The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 261 of 653layers, namely, a superficial froth, a fluid, middle layer, and athicker sediment at the bottom. The sputa contain elrfstic fibresdark-brown masses resembling tinder, with a blackish tint, andsoft plugs containing fat-aciculre.Diffuse gangrene in consequence of pneumonia manifests itselfGangrsena Pulmonum. 805by sudden collapse, a high degree of debility, a small and irregupulse, and by cerebral symptoms, with wliich phenomena the characteristic sputa and respiration soon become associated. If diffugangrene sets in without pneumonia, we perceive from the startsymptoms of adynamia resembling the phenomena that generallyaccompany septicaemia with chills, stupor, delirium, singultus, eCircumscribed gangrene sometimes cannot be recognized untilthe gangrenous ichor has passed into the bronchia and is expelledby the mouth.Some patients bear this severe disease without much distress;their constitutional condition is not very much disturbed; theyhave no fever, walk about, attend to some light, domestic employment, and the disease often drags along for months.If the gangrened portion of lung does not communicate with abronchus, and has become isolated as within a capsule in consequence of secondary inflammation, the cadaverous odor may bealtogether wanting.To infer the presence of pulmonary gangrene alone from thecadaverous odor, would be an exceedingly superficial mode ofreasoning, since this symptom may likewise occur in bronchiectasiand when tubercular caverns are present.The physical signs during this morbid process are not veryimportant.In diffuse pulmonary gangrene consequent upon pneumonia, percussion at first yields a dull or tympanitic sound; auscultationreveals indistinct respiratory murmurs or rales ; in the subsequecourse of the disease percussion reveals cavities in the lungs, tsame as in the case of tubercular caverns, and auscultation reveabronchial respiration and cavernous sounds.Circumscribed gangrene is very difficult to recognize by physicalexploration.Course, Terminafian, Pi^ognoHts. As haa already beenstated, even when affected with circumscribed gangrene, patientsmay seem apparently well for a long time, even for months, untilhemorrhages set in sooner or later, which exhaust the strength,or else the patients perish in consequence of subsequent astheniahttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt