into the third stage does not, properly speiaking,constitute part of the normal course, for by the normal course th246 Diseases of the Lungs.resorption and exudation of the infiltration proceeds from thesecond stage. This third stage is designated as the stage of grayhepatization and purulent infiltration. The cut surface now has agray color with a yellowish tinge, mingled with red or brownspots which often impart to it a mottled appearance. The granularappearance has disappeared or still exists very feebly. The tissuis quite friable. On pressure a turbid liquid is discharged fromconsisting in most part of pus corpuscles. Gray hepatization ofcourse arises from the red ; the hsematin is more and more decomposed or reabsorbed, on which account all transitions of color arcommonly noticed, from a dark brown-red to a yellowish, rusty orgray color, and if the purulent transformatic»n is perfect, to acolor.The third stage may still be succeeded by the formation ofabscesses, gangrene of the lungs, thickening of the exudation ; wshall speak of this more fully hereafter, as well as of the lessquently occurring deviations from the general anatomical changes.As regards the extent of the pathological process, in croupouspneumonia a whole lobe or at least a large portion of a lobe is cmonly attacked ; less frequently a lobe is attacked on both sidesstill less frequently all the lobes together. If only one side isit is most commonly the right lungs, less frequently the left. Ifonly isolated, detached lobules are infiltrated in consequence ofpneumonic process, the inflammation is not usually a simple croupous pneumonia, but almost always of a secondary character.Symptoms and Course. As yet we are not acquainted withany disease which, in the absence of any particular complicationsits course in such fixed and stable forms as pneumonia and adhereas fixedly as this disease to definite critical days. In the chapon the therapeutics of pneumonia we shall show how far the formerly customary treatment of this disease has been influenced bythe discovery of a fixed typical course.Pneumonia begins almost without an exception with a chill whichis usually very severe and is in many respects of great importancIt is from this chill that we date the commencement of the diseasand by it we determine the critical days. Moreover this chill whiis sometimes of very long duration and is immediately succeededby, but never alternates with fever, is in no other disease of supeculiar nature, so that it may almost be considered pathognomonimore especially if we consider that as soon as the chill sets in,muscular strength vanishes so that the patient finds it almosthttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt