DEP/DUA/1/47/22 (Transcript version)

Robert Gibbs

1789

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No16 Decr. 12^th 1789.

Robert Gibbs at 27, a mason complains of an intense pain extending from the middle of the forehead in the direction of the sagittal suture, to the Occiput. The joints of his lower extremities are stiff & painful & his left ancle is swelld & ulcerated. The pain of his head is attended with giddiness & his sight is much impaired. He is also affected with pain & flatulence in the alimentary canal, which are relievd by the discharge of wind.

Pulse 74 & weak, Tongue white, Belly natural, Appetite tolerable & he sleeps well but perspires constantly during the night.

The pain of his head first [attackd] him suddenly when at his work about a year ago, & in May last he had two fits during which he was insensible for upwards of two hours. The affection of his sight has continued for about six weeks.

He was in the Infirmary for these complaints in July last & took some medicines from which he found no relief. He left it by his own desire & has since taken some powders for fits. He has had no recurrence of the fits since May, but his headach continues as severe as ever.

Cap. Pil. ex Hyosciam gr V

om. m. & vesp. nec non sumat

ter de die Pulv. Valer. Sylv. ℥i.

19

Has taken his medicines regularly without any inconvenience, & thought himself for a few days somewhat relievd, but since that he has been at times, much distressd with palpitation, & with an involuntary contraction both in his hands & feet. He has also been repeatedly affected with cold sweats over his inferior extremities.

Cont. Med. u. a. sed cap.

Pil. ex Hyosciam gr X. om. m. & o

26.

Has continued his medicines; without any inconvenience, he still complains of the pain in his head & ancles. But thinks himself in other respects considerably easier.

Cont. Med. u. a.

Janr 2^d 1790

The pain in his head & ankles continue nearly as before, & the swelling on the right ancle is considerably encreased. But in other respects he is rather easier.

Cont. Med. u. a.

9^th

Had considerable uneasiness in the begining of the week, from a bound state of his belly, & difficulty in the discharge of urine. But his headach continues easier, his sight improved, & the pains & swelling of his ancles, somewhat diminishd.

Cont. Med. u. a.

16

Has had rather more of his headach for two days past. But his belly is now rather loose, & the pain of his ancles continues easier

Cont. Med. u. a.

23

Was very easy in the begining of the week, but had a severe return of headach on Thursday last, & has since been much affected, both with diminishd vision & tinnitus aurium. Intern Pulv Valer. & cap. Pil. ex Hyosciam gr X ter de die.

30

Had severe headach for some days last week; but he is at present free from all his other symptoms.

Cont. Pil u. a.

Febr 6^th

Continues almost entirely free from all his former symptoms; but complains a little of pain of his back.

Cont. Pil ex Hyosciam. u. a.