The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 282 of 653Among the symptoms of pleuritis there is not one that could bepointed out as characteristic of the disease. It is true that incases of acute pleuritis we have the peculiar pain, but it variesexceedingly in character and intensity. At times the pain is simpa sensation of tenseness and constriction ; at other times the paa seated, localized, stitching pain ; at other times again the paspread over the whole side of the thorax, and is of a tearing orburning kind. Not unfrequently there is no pain at all ; this hapmore particularly in the most insidious cases. Because there is npain, this is no reason why an exploration of the chest should beomitted. In genuine pleurisy there is very seldom any cough,especially at the commencement of the disease ; if cough sets ina later period, it may be occasioned by simple hypersemia, or bypneumonic infiltration. At all events it causes the patient a goodeal of distress, increases his pain to an extraordinary degree acomplicates the course of the disease, since every additional obsmust necessarily, in view of the existing dyspnoea, imply an additioDal amount of danger. The symptoms presented by other organscanoot be determined beforehand. Most generally it is the actionof the heart, especially that of the right heart, which is altereif any considerable amount of exudation is present, the beats ofheart become irregular, stronger and more rapid, the more so themore the heart is pushed out of its place by the effused fluid. A880 Diseases of the Pleura.displacement of the liver ia attended with pressure in the righthypochondrium, and slight symptoms of jaundice. Neither theintestinal canal nor the kidneys are involved in all cases. The bbecomes slightly engorged, if the effusion is copious and the cirlation is interfered with. The position of the patients deservesparticular notice, more especially as contrasted with their positin pneumonia. Pleuiitic patients almost always lie on the painlesand unaffected side, whereas, if the effusion is not attended witpain, they preier lying on the diseased side. Very seldom thepatient wants to lie on his back; if he does, the trunk has to behttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt