On Rheumatism, Rheumatic Gout, And Sciatica: Their Pathology, Symptoms, And Treatment by Henry William Fuller is a late?19th?century clinical monograph that argues rheumatic diseases arise from a constitutional, blood?borne poison produced by faulty assimilation. The poison circulates in the blood, producing fever, migratory and symmetrical joint inflammation, and occasional involvement of internal organs, with cold and moisture acting as predisposing but not essential triggers. The work emphasizes pathophysiology, symptomatology, prognosis, and a treatment philosophy focused on neutralizing and eliminating the morbid poison, supporting digestion and tissue nutrition, and promoting elimination. Fuller outlines four practical varieties of rheumatic illness, chapters on hereditary tendency and the seat of disease, and a rigorous clinical program that includes judicious use of medicines, venesection in select cases, and a broad regimen of hydrotherapy and climate management. Drawing on St. George’s Hospital practice and contemporary European debates, the book provides diagnostic guidance, prognosis, and a holistic approach to therapy targeting white fibrous tissues and reducing cardiac involvement.
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