Theses inaugurales et medicae de podagrica affectione

continues from previous page: a thick or serous flesh?, if it does not remain, indicates flatulent matter; when compression cannot be made at all, it indicates a chalky substance hardened into tophi hard deposits of uric acid crystals; finally, a natural temperament that is cold and humid, old age, a diet generating phlegm, and the winter season.

XXIX.
A melancholic gout shows a deep pain with heaviness, a blackish color, the age now mostly declining, and a cold and dry temperature.

XXX.
Finally, from the varied mixture of humors, mixed signs will emerge in a varied way.

XXXI.
As far as the receiving part is concerned, it is known both by itself and from the report of the patient that the feet or a certain part of them are suffering. It is more difficult, however, to distinguish whether the matter is contained in the ligaments, or in the sinuses, or under the membranes of the heads of the bones.

XXXII.
We suspect that the matter exists in the ligaments from a more external swelling and a more vehement pain, for these are closer to the sensitive parts. We conjecture that it is stored in the cavities and membranes from a more remiss pain and a more difficult or abolished movement. If the matter has been turned into tophi, and the pain is removed with great difficulty, and the lost motion is restored only with the greatest difficulty, this is an indication that it resides under the membranes; if these things are performed more easily, it resides in the cavities.

XXXIII.
The differences of the transmitting places will be distinguished from the proper signs of each affected part, which it would be too long to enumerate individually in this place.

XXXIV.