The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 301 of 653ease, the lips tremble a little while the patient is talking, atsame time the speech is somewhat hurried and jerked out as itwere, which is not owing to the dyspnoea. The posture of thepatients has no particular significance; they do not by any meanslie steadily on the left side. Headache, which is sometimes of aviolent kind, is a usual companion of carditis, whereas severe cebral symptoms, such as delirium, sopor, coma, are rare occurrenceexcept in very bad cases which bear great resemblance to thetyphoid process. The patients are restless, appear anxious withoubeing conscious of it themselves ; in severe cases the anxiety anrestlessness become extreme, the patients manifesting an extremesensitiveness to all psychical impressions. K fever was present,is very seldom increased by the supervention of carditis, the temperature is less than when most other vital organs are inflamed.Chills occur very frequently, but they do not last long and are nsucceeded by a burning heat. There is very commonly an excessivedisposition to profuse perspiration which has generally a peculianmsty odor. At the beginning of the attack the pulse generallybecomes more rapid, fuller, harder, and has a peculiar tension;afterwards it remains more rapid, but becomes small, feeble, andinclines to be irr^ular. In some cases, on the contrary, the puls852 Diseases of the Heart.IB remarkably slow ; in a case of pneumonia with pericarditis andendocarditis, that came under our observation, the pulse had sunkto forty-two beats in the minute. We likewise notice that in thesame case the pulse is sometimes very rapid and at other timesslow. Upon the whole, the character of the pulse is of no specialvalue as a diagnostic sign. Sometimes the patients complain ofsevere tearing pains in the left shoulder-joint, or in the wholeloft arm ; rheumatic pains may even be experienced in other partsthe body. The digestive organs are not influenced by carditis inanything like a constant manner. The respiration is very usuallydisturbed, dyspnoea of the most varied degrees setting in. At theoutset of the attack the respiration is quick and short, but, wherequested to do so, the patients are able to draw a long breath.Cough is not a usual symptom ; at times it is dry and tearing, atothers attended with expectoration of mucus and blood. The secretion of urine is almost always considerably less, the urine is sarated, depositing urates ; sometimes albuminuria is present. It ifurther to be observed that, if carditis supervenes during a preexisting disease, recovery from the latter is much more tardy.Other characteristic symptoms are : Marked interference with thecirculation; oedema of the face, ankles; cyanotic phenomena in thface; passive hypersemia of the brain. Increased dyspnoea. Accompanying disturbances of the spleen and kidneys. The profuse secretion of mucus is apt to result in the development of miliaria, whhas given rise to the most erroneous views concerning metastases.K miliaria breaks out about the time when cardiac inflammation isabout to terminate fatally, and the miliaria disappears again witthe fatal termination, death has been laid to the retrocession ofexanthem which thus became invested with a peculiar significance.The truth, however, is that what takes place with other exanthemslikewise takes place in the case of miliaria: all these eruptionsappear at death in consequence of the sudden decrease of the vitaturgeseence.http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt