a = which are often affected with swelling # and 
a ieeices inclination 1o vomit, it 
moted by warm camomile tea, &c. Opiates, joined | 
modics, and aromatics, may be of service. ty 5: 
When the gout attacks the kidneys, and imitates qaall ale 
the patient ought to drink freely of a decoction of marsh-mallows, 
or such like, and have the parts bathed or fomented with warm 
water, or the anodyne wash, hops, &c. Laudanum may be taken, 
also, and a clyster given. The means recommended for drawing 
the gout into the feet, should also be used. 
When calculi, or a hard chalky substance has collected in any 
quantity in the joints, obstructing their motion, the gust eA _ praia: 
bly, incurable. aiid Br 
tee tue ee es 
This disease has often a resemblance to the-gout. It generally 
attacks the joints with exquisite pain, and is sometimes attendéd with 
inflammation and swelling. It is most-common in the spring, and 
fall. It is usually distinguished into acute and chront tc; or the rheu- 
matism with and without a fever. - 
Cavses.—The causes of a rheumatism are frequently the : 
as those of an inflammatory fever, viz., an obstructed pe 
the immoderate use of strong liquors, and the like. Sudden « change 
of weather from heat to cold; working in water, wet feet, lying 
on damp ground, travelling in the night, &c., also produce it. 
_ The rheumatism may likewise be occasioned by excessive evacua- 
tions. It is often the effect of chronic diseases, which vitiate the 
humors, as the scurvy, scrofula, venereal, agues, &c. Acrid 
serum, elastic air, anda deficiangy of vital heat, are also a eee 
cause. 5 
Symproms.—The acute cheansitlem commonly begins with weari- 
ness, shivering, a quick p restlessness, thirst, and other symp- 
toms of fever. Afterw patient. complains of fod 
which are increased by the Taginonan These at ead ix in the 
“‘Pae. Cune.—Use the spirit vapor bath ‘ina the a wash 
lly, as directed in the gout, and internally give the ever pow- 
ders, particularly if the fever be violent, together with diaphoretic 
teas. The body should be kept open by clysters, or cool opening 
liquors. The diet should be light, as roasted apples, gruel, chicken’ 
broths, &c. After the feverish symptoms are over, if the pain con- 
tinues, the patient should still keep his bed, and take such — 
as promote perspiration. 
_ A strong tincture of cayenne pepper, and zanthoxylum, or 
ach bark, is highly recommended as an external application 
kinds of rheumatic affections.- The parts should be rabbed ¥ 
it till the circulation is restored. It mae also be given 
