The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 302 of 653All the above-mentioned phenomena may be present during everyform of cardiac inflammation. We will now proceed to designatethe most common symptoms characterizing each form of the disease.Pericarditis: The disease sots in with a chill ; rapid increase othe frequency of the pulse ; pains in the region of the heart, whmay likewise spread towards the back and shoulder, and are increased by a change of position, a deep inspiration and pressureCarditis. 853the pit of the stomach ; palpitation of the heart which is exceedingly distressing to the patient. Dyspnoea sets in in a few days,after the exudation has become more profuse. Continued singultusis a not unfrequent symptom.The symptoms of endocarditis are much more vague. It alwaysapproaches in an insidious manner, without pain, or only with adisagreeable sensation of pressure and constriction in the regionthe heart. On the contrary the action of the heart is almost alwatumultuous, more rapid and generally irregular, assuming the formof palpitations. The pulse, however, does not diminish in frequency. The respiration is accelerated, but dyspncea is scarcelyever complained of during the first days of the disease. A violenheadache, delirium, typhoid phenomena, swelling of the spleen andnephritic pains only set in in the subsequent course of the diseaMyocarditis is not distinguished by regularly-occurring symptoms. Its supervention during one of the other forms of the disease may be suspected if the pulse becomes suddenly weaker andthe action of the heart generally exhibits signs of excessive weaness. Even rupture of the myocarditic spaces does not furnish aclear picture of the pathological process. There is no pain, butcommonly an intense feeling of anxiety which may be accountedfor by the rapidly diminishing power of the heart to propel theblood.In contrast with these changeable, exceedingly inconstant morbid phenomena, we have the physical signs which are so muchmore important since they are much less apt to deceive and arevery commonly sufiSicient for the establishment of a correct diagnosis.At the commencement of pericarditis, the shock of the heart isstronger and is felt over a somewhat larger surface. Frictionmurs are heard at an early period of the disease, very seldom nottill a few days have passed. They vary a great deal in intensity,they are heard first and loudest at the base, do not follow therhythm of the sounds of the heart, very often differ according toposition of the patient, and are heard more distinctly if the steoscope is pressed against the chest, but not too hard. If the exuation remains scanty and chiefly plastic, the friction-murmur likwise continues to be heard, whereas, with the accumulation oflarger quantities of serum or other fluid, the murmur grows feebland finally, especially at the base, disappears altogether. The dtension of the pericardial sac by the exuded fluid occasions thehttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt