Pulse. Pulse accelerated, especially in evening.
Patient: Scrofulous and venous constitutions; old people; anaemic broken down constitutions. “Elderly persons with marked venous plethora, blue cheeks, blue lips and great debility” Cyanosis.
Conditions: Cold feeling in chest; cannot lie on right side; green purulent offensive expectoration in last stage of pneumonia; burning in chest; cough worse lying on right side; as soon as the patient closes his eyes he feels as if he were something; suffocating hoarse cough producing shaking of the brain as though the brain were loose in the head; debility, worse lying on side.
Accompaniments: Stitches in the small of the back when drawing a long breath; constipation, unsuccessful desire for stool, he passes only very offensive flatus; oozings from rectum and perineum; aversion to greasy food; dry mouth and tongue; lips cracked; heat of the face and head in the afternoon; red tip of nose; sensation as if eyes were lying loose in their sockets; vertigo followed by nose-bleed; offensiveness of discharges; stitches remaining after pleurisy Pleurisy of typhoid character; red spotted face; has to hold the head to keep it from falling to pieces especially in damp weather.
Type: Lober Pneumonia; broncho-pneumonia; asthenic pneumonia.
Stages: Third stage.
Location: Left side of chest.
Expectoration: Bloody mucus; spitting bright red blood. Thin foamy sputa; copious expectoration; expectoration of pure blood.
Cough: Constant cough with copious expectoration; cough with stitches in small of back; cough with spitting of blood with previous sweet taste and with great dyspnoea; cough at night, every morning at 3oclock, dry from tickling in the throat, as of dust; bloody taste followed by cough and spitting bright red blood with burning in chest; cough with bloody sputa; cough at night.
Respiration: Dyspnoea; much oppression of breathing; worse in warm room and motion; slow labored stertorous breathing, bubbling sound.
Pain: Stitches in the left side of the chest worse when lying on it; heaviness on the chest; burning and heat in the chest; chest feels tired; rattling in chest when standing, sensation as if lungs were drawn; many stitches in chest; angina pectoris.
Pulse: Hard, tense and frequent.
Patient: Aged persons, stout women who readily take cold in winter; children who dislike washing; fat patients with weak heart; right side more affected.
Conditions: Violent cough at night especially at three or four in the morning, with expectoration of bloody mucus; much rattling as of large bubbling in the chest; chest feels faint; bloody taste followed by cough; thin foamy sputa; adynamia.
Accompaniments: Ill humor during wet stormy weather; nose stops at night, can breathe through mouth (long continued coryza); pale bloated face; corners of mouth and lips sore, cracked and burn; mouth and throat dry; craving for sugar; hard, knotty difficult stool; the skin peels off from the palms of the hand; cramps in calf, soles; desquamation of skin; very sensitive to cold air; heaviness in all organs; nose bleeds when washing the hands or face in the morning; white spots on face scale off continually; white sandy, urine, bloody; skin desquamates easily, exanthema continually peels off leaving a skin which sticks to the clothes; tired and weary all day; great dislike to bathing in children; sensitiveness to open air.
Aggravation: Cold wet weather; wet poultices; from washing; in the evening; on bending down; wet stormy weather.
Amelioration: Lying on the stomach; lying on right side; lying on painful side; in dry weather; by external pressure; in the room; from warmth.
Type: Traumatic pneumonia; pleurisy; rheumatic pleurisy.
Stages: First stage, second stage.
Location: Right lung. “Middle of left chest (stitches)”.
Causes: Mechanical injury, amp cold weather; charcoal vapors.
Expectoration: Bloody expectoration”. Difficult; frothy, greenish, lumpy, mucous, bloody mucous. Fetid, offensive; purulent; rusty. Must swallow what has been loosened; bitter, flat; putrid (taste); transparent; white. “Tough bloody sputa.”
Cough: Cough provoked by weeping and lamenting; dry cough from tickling low down in trachea; violent spasmodic cough with facial herpes, child cries before coughing; cough at night, during sleep, exercise; dry short cough caused by titillation in larynx; cough at night during sleep; cough with blood-shot eyes or nose bleed; yawning causes cough; cough with expectoration of blood, the blood is clear. frothy, mixed with coagulated masses and mucous; even without cough there is expectoration of black coagulated blood; inability to eject mucous, must swallow what is detached; on coughing pain in head and chest; cough worse evening till midnight, from motion; in warm room and after drinking.