DEP/DUA/1/23/12 (Transcript version)

Robert Bruce

(1780)

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Of next patient in ordr Robt Bruce reckon it necess to say very little.

For although hist introd into Register yet can hardly say that has been our patient here

Concerning disease to which was subj no room for doubt.

According to hist given us a distinct markd interm

And that too without any sympt that could be consid as anomal.

Was however in quotid form.

The state of all others most apt to have degener. into contin.

Besides this from length of time for which patient subj to it before came under our care could not consid it as slight.

During that time also had resisted those remed to which commonly yields

Hence then should not have been disapp. if still found obstin.

Still however as already remarkd free from any alarm sympt.

And appr. summer season afforded at least most fav opport. for trial of med.

May farther add that in cure of interm if sometimes disapp. in use of Per. Bark is at least but rarely the case.

Trusted then that by this means disease might in no long time be overcome.

And accordingly to the Per. Bark after [illegible] use of emet. resolvd [im] to have recourse.

As to most prop admin of bark in case of interm pract. are not [agreed].

On all hands indeed allowed that suff. quantity thrown in during interval will in general soon cure the disease

But has been much disputed whether best immed before, immed after parox, or during intervals.

That is in which way may be most exped affected & by least quant of bark.

As far as my own observat goes see very little reason to think that less quant of Bark suff in one way than in other.

In small doses grad exhib may indeed perhaps thrown in more than necess.

But still am for my own part inclind to consider it as more certain & easier way than by loading stom with great quantity at once.

Here however shortness of interval induced me to give prefer. to other mode consid quantity imm after parox

Especially as wishd to have farther exper of it than have yet had.

Directed therefore an ounce to be taken within space of few hours after fit.

Since that however have never seen or heard any thing farther of patient at this place

A circum which at least gives some presumpt of recov.

But whether so or not now very little prosp. that will visit us again

[Has] any farther observat unnecss