GOUT.

Gout is characterized by sudden attacks of severe pain in the smaller

joints, especially that of the big toe. There is a gradual deposit of

urate of sodium in and about the joints, and presence of uric acid in

the blood.

=Causes.=—Intemperate living, excess in drinking wines and liquors,

overindulgence in rich foods, change of climate.

=Treatment.=—Proper elimination. Free use of all kinds of mineral

waters, abstention from alcoholic drinks and moderation in eating.

Exercise by walking and living in the open air may counteract any

hereditary tendency to the disease. Cold baths, followed by massage,

may be given to the sthenic patient, while the warm and tepid bath

should be substituted for the asthenic type. Protect the body from

exposure to cold. Flannel underwear should be worn.

_Diet._—Milk for liquid—no coffee or tea. Vegetables and fruit,

excepting bananas, strawberries, tomatoes, oranges, lemons; fish,

oysters and soup in small quantities; no fresh meat should be allowed

for a time. Avoid hot breads, pastry of all kinds, spices and eggs.

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