We have not mentioned some of the less common and less useful remedies. Bleeding has been recommended in strong and inflammatory habits; but it is, we believe, always injurious, even in misplaced gout. The moxa, the woolly part of the leaves of the Chinese arte-misia, has been formed into a cone, the top of which is set on fire, and gradually consuming, an eschar is formed on the part, which in a few days suppurates. It is commonly used in the East, and said to lessen the pain without danger. It has been safely employed in this country; and, if we recollect rightly, Sir William Temple speaks of it in his own case with commendation: this method of relieving the fit is however disused, and we cannot recommend it from experience. Emollient poultices and warm bathing have been employed for similar purposes, but they are certainly injurious. We have often known a pediluvium too warm bring back a paroxysm, and even wiping the foot with a cloth wetted with water a little warm, has brought back some soreness. Camphor, dissolved in aromatic oils, has been applied to the pained part, but we cannot say with advantage. Any inconvenient symptoms which arise during the fit, should be opposed with the appropriate remedies. Sicknes is removed by a gentle emetic; and the vomiting should be supported by mustard whey, the seeds of the cardus in infusion, or camomile tea with hartshorn. The bowels should be kept regular with a mild aloetic pill; and a little anxiety, restlessness, or sighing, is relieved by camphor and aether, with sometimes a slight opiate. To regain the strength after a fit, bark has been recommended, but we are told that it should not be given till the urine has deposited the lateritious sediment. In the intervals of regular inflammatory gout it is unnecessary; cold bathing and Bath waters, though admissible, are equally so.

Repelled or misplaced gout is most nearly connected with the inflammatory, and we now speak of those internal inflammations decidedly from this disease, whose proper seat is the joints of the extremities. Gout is thus misplaced in consequence of debility of the constitution, or different causes which have contributed to repel it from the extremities; and the disease scarcely (lifters from similar inflammations of the same parts from other causes. We find a great difficulty in giving general directions on this subject, as it is so greatly varied by the degree of the complaint, and the different habits of patients; and might perhaps safely rest the whole on this general advice, that such inflammations should be treated according to the usual plans, adverting however to the danger of producing atonic gout by excess of evacuations, particularly of purging. The difficulty and danger, however, of these attacks render some further consideration necessary.

It has been the chief object of practitioners to bring back the gout to the extremities; and for this purpose they bathed the feet in warm water, wrapped them in the most stimulating cataplasms, and even applied blisters; wondering that they did not bring back gout by means, which, had it been in the extremities, would have driven it away. They have at the same time given the strongest cordials internally to excite the stomach, and thus produce the natural reaction; and have seen with admiration, that, while they have been intent on gout, their patient has died from inflammation. The most common species of misplaced gout are, gout in the head, lungs, stomach, intestines, and kidneys, or bladder. These we shall consider in their order.

Gouty phrenitis differs in no respect from this disease, arising from other causes. Topical blistering is, if possible, still move necessary, and purgatives must be employed with caution and reserve. If any remedy is peculiarly applicable in this case it is the camphor, and a small proportion of nitre may be cautiously added. Towards the conclusion, when a wandering delirium alone remains, aether, with a slight opiate, is highly useful.

Gouty peripneumony in young strong habits sometimes requires bleeding; but it should be employed from necessity only, and the blood taken in no greater quantity than is necessary to remove the most urgent symptoms. Blisters, as usual, are peculiarly advantageous; with antimonials, guarded in their purgative powers by opium. In this case, too, camphor has been of the greatest service; and the squills, with the gum ammoniac, may be given freely as in the more common cases. A bastard peripneumony is very often gouty: the spitting is copious, but the complaint is not relieved by it, and the whole tribe of expectorants appears to be useless. In this case a brisk warm purgative will occasionally bring on gout in the extremities, though it will more often fail, and in such instances we have found the bark with aromatics the best remedy. The balsam peruvianum in large doses promises to be successful, but we have not had sufficient experience of it, as the bark has so generally succeeded. The lac ammoniac, also, with a large dose of salt of hartshorn, or perhaps the sal succini, might be useful.

Gouty gastritis is sometimes .peculiarly painful and troublesome, but fortunately very uncommon; and yields easily to a blister, with slight opiates, and warm, mild, diluting liquors. The necessary stools must bo procured by clysters.

Gouty enteritis requires minute attention, for purging is its only remedy. It might appear probable, that, as purging contributes to bring on regular fits, its effects might be salutary in this way. It must, however, be recollected, that active purging, if it fails in this respect, brings on atonic gout; and this coincidence would render the disease more unmanageable. Motions must, however, be procured; and it fortunately happens that after the application of a blister, this is no very difficult task.

Gouty nephritis is very uncommon. Dr. Cullen seems unwilling to admit this inflammation as in any case arising from gout. The question is of very little importance, since, if we avoid the more active antiphlogistic remedies, the cure of this disease is by no means peculiar. In the bladder, gout sometimes produces very peculiar effects: an inflammation from this cause occasions violent pain, an obstinate strangury, and with the urine discharged there is a considerable quantity of a light mucus, resembling purulent matter. It is a species of a disease which we shall afterwards notice under the appellation of a catarrhus vesicae. In this case warm diluting liquors, with the most stimulating applications to the perinaeum, are absolutely necessary; and we have even been obliged to apply a blister to this part, carefully removing it early to prevent absorption. The complaint, however, is not obstinate.