PHYSICAL AND LITERARY. 429 



the real gout, as any fpccies of the ar^ 

 thritis anomala perfe6la, which every body 

 allows to be the gout. 



As the cure of the arthritis anomala im- 

 perfe^a is different from the cure, either 

 of the gout, or the difeafe which it per- 

 fonates, (though it agrees, in fome mea- 

 liire, with the cure of the anomala perfeBa^ 

 which is generally known ;, it is of great 

 conlequence to be able to diftinguiih it. 

 In fome cafes, it will remain for many 

 years in its difguife, before it {how itfelf 

 in the ordinary fliape to be a true gout ; 

 and, as the fymptoms it pccalions are fome- 

 times very violent, it is a great chance 

 but the patient dies of an improper me- 

 thod of cure, before the nature of the dif- 

 eafe is known. 



I fhall, therefore, proceed to relate fome 

 cafes of both the kinds of the arthritis a- 

 nomahj and afterwards to make a few 

 remarks upon them, with a view to im- 

 prove the diagnofis and method of cure 

 of the anomala imperfeSia, 



Some years ago, I attended an unmar- 

 ried lady, A. B. turned of thirty, who 



had 



