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Title: Some notes on the treatment of gout
Author: Lindsay, James
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1906
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The whole subject of the treatment of gout, has, from the earliest times in the history of medicine, be one of perplexing interest to physicians, for owing to the many and hybrid forms in which the gouty state presents itself it seems looking broadly at the subject as if no definite law could be laid down for our guidance. Before treatment can be scientifically applied to any condition, it is necessary that we should have as ull and proper a-conception of the complaint as .possible. n the first place we recognise gout as essentially a constitutional or diathetic malady which exhibits itsel n a variety of forms. Like all other constitutional ffectioris, the parts most readily sought out for local anifestations are those portions of the body whose itality, or powers of resistance to outside agencies, uch as toxins, has been weakened in any way - as by an njury, and so these parts are rendered more susceptibl o any toxins which may be in the system. Thus we see out as it were enter into the constitution of a person y heredity - which is agreed on by all authorities on he subject as being one of the most important factors n its causation. This subject of heredity must always possess much interest to the physician if he be brought into contact with many cases of gout. It is said that in fifty per cent of cases there is a definite history of the transmission of the malady having taken place from father to son, but in all probability the percentage is even higher. How of to for instance, in looking into the family history of a patient do we take account only of the more evident forms of the malady, and either omit or totally ignore the less evident aspects of the disease as presented the irregular forms of gout. Herein also may lie the explanation of the question as to whether or not true atavism is ever in association with gout. Very probably there is no such thing, and if in such socalled cases the family history of the patient were gone into more fully we should probably find that the immediate parent was affected with some constitationa ailment affecting the digestive, nervous or other system as the case may be, whose primary origin was due to the gouty state. While duly recognising the importance of the hereditary influence, there can be no doubt whatsoeve that gout can be acquired by the individual. The acquired form usually occurs later in life than in the hereditary form where the symptoms may manifest themselves/ 3. themselves at an early age. For the explanation why acquired gout appears later in life one has not far to seek. We take it that the person born without the gouty taint in his constitution, is during his youth and early adult life leading an active and vigorous life, whose means very likely do not allow of more than the mere necessaries of life.
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Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
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