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    DEP/DUA/1/45/11 (Transcript version)

    William Stuart

    (1788-1789)


    No30th Wm Stuart at 30.

    To disease of this patient cannot readily affix a name.

    At least does not accur. corresp. to defin of any genus in nosol. syst.

    More nearly however appr. to genus of paralysis than any othr.

    And great part of affect very evid consists in loss of musc. power.

    While attended to remark degree with tremor, the conseq of weak action.

    Hence if not prop. entit to name of Paralysis may at least stile it an affect of Paralyt. kind.

    Accord to acct given us of this affect was conseq of a fever.

    And well known that as fever [somet] [removes] so on other occas, indic paral affect.

    This partic the case, with those fevers more especially stild nerv.

    And which during course attended with subsult. hem & other nerv sym

    Not only on some occas succeeded by affect of motion, but also of extern senses

    Thus freq. sequelae in Tinnit aur. Vertigo, [Musae] volitant &e.

    But though these distress, yet rarely danger or even obstin.

    And in most inst removed even by natural recov of strength.

    Although at same time this often not a little aided by employm of bark & other tonics.

    And sometimes also by med of nerv kind, as Valer.

    On these grounds then had first recourse in pres inst to mixt of these artic.

    But after very short trial was [oblid] to interm use, as accord to acct of patient was const. prod of vomiting

    Had this med agreed with patient should have expected from it, not only relief of weakn & tremors, but also of pains.

    For these consid as being chief at least conseq of [depra.] sensib.

    May therefore have again recourse to it under some other form or with some corrigens.

    But in mean time have directed anoth very powerf new med viz Camphor.

    And if this agrees with patient shall wish to give it fair trial.

    Or may perhaps have recourse to electric, one of most active [agents] in cases of paralysis. But of Pract after

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11 Queen Street,
Edinburgh
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