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the.filaking decreares.t and gruws more ¡DeeOre cvery hour
,iU Digh'; and lhen it is al ,he heigb,_; ,(etlling i,Celf a–
bout the litile bones of the urJus and met:rtarCus,- who(e
ligaments it _;ffe<ls. Now ,her~ [eems '? be a vlolent
extenúon of the ligaments, or there is a CeofatioD of their
beiog lacerated, al goawed by a dog. Some,ime.-rhey
(eem la be preffed or fqueezed togeth~r. A, ,his ,ime
'\le part affe<lea beeome's fa ex'ceediog fenGble, .'ba, ,hey
canDOt bear the weighe of the Iheet, norlhe fhakmg of lhe
room hy a_perrOD'S \\'alking abou,.
The patient is no\V in great'"torture, and is cODtinuaJJy
lhiftiDg his foo, from place 'o place io hopes of eafe. His
body likewi(e i. iD as conlbhl agitation al ,he affec–
~ed. Tb_i. a' ,he acceflion _of ,he fit.
But tbe'pajn continues without reminion tiJI two or three
in the morning, that ¡s, twenty-four hours from tbe firCl
Doret, al which time he beg:ns to be at cafe, which he
is williog to attribute ro the lal1: pollure io which he
placed tbe affe<led member. N ow he f.lIs iota a gende
breathin~v~at) and ,gets a liale Oeep, 'and, when he
awakes, perceives the part to be fw.elJ l!d, aod the pain
much abated ; for beforc, the veins of th~ member, be·
ing turgid. were oo)y more confpieüous than ufual.
The next day, or perhaps twoor three days afterwards,
if ,he gou'y maUer is copious, ,he part affe<led is a little
in paio, which grows more violent towards tbe evening,
aod abates at ,he crowiog of ,he eock.
lo a fe,v days ,he o,her foo, begin's tO be affetled in
the fame roapner; and, if the paio has ceafed io the firfi,
he weaknefs which is left -behiod fooo hes. The
fame tragedy i5 oow aaed over aga¡ó. Sometimes, wheo
the gouty matt~r is in gt'"eat pleoty, it attacks botb fcet
a.t once, bUI it gen:ralIy ~eizes one afler tbe other .
After both ,he fee, hove be.n tormented, '!he fits which
follow are OUt of rule, both as tO,he ,ime of invaGon aod
the duratían j only the pain grows more inteafe at oighl,
and remits in the morning.
From .. feries of fmall fits arifes what i. e.lled a
fít o( lhe gout, whieh is looger or {boner, aecordiog to
the patient's age. For it is not tO be fuppofed that,.
~hen a patient has be,en laid up with the gout two or
three monchs, that it is a fiDgle út, but ratber a feries or
ehaio of fmall 6ts, which cootinuall y grow !horter and
milder, tiU the peceant malter is al length eoofumed, and
,he former he.l,h reflorcd. This happcos ' o ,he more
vigorous, and whom the gotlt fddom vifits, in fourteen
days ; toO perfons advanced io years, who have often'felt
its rage, in [\YO months; bUl chore who are debilitated
wi,h age, or ,he long flay of the difeafe, it does not ,
tiJl fummer, being pren y far ad.vanced, drives it away.
For the feun een days the urine is higher eolollred,
and depofites a rediment like gravel, and nOl "bove ene
third of what the patient dri nlts patrc:s off by urine ; lhe
body on ,he firfl d~y is coflive, ,he appe;ite dec.yed,
there is a n.ivering towards t-n.e evening, as alCo a heavi–
neIS and troublerome r:nfation in the p.trts not affeéted.
1.tVhen the Út goes off, tbere is aa intolerable itching in the
affeéled foot, chiefly between the toes, from \vhich aad
from the feet fall branny feales, as if the patien, had
fw.lIowed poifon.
Tlle difeafe lhus terrrunated, ,be patieo,', good habi,
e N E.
of body .od appeti,e re'-un, in proportion J O. \~>e fe•.,i,,.
of ,he pain in ,he , ; an<l m ,he f. me proponion ,he
nex t 61 will be'either accclerated or reta.rded; for, ir tne
laO: fit was very revere, the neXt \ViII no( come 0 0 in lefs
time chan a folar revolmion.
Hitheno you have ao aeCQunt of the regular gour–
and its genuine ph%nom'!na; bm when it is ddlarbed by
incongruous rncrucines, ami the patient is worn out by the
~ong concinuance of rhe difeafe, ir becomes irl"egular, ana
the fubflacce of rhe body 1S as it \Vere changed ioto a [ames
of the difeare, and nature beco.mes unequal to lhe tafk
of eonquoring the malady thus ch.nged, in ilie .eeu(lomed
manner.
The fee, \Vere a' firfl , he feat of the bu< oow
it auacks the hands, wrilh, elbe w61 knees. and other
pans of che body. Somctimes il lo difioTts the fingers,
as to m~ke them rcfemble a: bUllch of parfnipsl and at
length fiony concrt"tions appear about the IIgam!!nts of
the joints, which. bl'eakinl_through ¡be íkin l reremble
chalk. or cr~bs eyes. Somet imés the gomy matter in –
vades the elbows, and creates a whitilh fwelling of lhe
fize of an egg, which foon alfumes a red co}our, and be–
inflameci , Sometimes it affellS lhe thigh in fuch.
a manner, as if a grtat weigh t was hanged therc:.on, aod
yet without ariy remarkable pain. From thence it de–
fcends to the koee, which it 'handles more roughly.
'hindering all motian, (or the patient eominues in the Carne
-and ponure as if he \'Iere n.iled tO the bed.
Now the gout amiéls the patient all the year, except
t\Vo or three momhs in fummer ; and the particular fit;
whí,ch did OCH lan above a day or r\Vo, continues ten or
fourteen ; . nd the 6rfl or fecond day af,er ,he onfe"
he is diflu rbed' wi,h licknefs as well as pain, and a tOtal
10Cs of app.,ite.
His limbs airo begin ' o be con¡ra<led and unap' for
mo,ioo; .nd ,hough he can lIand, and perhaps creep a–
bout a little, yet fa howly. that yO\l can fcaree perceive
he gets forward at all . lf he nrives beyond his flrength ,
hopiog by exereife to regaio his Jegs. and tO become lers
fufeep,ible of pai n, the fomes of the difeafe will
tht: vifeera in a more dangerous manner. ¡ 'he urine is
like thal of a perron troubled \Vilh a diabetes, and tbere is
a troubJerome itching ío the baek and other pans l c[pe.
ciallyat hed-,ime.
Nature being al length oppreffed \Vith ,he difeafe and
old age, the fjlS begin to gro\V more mi Id, and, inflead
of the ufual paio, there is a kind of fieknefs, with a paio
in che beJly, a fpontaneous wearinefs. and fometimes a
difporilion to (aH into a diarrhl'1!3; which fymptoms
vaninl. as orten as rhe paln rell1rnS to the joints. And
thus, tbe patie~lt being alternalal y affiiél!!d with pain and
ficknefs. the parox,fm becomes very long and \'.ery tedious.
This difeafe feldom invades any patient till he is up –
wards of thirty, and meo ar~ more fubjeél 10 it lhan
women i as alfo perrons of acute pan~, who follow their
{ludies too cÍorel}', efpecially in {he night.. with 3n intenfe
applica,ion of miad. Likewife lhof. who bve high, and
indulge thei r appl!titei, drioking plenty of rieh geoer·
ous wines; or who ufe acids lOO freely. or white e.tgar
wines j or who na\'e beeo addiéled tOO carly tO venctcal
ple.furcs; O[ w!:ofc hodies are Jarge, gro(s, and full ~
T bofe