Pneumonia -11


Scanty expectoration of glairy transparent mucus mixed with blood, which when loosened, must be swallowed; cough producing a feeling in ribs as if all of them were bruised, with stitches in side of chest. “Breath fetid short and panting from obstruction and infiltration of lungs followed by decomposition of blood and offensive, green, purulent blood-streaked sputa which must be swallowed.”


CARBO ANIMALIS.

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.

AMMONIUM CARB.

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.

ARNICA.

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.

N C Das
N C Das
Calcutta