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    DEP/DUA/1/20/16 (Normalised version)

    Jean Moore

    (1779)


    Jean Moore

    Disease of this patient consists wholly of obvious symptoms.

    And with regard to nature of [this] am inclined to think that there is not much room for doubt.

    Affection in as far as constituted by what can be called symptoms, consists of ulcers on different parts of body.

    These as occurring at some [particular] places ascribed to particular accidents.

    Thus ulcerations on head ascribed to [stroke], while that on thigh referred to severe [exercise] from walking

    That these may have been exciting causes, if in this case such expression may be allowed, is I think not improbable.

    Yet cannot I apprehend look upon them as originating causes.

    Had they been supported by no other circumstances may readily conclude that in short time would have healed again

    Besides to be observed that although in some places from obvious accidents yet in others without any manifest cause

    When to these circumstances add the great similarity which these sores have as appearing in every part of body & the length of time for which have continued in all the parts at present diseased can have no doubt that everywhere of same nature.

    From obvious appearance of sores & from state of matter discharged strong grounds for presumption of scrofula.

    Is indeed true that sores have not affected those parts in which scrofula appears most commonly.

    And that before commencement patient rather past that period of life at [which] ordinarily appears.

    In neither of these circumstances however any strong objection.

    For although holds generally, yet can by no means be represented as universal.

    On contrary [exceptionally] far from being rare.

    But perhaps still more grounds for doubt from another circumstance.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

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