(Gout, Arthritis deformans, etc.).
This is the great old school remedy for gout; every case gets it in some form; and, strange to say, in the homoeopathic school it is one of the first remedies thought of, but not every case of arthritic trouble receives **Colchicum from the careful homoeopathic prescriber. The typical case calling for **Colchicum is where the swelling is red or pale, with extreme tenderness to touch, a tendency to shift about from joint to joint, and pains which are worse on the slightest motion. If the general symptoms of great prostration of the muscular system and abdominal bloating be present **Colchicum is the remedy. Gastric symptoms and cardiac complications also characterize. It is more indicated when the smaller joints, fingers, toes, wrists and ankles are affected; the pains are very violent, patient cannot bear to have the parts touched or to have anyone come near him. **Arnica has this fear that the part my be hit by anyone passing; it has also arthritic pains in the foot, worse towards evening; and a red big toe joint which feels as though it has been sprained, so Arnica may be indicated well in gout. The **Colchicum patient is apt to be exceedingly irritable and the gout is not apt to decrease this irritability. Unless **Colchicum be given according to these indications it will do no permanent good. The habit of giving **Colchicum to every case of gout in order to palliate the trouble may cause it to attack the heart or fly to other parts. Indeed in potency it is Homoeopathic to gout, with metastasis to the heart.
**Aconite is most useful in acute attacks of gout in the joints of the feet. It corresponds only to the onset and if continued for a day or two will cure many cases.
**Ledum is a useful remedy in gout as well as in many articular troubles. We have the symptoms that the ball of the great toe is swollen, sore and painful on stepping, drawing pains worse from warmth, pressure and from motion. It has also gouty nodosities in the joints, it differs from Bryonia in having a scanty instead of a profuse effusion; it is, perhaps, better adapted to hot swelling of the hip joint than is **Bryonia. All the pains of **Ledum travel upwards. **Ledum is also useful after abuse of **Colchicum. It may be the first remedy to use when the patient comes from allopathic hands, having been dosed with large doses of **Colchicum, which is a very asthenic remedy, producing great muscular weakness, as we have seen.
**Ledum, it must be remembered is a cold remedy, and attending all the symptoms is a general chilliness and lack of animal heat. Another drug having gouty nodosities in the joints is **Guaiacum. This remedy has tearing pains in the extremities and contractions;of the muscles. It is also especially useful for gouty inflammation affecting the knee joint.
Ammonium phosphoricum. [Am-p]
This is a useful remedy in constitutional gout where there are nodosities in the joints. It is not so much a remedy for the acute symptoms, but for chronic cases where there are deposits of urate of soda concretions in the joints and the hands become twisted out of shape. **Antimonium crudum has gouty nodes in the joints, but it is easily selected from its gastric symptoms. Urinary symptoms, strong urine, etc., would suggest **Benzoic acid, and much red **Lycopodium, both;of which may be found useful in gout. **Staphisagria has a similar application to gout when it becomes systematized, as has also **Ammonium phosphoricum.
**Rhododendron has enlargements of the joints not due to gouty deposits, worse during rest and on approach of a storm.
**Urtica urens. This remedy is said to cure more cases of gout than any other. Under its use pain and swelling subside and large quantities of sand are passed. **Picric acid. Halbert mentions this remedy as useful in arthritis deformans, and thinks that treating the disease from the homoeopathic standpoint will yield best results.