Practical Remarks On Gout, Rheumatic Fever, And Chronic Rheumatism Of The Joints: Being The Substance Of The Croonian Lectures For The Present Year, Delivered At The College Of Physicians — Robert Bentley Todd. In this medical treatise, Todd argues that gout and rheumatic fever are diseases of the blood, not simply localized inflammations. He outlines a solido-humoral pathology in which a morbific matter circulates in the bloodstream, provoking fever, dyspeptic symptoms, and multi-organ involvement, with joints often affected secondarily. The work introduces the concepts of the gouty diathesis and the rheumatic diathesis, and compares gout with other blood-related diseases such as purulent infection, glanders, syphilis, diabetes, and Bright’s disease to illustrate shared features. The narrative moves through the natural history of gout and rheumatic fever, discusses how low states of the system may trigger paroxysms, and explores potential uterine influences on rheumatic matter. Practical guidance on treatment follows, including diet, dilution, skin action, and cautious use of colchicum, alongside considerations for rheumatic fever management, purgatives, opium, and cautions against excessive bleeding. The treatise culminates with chronic rheumatism of the joints, its morbid anatomy, and a nutrition-centered pathology of joint degeneration.
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