The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 443 of 653them, it commences to pale off, with considerable abatement of thfever and more particularly of the angina. Soon after," the proceof desquamation begins. It always commences on the neck in smallscales, whereas on the body, and more particularly on the hands,the epidermis most generally peels off in large patches. The appetite now speedily returns and the patients feel quite well. In afortnight at the latest the desquamation is completed.We will now consider the most important anomalies in the courseof the disease, corresponding with the order in which the differestages succeed each other.The preliminary stage may be so slight that it may seem asthough no such stage had existed. This, however, does not justifythe expectation that the disease will run a mild course. On thecontrary, if the preliminary stage is considerably longer than usif an excessive lassitude is a marked symptom of this stage, wemay almost expect with certainty that the disease will assume acomparatively malignant character. Occasionally the fever reachesScarlatina. 625even at this stage a height that gives to it the appearance of anintense typhus, so that the patients soon fall victims to its furthis stage the angina is never so violent as to cause any anxietyThe convulsions occurring at the breaking out of the exanthem areseldom of any particular significance, for an affection of the brexcept in so far as the excessive fever may cause an irritation othis organ, is a rare occurrence.It is during the eruptive stage and the stage of efflorescence ththe course of the exanthem can be watched and learnt. It variesin color, is at times bright-red, at other times of a violetout these distinctions justifying any particular inferences beingdrawn from them. An extremely bright color is an inauspiciousprognos tic only if the fever has at the same time a marked adynamic type. A union of the smaller spots to larger patches of redness is of no great importance. The formation of petechise andlarger hemorrhagic effusions on the skin always points to a severtype of fever. In some epidemics the exanthem remains quite rudimentary, the redness is very slight, is confined to small spots obright rose-color, remains only a few days upon the skin and is nattended with any marked constitutional symptoms. Such caseshave been designated as roseola or rubeola, and an attempt has bemade to view this exanthem as a special form of disease. The factthat roseola occurs in every mild scarlatina-epidemic, shows thatis nothing else than a very slightly developed case of scarlatinaTlie angina is likewise liable to important deviations. It is generally of an erythematous character, but not unfrequently involvethe parenchyma and shows an extraordinary tendency to invadethe glands and cellular tissue of the throat and neck. Since thischange does not occur until the exanthem has run its course, it hbeen supposed that it is the result of a metastasis, which is notcase. Whereas a parenchymatous angina seldom terminates insuppuration, an inflammation of the cervical cellular tissue, oncontrary, has this termination so much more readily ; it is thiscumstance which constitutes one of the most malignant sequelee ofhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt