Theses inaugurales et medicae de podagrica affectione

XLI.
Nevertheless, for younger people who do not yet have hardened tophi, and who are lovers of labor and possess an easy bowel movement, Hippocrates, Prorrhetics 2.15, leaves some hope of healing if they use an accurate regimen of diet and the work of a skilled physician.

XLII.
An inveterate gout, if it does not repeat at the accustomed intervals contrary to reason, portends most serious and sometimes lethal diseases; for it is an indication that the morbific matter, accustomed to sliding down to the joints, is perhaps being transfused into other, more noble parts.

XLIII.
Here also pertains that of Hippocrates, Aphorisms 6.49: Gouty diseases end within 40 days, once the inflammation has been sedated; to which Galen also agrees in his commentary, saying: If the physician has done everything correctly, and the patient has obeyed him.

XLIIII.
Lastly, if those things that ought to help do not provide benefit, they demonstrate that the affection is extremely rebellious and has already struck its roots deeper than can be extirpated by human art.

XLV.
What remains, if the evil admits of medicine, a methodical ratio of curing, which is accomplished by indications, should be applied.

XLVI.
Indications are gathered from the disease, the causes, the strength, and the symptom, if it afflicts so vehemently that it undergoes the reasoning of a cause.

XLVII.
Thus, the tumor, since it is in the number of diseases that are being made and depends on its containing cause, indicates the removal of this.