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
Because there is a great Difference made between the fixed and
wandering Gout, I shall observe a few Things thereon. As to the
wandering Gout, it is observable that the Mucilage of the Glands is
often very differently affected from the viscid and saline Particles
of the Blood; sometimes these Particles are mixed in different
Quantities with the Mucilage, neither have the Salts at all Times the
same Degree of Volatility or Fixity; so that the Mucilage may at some
Times be only lightly infected, and the Infection be more Volatile,
and consequently it may easily move from one Joint to another, or
attack many Joints at a Time. The Points of the Salts are in a Manner
lixiviated, become more volatilized, and of Consequence are with
more ease protruded from the Blood into the Glands, and render the
mucilaginous Juices sharper; whence the nervous Membranes are irritated
and distended, and the gouty Pain generated.
SECT. 7.
The Reason why this morbid Matter is not long fixed in a Place, but
is apt to wander from one Joint to another, I take to be this: These
saline volatile Particles, when their intestine Motions are increased,
are very easily dissipated, either through the Pores of the Skin in
sensible Transpiration and Sweat, or by insensible Perspiration, and
so the Pain ceases; other Glands, whose Pores are more open to receive
this acrid volatile Matter, are for the like Reasons infected, the same
Tragedy repeated, and the Particles in like manner dissipated. This is
the Reason why the Pains in the Gout are not fixed and permanent, but
rather wandring and uncertain, the morbid Particles being attenuated,
and pushing to get forth by the Methods now mentioned, vellicate the
Nerves in various Directions. It may be further considered, that when
by the smallness of the Pores or glandulous Vessels, or any other
Disposition, the morbifick Matter cannot be separated from them in
sufficient Quantity, and the Secretion once begun is stopped, it
recurs to other Glands of the same kind, and thus the morbid Matter is
suddenly translated from one Joint to another, and from one Sett of
Glands to others, so as to produce this Effect.
SECT. 8.
Public-domain text, read in full here on John Shaqi.
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