The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 517 of 653becomes cold, very soon it assumes a cyanotic color, loses its elticity to such a degree that a fold of integument on the hands, ipinched up, remains in this condition for a long time ; the facea cadaverous appearance, the eyes are deeply sunken in their sockthe nose is pointed, the lips blue. The temperature is like thatice. The radial pulse can no longer be felt, not even that of thelarger arteries ; the sounds of the heart are very feeble, the sesound is often wanting ; respiration is labored, the breath is cothe voice is extinct. After this condition has lasted for twelveat most, death takes place, previous to which the evacuations upwards and downwards generally cease and the extreme prostrationchanges to a complete stupor, without any real death-struggle, anwithout the rslle which usually precedes death. The disease maychange for the better even after it has reached the acme of thestage of asphyxia, although recovery from this stage is an eventrare occurrence.The stage of reaction shows the most remarkable differences.The disease may uniformly but slowly progress towards convalescence. This change as well as the beginning of reaction generallyis indicated by the circumstance that the patients are able to reliquids on their stomachs, and that the radial pulse returns. Graually the temperature of the skin is restored, the alvine dischardiminish in number and are more and more colored ; at first theyare generally mixed with shreds of intestinal mucous membrane,and have a foul smell. The prostration continues for a few days,the urine is at first turbid and shows traces of an inflammatoryprocess going on in the kidneys. Such a simple convalescence fromcholera algida is always an exception, not the rule. In other casthe icy coldness is suddenly succeeded by a febrile excitement, arapid and full pulse, cerebral hyperaemia; this change is eitherspeedily followed by convalescence, or else, typhoid phenomenamake their appearance. The more malignant forms of cholera arevery generally followed by typhoid symptoms. After the cessation616 Epidemic and Endemic Infectious Diseases.of the vomiting and a return of the pulse, the pulse becomes hardfull and frequent ; the turgescence of the skin is very marked. Tbrain seems blunted, the patients are lying in a state of sopor adelirium, very much prostrated; the temperature rises considerably; the thirst continues and the patient has even occasionalattacks of vomiting, the diarrhoeic stools are decomposed and hava foul smell ; the tongue is dry and has a fuliginous coating. Evsymptom points to the supervention of an intense typhus, withwhich the symptoms of an intense nephritis are generally associated. The transition from this typhoid condition to health alwatakes place very slowly, although more rapidly than in cases of ttyphus. A favorable turn generally takes place already in the second week. Death is a very common termination of this condition.Cholera has no positive sequelse, although the most diversifiedderangements remain after an attack of cholera, which generallyresult from the circumstance that the circulation in the variousorgans had almost been arrested during the frigid stage to the poof inflammatory infiltration. We do not give a detailed statementof the anatomical changes in cholera, because they are almost generally without any characteristic significance. Beside the excessbut perfectly explicable dryness of the tissues, we constantly mehttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt