- The Specific Pneumonia : In which the disease is caused by a definite or specific pathogenic organism.
- The Aspiration Pneumonia : In these some abnormality in the respiratory system predisposes to the invasion of the lung by organisms of relatively low virulence such as - H.Influenzae, some Streptococcal Pneumonae and certain of the bacteria forming the normal flora of the upper respiratory tract and mouth. In this group of pneumonia as term implies, infection generally reaches the alveoli by aspiration from other parts of the respiratory tract.
- Inhalation of microbes present in the air.
- Aspiration of organisms from the naso-oropharynx, interestingly is the most common cause of bacterial pneumonia.
- Haematogenous spread from a distant focus of infection,or rarely
- Direct spread from a contagious site of infection.
- Clinically the patient is usually an infant, young child or an elderly person.
- The onset is comparatively sudden, with the symptoms of feverish cold.
- For first two or three days the patient shows the clinical features of the Acute Bronchitis and then, as Lobular Pneumonia develops the temperature rises to higher level ( 103 o - 105 o F) the Pulse and Respiratory Rates increase which may be 120 or more and 40 to 60 per minute respectively.
- Then the temperature becomes remittent type following by crisis in about 7 to 10 days.
- A further rise in temperature may indicate a fresh spread of the infection, with these the Dyspnoea and Cyanosis may appear.
- There is generally a severe cough with purulent sputum which may be blood - stained or occasionally rusty in colour.
- Infants normally have no sputum, any pulmonary secretions which is brought up on coughing being either swallowed or vomited.
- In severe cases the child is very drowsy, being overwhelmed with the Toxemia.
For Homeopathic management 'Prevention is better than cure' suits the most as it can be done in many a number of cases of different diseases. Here cases of Bronchopneumonia can be minimized by careful attention to apparently benign upper respiratory infections such as Coryza and Acute Bronchitis, specially when they occur at the extremes of life in patients with chronic Bronchitis. Similarly prophylactic measures should be taken to prevent Whooping Cough and Measles or if at all they occur these should be treated adequately.