DEP/DUA/1/46/05 (Normalised version)

John Sutherland

(1789)

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N^o5 John Sutherland at 40 a Postilier¹

Of the case of this patient, at a loss to form decided opinion.

Can however be little doubt, that is subjected to different affections.

And while cough & dyspnoea attended with mucous expectoration give indication of a pulmonary affection, am I own inclined to think that pains in different parts particularly in head, depend on an affection of Rheumatic kind.

Is chiefly with this view that have had here recourse to trial of Gum Guaiacum under form of [complex] powder.

An article from which in many instances of Rheumatic kind, think I have seen very considerable benefit.

And which may be employed with safety & advantage when neither Volatile Tincture, Simple Elixir, or other forms of giving Guaiacum, can with safety be employed.

While however employed this, have also had recourse to Opium, as a means of mitigating pains.

And from effects of these, shall probably be hereafter able, to form more decisive judgement of case.

For at present can say nothing with confidence, either as to Prognosis or Practice.

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Explanatory notes:

1) A person who rides the leading nearside (left-hand side) horse of a team or pair drawing a coach or carriage, especially when there is no coachman.