DEP/DUA/1/26/03 (Transcript version)

Unnamed Unnamed

(1780)

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While at same time, had other patients under our care, in more conven situat at least for attend, subj to same disease.

Case however so far in point, on pres occas, that may not be improp to read it. + here read hist.

From this history whatever cause no doubt that was a distinct marked inst of a paralyt affect.

Appearing princip indeed under form of hemipleg.

But besides affect of left side had so far lost power of tongue that incap of distinct artic a single word.

In so much that could hardly underst one word said, & obliged entirely to take hist of compl from mother.

Had thus therefore not only cert evid of disease but appeard also that had taken place to very consid degree.

And when consider that had before resisted some powerful modes of cure had here but little ground to hope for success.

Among other very prop meas, recourse had been had, before came under our care to electricity.

And circum of this having been already used without effect, as well as of patients living in the country led me to use of Camphor.

Directed it, in form of pills, to extent of 14 gr in day.

These taken without any inconven.

And had not contin them for week before compl. much relievd.

Since that have gone on in same course.

To which indeed not a little encour. by successful progr of cure.

For at every succeeding report found that affect unif cont to dimin

In so much that on Saturday last found that had so far recov use of speech as to be able distinct to artic every word

And had so much power of leg as to walk with tolerab ease without use of any crutch.

Here then at least [cert] fact that since began use of electric, compl. very much dimin

And very little reason to doubt that from this med relief proceeded.

And now I own entert sanguine hopes that by contin cure will be completed.

From this case indeed would be very far from inferring that shall find it prod of benef in every or even in greatest part of inst of Paralysis

Yet at least suffic to encourage to trial in other cases.

And that too after electricity & diff powerful modes of cure used without effect

And accordingly as already observed have had recourse to it in conjunct with electric in pres. case

In this course if no partic occurr take place which may alter intent mean to cont for some time.

But if affect rather cont to augm and partic if observd to be aggav after the electric, shall drop that pract, & give trial to Camph alone

Is at pres taking it to same extent as other patient Culbertson.

But before desert use, if prod of no inconven, is intent to employ it both in larger doses, & more freq rep.

If after all unsuccess., must own that hopes of recov in this case will be very much dimin.

At same time many other pract to which may have yet recourse

In partic if can procure the arnica montana, seems to me very prop case for trial.

But if that not to be had, may here make attempts to cure, & with some prosp of success, both by heat & cold.

Though latter of these accused of being cause of affect, yet does not follow that by prud admin. may not look for recovery

In my own pract, have not indeed been in habit, of empl it, in this affec

But informd by one very emm pract. Sir J. Prin now resid in this place, that in recent cases of paralysis thinks has seen more from it, than from any other.

And on his authority, must own, shall be disp to try it.

Of warm bath, in this affect, have freq had exper.

And have directed it, I think with consid advant.

Where even that unsuccess, still benef to be expected from warm vapour impreg with aromat.

And accordingly in letter lately pub by Dr Hunter of York on subj of vapour bath, Paralyt affect the very first disease, for which directd it.

To these diff meas then, if nothin occurrs to prev it, may have [illegible] in success.

And hope that by one or other cure may be effected.

At same time, very doubtful how far opport will be afforded, even for trial already prop.

Hence unnecss to mention any others.