Dolæus upon the cure of the gout by milk-diet: To which is prefixed, an essay upon dietDoläus, Johann
Science
Dolæus upon the cure of the gout by milk-diet: To which is prefixed, an essay upon diet
Doläus, Johann
Gout -- Treatment -- Early works to 1800; Milk -- Diet therapy -- Early works to 1800
From the Diversity of Pains and other Symptoms in the Gout, it appears
that these saline Particles are sometimes salt and pungent, sometimes
more volatile, sharp and burning. That the mucilaginous Humour is
frequently acid and corrosive in the Gout, appears from hence, that
this Liquor is neither so easily coagulated, nor acquires so great a
Degree of Viscidity by any other Mixture as with austere Acids, and
from the Obstinacy and Duration of the Pain. It is frequently observed,
that upon the Approach of a Fit, People complain of sowre Belchings,
Wind, and vomit acid Humours, so that hypochondriac People, and such
as are subject to the Gravel, are most apt to be seized with this
Distemper; this may afford a good Reason why not only the drinking of
acid Wines bring on a Fit in gouty Persons, but originally occasion the
Gout in such Persons as frequently drink them. The Mixture of Wine with
the Mucilage plainly evinces, that the acid Particles of the Wine give
a Disposition to the Distemper, for it caused a greater Coagulation of
the Mucilage than Oyl of Vitriol, whence easily appears what Mischief
it may do to gouty Persons.
SECT. 3.
How this sharp acid Humour comes to be secerned in the Glands, seems
to want Explanation, and this I judge to be in the following Manner.
The Blood being first imbued with a sufficient Quantity of these saline
heterogeneous Particles, which it receives from the corrupted Chyle,
is by Degrees disturbed in its Motion, and the Fibres of the Nerves
begin to be sensibly irritated, so as to cause irregular Motions of the
animal Spirits. The Blood itself is thickned, because these saline and
viscid Particles get into the small Ramifications of the Arteries, and
occasion Obstructions there; by this Means the natural Functions and
Secretions of the Humours, especially in the Glands, are disturbed,
and proceed slower; and accordingly for some Time before the Fit, we
find Complaints of Crudities in the Stomach, a swelling and Heaviness
of Body, and Weakness and Numbness of the Limbs, which increase daily
till the Fit is formed. At length the Blood, by continued Irritations,
being put into more violent Motions, drives these saline heterogeneous
viscid Particles through the obstructed Capillaries into the glandular
Vesicles, whence without doubt the Juices there secerned, especially
that of which we are speaking, _viz._ the Mucilage in the Glands in
and about the Joints, is not only plentifully stored with these acid
corrosive Salts, becomes more viscid and ropy, but also very corrosive
and poignant; and while it irritates and corrodes the adjoining
Membranes and Tendons, not only causes violent Pains, but also since by
the Contraction of the Nerves the Blood cannot move so freely through
the smallest Vessels, the Fibres are distended, and an inflammatory
Tumor frequently succeeds.
SECT. 4.
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