RHEUMATIC and GOUT PILLS. (W. Gross Cardiff). Pills weighing 2 grammes rolled in lycopodium, the essential ingredients of which are quinine sulphate, gamboge, jalap, resin, and a little rhubarb. (Hager.)

RHEU′MATISM. Syn. Rheumatismus, L. An affection of the joints, and of the external muscular, tendinous, and fibrous textures of the body, attended with swelling, stiffness, and great pain. Acute rheumatism or rheumatic fever,—arthritis, inflammation of the synovial membrane, or rheumatic gout,—sciatica, or rheumatism of the cellular envelope of the great sciatic nerve, affecting the hip,—and lumbago, or rheumatism of the loins, are varieties of this disease.

The treatment of rheumatism consists in the administration of purgatives and diaphoretics or sudorifics, accompanied by tonics, as bark, quinine, &c. Calomel with opium, and iodide of potassium, have also been frequently and successfully employed in this complaint. Of late years the administration of the bicarbonate, citrate, or nitrate of potassa, in rather large doses, has been strongly recommended, and in numerous cases adopted with success. Lemon juice, liberally taken, has also proved useful in suddenly cutting short severe attacks of certain forms of rheumatism. The compound powder of ipecacuanha, taken at night, will generally promote the ease and sleep of the patient, and, by its sudorific action, tend considerably to hasten a cure. Where possible, a dry atmosphere and a regular temperature should be sought, since a damp atmosphere, and, indeed, exposure to damp under any form, are the principal causes of rheumatism. Stimulating embrocations, blisters, frictions, and, above all, the hot or vapour bath, are also frequently serviceable in rheumatism, especially in lumbago and casual attacks arising from cold. The daily use of oranges, or of lemon juice diluted with water, has been found, in the majority of cases, to lessen the susceptibility of those who employ them to attacks of rheumatism and rheumatic gout arising from a damp situation or exposure to the weather. See Lemon juice.

RHO′DIUM. A whitish metal discovered by Wollaston, in 1803, associated with palladium in the ore of platinum.

It is chiefly employed for tipping the nibs of metallic pens (‘rhodium’ or ‘everlasting pens’). A very small quantity added to steel

is said to improve its closeness, hardness, and toughness, and to render it less easily corrodible by damp.

RHU′BARB. Syn. Rhei radix (B. P.); Rheum (Ph. E. & D.), Rheum—Sinense (Ph. L.), Rhabarbarum†, Rhœm†, L. “The root of uncertain species of Rheum.” (Ph. L.) According to Dr F. Farre, the term ‘sinense’ (Chinese), employed by the London College, “was placed after ‘rheum,’ to include the so-called Russian and East Indian rhubarbs, which are considered to be the produce of China and Chinese Tartary, and to exclude European, Himalayan, &c.”

Three principal varieties of rhubarb are known in this country:—

Russian or Turkey rhubarb is the produce of six-year-old plants of the mountain declivities of Chinese Tartary; and its principal excellence depends on its more careful preparation, and subsequent garbling, both before its selection for the Russian market, and after its arrival at Kiachta, and again at St Petersburg. At Kiachta all pieces of a porous, grey, or pale colour are rejected, the whole being pared and perforated, the better to determine the quality of the interior portion. At St Petersburg the pieces are again carefully examined and garbled, and are, finally, packed in close cases or chests, which are rendered air-tight by the application of pitch on the outside.

East India or Chinese rhubarb is the produce of the locality just referred to, as well as of other parts of China. It is obtained from younger plants, and its preparation and subsequent selection or garbling is conducted with less care.