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A:T: now aged 41 - has enjoyed in the course of his Life
remarkable fine Health & Spirits, - tho seven years thereof
have spent in the E. India service, & the last thirteen in Jamaica
During the whole, He has rather liv'd too carelessly, & freely.
In following his proffession at Jamaica, He took uncommon
exercise on Horseback, - which (excepting temporary fatigue,
always produced the best consequences ---------

About five or six years ago, began first to be troubled
with the common intermittent Fever, & bilious complaints
usual to long residenters in that country, & which comm¬
only attack'd Him at the close of the Year, when the cold
North Winds & rain set in: -- These generally yielded to the
early Use - of Antimonials, & Bark, - with an immediate
change of Air to ↑ye.↑ South side of the island; - they always
terminated in large eruptions about the Lips, & mouth,
but more frequently in a number of small ↑hard↑ fiery painful
Catboils on different parts of the body, - but chiefly on
the lower extremities; - After suppuration however,
these soon dissappeard, & left Him in fine health: - for tho'
a very painful, they are ever the surest Crises of Feverish
disorders in that country. ------- --------

About three years ago, -- He began to have a tendency to
corpulency, & evidently perceived a fullness of Habit, that
(tho it gave the appearance of sound Health) felt rather
dissagreeable, by interfering with that active mode, here¬
with He used to go thro' business. -- The first Fever after this
appearance, produced a greater Number of these Boil

Thought Himself much better by a few mercurial Alte¬
ratives used in London, & a continuance of them
very gently, wt. Tinct. Guaiac. since his arrival in Scotland,
nine weeks ago. - The above Diet, & regular Life, has again

The least Ulcer leaves A most ugly Escar, - The seat of all
seems ↑superficial, &↑ confind to the cellular membrane, which they
effectually destroy, & even in these parts render it after¬
wards impervious to the serous Kind which too often
swells his Limbs, especially on the least exercise, & hang¬
ing posture of the Legs ---

Just before leaving Jamaica, four or five blotches (simi¬
lar to some on his Legs & Feet;) appeard on the Thighs,
one Arm, & one hand; - One of them on the Thighs, suppu¬
rated; - the discoloration of the others, still remained.

This was the only appearance of the complaints not being
wholly confined to the Legs.

When the sores were painful, Opiates alone produced
a sudden change for the better; - Fruit poultices, &
rest always altered their appearance, when foul, &
slonghy, -- The old Escars very suddenly break out
again, on the least tendency to suppuration, - which
seems lately to be the Case every four or six weeks.

The discharge is much better & thicker from some, than
others; - & will sometimes tinge the dressing ↑thro'↑ like thin
dirty black paint, wt. a shot of good thick Pus in the middle.
When getting better, & nearly well, - there is at times an
extreme itching over all the body, & on the parts around
the sores. - A full breath, or sudden cough ↑always↑ gives the sensation
of a ↑painful↑ throb towards the Legs. - Salt water relieved Him

Besides the uncommon itching, there was great reason two
years ago to suspect uncommon acrimony in the Fluids, from a
number of little hardened spots on the Palms of the hands, & espec¬
ially at the tendinous insertion of the Flexoris (↑Flexores digit.↑) - They were tender & painful
to the touch, & soon separated away like a thickened Cuticle Caus¬
ing the young skin below, very tender for some days. -- Little {illeg}
hard knobs appeard at the same Time on the Knuckles, & joints
of the Fingers, as in gouty Persons; These & Every skin covered
part of the body were highly irritable & painful, on the slightest
touch, or accidental rub. -- These ↑knobs↑ all dissappeard of their own
accord, & never suppurated; - Washing & dressing with Mer¬
curial Solution, always agreed well with the sores, but bot[h]
the use of it, & Saturnine medicines were ventur'd on
with great Caution, from the danger of too suddenly stopp¬
ing a Discharge, which in some Measure had become fac¬
tual to the Constitution -- A foolish aversion to Issues
has hitherto prevented adopting them, tho they seem most
likely to obviate the danger of shutting up the drain
from the Limbs