INFLAMMATIONS. 



or disposition of the system, so every appearance which we 

 can perceive to depend upon that same disposition, I still con- 

 sider as a symptom and case of the gout. The principal cir- 

 cumstance in what we term the Regular Gout, is the inflam- 

 matory affection of the joints ; and whatever symptoms we can 

 perceive to be connected with, or to depend upon, the disposi- 

 tion which produces that inflammatory affection, but without its 

 taking place, or being present at the same time, we name the 

 Irregular Gout. 



DXIX. Of such Irregular Gout there are three different 

 states, which I name the Atonic, the Retrocedent, and the 

 Misplaced Gout. 



DXX. The Atonic state is when the gouty diathesis prevails 

 in the system, but, from certain causes, does not produce the 

 inflammatory affection of the joints. In this case, the morbid 

 symptoms which appear are chiefly affections of the stomach ; 

 such as loss of appetite, indigestion, and its various circumstances 

 of sickness, nausea, vomiting, flatulency, acid eructations,, and 

 pains in the region of the stomach. These symptoms are fre- 

 quently accompanied with pains and cramps in several parts of 

 the trunk, and the upper extremities of the body, which are re- 

 lieved by the discharge of wind from the stomach. Together 

 with these affections of the stomach, there commonly occurs a 

 costiveness ; but sometimes a looseness, with colic pains. These 

 affections of the alimentary canal are often attended with all the 

 symptoms of hypochondriasis ; as dejection of mind, a constant 

 and anxious attention to the slightest feelings, an imaginary 

 aggravation of these, and an apprehension of danger from them. 



In the same atonic gout, the viscera of the thorax also are 

 sometimes affected, and palpitations, faintings, and asthma, 

 occur. 



In the head also occur, headachs, giddiness, apoplectic and 

 paralytic affections. 



DXXI. When the several symptoms now mentioned occur 

 ; in habits having the marks of a gouty disposition, this may be 

 suspected to have laid the foundation of them ; and especially 

 when either, in such habits, a manifest tendency to the inflam- 

 matory affection has formerly appeared ; or when the symptoms 

 mentioned are intermixed with, and are relieved by, some de- 



I 



