Copy 1, Volume 2

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

  • John Mason Good
Date:
1829
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Licence: Public Domain Mark

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

    695/724 (page 685)
    <= CL. 101. ] SANGUINEOUS FUNCTION. ORD. Il. 685 ‘it has descended ina stream of recommendations from Za- GEN. XII. cutus Lusitanus* in 1641, to Kolhaas+ and Keck{ in pot mata oa 1788 and 1789. Bartholin speaks of the use of snow as Podagra. a common application in 16618, and Pechlin both of snow Treatment of gout dur- and cold sea-water towards the close of the same century ||. ing the par- But this treatment, I am ready to admit, has often been °*¥8™* employed rashly, and sometimes with great and even fatal pt 1? mischief. It ought never to be ventured upon except, as rashly and already stated, where the constitution is decidedly sound '*!'y- and vigorous; for though I subscribe to much of Dr. King- Hence the lake’s therapeutic plan, I cannot agree with him, that psion) ni a gouty paroxysm is a merely local affection. The treat- the le tit ment before us should be limited to those who are in ful] pointed out. vigour, and perhaps entony of health; and is especially to be avoided where the stomach is dyspeptic, the lungs asthmatic, the heart subject to palpitation, the head to nervous pains or drowsiness ; or where there is any known disability in any other apereant organ. Yet even here we need not, I think, condemn the nee: Treatment ferer to the torture till cured by patience and flannel; for + Hi dei it will often be in our power at least to palliate his pain, ae and not unfrequently to expedite his cure, without any risk F den Teel oak: whatever of affecting his general state of health. Leeches Local ap. may, in many instances, be applied where venesection Plications. would. be of doubtful expediency ; a liniment of oil of al- monds impregnated with opium, rubbed on the tumefac- tion with a protracted and very gentle friction, I have often found highly serviceable in mitigating the pain; and epi- ° thems of tepid water, as recommended by Dr. Scudamore, alone or mixed with a portion of ether or alcohol, formed by cloths wetted with the fluid, and applied to the inflamed part, renewable as they become dry, in many cases prove a grateful substitute for cold water; and are preferable to poultices, warm water, or even vapour-baths, which too generally relax and weaken the joint, and prevent it from recovering its elasticity, after the paroxysm is over, so soon as it otherwise would do. * De Medicorum Princip. Historia, Lib. 111. Amsterd. 1641. + Baldinger, Neuer, Mag. band v. p. 521. 1788. $ Abhandlungen und Beobachtungen. Berl. 1789. § De Usd Nivis medico, 1661, 8vo. — || Observ. Physico-Med. Hamb. 1691. 4to.