EXERCISE - GOUT - TREATMENT HYGIENIC AND PROPHYLACTIC .
The whole process of interstitial oxidation can be farther facili tated by exercise in the open air which serves to increase the respiration and to favor the absorption of oxygen by which it may be possible to increase in some degree the amount of urea at the expense of uric acid and the other incompletely oxidized compounds of nitrogen. It is, however, still an open question whether inns cular exercise does actually disturb the ratio between. urea and the other nitrogenous compounds by promoting their oxidation into urea, or whether the undoubtedly good effects of manual labor, gymnastics, and other methods of promoting muscular contrac tion are due to anything more than the improvement in excretion that follows such exertions. It is certain that the exchanges in mus cular tissue are greatly increased by use, and that the excretion of refuse products from such tissues is also accelerated in a corre sponding degree, thus affording opportunities for the introduction of fresh supplies of nutriment and for the liberation of the energy that they incorporate with the substance of the organism. But when the
gouty diathesis has been fully established it becomes necessary with regard to all forms of muscular exertion to practise the same moder :.tion that is advisable in the matter of diet. Excessive labor and unusual exercises may serve to precipitate an attack of gout if the predisposition be fully developed. In this respect exercise may pro duce a result that is analogous to what is observed when a patient whose tissues are saturated with nitrogenous refuse begins a course of diet from which flesh is eliminated. The toxic compounds that had been stored in the tissues where their noxious action was mini mized to the lowest degree now become soluble and are transported by the circulating fluids to the nervous tissues, where they produce feelings of depression, despondency, and exhaustion that will persist until the whole surplus has been discharged from the body. Sudden changes alike in diet and exercise are therefore to be deprecated, and in all things the system must be gradually habituated to the new order of life.