Copy 1, Volume 2

The study of medicine. Containing all the author's ... improvements / [John Mason Good].

  • John Mason Good
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: The study of medicine. Containing all the author's ... improvements / [John Mason Good]. Source: Wellcome Collection.

    684/724 (page 674)
    Gen. XII. Spec. III. aA. Pod- agra regu- laris. Sometimes preceded by particular signs, Generally appears in the spring, but not always. Description. Return of the parox- ysm at first annual or less fre- quent: afterwards the intervals much shorter, CL. 111.] HEMATICA. [ORD. Al. of regular gout, in which the constitution is in other re- spects perfectly sound. But, in other cases, the fit is often preceded by certain prodromi, which those who have suffered from it before very sufficiently understand, and uniformly take as a warning; such as a coldness or numb- ness of the lower limbs, alternating with a sense of prick- ing or formication along their entire length; frequent cramps of the muscles of the legs; a crassament in the urine *; slight shiverings over the surface; languor and fla- tulency of the stomach; and sometimes a pain over the eyelids, or in some other organ}. The paroxysm is said by Dr. Sydenham, who has drawn its picture to the life, to show itself most commonly in Ja- nuary or February; but I have known it occur so often to- wards the close of the summer, and in the autumn, and have attended so many patients who have never had it ex- cept in the latter:seasons, that the rule does not. seem to be in any way very well established. The first attack is usually in one of the feet, most commonly about the ball during the night, and there is sometimes, though not al- ways, a slight horror, succeeded by a hot stage. The local pain and swelling increase in violence, the joint assumes ‘a fiery redness, and the whole body is in a state of great restlessness. The symptoms remit sometimes towards the next morning, yet occasionally not till the morning after; but they still return during the night, though in a more tolerable degree, for three or four days, or even a week: when the inflammation subsides as by resolution; the foot almost instantly recovers its vigour, as though nothing had been the matter with it; and.if the patient have been. an- tecedently indisposed, He enjoys, as on recovering from an ague, an alacrity of body and mind beyond what he has experienced for a long time before; the constitutional in- disposition disappearing with the paroxysm. At the commencement of the disease, the return of it may be annual, or not oftener than once in three or four years; but it is perpetually encroaching on the consti- tution, so that the intervals gradually become shorter, and * Butler, Nadere out dekkinge der menschelyke Waters. Harlem. 1697. T Eph. Nat. Cur. Dec. i Ann. IIl. Obs. 252.