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THE

NATURE AND TREATMENT OF

G OUT

AND

RHEUMATIC GOUT.

ALFRED BARING GARROD, M.D., F.R.S.,

Fellow of the Royal College of Physicians ;
Physician to King's College Hospital; Professor of Materia Medica and Therapeutics at

King's College, London.

“ Observez la nature, et suivez
la route qu'elle vous trace."

J. J. ROUSSEAU.

SECOND EDITION, ENLARGED AND CAREFULLY REVISED.

LONDON :
WALTON AND MABERLY,
UPPER GOWER STREET, AND IVY LANE, PATERNOSTER ROW.

MDCCCLXIII.

FDICAL LIBR

SAN FRANCISCO

[merged small][graphic]

1291 G 24 1863

THOMAS WATSON, M.D., F.R.S.,

PRESIDENT OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON ;

PHYSICIAN EXTRAORDINARY TO THE QUEEN.

DEAR DR. WATSON,

It is with pleasure I again avail myself of the opportunity of expressing my appreciation of the great benefits you have conferred on the medical profession by your valuable example, and your admirable and instructive writings,-furthermore, of much personal kindness received at your hands. I confess that I should have been better pleased had I produced a work more worthy of such a dedication ; but, although most imperfect, I trust you will receive it as the result of a patient investigation into the nature of a disease, which, from the many eminent characters who have been its martyrs, must naturally be of considerable interest to mankind.

I am, Dear Dr. Watson,

Yours very sincerely,

A. B. GARROD.

December, 1862.

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PREFACE.

The favourable reception of the present work by the profession, and the early demand for a Second

Edition, have stimulated the Author to increased

efforts to make the Book more useful, by giving the

results of his wider experience of the nature and

management of the diseases upon which it treats.

Although the volume is little increased in bulk,

considerable additions have been made to it, chiefly

of a practical character, the omissions being confined either to historical matter, or to appended subjects

not of essential importance.

During the time which has elapsed since the pub

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