The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 539 of 653I642 Constitutional Diseases without Definite Infection.after a certain lapse of time ; this second attack chiefly breaksduring the period from February to April. This circumstance isin some respects accounted for by the patient's more luxurious moof living during the winter-season, when he takes at the same timless active exercise than usual. The interval is entirely free frailments until shortly previous to the new attack, when the formepremonitory symptoms again make their appearance.With every new attack the free intervals are more and moreobscured and shortened, the local disorder leaves calculous deposon the diseased joint, with more or less permanent pains and a hior less degree of immobility. The paroxysms are less acute, butinstead of at most two, they last eight or twelve weeks; otherjoints, especially those of the feet, knees, hands and shoulders,wise become involved. The so-called chronic or atonic gout now isan established infirmity. The more numerous the changes thatremain after the attack, the more joints are affected, the longerattack lasts, the more prominently the chronic affection shows itcharacteristic features during the interval. The digestion is permanently deranged, the patients complain of pains in the stomach,which sometimes increase to severe paroxysms of cardialgia ; theycomplain, moreover, of acidity of the stomach, pressure, fulnessand flatulence after every meal, torpor of the bowels and hemorrhoidal distress ; they are very irritable and out of humor. Nutrtion is more and more impaired, the complexion assumes a yellowgrayish appearance. The circulation is disturbed in various ways.Such disturbances are very significant in so far as they generallpoint to a degeneration of the valves and arteries ; they commencwith frequent, but short-lasting congestions, palpitations, attacof angina pectoris, asthmatic complaints. The affected joints become more and more deformed and anchylosed.At a more advanced age and by observing a strict diet, thischronic gout may terminate in recovery; of course, the concretionin the joints remain. This form of gout may likewise assume thecharacter of the so-called anomalous gouty which sometimes ushersin the whole disease ; in such a case it becomes exceedingly diflto establish a reliable diagnosis. Anomalous gout may likewisesucceed the first attack of gout in the place of chronic gout. Thpatients suffer with the complaints of chronic gout ; above all,urine looks very cloudy depositing large quantities of urates ; bin the place of acute pains in the joints, we have shortshifting about from place to place frequently and speedily, withoArthritis. 643swelling or redness, "but very frequently with gradual impairmentof the mobility of the joints. Of particular importance are theintermediate affections of internal organs that have been designaas retrograde or metastatic gout. Sometimes they, indeed, dependhttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt