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Case

January 9.th 1777. M.r G-- -- aged 28 In August 1774, had
a fit like an Epileptick when in a great crowd & hot,
& also when the attention of the Mind was great & affected
with some degree of surprize, he was lost & did not
know what had happened, he was bled & had
some Medicines ordered for him. He had lived freely
some days before this happened, but that day was more
abstemious in order as he thought to be cleaner
& to be more able to attend to business.

In November Last he had another such like
fit had lived more regularly some days before
it but had danced much the preceding Night
& had also drank much Negas ¹ this fit hap¬
pened when th↑e↑re was a great mixed affection of
themind of Fright & badness, it was at a race
the Gentlemen riding themselves when by one ↑Gentlemen↑
& his horse falling the other his freind won, both
these fitts happened before Dinner. -- About a 2 Years
ago he had an affection like fainting which some
called a fitt, he does not allow it one because
he retained his understanding & memory, it was
in an Evening in the Playhouse which was hot & at a
hot season when some freinds were quarreling
he felt as if ready to swoon, he has sometimes
felt the like affections & thinks that if he had had
a Dram quickly at those times those fitts have hap¬
pened it woud have prevented them. but He has lived
irregularly ever since 12 or 14 Years of Age & has
drank much C He had a fit of the Gout about

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6 Years ago, Bootakins was applied & he had not
the Complaint above 3 days nor has not had a
fit in↓- c↓ce, c he was very well after it & coud eat bet¬
ter than before, he has had some Venereal com¬
plaints but none that ever amounted to more than
a Gonorrhea, very little Mercury was used &
he was well cured, its now 9 or 10 years ago,
About 6 weeks ago he had a painfull Erection
like a Priapism without any other symptom or
return since, it presently went off & appear'd
Spasmodick, he dreams frequently & has Emissi¬
ons of Semen but does not perceive the least
debility, he is about to marry which has been ap¬
prov'd off & advis'd. -- He lately had the feeling of
a sore throat, there was nothing to see, it felt stiff
& like a Spasm, it is now gone off, his left hand
& foot has for a few days past had the sensation
of what is call'd a Sleep & what happens often
by leaning on the Hip or Elbow or by some
pressure he has the Power of use but want
of natural feeling in the little one finger, the
foot is likewise partially affected in the same
manner these was [first?] felt after sitting in a
cold room, he has a Palpitation of the Heart
& Tinnitus Aurium both which he feels at the
same time these affect him most when
going to bed & are attended with a fright &
fear, they dont affect him at all in a morn¬
ing ---

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He has uneasy dreams & short sleeps & has not
an inclination to sleep till 2 or 3 o'Clock in a
morning therefore sits up late & his legs are
liable to swell a little, Belly regular if regular
in living otherwise Costive, -- The Hands tremble
in the morning & if noticed by any body the
Tremor is greatly increas'd, Especially if sur¬
pris'd by such observation, -- he Eats very
little breakfasts at any time & was empty
at the time the fitts happened, his appetite
is now genearally bad & is still worse when
these Tremors &c are most general, he will
then be sick at the sig[ht] of or smell [of] {illeg}
his Mind is liable to be easily affected & when
much agitated his Speech faulters so that he
Stuts & Stammers & is scarcely able to get
out his words. Passions affect him more than usu¬
al, he is uneasy without company Especially
when he has got a glass & yet a when he is
[s]ob↓d↓er has not power to see any body on
business & is ready to be out of temper when
[s]ollicited ↑to do↑in↑ it↑ The first fit the Head was drawn to the right
side in the last to the left. His Temperament is a
Soft Smooth Transparent Skin, ↑is flasid. Plump & rather full tho thinner at present than before,↑ his hair is Soft
& of a pale brown colour, he wears it very long,
the teeth generally good the Gums Sound, his Pulse hard,
the Eyes clear --No yellowness in the Eyes, the Eyelids a little inflammed ---

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He has often had complains in the Stomach &
Bowels they have been calld bilious, Emeticks &
Purgatives have sometimes been used & sometimes
he has been bled, ↑a↑ it ↑has↑ been observd that he was
always better after Bleeding & Ph purging, ↑as well as from any other Evacuations particularly sweating after excess as --↑ These
affections of the Viscera have at times affected
Every part ↑of the abdomen↑ mostly the left Region of the stomack,
& sometimes he has the sensation of a rising
in the Breast as if shocking like the Clavicus Hystericus
His father had pains call'd the Gout, they was (↑were↑) severe
& affected Every part, his teeth was Bad his
Gums unsound & when they affected the face
he woud have had a very great defluxion ↑from the mouth↑
for several days he had the Hardest pulse
I ever felt, at all times *- His mothers Tem¬
perament is simular to his own & has fre¬
quently Hysterical affections. Please to say
your opinion of [Vis.?] in his Temperament &
Disorder,-- Tho he appears generally calm, cool,
& very freindly yet he says himself he is passi¬
onate & the above Descriptions of the temper
of his mind are ↑real &↑ according to his direction
by his own words. --

NB. The Extremities wes (r)e not affected nor did he foam or
froth at the mouth.---
& He lost about ten ounces of blood about ten (↑twenty↑) days since which was taken
into four cups & it was very sizy like blood drawn in Pleurisies. [&?]