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May 13, 1899


JAMA. 1899;XXXII(19):1017-1020. doi:10.1001/jama.1899.92450460001001

The task of discussing the treatment of acute articular rheumatism, as a climax to this exhaustive discourse, is inevitably rather thankless. Decided convictions as to the successful and satisfactory therapy, I have not. Too many times has experience contradicted and reversed previous conclusions to permit me to hold dogmatically to lines of procedure at all inflexible. Too thoroughly ground in upon me are the doubts and disappointments of clinicians, to allow me to harbor the hope of authoritative routine.

What I have to offer is a tentative and provisional interpretation of accumulated experience, which seeks to harmonize obvious conflicts in the line of advance of investigations in this field. The history of the subject is full of interest. The frequency of occurrence and ease of diagnosis have made this an inviting field for therapeutic measures. The consequences have, as usual in such circumstances, been more or less disastrous. The number

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