The nature and treatment of gout and rheumatic gout

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Página 50 - The victim goes to bed and sleeps in good health. About two o'clock in the morning he is awakened by a severe pain in the great toe; more rarely in the heel, ankle, or instep. This pain is like that of a dislocation, and yet the parts feel as if cold water were poured over them. Then follow chills and shivers, and a little fever. The pain, which was at first moderate, becomes more intense. With its intensity the chills and shivers increase.
Página 251 - There is no truth in medicine better established than the fact that the use of fermented liquors is the most powerful of all the predisposing causes of gout ; nay, so powerful, that it may be a question whether gout would ever have been known to mankind had such beverages not been indulged in.
Página 50 - ... tightening. So exquisite and lively meanwhile is the feeling of the part affected, that it cannot bear the weight of the bedclothes nor the jar of a person walking in the room. The night is passed in torture, sleeplessness...
Página 2 - For humble individuals like myself there is one poor comfort, which is this, viz. that gout, unlike any other disease, kills more rich men than poor, more wise than simple. Great kings, emperors, generals, admirals, and philosophers, have all died of gout. Hereby Nature shows her impartiality, since those whom she favours in one way she afflicts in another — a mixture of good and evil pre-eminently adapted to our frail mortality : ' Nihil est ab omni Parte beatum.
Página 2 - For humble individuals like myself, there is one poor comfort, which is this, viz., that gout, unlike any other disease, kills more rich men than poor, more wise men than simple. Great kings, emperors, generals, admirals, and philosophers have all died of gout. Hereby Nature shows her impartiality, since those whom she favours in one way she afflicts in another.
Página 51 - Next day (perhaps for the next two or three days), if the generation of the gouty matter have been abundant, the part affected is painful, getting worse towards evening and better towards morning. A few days after, the other foot swells, and suffers the same pains. The pain in the latter regulates the state of the one first attacked, for the more acutely it is tortured the more perfect is the abatement of suffering and the return of strength in the other. Nevertheless, there is a repetition in the...
Página 50 - Now it is a violent stretching and tearing of the ligaments — now it is a gnawing pain, and now a pressure and tightening. So exquisite and lively meanwhile is the feeling of the part affected, that it cannot bear the weight of the bedclothes nor the jar of a person walking in the room.
Página 619 - Numerous facts and discussions, more or less completely novel, will be found in the description of tne principles of physical diagnosis ; but the chief additions have been made in the practical portions of the book. Several affections, of which little or no account had been given in the previous editions, are now treated oC in aeV&iV. — Author1 5 ETefac».

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