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The Science of Therapeutics - Classical Homeopathy Online

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Full text <strong>of</strong> "<strong>The</strong> <strong>Science</strong> <strong>of</strong> <strong>The</strong>rapeutics: According to the Principles <strong>of</strong> Homeopath...Page 298 <strong>of</strong> 653tions <strong>of</strong> the heart constitute some <strong>of</strong> the least frequent aifectioand where they do occur, their causes are generally wrapt inobscurity. <strong>The</strong>y are said to be occasioned by colds, excessive muscular exertions, abuse <strong>of</strong> alcoholic stimulants, mechanical injuri<strong>of</strong> the heart, etc. We likewise know that carditis mav be occasioned by various poisons which will be mentioned hereafter. Generally inflammations <strong>of</strong> the heart are consecutive or secondary818 Diseases <strong>of</strong> the Heart.affections arising either by a continuation <strong>of</strong> the inflammatoryprocess from the lungs and pleura to the heart ; or in consequenc<strong>of</strong> the heart becoming involved in affections <strong>of</strong> more remote partsespecially <strong>of</strong> the kidneys, and likewise <strong>of</strong> the stomach and spleenor else, they may result from the operation <strong>of</strong> constitutional diseases. Among the latter acute rheumatism occupies the first rank,for there is not a case <strong>of</strong> intensely-acute articular rheumatism tis not, at the same time, accompanied by an inflammatory aftectio<strong>of</strong> the heart. We mention, moreover, scarlatina, variola, measles,typhus, and two other affections which are so apt to occasion aninflammation in every serous membrane, we mean pyaemia andpuerperal fever. As regards chronic constitutional affections, itcannot be shown that they act as exciting causes in inflammations<strong>of</strong> the heart. Like all other inflammatory aflections, inflanmiartions <strong>of</strong> the heart sometimes occur in such numbers that we feeldisposed to trace their origin to telluric or atmospheric influenEtiologically the various forms <strong>of</strong> cardiac inflammation are distinguished so far as this, that myocarditis occurs least frequentas a primary disease, but generally develops itself out <strong>of</strong> one <strong>of</strong>other forms, both <strong>of</strong> which occupy the same rank in all otherrespects.An exact knowledge <strong>of</strong> the anatomical changes occasioned bycardiac inflammation is not only essential to an intelligent apprciation <strong>of</strong> the single symptoms, but likewise to a knowledge <strong>of</strong> thpossible consequences <strong>of</strong> such inflammations. We can here onlyindicate the main points.Pericarditis has all the characteristics <strong>of</strong> an inflammation <strong>of</strong>other serous membranes. It is very seldom diffuse and is mostcommonly limited to single spots. <strong>The</strong> pericardium at first looksinjected, opaque, sometimes spotted in consequence <strong>of</strong> slight extrvasations, it is loosely-adherent and easily torn ; at a later pethe pericardium appears covered with coagulable lymph, whichmay be disposed as a delicately-organized membrane, or may havethe appearance <strong>of</strong> granulated fragments <strong>of</strong> exudation. An effusioninto the cavity <strong>of</strong> the pericardium is scarcely ever entirely absebut may vary considerably both in quantity and quality. It maybe from a few ounces to several pints. <strong>The</strong> exudation either consi<strong>of</strong> plastic lymph, or <strong>of</strong> plastic lymph and serum, and is not unfrequently mixed with blood, or hemorrhagic ; it very seldom consist<strong>of</strong> nothing but serum. <strong>The</strong> exuded fluid may undergo the following essential changes : A complete absorption may take place andCarditis. 849http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt

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