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____ is aged twenty five years of a faire complexion middle
sizd &, previous to his present complaints, healthy & vigorous__
accustomed to live freely but not intemperate__ last winter
from his social disposition he got in to sitting up to very late
Hours & soon therafter he was seised with an inflammation in
his Eyes__ he went to London last aprile by sea & his complaint
encreased during↑on↑ the passage__ during a stay of some weeks in
London, he was mostly confind to his Room_ local & other
bleedings were frequently repeated & purging Physick by all
qch the inflammation was often releived, but always returned on
his going abroad & living more freely_ He came to Scotland
by sea in the moneth of June theafter__ his Eyes were then
much inflammd especialee the Eye Lids qch were glewd fast down
with Matter every Morning_ he had a constant Diarrhœa
was much emaciated & instead of his former blooming Complexion
was remarkably pale & had continued so ever since, but in very
good Spirits__ He then consulted me, considering the State
of his Bowels & the great evacuations he had undergone
I advisd him to take Bark & a light Strengthning Diet &
some few Glasses of Wine & some simple Topical application
to his Eyes_ the Diarrhœa left him & he recoverd his
Strength & the inflammation of his Eyes became better that (↑but↑) he
had frequent returns of sore Eyes tho not so bad as formely__

In the moneth of July he went to ye Countrey, for some weeks,
where he drank Goat Whey & livd temperately & returnd seemingly
in very good health__ on his return some small Scurvey spots
appeared on one of his legs, he drunk for some time a Decoction

Three Weeks ago, he felt some uneasiness at his stomach he
called it a queerness, that night he went to a dancing assemb¬
ly, when after scarce dancing so much as usual he felt
him self very weary__ next Day the complaint of his stomach
continued & after eating a moderate supper at night he
became very sick & dropd down in a Faint, from qch he was
recoverd by being laied in Bed__ he then complain of im¬
mense Sickness__ he put his fingers in his throat to releive
his stomach by Vomiting & brought up a mouthful or two
of pure blood__ I was called in he complaind of great oppression
on his breast, Sickness & fainting if he but raised his head
from the Pillow__ his Pulse was small but hard & I determind
to make a Cautious trial of bleeding__ during the bleeding
his pulse became full & softer & all the symptoms were
soon releived so that he could bear the erect Posture__
a Glyster brought off a load of Excrements mixd wt gramous
Blood & the discharges by Stool for 24 Hours therafter
were all of that kind, but he ↑had↑ no other complaints but general
weakness. by that I presented for him a Water Infusion
of the Cortex acidulated wt the Ol. Vitriol, a {illeg} [Regimen?]

The blood taken last had a soft sizey crust on it, & the
Coagulation not very firm___ it has been observd that
his colour since the time he returned from London
has been uncommonly pale__