The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 557 of 653dent and very seldom doubtful sign that the phthisis has set in.At the same time the patients complain of unusual debility,stitches, or a peculiar drawing pain in the upper lobes of the lupeculiar rheumatoid pains in the arm of the affected side; therespiration is accelerated, the pulse very frequent ; this acceleis very much increased by the least motion ; .the existing feversoon shows typical exacerbations setting in in the morning betweenine and eleven, or in the evening between five and seven o'clockor at both these periods, and sometimes attended with such complete remissions that the fever has very much the appearance of aintermittent disease.From this beginning, the symptoms can easily be observed furtherin their character of phenomena of tubercular phthisis, with varimodifications during their course to which we will first call atttion before describing the various local symptoms.The course of the disease, especially among individuals of a moreadvanced age, is marked by stages. After the first evidently tubecular catarrh has slowly disappeared, a feeling of almost perfecthealth is again enjoyed by the patient, who is at most reminded o664 Constitutional Diseases without Definite Infection.the slumbering danger by a dry cough or a disposition to shortnesof breath after an unusual bodily exertion or after talking. In tcourse of months, and sometimes not till years have elapsed, another catarrh breaks out which likewise ends without any untowardsymptoms, and these changes continue until finally an acute attacof marked intensity terminates in fully developed phthisis. At thsame time, nutrition may remain perfect for years, the patient maretain his flesh and healthy complexion, or else -he may lose hisflesh gradually, and acquire a more or less anaemic appearance.A chronic, uniform course of phthisis occurs much less frequentlyafter an acute catarrh. On the contrary it sets in with very trifsymptoms, a slight, hacking cough, loss of fleah, palpitation ofheart, shortness of breath, etc., and the patient already presentcomplete picture of phthisis when all at once an acute catarrh sein which is suddenly transformed into the actual disease. Or elseno acute catarrh ever takes place, the patients continue to failalmost imperceptibly, hectic fever supervenes, a tuberculous diarrhoea and oedema make their appearance, and death takes placeamid symptoms of complete exhaustion.A subacute course of the disease, phthisis florida, succeeds theinitial catarrh sometimes immediately, especially in the case ofyoung individuals and after confinement, likewise after severe acdiseases ; very frequently it forms the conclusion of the more chforms of phthisis. This subacute course is particularly distinguiby intense hectic fever, tuberculous diarrhoea, disposition to punary hemorrhage. The most vigorous patients fail within eight orten weeks, nor is it at all possible to arrest the course of thein the least degree.In reviewing the most important local alterations caused bytubercular phthisis, we have in the first place to attend to thephysical symptoms.http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt