sed amount of heat in the parts. The affected limb becomes wasted,
and is sometimes permanently flexed. There is more or less fever about
the body, impairment of the digestive organs, and sleeplessness. The
pulse is low but quick, and night-sweats and diarrhea often appear.
Under this irritation, the patient is liable to waste away and finally
die.

A _post-mortem_ examination reveals the effects of the disease upon the
parts attacked. The cartilages of the joint are soft, the synovial
membrane is thickened, the ligaments are inflamed and often destroyed,
the synovial fluid is increased in amount, sometimes normal in
appearance, at others thick and viscous. If the bones be diseased, their
articular extremities may be distended and fatty matter deposited in
them. The conditions depend upon the form, severity, and duration of the
disease.

Synovitis may be considered under three heads; Rheumatic, Scrofulous,
and Syphilitic.

_Rheumatic Synovitis_ may arise from exposure to cold, from some injury,
or from intemperance in eating. The beginning of the disease may be
distinctly marked, or it may come on so gradually that the time of its
commencement cannot be noted. The pain is of a dull, steady character,
and less severe in the night. This form of the disease sometimes
terminates favorably, but in scrofulous systems it is liable to end in
the destruction of the joint. It is more common in early life, rarely
occurring after the thirtieth year.

_Scrofulous Synovitis_, or _Tuberculosis of the Knee-joint_, when of a
chronic character, shows a wasting of the limb, and the swelling is of a
pulpy consistence. This form of the disease is more liable to occur in
children, though occasionally it is met with in adults. But little pain
accompanies this form, although the limb is liable to become permanently
affected. In its earlier stages this disease may be checked.

_Syphilitic Synovitis_ is the result of syphilis. The pain is more
severe during the night. It, however, generally terminates unfavorably,
especially in scrofulous constitutions.

THE TREATMENT of white swelling should be both constitutional and local.
Alterative medicines are indicated to purify the blood. Doctor Pierce's
Golden Medical Discovery is unequaled for this purpose.

As local treatment, in the active stage of the disease, the knee-joint
should be steamed, and hot fomentations applied. This should be followed
by applications over the joint of solid extr