The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 305 of 653which persistently remains the same, extends over a large area anthe pulse becomes very small and increases in frequency. A copiouemission of urine only seldom occurs as a critical change. Adhesions of the pericardium are of subordinate importance, althoughof frequent occurrence. Very commonly pericarditis results inmore or less considerable hypertrophy of the heart. The qualityof the exudation cannot be determined with certainty from thecourse of the disease, although this very desirable knowledge wouexert a great influence upon the prognosis. As a rule it is safetake it for granted that a purulent or septic exudation only occuas the result of a general dyscrasia or in consequence of pyaemiapuerperal conditions.Endocarditis always runs a tedious, sub-acute and even chroniccourse. Of itself the disease very seldom leads rapidly to a fatatermination, and, if it does, it is always in company with exquisitely typhoid symptoms. The commencement of the disease ismostly uncertain; hence its duration cannot well be determined, smuch less since the affection, in cases where it is diagnosed witpositive certainty, had already developed valvular disease. Acomplete cure is possible, if the valves have not been invaded; bwe likewise deem a cure possible provided the valvular alterationdo not consist of loss of substance or solutions of continuity. Apartial cure is still possible if the valvular changes do not matinterfere with the functions of the heart. The most common terCarditis. 857mination of endocarditis is the development of valvular diseasewhich gives rise to chronic ailments and a slow decay of theorganism. If these valvular defects arise from such lesions ascicatrices in the substance of the valve, they may not manifestthemselves until after the endocarditis has terminated without anapparent anomalies of the valvular apparatus. Purulent endocarditis often results in speedy death in consequence of the disewhich it develops in other organs, more especially by plugging upimportant arteries.Myocarditis generally runs a latent course; but if it is extensivif an abscess forms within the parietes of the heart, it may. resvery speedily in a fatal end ; if it coexists with the other twoforms of cardiac inflammation, the former becomes the chief causeof death.A combination of the three forms of cardiac inflammation impresses a different character upon the course of the disease. Apericardial inflammation alone can be very rapidly reabsorbed,whereas, if it is associated with endocarditis, the course of theformer is always retarded by such a combination and a completecure is rarely ever effected. The hypertrophy which usually resuleven if no complicating disorders are present, is greatly increasby the valvular deficiencies; paralysis of the heart consequent userous infiltration of the muscular tissue of the heart, is likewconsiderably facilitated by a complication of cardiac disorders,especially by valvular disease, and the reabsorption of effused ffrom the pericardial sac must necessarily be interfered with by tdeficient action of the circulatory organs. Less prejudicial, altalways sufficiently ominous, is the influence of pericarditis upohttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt