A treatise on the nature and cure of gout and rheumatism : including general considerations on morbid states of the digestive organs; some remarks on regimen; and practical observations on gravel / by Charles Scudamore.
- Scudamore, Charles, 1779-1849.
- Date:
- 1817
Licence: Public Domain Mark
Credit: A treatise on the nature and cure of gout and rheumatism : including general considerations on morbid states of the digestive organs; some remarks on regimen; and practical observations on gravel / by Charles Scudamore. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![mucli coldness; invariably suffers an accession of ])ain from over-exerlion ; llie muscles are deficiet)t in their natural firmness and size ; and the limb in this condition exercises an active sympathy with any disorder of the digestive organs, whether acci- dental or continued ; and is even powerfully influ- enced by causes which affect the mind alone. Jf chronic rheumatism affect the bursal, ten- dinous, or ligamentous textures, we find that two distinct slates of inflammalion may exist, although general sympathetic fever may not be present ; namely, the active and passive : the locality and slighter degree of the disease still distinguishing it from the constitutional attack which we desig- nate the rheumatic fever, already considered. The external characters which appear, are very charac- teristic of the particular texture which is affected. Jn some instances, we see in the same individual case, the bursal, ligamentous, and tendinous tex- tures, all under the influence of the disease; but in others, the affection of one part only is remark- ably distinct. When the deep-seated ligaments are the seat of complaint, no external morbid cha- racter is apparent; but the indications of ihc dis- ease when the superficial ligaments are affected, may usually be detected by manual examination ; and those which appertain to the bursae and ten- dons, arc rendered clear by the evident increased distension, and by the tenderness of the parts pro- duced on pressure. The muscular aponcurosk and periosteum, also, when aflcclcd with rhcuimw](https://iiif.wellcomecollection.org/image/b28148708_0588.jp2/full/800%2C/0/default.jpg)
