DEP/DUA/1/17/19 (Normalised version)

Christian Douglass

(1778)

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Christian Douglass.

Subjected to a set of symptoms not strictly constituting any particular genus.

Consists not only in universal debility an occurrence in many different & even opposite affections but also in temporary lesion at least of several functions.

In sickness evidence of affection of stomach

In sweats of that of surface.

In vertigo & dimness of sight affection of vision.

All these however well known to be frequently ultimately referred to one general cause.

That is general affection of nervous system in consequence of peculiar impression on sensible extremities.

And here great reason to believe that conjecture of patient respecting cause of this [impression] well founded.

That arises viz from distension by wind in alimentary canal.

For such a supposition may naturally be deduced from case afforded by discharge of wind.

And this consider to be at least principle affection to which our patient subjected.

Has indeed some other complaints but little connected with these.

Particularly pains in ankles knees & hamstring which probably of Rheumatic kind.

From age of patient & continuation of affection cannot expect that will soon be entirely freed either from one or other.

But while former most distressing to patient is that to which practices hitherto directed.

And was with intention of operating as stimulant & antispasmodic that had here [recourse] to Tincture Fuliginis.

From this expected more free discharge of wind & consequential relief of symptoms.

And although has not hitherto had desired affect yet hope for it from continuation.

If however in this disappointed may substitute assafoetida in some other form particularly that of Pill Foetid or Pill Gums.

And may conjoin some other [medicine] with view of preventing farther generation of wind as strengthening tone of intestines.

Example some of bitter infusion or Tincture.

From these hope that if patient not cured may at least obtain considerable relief.