A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
CLASSIFICATION.--(_a_) Gout as a specific form of articular
inflammation is classified according to its location--cheiragra,
onagra, podagra, gonagra, etc. (_b_) Gout as a constitutional disease
is classified, 1st, according to the structures affected--_e.g._
articular gout; tegumentary gout, embracing mucous as well as cutaneous
affections of gouty origin; nervous gout; parenchymatous or visceral
gout; 2d, according to the degree of the inflammatory process--acute,
subacute, and chronic; 3d, according to certain irregularities
manifested in the development and progress of gouty lesions as
metastatic, retrocedent, and suppressed gout. This classification of
constitutional gout is based upon the well-recognized clinical
observation in the history of gouty persons and gouty families, that
the characteristic lesions of the joint-structures are often correlated
with lesions of the skin, mucous and serous membranes, vessels, nerves,
and parenchymatous organs, which are marked by the same blood dyscrasia
that exists in articular gout, and which are most successfully treated
by the same measures which experience has suggested in the management
of the arthritic disease.
Musgrave in his work[1] treats of a great number of varieties of gout,
as follows: De arthritide anomala; de colica arthritica; de diarrhoea
arthritica; de dysenteria arthritica; de abscesse intestinorum
arthritica; de melancholia arthritica; de syncope arthritica; de
calculo renum arthritico; de asthmate arthritico; de catarrho, tussi,
et peripneumonia arthritica; de phthise arthritica; de angina
arthritica; de capito dolore et {109} vertigine arthritica; de
apoplexia arthritica; de paralysi arthritica; de doloribus in corpore
vagis, fixis; de ophthalmia, de erysipelate et achoribus arthriticis;
etc.
[Footnote 1: _De Arthritide Anomala, sive Interna, Dissertatio_,
Geneva, 1715.]
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