Peter Jones

How the ancients treated gout

[iStock] 
issue 27 August 2022

Medical problems come and go in the media, and at the moment the flavour of the month appears to be gout (from Latin gutta, a ‘drop’, seeping into a joint).

For the Greek doctor Hippocrates, gout (Greek podagra, ‘foot-trap’) was the ‘fiercest, longest and most tenacious of all joint diseases’. But since the ancients did not know that excess uric acid, a natural product of the body, was its cause, their remedies were futile. Pliny the Elder claimed that wet seaweed was the answer. Scribonius Largus was at least original, the first to suggest electrification for medical purposes: he backed torpedo fish (an electric ray) for curing gout (some types put out 220 volts).

But the ancients were at least aware that gout was associated with drink and high living, and therefore with the wealthy. The doctor Celsus agreed, pointing out that some people had obtained lifelong immunity by refraining from wine, mead and sex.

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