Cheiragra is thus described:— pain in the joints of the hands from the fingers to the wrists, spreading till it reach the elbow, accompanied by swelling, the which causes difficulty in bending the fingers. And in my opinion, cheiragra and podagra are of that species of lepra which is called elephantia; and it is the more fitting that their healing should be difficult772 seeing that they are all caused for the most part by rheum.