The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 216 of 653tine had been struck. Hence, the tympanitic sound is really charateristic in pneumonia, and is only less marked, if the thoracic wAre very thick, or if the diseased portion of the lungs is separaf^m the thoracic wall by a normal layer of pulmonary parenchyma,-to croupous pneumonia, this is very seldom the case. The more^'Dplete the infiltration, the more completely the air escapes frf^he lungs, and the more empty the sound becomes unless a layer,^ra ^which the air has not yet escaped, lies over the diseased pojort of lungs On the sides of this normal layer, the dulness ofterst olanges to the tympanitic and further on to. the normal sound® "^^rapanitic sound is sometimes heard even in the non-P^*"t:xoii of the lungs, most likely owing to the accompanying hy^^^^•- A change in the infiltration is revealed by percussion if^^*^tion takes place, in which case the tympanitic sound mostjT^^^^only returns for a short time and soon after gives way to t-. ^ound. The results of auscultation are equally valuable as^^ostic signs. At the commencement of pneumonia, the normal. ^■^^^sitory murmur is very often quite feeble, much less freque..^^^6ed. As soon as infiltration begins to set in, and the air i. ^l)le to circulate in the inflamed portion of the lungs, we per^> especially during an expiration, the crepitation that is so^J^ absent that it can almost be regarded as characteristic in250 Diseases of the Lungs.pneumonia. It is- less audible, if a co-existing bronchial catarrhides it by rfiles. With the completion of the exudation, when thpercussion-sound becomes empty, every murmur caused by the circulation of the air in the air-cells, necessarily ceases, and a brespiration takes place, associated in the non-affected portionsthe lungs with a more or less increased vesicular respiration corsponding perhaps with the necessary increase of the respiratoryefforts in these portions. In the same manner as the air in thebronchia, when reaching the ear through the pulmonary parenchyma, sounds more loudly, so does the sound of the voice giverise to intense bronchophony and pectoriloquy, while the voicegreatly increases the vibrations of the thorax. The resolution ofpneumonia is indicated by rfiles. In the cells they are necessarivery fine, and on this account are sometimes described as crepitation, and sometimes are veiled by co-existing coarse rales in thebronchia. They often continue for a long time.This most simple couree of pneumonia is often modified by varioustrifling deviations which are of importance to a homoeopathic physician and the more frequent of which we will now proceed topoint out.In the case of children, the invasion of the disease is often marby convulsions, such as may occur in other acute affections ^ incase of adults, spasmodic symptoms are seldom witnessed. A verysevere intestinal catarrh sometimes constitutes the stage of invaIn such a case the vomiting only lasts until the infiltration ispleted, whereas the diarrhoea often continues throughout the wholcourse of the disease. In the case of children, as well as of oldpeople, very seldom in the case of adults, pneumonia throughout iwhole course is sometimes accompanied by such prominent cerebralsymptoms that a physical exploration alone is capable of establising the diagnosis upon a perfectly reliable basis , for even thehttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt