DEP/DUA/1/38/14 (Normalised version)

Joseph Begbie

(1785-1786)

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15. Of case of Joseph Begbie am I own much at loss to form any decisive opinion.

Can however be little doubt that affection of complicated nature.

And while pains, which aggravated by pressure & motion, are probably of Rheumatic kind, though seated in trunk of body.

Flatus, Borborygmi & other affections of alimentary canal altogether unconnected with that complaint.

These am inclined to consider as consequences of atonic state of alimentary canal.

While again many of other symptoms particularly general sense of weakness, consider as arising from debility in consequence of preceding disease to which subjected.

Here probable remedy employed much varied by circumstances of case.

And indeed various affections naturally indicate different modes of cure.

Have in first place had recourse to an Emetic, as means of emptying stomach & promoting appetite.

For unquestionably by due [illegible] of sufficient quantity of nutritious aliment that chiefly to expect recovery from debilitated & exhausted state of system which the consequence of febrile complaint.