DEP/DUA/1/17/21 (Transcript version)

Thomas Morton

(1778)

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Last patient Thos. Morton.

Of case of this patient must own have not been able to form any decis opin or even what can reckon probab conject.

According to patient own suppos. the disease of a complic nature.

And while one set of sympt the affect of interm fever anothr origin from [calculus].

To these suppos. must be allowd that counten given by sympt.

For while languor lassitude & [illegible] are sympt of intermittent, pain of [loin] & affection of urine give at least suspic of calcul in kidney.

Yet of both affect many sympt [wantin]

Cold fits for ex neither succeeded by heat nor sweating.

Pain of side & loins without stupor of thigh

And with affect of urine no disch of sand

May farther be observd that all [sym] may here origin from one cause.

And not unfreq to see such a train totally depending on an affect of the Nerv. system.

Partic as occurring under form of [Hypochon]

To this suppos. distinctly marked melanchol temperam of patient gives some counten.

And farther favoured by sensat of ball rising to his throat with which now freq. affected.

Has been on this suppos. that treatment hitherto followed has princip proceeded.

And have indeed rather aimed at mitig of sympt than radic removal of disease

Consid [yawing] shiv &e as depending on affect of alim canal have employd aromat Tinct.

And with view of mitig pain of [back] & [illegible] have directed frict with Camph. oil.

During use of these disease has already been somewhat mitigated.

And if affection be not removed by contin will at least afford us opport of attending to such circum as may [serve] to illust nature of the affect.

What future plans of cure may be howevr must entirely depend on opin then formd.

And in state of pres uncert. can here say nothing farther either respecting Prognos or Practice