DEP/DUA/1/47/03 (Transcript version)

Robert Gibs

(1789)

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No 16 Robt Gibs at 27.

Of disease of this patient must own am at loss to form any decid opin or even prob. conj.

But reason I think to believe that diff parts of compl. little connex with each other.

Of all his affect, most import & distress the pecul head. to which subj.

This while of long stand at same time occurd suddenly.

And has been attend with such app. such for ex as fits of epilep. [kind] as would lead to suppos. that dep. on some cause within brain.

Or at least on some cause within cranium acting upon the brain.

And if this case in all prob. any thing we can do will at utmost serve only to allev.

At least if cause of fixd nature

And of this strong presumpt from long contin & obst. with which has resisted diff. modes of cure.

To headach can have little doubt in ascrib vertigo, & affect of vision.

But besides these is subj also to pain & stiff in joints

Partic in those of lower extrem.

Is affected likewise with swelling & ulcerat of ancle.

And often distressd with uneas from flatul in alim canal.

These however either accid circum or of little import.

And if in any degree connected with headach at the utmost conseq. of it.

Hence remov. only to be expectd by comb. headach.

And unless some of them should occurr to very urg. degree, would prob. hardly be obj of pract

Although therefore disease somewhat of compl. nature, yet may I appreh view affect which is to be prin subj of treatm here as examp. of Cephalea.

But at same time of pecul nature

And as at loss to form any probab conject respecting it, can hardly ventur to say any thing either with respect to prognos or pract.

And accord in partic remed empl will rather be directed on empyr. footing than any rational princi

Have here begun treatm by empl. extract of Hyosciam & powd of Valer.

The first an artic which have often empl. in cases of violent pain in any part of body.

And in these cases, especially in Cephalea, have I think seen it attend with very consid adv.

Have also, if am not much mist obs. simil affects from the Valer.

And partic in what are calld inst of Nerv. Headach.

But of effects of these artic reserve observ. till again speak of case in order of list.