DEP/DUA/1/44/18 (Transcript version)

James Gordon

(1788)

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+ Respect. case of this patient first quest. that occurs whether in reality subj. to any disease, or whether exists only in his own imagin.

Taking it however for granted, that has given us fair [repres.] of compl. which now some reason to doubt

N^o18^th Jas Gordon at 30.

>+

Disease to which this patient subj not very distinct. markd.

And perhaps in some degree of comp nature. At least if acct which gave us of affect altogth to be relied on

Yet little doubt that most urgent sympt. such as char. asthma.

And that too of spasmod kind.

For prin part of affect as hist introd into our regist consists in fits of diff. breathing.

And these too not perman. but recurring at partic times even very much at stated time.

In such parox. however whether regul period or not, attack of Asthm consists.

And where such regul of attacks & remiss an addit argum in fav. of truth that disease

+ Has more of constant pain of breast than commonly occurs in that disease.

But here some other circum tend to create doubts.

For neither ordin attack nor ordin termin of each parox.

>+

And some of most obv. sympt also wanting.

In gener. asthma begins with pecul. [senses] of strict on breast.

And attend, prob. from this strict with pecul. noise in respirat.

While again very gener. termin by prof. [sput].

Although sometimes by consid urin disch.

With our patient however attack begins with very consid swelling in abdom partic in region of stom.

And termin either by disch of flat or by loose stool.

+ May however obs. that from sever diff circum entert doubts with respect to this patients descript of affect. Am inclind to think that somewhat of a hypochond, if not creating imagin compl at least aggrav descript of feelings

While during course, as far as we have been able to learn no pecul noise in respirat.

And patient partic affected with sense of motion, which accord to his descript seated in alim canal.

Hence would app. that inordin action more in this part of syst, than in any connectd with respirat.

Or at least that there prin begun.

And easy to see that affect of organs of respirat. may in second way be induced from affect of alim canal.

Hence then rather than referr it to either of three spec of Dr Cullen Spont. Exanthematicum or Plethor. more prop. stom or flatul.

And both these species of Sauv.

>+

0 And in hypochond affect of alim canal often accomp. with affect of Asthm. kind

But in place of cont. attend here find that this patient since our last visit now ad. into R. Infir.

Will not therfore be subj either of farther pract or observ at this place

>0 With respect to termin cannot I app. look for speedy cure.

For Asthma well known to be a disease often cont. for many years.

And where as case with our patient tend to swelling of legs not without dang.

If however as conj. chiefly excited by affect of alim canal more readily comb. than in other cases.

In effecting this first obj to prod resol. of spasm or inord actions, while contin

And in interv to remove tend to these.

Is with first intent that remed alm directed Foetid Pills & Aether empl.

And with last shall prob. had thoughts have recourse to some tonics, Ex. Bitters Bark or Zinc.

+ But in choice determ by effects from pract already directed.