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gout has been from time immemorial a fruitful
bone of contention. As the last holder of the
bone, I have picked it to the best of my ability,
and in again throwing it into the arena of medi-
cal discussion, I must adopt the language of the
heralds of old, “ Dieu defend le droit.Doubt-
less some of my professional friends who hold
opinions at variance with mine, will sharpen
their pens (their wits, ever keen, will not require
it) in order to enter the lists of medical literature,
and run a tilt with me in defence of their own
views. To this I can offer no objection, as I feel
assured that however much we may differ on
points of physiology, pathology, or therapeutics,
we shall be unanimous in our desire to promote
the cause of truth, to elevate that science in
which we have a common interest, to rescue this
dincane from the empiricism which has hitherto
murrounded it, and to raise it to that position
which from its importance it is entitled to hold,
not merely within the pale of the Practice, but
also of the Science of Medicine.

2, Suffolk Place, Pall Mall East,

January 1st, 1858.

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CHAPTER II.

Subject continued-Class of persons who are exempt from gout

Reasons why-Persons most liable to gout-High development of the nervous system ill adapted to excesses in diet-How excess of stimulating ingesta induces condition of circulation favourable to gout

pp. 104–117

CHAPTER III.

Function of respiration, how impaired by excess of food and defi

ciency of air and exercise; its influence in generating the gouty diathesis-Intellectual pursuits, mental anxiety, high living, and little exercise combined, generate the gouty diathesis without any hereditary taint.

pp. 118-130

CHAPTER IV.

Cutaneous action, its influence in preventing gout and lithic acid

calculi-Hereditary tendency considered-Inverse ratio of development of the lungs and liver throughout the animal kingdom -Hereditary tendency to gout aggravated by mismanagement in early life-Recapitulation of arguments, showing how the various exciting causes generate that condition of vascular system favourable to gout

pp. 131-148

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CHAPTER V.

Different kinds of gout-Premonitory symptoms-An attack of gout

described and explained-Pain salutary, as shown by the late Dr. Marshall Hall's theory of reflex action-Atonic form of the disease-Fatty degeneration of the muscular system, especially of the heart—The gouty do not die of gout, but from diseases resulting from organic changes from constant circulation of impure blood-Case of retrocedent gout .

pp. 149–180

.

CHAPTER VI.

Gouty complications-Obstinacy of local injuries in persons of a

gouty tendency–Undeveloped gout very common in femalesThe organic changes which occasion angina pectoris caused by the long-continued circulation of gouty blood-Comparison of the most remarkable symptoms in gout and rheumatism, showing in what respects they most resemble and differ from each other,

pp. 181-199

and why

CHAPTER VII.

Treatment of gout-General observations—Bleeding-Purgatives—

Colchicum; its modus operandi—Ill effects of colchicum ; how induced; the best mode of administering it-Vegetable salts of potass—Vapour baths and hot-air bath-Pure air promotes recovery-Inhalation of an atmosphere largely surcharged with oxygen - Diet - Local treatment - Convalescence — Remedies during

pp. 200—238

CHAPTER VIII.

General observations on the prophylactic treatment, or the prevention of gout

pp. 239-266

CHAPTER VI.

Gouty complications—Obstinacy of local injuries in persons of a

gouty tendency–Undeveloped gout very common in femalesThe organic changes which occasion angina pectoris caused by the long-continued circulation of gouty blood-Comparison of the most remarkable symptoms in gout and rheumatism, showing in what respects they most resemble and differ from each other,

pp. 181–199

and why

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