Licence: Public Domain Mark
Credit: Lectures on diseases of the heart / by Edwin M. Hale. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![■purely plastic, as well as incipient endocarditis. Pie further adds that according to practical experience, spigelia is particularly adapted to rheumatic pericarditis, likewise to sero-plastic pericarditis during its whole course, especially if the patient complains of internal ]ocal pain; but he asks upon what basis are we to prescribe spigelia in cases where the disease is painless and has scarcely any symptoms ? He gives the following symptomatic indications from Hartmann ; indications which are based on curative results on the sick, namely: Undulating motion of the heart; indistinct beats of the heart running into one another; when laying the hand upon the heart, tumultuous beating of the heart, in a recumbent as well as in a sitting posture, not synchronous with the radial pulse; spasms of the chest; suffocative complaints; tremulous sensation in the chest and temples, increased by motion ; tearing sensation in the chest when raising the arms over the head, and when touching the pit of the stomach; purring murmur during the beats of the heart; stitches in the region of the heart; pulsations of the carotids with a tremulous motion; great dyspnoea at every change of position; bright redness of the lips and cheeks, changing to pallor during every motion; the impulse of the heart raises the four last true ribs, the sternum and xiphoid cartilage, and displaces the dorsal vertebras; audible beating of the heart, causing a pain that is felt through to the back; cutting pains from the heart to the shoulders, as far as the head and arms; excessive dyspnoea, with a pressing, cutting pain in the abdomen, at the insertion of the ribs; arthritic pains and stiffness of the joints; dull stitches where the beats of the heart are felt, and recurring with the measured regularity of the pulse; the beats of the heart can be felt through the clothes, with anxious oppression of the chest; scraping in the throat, affection of the tracheal and bronchial mucous membranes; the beats of the heart are not synchronous with the pulse; purring murmur. (Dose, 3rd to 12th dilutions.) Nitrum (kali nitricum) ought to prove curative in some cases of pericarditis, especially if it appears as a complication](https://iiif.wellcomecollection.org/image/b2105633x_0093.jp2/full/800%2C/0/default.jpg)
