In consideration of the subject of gout, of which so much is known, and withal so little, I must confess that in my hands a rigid attention to diet has accomplished better results than much medication, excluding perhaps those acute explosions in which I have found that a few good doses of piperazin or maizo-lithium for forty-eight hours have given the greatest immediate relief.
Practically, hereditary gout, as well as chronic, is a direct or indirect result of either too generous living and too much "good cheer" in the immediate ancestor, or an improper diet or indulgence in alcoholics in the subject, with also, in some cases, bad climatic influences. Arguing on this supposition, what could be a more rational procedure than to first withdraw the cause of the condition?
Tn the hereditary forms—and they compose about 75 per cent. of all cases—there is evidently a weakened condition of the