DEP/DUA/1/16/09 (Transcript version)

Daniel MacLeod

(1777-1778)

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Of Case of next Patient Dan. Macleod reckon it necess. to say very little.

When selected from other Dispens. patien was inclind to think that would have turned out more import than really did.

Princip part of his complaint a [vertig] with which freq. attackd to such degree as to be in danger of falling down.

Need not observe that this very gener. at least affect of invol. motion of Eye.

Obj. seem to move when really at rest from motion of eye without [corresp]

Such motion may arise from many causes

And often even a most stubborn effect.

Was disp. to think that might have been so with pres. patient from cont for space of year.

Is howevr especially obstin when arises from causes situated within head.

With pres patient howevr great [reason] for susp. that arose from affect of abd.

For besides vertigo was also much affectd with wind in bowels.

Uneasiness from this cause observd to precede attacks of vertigo.

And while vertig affect of four month twelve month standing this had cont. for sev. years.

To all this may add that vertigo from distens affect of bowels by no means uncom.

And indeed influence of stim of distens to alim canal wonderful affect over whole syst.

Is freq. even cause of epilep. itself.

Cannot then seem strange that should induce convuls & invol. motion of musc intended for moving eye.

For these from being naturally subj to very quick sometim must necess. [come] to be affectd by more slight causes

Viewing this then to be nature of affect was cheif aim in cure to facilit disch of wind.

And with this intent directd a med from which hoped that action prod expuls would be augm. & at same time resist to expuls dim.

This was comb. of Ol. [Amis] with powdr of Valer.

First reckond [among] most powerf. [carm.] last very gen. consid as antisp.

And from exper. I have had in many cases am convin. that does poss. some powers.

On this med. found it necess. to [cont] patient only for a short time.

For soon after began compl. mitig.

And at end of about three weeks dismissd free from compl.

Do not howev pretend to say that will contin so

From slight [irreg.] in diet flat may again return.

But in that case cure will still I [appreh] be [compl]