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.

    693/724 (page 683)
    / CL. 11%.] SANGUINEOUS FUNCTION. [ORD. It. 683 toanother. In order that some internal organ may become Gen. XII. the seat of transferred gout, it is necessary that it should npr ree possess a weaker action, than the part from which the in- podagra. flammation is to be transferred: but the parts of weakest Treatment action ina sound and vigorous constitution are the ex- ee re g te tremities themselves; and it is probably because the living paroxysins. energy is, in all the extremities, upon a balance, that in a Subject sound frame a metastasis, even from one extremity to ear another, is a rare occurrence. [In the foregoing argument, the doctrine, that the weak- ness or weak action of any part, is what disposes it to be affected by a metastasis of gout, is only asserted, and by no means proved. The abundance of fibrous and ligamentous structures about the foot and hand may seem to many pathologists a better reason for these parts being so dis- posed to gouty inflammation, than the hypothesis of weakness. | As far as I have seen, the inflammation of a regular fit of Peculiar gout subsides gradually, though rapidly, under the treat- $0 0% ment now proposed, without any repulsion whatever. In over the a few instances, during the use of a cold pediluvium, or aMIMAA of shortly afterwards, I have known patients speak of a pe- gout. culiar kind of aura creeping over them and through them, and exciting an undefinable sense of glowing which has lasted for a few minutes, without any inconvenience at the time, or even any change in the pulse; and certainly with- out any ill effect afterwards. But, it may be replied, there is no resisting facts. The Advertency cases are innumerable in which great. mischief has resulted nae ie from the depleting and the refrigerant plan; and, as we proposed cannot always tell, that all the internal organs are or are not ya wo in a state of sound health, it is most prudent to abstain from a practice, which may prove highly injurious in case of a mistake. The answer to this remark is, that here, as well as in every other disease, professional judgment is to be called into exercise, and the practitioner is to draw largely upon that skill and discrimination, which it was the object of his education to bestow upon him: and thus. bestirring him- self, he will rarely fall into an error. That mischief has resulted, and frequently from the use of the plan before us, cannot be denied by any one; but that great and essential