The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 304 of 653changes its intensity, duration, etc., more or less rapidly or slDiastolic murmurs from disease of the aortic valves, or from excrescences upon the auricular surface of the mitral valve, are, uthe whole, rare occurences. Of essential significance is the incrintensity of the second sound of the pulmonary artery, which isheard soon after the murmurs, and the increased extent of the cardiac dulness which almost sets in simultaneously. It is hardly posible to indicate the variations in the cardiac murmurs with anything like absolute correctness, since they must necessarily diffcorrespondingly with the various changes resulting from the diseaMyocarditis is not recognized by any fixed physical signs; ifsuch are present they belong to the accompanying endocarditis andpericarditis. The participation of the muscular structure of theheart in the inflammation is more particularly inferred from thegreat weakness of the pulse co-existing with a tumultuous actionof the heart. This pathological change can only be tonjectured ;it can never be verified with positive certainty.The course and terminjjJiShs of cardiac inflammations show thegreatest differences in degrees of intensity as well afi in otherrespects. In describing these particulars we -ehall follow a verysummary course, since particular terminations will have to be dweujK)n afterwards. Our object will be best accomplished by consideing the three forms of cardiac inflammation each by itself.Pericarditis of a middle degree, if attacking individuals of anotherwise sound constitution, is not a very dangerous disease, bugenerally terminates in complete or almost complete recovery. Aftexudation is completed, the patients are confined for a few daysweeks without being very sick, unless they are prostrated by somepreviously-existing disease, strength gradually returns to them,friction-murmurs that had disappeared, again become audible, orthe existing murmurs become less distinct. Termination in recovernever takes place rapidly or suddenly, and the frictionsometimesremain distinctly audible for months, during whichperiod the patients continue to retain their suffering and feebleappearance. In acute affections where rapid changes take place, p856 Diseases of the Heart.carditis Bometimes disappears very rapidly. Most commonly, however, we shall find that the supervention of cardiac. inflammatioduring a primary affection imparts a lentescent character to thelatter. If the exudation is very copious, it may only be partiallabsorbed, the patients incline to shortness of breath, palpitatiothe heart, and relapses easily take place, chiefly for the reasonthe patients do not take proper care of themselves. These relapseeither have an acute or chronic character, in which latter case tgive rise to a condition which is described as chronic pericarditIt is very seldom that fibrinous pericarditis suddenly terminatesfatally. On the contrary, if the exudation is purulent or hemorrhagic, a fatal result may take place very suddenly, and is generally determined by paralysis of the cardiac functions which leadsto acute oedema of the lungs. An excess of serous exudation mostgenerally results very speedily in softening of the muscular tissof the heart, consequently in cedema of the lungs and generaldropsy, this end is to be apprehended if the cardiac dullness,http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt