The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 555 of 653formed into pus. These suppurating granulations may give rise inthe lungs to vomicae or cavities filled with pus, and of a greateless size in proportion as the number of granulations is greatersmaller. The vomicae may be present in large numbers ; they mayeither remain isolated, or else unite, forming caverns of the siza goose-egg. The vomica enlarges either by the dissolution of thetubercles that are still embedded in its walls, or else, the depoof tubercles in the walls of the vomica goes forward uninterruptedly, the latter process being the one that is most common. Thewalls of the vomica are excavated, permeated by obliterated vesseand bronchia, or, if the bronchia are destroyed, their irregularlcorroded orifices open into the cavity. The blood-vessels resistthe destructive process longer than the bronchia, and most commonly shrivel up ; but if they are destroyed while blood is stillcirculating through them, they may give rise to extensive hemorrhages. The vomica may be entirely isolated, or else, it may be icommunication with one or more bronchial ramifications. In itsgrowth it may penetrate the pleura and even the chest-wall. Theparts surrounding the vomica show bronchial catarrh, interstitialpneumonia in some localities, with subsequent atrophy, bronchiectasia, emphysema. The vomica may empty itself and cicatrize, orelse, it may become closed and, without being entirely empty, itscontents may become transformed into calcareous matter. Thepleura, even if not touched by the tuberculous process, is generathickened and the two pleuras adhere. Inasnmch as in miliarytuberculosis the deposition of tubercles takes place in successivgroups or clusters, tubercles are not generally found uniformlyaltered, but are met with in all the stages of their course.Infiltrated tuberculosis is distinguished from the former class bthe circumstance that a pneumonic exudation is transformed intotubercular matter, while the organism had either been in a stateapparently sound health, or during the presence of tubercles in oparts. The infiltrated substance passes through the same changesthat have been described above, but it usually dissolves much morrapidly, causes much more radical destructions and its transformation into calcareous matter takes place more tardily.In acute miliary tuberculosis we meet with an extensive deposition of granulations not merely in the whole pulmonary paren662 Constitutional Diseases without Definite Infection.chyma, but likewise in the pleura, the pia mater, thie peritoneumaud the abdominal viscera. The homogeneous uniformity of thegranulations shows their simultaneous origin ; in the chronic forthis does not occur very extensively.Tuberculosis of the intestines, which is scarcely ever absent during the course of pulmonary tuberculosis, reveals at the commencement of the disease granulations in Peyer's and Brunner's glands.These tubercles change to separate round ulcers which unite aathey increase in size, and spread in the ileum in a circular formThe most common alterations co-existing with pulmonary tuberculosis, are : Tubercular ulcers in the larynx, resembling thosethe intestines; fatty degeneration of the liver, dilatation of thheart, or atrophy of the heart, slight degree of Bright's diseasehttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt