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1. What was the State of health from Winter 1769 to April 1771.
Did the pain of the right shoulder 1769 appear to be rheumatic?

During the interval mentioned was there another -
rheumatic affection? was there any tendency to Cramps?
or was there any hysteric Symptoms?

2. Did the pain of the right leg April 1771 appear dis¬
tinctly as a cramp?

Was there any swelling or change of colour in the part?

Was the attack attended with any degree of fever?

3. How long did this pain continue?

While it continued was it pretty constantly the same or
was it moderate and violent by fits?
Was it increased by particular motions or postures of the leg?
Did the pain keep fixed in one small part of the leg or
did it run up or down to the nearest joint?

4. In quantity was the Bark taken in Summer 1771 and
with what seeming effects?

5. Was the pain brought on by the cold bathing 1771 pre¬
cisely of the same kind as that of April? --

6. When the pains returned in Winter 1771 did they
seem to be the effects of Cold or any other evident Cause? -

When the pains continued in the right leg, going from
part to part between the ankle and hip Joint, were
they chiefly in the muscular parts or in the Joints?

Did the pains ever go beyond the ankle into the Toes? -

✍Were they ever attended with any redness or Swelling
of the Joints?

[Start of margin text]✍only the Ball of the
Toes, with ? pain
& wch. Swelling she
thot.. was occasioned
by the fomentations
put round her foot
as It went away
& never returned[End of margin text]

✍Now the pain is chiefly about the hip Joint, does it
appear as fixed ↑in↑ the ligaments of the Joint, or does
it wander about the Joint " and seem as if it was
a crampish affection sometimes in one muscle and
sometimes in another? [Start of margin text]✍ yes { [End of margin text]

✍7. When the pains at any time went into the bowels, was
it at the Same time that the hysteric Symptoms ap¬
peared, or without any connexion with these pains, [Start of margin text]✍The Hysteric
Symptoms followed
the pains -[End of margin text]
✍did the hysteric Symptoms appear as purely the effects
of exhaustion and weakness and rather therefore in the intervals of pains? [Start of margin text]✍so we think {[End of margin text]

✍8. What were more exactly the hysteric Symptoms?
Did they appear with much Spasm and flatulency
in the bowels?

Was the Stomach particularly affected?
Was there any Globus? [Start of margin text]✍no other Symptoms
are recollected
but the [familiarys?] {[End of margin text]
✍Did the hysteric Symptoms appear especially in faintings? [Start of margin text]✍In this especially {[End of margin text]
✍Were the Spirits greatly and irregularly affected? -- [Start of margin text]✍{illeg}No. -
but the Pulse very low {[End of margin text]

✍9. Did there ever appear any alternations between the
hysterical Symptoms and the pains of the limbs? - [Start of margin text]✍we can't tell[End of margin text]

✍10. Does the looseness that has come on Seem to have given
any relief to the other Symptoms [Start of margin text]✍no, It [encourages?]
the other Symptoms
& she did not find relief
till It was stopt first
with the Laudanum, & next with
the Bark - The Looseness was preceeded by a continued Heartburn[End of margin text]

✍11. From the want of Sleep which seems to have been pretty
constant during the whole illness and Still continues,
I suspect there has been always some degree of fever at
least in the night time, and I wish to know more par¬
ticularly what has been observed in this respect either
by her physicians or by her self. [Start of margin text]✍always a degree of fever
In the night, a burning
heat in feet & hands
with great Thirst
this used to continue
for above 7 weeks
& In mornings abt
4 she used to get
Some rests[End of margin text]
✍Does not the Sleep more commonly and better in the day¬
time on a couch than in the night time abed? [Start of margin text]✍never Slept on
the Couch but twice {[End of margin text]

✍12. Has She ever had any sweatings either from Nature or
Art and what has been effect? [Start of margin text]✍never got any
sweat but once
by sack whey
tho often attempted[End of margin text]

✍13. Has She had James' Powder in any Shape and with what
effect. [Start of margin text]✍never taken
these 7 years[End of margin text]

✍14. What is her ordinary diet and have any observations
been made on the effects of different kinds? -- [Start of margin text]✍common simple
diet, which always
agrees well with
her[End of margin text]

✍15. Does She wear a flannel Shirt? [Start of margin text]✍flannel all
over since this
last attack[End of margin text]

✍16. What effects have been observed from changes of weather?

I think it very probable that the change which has
been going Since yesterday will have effects and I
wish to know particularly what they are. [Start of margin text]✍no effect from
the change of the
weather, but seemed
better in the severest
frost days we had. [End of margin text]

1772