DEP/DUA/1/44/49 (Normalised version)

James Sutherland

(1788)

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N^o15. James Sutherland at 44.

Of case of this patient very little to add to observations formerly offered with respect to it.

For can hardly be considered as having been object of practice here.

As very soon left us to go to the country.

When formerly spoke of this case remarked that could not form very [decided] opinion with respect to it.

Was however inclined to consider principal part of complaint as incipient hypochondria

And that probably [complicated] with [accidental] slight catarrh.

This part of affection was inclined to hope would of itself soon come to termination.

But could not entertain so favourable expectation of other.

For hypochondria, both as to what respecting disorder of alimentary canal, & mental affection extremely obstinate.

And in many cases utmost that are able to accomplish is merely to palliate the affection.

Was with this intention that had here recourse to Pill Foetid cum Aloe.

An article often very affective in producing expulsion of wind from alimentary canal.

And in this manner, removing pains oppressing, vertigo, haemorrhage & various other symptoms immediately depending on distension.

In case of present patient would seem that some influence in this way.

For informed at succeeding visit that symptoms somewhat easier.

But at same time told that had gone to country.

And thus precluded from opportunity of any farther observations or practices respecting case