This constitutional derangement--nutritive perversion--favors the development of arthritis, herpes, gout, inflammatory rheumatism, neuralgia, stone formation, and all skin derangements of a nervous type.

It is the vital temperament that takes on these diseases when toxin-poisoned.

The gouty diathesis belongs to the mental temperament.

The peculiarity of the gouty diathesis is that, as the intellect develops and becomes predominant, nutrition grows correspondingly poorer.

The scrofulous subject is slow and sluggish; he has soft, flabby muscles, cold feet and hands, with oily, doughy skin. The gouty subject is nervous; his flesh is firm, his skin dry, his hands and feet dry and hot. The skin of the body is inclined to be dry, and often sheds a scurf that will make black underwear quite white from the amount thrown off.

The gouty subject may be very lean, and he may be quite stout or fat. His hair may be thin, but seldom, if ever, to be compared in thickness, softness, and beauty with that of the scrofulous subject.

The gouty subject loses his hair early and becomes bald young. Great beards belong to the scrofulous diathesis.

The gouty subject is inclined to be melancholy, but he is often a comedian. He is bright, intellectual, witty, sharp, but in disposition more sad than otherwise.

The young gouty subjects suffer much pain in their sickness. They have headache, and are often sent to bed on feast-days, because of the bad effect that the excitement of preparation for the day has upon them. The scrofulous subjects go to bed the day following the feast, because of the overindulgence.

While yet young, the gouty subject often becomes asthmatic. In middle life and beyond, if out of health, he will have a wheezing in the lungs--sometimes a bronchial asthma. Heart asthma belongs to the gouty.

In babyhood convulsions are common. The babies of the gouty diathesis are nervous; when quite feverish, there is a tendency for congestion of blood to the brain, bringing on convulsions.

The gouty are inclined to have dyspepsia, headaches, constipation, piles.

The gouty are very fond of sugar and eatables made up of sugar, starch, and fat. Such eating often leads to enlargement of the liver.

Eating too much of rich and highly seasoned foods causes the formation of toxins of the fatty, acid type. The absorption of these toxins causes the asthma and bronchial irritation mentioned above, because of the elimination by the lungs; the breath is made offensive; the odor from the skin is bad; the skin becomes eczematous, because of the material eliminated by it.

Nutrition of the cells is perverted, and elimination is imperfect. This changes the fluids of the body.

Sugar in the urine of the gouty indicates that it is not consumed, but remains in the blood. This is the diabetes of the arthritic.

The gouty subject digests nitrogenous foods badly; hence there is present in the urine an excess of phosphates, uric and other acids. Oxalic acid helps in forming stone in the liver and the kidneys.

The gouty and scrofulous diatheses are sometimes mixed. In such case there must be a mixed pathology.

The gouty subject may develop an asthma, if the lungs are the most vulnerable organ; headache or migraine, diabetes, stone in the liver or kidneys, whichever of these organs happens to be the least resistant.

The gouty diathesis differs from the scrofulous in that tuberculosis is not likely to develop in a gouty subject. If it does, the disease is not inclined to develop a severe type, and it has a tendency to take on a spontaneous cure--take on a fibrous character, which is curable.

To sum up: Health is divided into good and bad. Health, then, is a generic term representing two states of the body, which are ill-defined except in pronounced types. These we call health and disease, which are species of health. The species disease is divided into races or diatheses, and diatheses are organized predispositions.

The scrofulous and gouty diatheses have been developed by influences continued long enough to change the fundamental cell structure. When the structure is changed, the function must be in keeping.

Gouty diathesis means that part of the human family has been subjected to influences which have produced a physical state functioning in a given manner under normal influences. When under abnormal or disease-producing influences, diseases are all linked together, taking on like nutritive changes.

All diseases developing under the influence of the scrofulous diathesis have a like basis, and must receive the same general treatment.

The same is true of the gouty or arthritic diathesis.