Practical Remarks on Gout, Rheumatic Fever, and Chronic Rheumatism of the Joints; Being the Substance of the Croonian Lectures for the Present Year, D - Brossura
Sinossi
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1843. Excerpt: ... SECTION V. GrF THE TREATMENT OF THE GOUTY DIATHESIS-DIET FOR GOUTY PATIENTS--DR. PHILIP'S AND MAOENDIE's OBSERVATIONS--TREATMENT OF THE GOUTY PAROXYSM VALUE OF COL CHICUM. It is fortunate that experience has furnished us with excellent rules for the general management of gout, independently of those which are deducible from correct views of the pathology of the disease, or from our knowledge of its natural history. Two problems are suggested to the physician in reference to the treatment of this malady. First, a patient has the gouty diathesis, partly inherited, partly acquired, but never has had a regular paroxysm; to devise a mode of treatment, by which the diathesis may be altogether removed, or greatly modified. Secondly, a patient is suffering from a fit of gout; to determine a mode of treatment, which may relieve his present sufferings, as speedily as may be compatible with the complete elimination of the gouty matter; and to propose a plan which may remove the diathesis or so far modify it, as to diminish the frequency of recurrence of the fits, and ultimately cause them to cease. That the gouty diathesis may be greatly modified, or even altogether removed, experience affords abundant proof, in opposition to the opinion of the celebrated Cullen. Indeed, it admits of alleviation, or of cure, even after it has become so far established as to have occasioned one or more paroxysms. The case of the distinguished Dr. Gregory of Edinburgh is one quite in point. Dr. Gregory was descended from a decidedly gouty family; between the ages of twenty-three and thirty he had several external attacks of gout, and occasionally gouty spasms in the stomach. By taking active exercise, avoiding all excesses, and using moderation in diet (although he did not abstain fro...
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