debilitated, the evening
warm bath should be substituted. The patient should dress warmly, avoid
rapid alternations in temperature, and be careful not to have thc skin
suddenly chilled.

Diet in Gout.--Most persons over forty eat too much. Eat reasonably and at
regular hours and take plenty of time to eat. Do not eat too freely of
meats and avoid too much starchy and sugary foods. Fresh vegetables and
fruits may be used freely, except cranberries and bananas.

Dr. Osler of England says.--While all stimulants are injurious to these
patients some are more so than others, particularly malted liquors,
champagne, port and a very large proportion of all the light wines. Take
large quantities of water on an empty stomach, mineral waters are no
better than others, but treatment of chronic and irregular gout at springs
gives the advantage of regular hours, diet, etc.

[Illustration: A Skiagraph (X-RAY photograph) of the hand. Made for the
purpose of locating piece of needle. Photo by P. M. Campbell, Detroit,
Mich.]

CONSTITUTIONAL DISEASES 317

Diet from a prominent hospital for gout patient:--

May Take--

Soups.--Fresh fish soups, vegetable broths clear.

Fish.--Raw oysters, fresh fish, boiled.

Meats.--Fat bacon, boiled or broiled chicken, game (all sparingly).

Farinaceous.--Cracked wheat, oatmeal, rice, sago, hominy, whole wheat
bread, or biscuits, rye bread, graham bread or rolls, crackers, dry toast,
milk toast, macaroni.

Vegetables.--Mashed potatoes, green peas, string beans, spinach, cabbage,
cucumbers, cresses, lettuce, celery.

Desserts.--Plain milk pudding, junket, rice and milk, sago and milk,
stewed fruits, all without sugar.

Drinks.--Weak tea (no sugar), milk, buttermilk, toast water, pure water,
cold or hot.

Must Not Take--

Veal, pork, goose, duck, turkey, salted, dried, potted or preserved fish
or meat (except fat bacon), eels, mackerel, crabs, salmon, lobster, eggs,
rich soups, gravies, patties, tomatoes, sweet potatoes, asparagus,
mushrooms, rhubarb, lemons, pickles, vinegar, fried or made dishes, rich
puddings, spices, pies, pastry, sweets, nuts, dried fruits, tobacco,
coffee, cider, malt liquors, sweet wines, champagne.

Treatment.--In an acute attack raise the affected limb and wrap the "sick"
joint in cotton wool; warm fomentations may be used. The wine or tincture
of colchicum in doses of twenty to thirty drops may be given every four
hours in combination with the cit