The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 318 of 653muscular tissue, and by a more or less considerable distention ofcavities. The formerly current forms of hypertrophy of the heartare no longer accredited before the tribunal of modern pathology.An increase of the size of the heart by adventitious formationswithin the tissue of the heart, is no longer regarded as a genuinform of hypertrophy.This disease is caused by conditions which sooner or later determine an increased activity of the heart, on which account hypertrophy is generally to be regarded as a secondary or consecutiveaflfection. Since the whole heart does not become hypertrophied aonce, but the hypertrophy generally begins with one particularcavity, we find that hypertrophy arises from the following pathological changes :Hypertrophy of the left ventricle: stenosis and insuflSiciency ofthe aortic orifice, stenosis of the aorta itself, aneurisms of thHypertrophia Cordis. 878atrophy of the renal parenchyma, amputation of the thigh andconsequent ligation of the femoral artery. The same causes mostcommonly lead to hypertrophy of the left auricle and stenosis ofthe mitral orifice. 'Right ventricle: Stenosis and insuflBciency of the orifice of thepulmonary artery ; insufficiency of the mitral valve and stenosisthe left auriculo- ventricular orifice consequent upon the obstrution offered by this insufficiency to the complete emptying of thpulmonary veins ; diseases which restrict the capacity of the lunand considerably diminish the lesser circulation, such as emphyseatelectasia, tuberculosis, pleuritis, caries of the vertebra, curHypertrophy of the right auricle alone scarcely ever takes placeon the other hand this auricle always participates in the hypertrophy of the ventricle.Every attentive observer must have noticed that primary hypertrophy arises in consequence of hereditary disposition without anapparent cause; or it may develop itself in cases where a peculiamode of living stimulates the heart to a constant and severe actias may take place in consequence of severe manual labor, continuerunning, excessive gymnastic exercises, fencing, abuse of strongcoftee, wine, beer, spirits; or finally, hypertrophy may arise ifheart is kept in a constant state of tumultuous action by strongj«ychical impressions, hence in the case of individuals with intesanguine temperaments.Hypertrophy of the heart may occur at any age between theyears of fifteen and forty. Males are decidedly more liable to itthan females, especially to hypertrophy of the left ventricle; thhowever, is probably owing to the circumstance that men are morefrequently exposed to the causes giving rise to such structuralchanges.The anatomical changes consist in a thickening of the walls ofthe heart and of the inter- ventricular partition, in a more or lconsiderable dilatation of the cavities, very commonly in a darkecolor of the muscular tissue, in displacements of the heart andhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt