An inaugural dissertation on the gout : submitted to the examination of the Rev. William Smith, S.T.P. provost ; the trustees, and medical professors of the College of Philadelphia, for the degree of Doctor of Medicine, on the 23d day of June, A.D. 1791 / by George Pfeiffer of Philadelphia, fellow of the Philadelphia Medical Society.

  • Pfeiffer, George, 1769-1804
Date:
MDCCXCI [1791]
Catalogue details

Licence: Public Domain Mark

Credit: An inaugural dissertation on the gout : submitted to the examination of the Rev. William Smith, S.T.P. provost ; the trustees, and medical professors of the College of Philadelphia, for the degree of Doctor of Medicine, on the 23d day of June, A.D. 1791 / by George Pfeiffer of Philadelphia, fellow of the Philadelphia Medical Society. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    [ * ] Definition and Hi/lory of the Tonic Species. THIS fpecies generally confifts in a violent pain and inflammation of the joints, particularly the fmaller ones, as thofe of the great toe, &c. fre- quently attended with fever; and, for the mod part, preceded by an unufual affection of the flomach. It does not, however, always exhibit thefe phe- nomena ; for inflead of the joints, it fometimes feizes on the lungs, brain, &c. Sometimes alfo, while it affects one part with excefs of action, as the joints or lungs, it affects others with deficiency of action, as the flomach and inteflines; nay, I be- lieve, it feldom or never appears in the alimentary canal, except in the atonic flate. A paroxyfm of the regular tonic gout, is generally preceded by a ceafmg of the fweat natural to. the feet; an unufual coldnefs in the feet and legs; a feeming defcent of flatulencies through theflefhy parts of the thigh; a frequent numbnefs, alternating with a fenfation of prickling over the whole of the lower extremities; convujfive motions of the mufcles of the legs, and an unufual turgefcence of the veins. Some de- gree of torpor and languor is at the fame time felt over the whole body, together with a diminution of the appetite, flatulency in the flomach and bowels, &c. Thefe fymptoms generally continue only for a few days, after which the paroxyfm commences, mofl commonly at two or three o'clock in the morning, when the patient is waked by a
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