er history of such patients, the acute
attacks may cease and various joints become chronically diseased, so
that the case assumes the appearance of a chronic form of rheumatism.
The early history of attacks of sharp pain in the great toe and the
appearance of hard deposits (chalk stones) in the knuckles and the
ears are characteristic of gout.

The greatest variety of other disorders are common in those who have
suffered from gout, or in those who have inherited the tendency.
"Goutiness" is sometimes used to describe such a condition. In this
there may never be any attacks of pain or inflammation affecting the
joints, but eczema and other skin diseases; tonsilitis, neuralgia,
indigestion and biliousness, lumbago and other muscular pains, sick
headache, bronchitis, disease of heart and kidneys, with a tendency to
apoplexy, dark-colored urine, stone in the bladder, and a hot, itching
sensation in the palms of the hands and soles of the feet, all give
evidence of the gouty constitution.

=Treatment.=--One of the most popular remedies is colchicum--a
powerful drug and one which should only be taken under the direction
of a physician. A cathartic at the beginning is useful; for instance,
two compound cathartic pills or five grains of calomel. It is well to
give five grains of lithium citrate dissolved in a glass of hot water
every three hours.

Laville's antigout liquid, imported by Fougera of New York, taken
according to directions, may suffice during the absence of a
physician. The inflamed toe should be raised on a chair or pillow, and
hot cloths may be applied to it. The general treatment, between the
attacks, consists in the avoidance of all forms of alcohol, the use of
a diet rich in vegetables, except peas, beans, and oatmeal, with meats
sparingly and but once daily. Sweets must be reduced to the minimum,
but cereals and breadstuffs are generally allowable, except hot bread.
All fried articles of food, all smoked or salted meats, smoked or
salted fish, pastry, griddle cakes, gravies, spices and seasoning,
except red pepper and salt, and all indigestibles are strictly
forbidden, including Welsh rarebit, etc. Fruit may be generally eaten,
but not strawberries nor bananas. Large quantities of pure water
should be taken between meals--at least three pints daily. Mineral
waters offer no particular advantage.

Part III

SEXUAL HYGIENE

BY

KENELM WINSLOW

CHAPTER I

=Health and Purity=

_Duties o