The Science of Therapeutics - Classical Homeopathy Online

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Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 278 of 6538. Hernia of the Diapbrafpm.Accidents of this kind originate in rupture of the diaphragmoccasioned by traumatic causes, or in strangulations of thethoracic or abdominal viscera in the natural ojienings of thediaphragm. They occur more frequently on the left than on theright side.The phenomena in the thoracic range are: dyspnoea, cough, painin the chest, singultus, suffocative paroxysms, fainting fits.On the side of the abdominal organs we notice vomiting, colickypains, obstinate constipation, sometimes symptoms of ileus.If the strangulation is partial, the symptoms appear slowly anddisappear equally slowly. If the constriction is very violent andPlcuritis, Pleurisy. 825tfudden, the symptoms set in with equal violence, and life may bein the greatest danger.The worst symptoms are those of ileus, which we meet with Nuxvomica 3 and Opium 1. Tepid baths, and in severe cases frictionsor inhalations of Chloroform are excellent adjuvants. U.]D. DISEASES OF THE PLEURA.1. Plenrltls, Pleurisy.Inflammation of the Pleura.Inflammatory aflfections of the pleura are not by any means rareoccurrences; yea, the frequent adhesions of the lungs to the thorrevealed by post-mortem examinations, show that pleuritic aflfectare not only very frequent, but that they run their course unobserved. The more trifling inflammatory phenomena are withoutany practical value, nor do they ever constitute an object of trement; for this reason we here treat only of the more acute formsof pleurisy with copious exudation.Pleurisies of this character are scarcely ever really primary diseases; in the majority of cases they are of a secondary nature.The etiology of primary pleuritis is somewhat obscure, unless thedisease is caused by some direct and mechanically acting agency.A most frequent cause is said to be a violent cold; but the casehere as in pneumonia, the connection is taken for granted ratherthan proven. The more frequent occurrence of pleuritis duringpeculiar states of the weather justifies' the conclusion that atmpheric conditions exert a decided influence upon the origin of thdisease. To designate such inflammations as rheumatic, is in so fhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt
Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 279 of 653justifiable to some extent at least, as acute rheumatisms occurepidemically at the same time. As a rule, primary pleuritis may,like peritonitis, be regarded as a rare disease.On the other hand, pleuritis as a complication or secondary 'aflection, is exceedingly frequent. All inflammatory pulmonaryaflfections, even hypersemia of more than ordinary extent, if occring near the surface of the lungs, develop pleuritis which isgenerally confined to a very limited space, but may likewise be vextensive and violent. Inflammatory aftections of the heart, moreparticularly of the pericardium, may lead to pleuritis. Acute326 Diseases of the Pleura.rheumatism and peritonitis, and likewise acute exanthemata, easilresult in the development of pleuritis. Among chronic affectionsthe following may occasion the disease : Pulmonary tuberculosis,pulmonary abscess, suppuration of the vertebrae and ribs, Bright'disease. The occurrence of pleuritis during the stage of convalescence in severe acute affections, in pyaemia and generally in discharacterized by marked signs of a septic condition of the blood,is a remarkable fact which does not admit of any further explanation. Like peritonitis, so pleuritis is superinduced in its worstand most extensive form by the intrusion of foreign substances inthe pleural cavity, most commonly by the effusion of pus from asuperficial cavern or from a suppurating bone.Symptoms and Course. The peculiarity of certain phenomenain a case of pleurisy can only be understood by an anatomicalanalysis of this process, on which account we premise a concisesketch of the same.By pleuritis we understand the deposition of an exudation uponthe free surface in the cavity of the pleura. As in every otherinflammation so we find here, at the outset, an hyperaemic condition of the cellular tissue situated under the pleura. This hyperaemia occurs most generally in striae or clusters, scarcely evera large extent, and very frequently exhibit-s small ecchymosicspots. It is from these hyperaemic centres that the exudation proceeds over the free surface. According to its constituent principthe exudation is generally distinguished in four different formswhich, however, cannot be rigorously separated from each other,but commingle in various ways. The fii*st form is the soplastic form, where a small quantity of a highly fibrinous exudatis deposited upon the free surface of the pleura as a pseudobrane which, by coalescing with the membrane on the opposite sideof the pleura, causes both sides of the pleural cavity to adherewithout any further complications. This process occurs very commonly in pneumonia, but likewise on other occasions with so fewsymptoms that it is placed beyond the reach of therapeutic definitions. The second form is the sero-plastic form. The exudationconsists of fibrin with which a more considerable quantity of seris commingled. This form has the exuded membranes of the firstform, but they are generally more extensive and thicker, and thepleural cavity contains an exudation of a yellow-green serum whicsometimes weighs several pounds and in which more or less copiousflocks of coagulated fibrin are seen floating. The copiousness ofhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt
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