Among the chronical Distempers, which owe their Origine to irregularities in Diet, the Gout is neither the least considerable nor frequent; though perhaps the best and least dangerous Way of clearing the Blood of the morbid Matter; for it naturally tends to the Extreams, and is generally so great a Tyrant, that it will suffer no other Distemper to rage but itself; upon this Account it is that People wish for, and are complimented upon the Gout, as an Indication of the vital Powers being in such Strength and Vigour, as to drive forth the gouty Matter; and it is no wonder that Persons should wish such active, fiery Particles, as the gouty Matter seems to consist of, fixed to a certain Joint, and expelled the Body, when they are floating through the Mass of Juices, and disorder the whole Machine, which is often the Case of gouty Persons before it fixes: The gouty Salts (if they be Salts, as most probably they are) appear to be active, sharp, pungent, fiery Principles, and when, by the Force and Heat of the Body, they are brought into Action, are not improperly termed concentrated Fire it self; and indeed the Effects of their Action manifest something not very different therefrom, by calcining the animal Substance into Chalk or Lime, or somewhat approaching thereto, in the Knots of gouty Joints: Their Volatility may Occasion their being more easily brought into a State of Action, but at the same Time makes their Expulsion out of the Body quicker and easier. A fit of the Gout is no other than an attempt of Nature to collect and expell these Salts out of the Body, which, if successfully performed, leaves the Person free from the Gout, till such Time as from the natural Course of the Food, or other Causes, the Blood and Juices become again overcharged with gouty Matter, to such Degree, that Nature attempts the same Way of Relief it before experienced, and occasions another Fit.

From this Account it appears, that if any thing be to be done during the Time of a Fit, which is the Season many Persons very preposterously attend a Cure, it can only be by supporting the Powers of the Body, to enable Nature, to go on with its Work: (For it must be considered, that the Symptoms of Pain arise from the Action of the Body in that Work, as well as from the Action of the gouty Salts;) and by promoting the natural Discharges from the Part affected, by gentle heat and Warmth; all external Applications, foreign to these Ends, are useless, and generally speaking dangerous. Indeed if any thing may safely be applied in this Case, for these Ends, some Preparation of the Poppy seems to me to be the most promising, and least hazardous. This Plant is endowed with Powers that soften and attenuate in a great Degree, gently promote and encrease the Motion of the Juices, and occasion in Bodies properly disposed, as great, if not greater Discharges by the Skin, than any other Medicine yet discovered. If we add to this its particular Property of easing Pain, may we not justly form great Expectations from it? Its Virtues given inwardly, in the Case we are speaking of, have been long known and experienced; its outward Application hath not, that I know of, been mentioned before; and I would be understood now rather to mention it, than recommend it. I have tried it in about half a Dozen Persons, the better half of which found immediate and wonderful Relief from it, and those who did not, found no inconvenience, to my thinking, chargeable upon the Medicine; though perhaps I am fond enough, like other Patrons of new Tryals, to impute the want of Success to other Causes, than to a Deficiency in the Medicine; I only mention the thing, not being thoroughly satisfied about it, for want of sufficient Tryal. But thus far I may venture to assert, that this, or any other external Applications, are neither to be unwarily or unskilfully ventured upon.

Dolæus upon the cure of the gout by milk-diet — Part 20