Theses inaugurales et medicae de podagrica affectione

XIX.
That the matter is sometimes transfused from the stomach, kidneys, and intestines is evidenced by the fact that the pains of these viscera sometimes cease in those suffering from gout.

XX.
That it sometimes flows together by reason of the uterus is evident from Hippocrates, Aphorisms 6.29, where he writes that a woman does not suffer from gout unless her menstruation fails.

XXI.
The paths through which the flux occurs are varied, depending on the variety of the emitting parts. Sometimes they are hidden, closing up in cadavers due to the extinction of the vital spirits, and thus they are less conspicuous; at other times they are manifest, such as the veins, arteries, vertebrae of the spine, and nerves. And the wider these are, the more readily the humor slides down to the joints.

XXII.
The procatarticae preceding or underlying causes, which provide the occasion and fuel for these internal matters, are drawn primarily from things not natural in Galenic medicine, these are environmental or lifestyle factors such as air, food, drink, sleep, and emotional states. Such are the varied constitution of the ambient air, on account of which either raw humors are collected or those already collected are stirred to flow; excrementitious foods; any excessive drink, especially of generous wine taken on an empty stomach; habitual exercises interrupted or performed at the wrong time; frequent horse-riding; immoderate sexual intercourse; the suppression of accustomed evacuations; excessive vigils; long and untimely sleeps; as well as sorrows and cares, and the remaining passions of the soul, which can in any way act as causes for the multiplication of crudities.

XXIII.
Once the sources of the causes have been set forth, two differences emanate: namely, those from the transmitting parts, and those from the mass of the matter.