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.

    689/724 (page 679)
    digestion. On the other hand, inflammatory disorders of Grn. XII. the lungs and other viscera, congestions in the head, in- igo tee ducing head-ache, somnolency, vertigo, &c. and ultimately agra com- various degrees of paralytic and apoplectic disease, not P!@* essentially different, in any respect, from the same affec- tions in habits free from a gouty diathesis, have probably been suffered to go on, and to prove fatal, under the notion that they were gouty, and the proper remedies have been therefore neglected *.] In applying the art of medicine to the cure or allevia- Indications tion of gout, our attention must. be directed to the state peat of the patient during the paroxysms, and during their to the intervals; and particularly to the state of his constitution IP EyEns, or previous habits, which, according to their character, intervals. may demand a different and even an~opposite mode of iia siapenies - Let us commence with the PAROXYSMAL TREATMENT : Treatment and, first of all, with that of the inflammatory attack, as it poss shows itself in a regular fit of the disease. It was formerly the belief, as we have already seen, Dias the that a gouty paroxysm was an effect of nature to’ throw rp at} apl ad . : gular fit off from the constitution, and thereby restore it to a state of perfect health, some peccant matter forming the proxi+ _ mate cause of the distemper; and it was hence also conceived, in addition, to adopt the language of Syden- ham, that the more vehement the fit, the sooner it would be over, and the longer and more perfect the intermission. And, in this view of the subject; there can be no question, that the wisest plan must have been that of leaving the paroxysm to run through its regular course without inter- ruption. Yet, as this hypothesis has long fallen into # : : . ow far the discredit, we are not in the present day prevented, on such ordinaty ground, from endeavouring to subdue the inflammation of means used in entonic a gouty paroxysm by the ordinary means resorted to in jnfamma- inflammations of any other kind, as bleeding, purgatives, tions may sudorifics, local astringents, and even refrigerants. But sik ds is a very general objection has since been taken to this plan fe sup-, on another ground; and. that is, the great danger of re- posed dan- er of re- pelling the acivioe to some fitateal organ of more 1m- pulsion: * See Bateman in Rees’s Cyclopedia, art. GouT.