The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 494 of 653condition.Among the numerous sequelas of typhus we distinguish intestinalphthisis, occasioned by the number, and continued ulceration of tinfiltrated glands of Peyer, and the solitary glands of Brunner;this ulceration is a very common cause of a protracted convalescence, and may finally terminate in fatal ascites. It is a curablcondition. Inflammations of serous membranes are not unfrequent,but they do not, properly speaking, belong to the sequelse. Ulcerof the larynx may lead to stenosis and to obstinate, generallyincurable hoarseness. Paralysis of the extremities, especially thlower, and paralysis of single organs of sense, are often met witbut as a rule, they gradually disappear again without any treatment. It is only in rare cases that the mind remains impaired forlife. Decubitus may even penetrate to the bones, and may causedeath long after the typhus had ceased. Although typhus scarcelyever attacks individuals with decided, especially florid tuberculwe often see patients who had been convalescent for weeks, suddenly relapse into a fever, and, in a very short period of time,by tubercular phthisis. Whether typhus causes the slumberinggerm to grow, or, by its own inherent agency, implants the tubercular disease, has to remain an open question for the present. Thformer is the more probable of the two,Exanthematic typhus runs a much more decidedly typical coursethan typhus abdominalis ; in this respect it bears the greatestresemblance to acute exanthems.It sets in with very uncharacteristic precursory symptoms, lassitude, want of spirits, a feeling of illness, slight catarrhal symheadache, anxious dreams disturbing his sleep, etc. These symptoms precede the real outbreak by two to seven days.The invasion of the disease is generally marked by a violent chilless frequently by alternate chilliness and heat. The chill is alimmediately succeeded by intense heat, at the same time as thepatients are unable to keep themselves erect. Amid the symptomsthat have been described as pathognomonic of abdominal typhus,and which are generally much more intense when occurring asphenomenal manifestations of exanthematic typhus, more particularly the dulriess and cloudiness of the sensorium, the roseolaspots make their appearance between the fifth and sev^enth day,first in small numbers on the trunk, but rapidly multiplying and688 Epidemic and Endemic Infectious Diseases.covering the whole body except the face. In size, shape and colorthese spots resemble measles, except that they are never strikingraised above the skin. The enlargement of the spleen and thecontinued violent fever enable us to distinguish this exanthem frmeasles ; it remits about the seventh day, but breaks out bo muchworse again afterwards.In the second week, all the symptoms reach their highest degreeof intensity, and may continue unchanged during the whole of thefollowing week ; the cerebral symptoms and the excessive prostration are particularly prominent. The abdomen retains its normalshape; no meteorism takes place as in abdominal typhus, nor is thhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt