DEP/DUA/1/31/38 (Transcript version)

Alexander Blair

(1782-1783)

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Alexr Blair

In hist of this patients case many diff. compl. mentiond.

And some of these of such nature that no hopes could be entert of their remov.

Such for example as loss of power of arm

This we are told had occurd even twenty years before he came under care.

And then conseq of deep seated ulcerat prod dislocat of cubit & prob. also other very matter. local affect.

This however prob. altog. unconn with that erupt on diff parts of trunk of his body describd in case

Partic on lower part of right side

While othr compl. of twenty years standing this affect we are told comm. only about a year ago

And was then conseq of fever. If had been to name this disease from app. should have given it applat of an Herpet erupt.

And this I own idea which was disp to form of it.

But although affect thus diff. both as to time & app. yet entert some susp. that might yet partake of same nature.

And that ulcerat both now & formerly might be somehow connect with Scroph. tenden in habit.

Hence then while consid less of power of arm as [illegible], imagind that this also would prove an obstin affect.

Hitherto however had prod no lesion of any of more import funct.

Case therefore such as at least afforded opp for trial of diff. remed.

Here directed frict with Camph oil to parts merely affected under form of erupt. & dressing with saturn ointment to those in state of ulcerat

While however had recourse to these extern applic. prescribd also crude Antim to be taken internally.

Of use of this artic in diff cutan affect have already had occas to state my sentim.

And have I think during pres. course had some examp. of benef to be derivd from it.

With pres patient had effect of excit sickness at stom, a conseq not unfreq result from use.

Here however not to such a degree as to be very distress to patient

And as imagind that from habit might go off, still resolvd on contin of use.

Espec. as pract directed whether from extern or intern remed had app at least of being attended with adv

At succeeding report however found that sickness still contin.

While at the same time was himself of opin that much weakened by powders.

And whether this the case or not cannot be any quest that contin nausea one of most disagreeab & distrss sensat to which pat. can be subj.

While therefore directed contin of former extern applic in place of antim internally substit Vitriol acid.

Had hardly however directed this med when accid learnt that patient applying for advice & obt. med elsewhere

Need hardly however add that when this the case those obj. which had in view by making him subj of lect & example of pract, totally frustrated.

Hence then at succeeding report dismissd for irregul.