86 PRACTICE OF PHYSIC. 



CCCCXLIII. The pyrexia attending this disease has an 

 exacerbation every evening, and is most considerable during the 

 night, when the pains also become more violent ; and it is at the 

 same time that the pains shift their place from one joint to an- 

 other. The pains seem to be also increased during the night, by 

 the body being covered more closely and kept warmer. 



CCCCXLIV. A joint, after having been for some time affected 

 with pain, commonly becomes affected also with some redness 

 and swelling, which is painful to the touch. It seldom hap- 

 pens, that a swelling coming on, does not alleviate the pain of 

 the joint ; but the swelling does not always take off the pain en- 

 tirely, nor secure the joint against a return of it. 



CCCCXLV. This disease is commonly attended with some 

 sweating, which occurs early in the course of the disease ; but it 

 is seldom free or copious, and seldom either relieves the pains or 

 proves critical. 



CCCCXLVI. In the course of this disease, the urine is 

 high coloured, and in the beginning without sediment ; but as 

 the disease advances, and the pyrexia has more considerable re- 

 missions, the urine deposites a lateritious sediment. This, how- 

 ever, does not prove entirely critical ; for the disease often con- 

 tinues long after such a sediment has appeared in the urine. 



CCCCXLVII. When blood is drawn in this disease, it al- 

 ways exhibits the appearance mentioned in CCXXXVII. 



CCCCXLVIII. The acute rheumatism, though it has so 

 much of the nature of the other phlegmasise, differs from all 

 those hitherto mentioned, in this, that it is not apt to terminate 

 in suppuration. This almost never happens in rheumatism ; 

 but the disease sometimes produces effusions of a transparent 

 gelatinous fluid into the sheaths of the tendons. If we may be 

 allowed to suppose that such effusions are frequent, it must also 

 happen, that the effused fluid is commonly reabsorbed ; for it 

 has seldom happened, and never indeed to my observation, that 

 considerable or permanent tumours have been produced, or such 

 as required to be opened, and to have the contained fluid eva- 

 cuated. Such tumours, however, have occurred to others, and 

 the opening made in them has produced ulcers difficult to heal. 

 (Vide Storck. Ann. Med. II.) 



CCCCXLIX. With the circumstances mentioned from 



