Chapter 8 - Diseases of the Heart
Introduction to Heart Diseases
Impulse of the Heart
Sounds of the Heart
Percussion Sounds
Altered Sounds of the Heart
Enlargement of the Ventricles
Dilatation of the Ventricles
Interior of Lungs, Liver, Heart, and Stomach - Diagram
Hypertrophy with Slight Dilatation
Dilatation with Slight Hypertrophy
Tumors of the Heart
Softening of the Heart
Induration of the Heart
Fatty Degeneration of the Heart
Shrinking of the Heart
Acute Inflammation of the Heart Case
Chronic Inflammation of the Heart Case
Inflammation of the Lining of the Heart
Chronic Inflammation of the Lining of the Heart
Disease of the Semi Lunar Valves
Disease of the Mitral Valves
Water in the Heart Case
Palpitation of the Heart
Neuralgia of the Heart
Polypus of the Heart
Displacement of the Heart

8.24 Palpitation of the Heart

Palpitation. Nervous Palpitation. Aniemic Palpitation.

THERE, is a great deal of palpitation of the heart dependent on dyspepsia, hypochondria, hysterics, mental agitation, excessive study with deficient sleep, venereal excesses, and masturbation.
Palpitations likewise occur from what is called anomia, or a low and deficient state of the blood.

Physical Signs. The impulse is weak, fluttering, or tumultuous, generally increased by trifles.
The beats of the heart are increased in frequency, and sometimes marked by intermission. Now and then they are accompanied by a bellows murmur. There are musical murmurs in the jugular veins,loudest a little above the collar bones.

General Symptoms. The complexion is generally pallid and bloodless ; the lips and the inside of the mouth partaking of the same paleness; the pulse quick, small, weak, and jerking; and during palpitation it sometimes has a thrill. Slight causes produce breathlessness and faintness. A dislike of animal food, and a fondness for acids. The monthly discharge in females is deficient, and the whites take its place. Sometimes the menses are too profuse, lasting for several days, and consisting only of blood. In this state of things there is great feebleness both of mind and body, with rushing noises in the ears.

Explanations. The murmurs depend on a lack of blood. The conditions of their existence are, thinness of blood, a swift and spasmodic circulation, and particularly an unfilled condition of the blood vessels. A brook is the more babbling in proportion as its water is more shallow. It is a law in physics, that heaviness of freight gives steadiness of motion; and lightness of freight gives unsteady motion. The fireman's hose trembles and vibrates when only half 'all of water. In like manner the blood vessels axe agitated when imperfectly filled.

Treatment: This is to be governed altogether by the cause of the trouble. If it be dyspepsia, hypochondria, hysterics, etc., these several diseases require their usual treatment; when they are cured, the palpitation will stop.
A very good treatment for this disorder is a teaspoonful of the following mixture given three or four times a day with water:
Tincture of aconite fifteen (15) drops.
Tincture of nux vomica three (3) drachms.
Compound elixir of gentian with iron three (3) ounces.

But when it is caused by a low state of the blood, then give for several weeks, iron, the compound mixture, and (316), (310).

The food must likewise be nourishing, tender meat, beef and .mutton, with broths, etc.
Gentle exercise will be required, and much exposure to a bracing out door air.

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