The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 320 of 653descendens, because the situation of the arteries it supplies renthem more yielding to its impelling power.A high grade of hypertrophy of the left ventricle scarcely everexists without valvular defects, most generally stenosis of the aorifice ; it very soon becomes associated with dilatation of theventricle. As long as the mitral valve remains intact, such ahypertrophy is characterized by the same phenomena as thosedescribed above, only in a more intense degree, and with shorter,or without any intermissions. But if, owing to the excessive dilatation, the mitral valve is no longer sufficient to close the aurventricular orifice, the consequence is that the more forcible exsion of the blood into the aorta becomes associated with a stasisthe lesser circulation and more immediately in the function of thright ventricle, in consequence of which the whole heart becomeshypertrophied in the most dangerous acceptation of this term. Theimpulse of the heart is perceived over a large extent by the eye,ear and touch ; it is even heard without the ear being applied tothe chest; the concussion of the thorax is extreme; the dulnessextends further on to the left, and is returned over a larger arethe heart descends below its normal line, the ribs even bulge. Thsounds of the heart are either mufiled, or else ringing, and, ifvalves are diseased, murmurs are heard. Other symptoms can easilybe inferred by any one who considers that the arteries are extremely engorged, and that the lungs are in a state of hyperoemiaAll these conditions will be dwelt upon more fully when we cometo treat of valvular anomalies.The phenomena emanating from the hypertrophied right ventricle, are very frequently entirely disguised by those of the aftion which had given rise to the hypertrophy. Anxiety, dyspnoea,oppression, palpitation of the heart, may be caused by pulmonaryaffections alone. Simple hypertrophy merely results in a greateraccumulation of blood in the lungs, and a consequent catarrhalaffection of the lungs, with hemorrhage, hypersemia of the lungs.The physical signs are : Increased extent of dulness on the rightside, even beyond the right border of the sternum; pulsation inthe pit of the stomach, perceptible raising of the lower border othe sternum; accentuation of the second sound of the pulmonaryartery.Hypertrophy with dilatation may be very considerable without8ui)erinducing any serious derangements. It implies a sort of uniform compensation of functional power, and the patients only per876 Diseases of the Heart.ceive a dirturbance of equilibrium if they undertake to undergosevere bodily exertions. In hypertrophy with dilatatioil the hearoften thumps very violently, without causing the patient any greatrouble ; the impulse of the heart often raises the head of the acultating physician, and is felt over a much larger extent ; thediac dulness is returned over a longer and wider area ; the soundof the heart are stronger and more sharply accentuated, and havevery often a metallic ring.The courae of hypertrophy is more especially determined by thehttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt