116 PRACTICE OF PHYSIC. 



gree of the inflammatory gout. In such cases there can be no 

 doubt of considering the whole as a state of the gout. 



DXXII. Another state of the disease I name the Retroce- 

 dent gout. This occurs when an inflammatory state of the 

 joints has, in the usual manner, come on, but which, without 

 arising to the ordinary degree of pain and inflammation, or, at 

 least, without these continuing for the usual time, and receding 

 gradually in the usual manner, suddenly and entirely ceases, 

 while some internal part becomes affected. The internal 

 part most commonly affected is the stomach, which is then af- 

 fected with anxiety, sickness, vomiting, or violent pain ; but 

 sometimes the internal part is the heart, which gives occasion to 

 a syncope ; sometimes it is the lungs which are affected with 

 asthma ; and sometimes it is the head, giving occasion to apo- 

 plexy or palsy. In all these cases, there can be no doubt of the 

 symptoms being all a part of the same disease, however dif- 

 ferent the affection may seem to be in the parts which it at- 

 tacks. 



DXXIII. The third state of irregular gout, which we nam( 

 the Misplaced^ is when the gouty diathesis, instead of producii 

 the inflammatory affection of the joints, produces an inflamma- 

 tory affection of some internal part, and which appears froi 

 the same symptoms that attend the inflammation of those 

 arising from other causes. 



Whether the gouty diathesis does ever produce such inflam- 

 mation of the internal parts, without having first produced it 

 in the joints, or if the inflammation of the internal parts be 

 always a translation from the joints previously affected, I dare 

 not determine ; but, even supposing the latter to be always the 

 case, I think the difference of the affection of the internal part 

 must still distinguish the Misplaced from what I have named 

 the Retrocedent Gout. 



DXXIV. What internal parts may be affected by the mis- 

 placed gout, I cannot precisely say, because I have never met 

 with any cases of the misplaced gout in my practice ; and I find 

 Ho cases of it distinctly marked by practical writers, except that 

 of pneumonic inflammation. 



DXXV. There are two cases of a translated gout ; the 

 of which is an affection of the neck of the bladder, producing 



