7 ii Of the saliva, &£ Sect.xxiv. 2. T . 



by aJLciathns are frequently more energetic than the original motioftri 

 b i "..which they luere occq/toned. Which we ihall have occafion to 

 mention hereafter, to illuftrate, why pains frequently exift in a 

 part diftant from the cauie oF them, as in the oilier end of the 

 urethra, when a (tone ftimulates the neck of the bladder. And 



hy infiammaiicns frequently arife in parts diftant from their 

 c iufej as the gutta rofea of drinking people, from an inflamed 

 liver. 



The inflammation of a part is generally preceded by a torpor 

 or quiefcence of it ; if this exifts in any larger congeries of glands, 

 as in the liver, or any membranous part, as the ftomach, pain 

 is produced and chillinefs in confequence of the torpor of the 

 veflels. In this fituation fometimes an inilammation of the parts' 

 iucceeds the torpor ; ?t other times a diftant more fenHble partbe~, 

 comes inflamed •, whofe actions have previoufly been aflociated 

 with it : and the torpor of the flrft part ceafes. This I appre- 

 hend happens, when the gout of the foot fucceeds a pain of the' 

 biliary duel, or of the ftomach. . Laftly, it fometimes happens/ 

 that the pain of torpor exifts without any confequent inflamma- 

 tion of the affected part, or of any diftant part afTbcbied with it/ 

 as in the membranes about the temple and eye-brows in hemi- 

 crania, and in tbo'e pains, which occafion cenvuluons; if this 

 happens to gouty people, when it affects the liver, I fuppofe epi- 

 leptic fits are produced y and, when it affects the ftomach, death 

 is the confequence. In thefe cafes the pulle is weak, and the 

 extremities cold, and fuch medicines as ftimula'te the quicfcen*: 

 parts into action, or which induce inflammation in them, or in 

 anv diitant part, which is aflociated with them, cures the pres- 

 ent pain cf torpor, and faves the patieuL 



I have twice iztn a gouty inflammation of the liver, attended 

 with jaundice ; the patients after a few days were both of them 

 affected with cold fits, like ague fits, and their feet became a 

 fected with gout, and the inflammation of their livers ceajed. 

 It is probable, that the uneafy fenfations about the ftomach, and 

 indip"eftion, which precedes gouty paroxyfms, are generally- ow-* 

 ing to torpor or flight inflammation of the liver, and biliary 

 ducts •, but where great pain with continued Gqknefs, with feeble 

 pulfe, and fenfation of cold, affect the ftomach in patients debil- 

 itated by the gout, that it is a torpor of the ftomach itfelf, and 

 deftroys the patient from the great connexion of that vifcus with 

 the vital organs. See Sect. XXV. 17. 



SECT. 



