A treatise on clinical medicine, being a compendious and systematic introduction to practice, as contained in the memoranda of I. R. Bischoff / From the German, by Joseph Cope.

  • Bischoff, Ignaz Rudolph, Edler von Altenstern, 1784-1850
Date:
1827
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Licence: Public Domain Mark

Credit: A treatise on clinical medicine, being a compendious and systematic introduction to practice, as contained in the memoranda of I. R. Bischoff / From the German, by Joseph Cope. Source: Wellcome Collection.

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    causes; errors in diet, and atmospheric changes especially conduce to this effect; if the imperfect crasis of the blood (as Dr. Kreysig from good reasons asserts,) be the chief cause of goub we may the more easily account for its close affinity with haemorrhoids, stone, and liver complaints; also for the hereditary predisposition; its metas- tatic nature may depend on the excited state of the capillaries, which cannot prevail with equal violence at the same time through the whole sys- tem, but now affects one, then another part of it. Moreover, the near connexion of the gout with diseases of the heart may be explained by this view of the subject, whilst the coats of the blood- vessels are, like those of the joints, by excitement of the capillaries disposed to inflammatory action. The difference between gout and rheumatism ap- peal’s evident from this statement. In the latter, those symptoms of derangement in the digestion, and of unnatural admixture of the blood, are wanting: it is not hereditary, it presupposes in- deed a disposition, but not that inward slowly de- veloped, continued tendency, the diathesis arthri- tica, which is not removed by the paroxysm, and which in gout can scarcely if ever be eradicated. The recurrence of rheumatism is accidental, and for the most part connected with external causes ; gout is a periodic disease of persons ad- vanced in life, and the return of its paroxysms depends on its own nature. With respect to the treatment, these diseases, especially when they are acute, very much agree; both consist in an inflammatory state, which, according to the degree of acuteness, is inflammatory irritation, or true in- flammation ; hence an antiphlogistic treatment, with a particular regard to the exhalant function