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✍
Mr Furnese
February 1780 --
X. p. 150. ✍

I beg leave, Sir, to lay the following case
before you, for your consideration & Sentiments –– In
doing which I shall studiously avoid all professional
parade; and give you a Simple narration of facts, in
the Gentleman's own words, as near as I possibly can
consistantly with accuracy & precision, as being best
expression of his own feelings. –– I am the rather
inclined to prefer this method; as I have found by
experience that, the complaints of the Patient have
sometimes differed essentially from the Case Technically
stated.

Mr. Furnese aged about sixty, of a sanguin
Complexion and rather inclined to corpulency - Sedentary
and inactive life; -- Temperate in eating and Drinking,
and, unless some little Rheumatic Complaints, he has, before
this present illness, enjoyed a Series of good Health.
About twelve months since he was attack'd with an

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obtuse pain in the inside of his ↑right↑ Arm, near the Elbow
which became Stationary, attended with a numbness
and weakness / his own words / which gradually in¬
creasing has rendered that Arm, almost useless, so
that it is with some difficulty he can write his name,
upon which he apply'd to a Judicious Apothecary in
this place and put himself under his care for some
Time ––– In the latter end of last Summer, he began
to complain of flying pains, from the Hipp downwards
attended with the same sensation of numbness and
weakness, as that of his arm and on the same side, being
greatly alarmed at this, as he found his walking
much impeded, he was induc'd to send for a Physician;
accordingly I was call'd in about two Months since,
when I found him in the situation, I have already
describ'd ––– Upon enquirring minutely into the ↑nature of the↑ flying
pains he complain'd of, he told me they affected him just
like the Cramp; for he could not sit above half an hour
at a Time untill they attack'd him; and upon his standing
up and stretching out the Legg affected, or walking over

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the room, they always left him, and he farther added
that, if he could always keep upon his Leggs, he believes
he would never be troubled with them - The pain in
his Arm, still continued stationary, but gave way upon
application of a Blister, and from which he has continued
clear {illeg} time, tho' the numbness and weakness are
still the same –– I need not trouble you with a
Graphick detail of what was directed for him, it will
be sufficient for me to inform ↑you↑ that recourse was had to
the nervous and Antispasmodic medicines with the
Tonics, frictions and riding exercise - I had some
reason to flatter myself with hopes of success at first;
but similar complaints attacking the other leg lately
has alarmed him and his Friends greatly -- I have
lately tryd what Electricty would ↑do↑ and accordingly he
has submitted to the experiments fifteen times; which
he thinks have done him much good; as his Spasms are
much better, & the Spasms not so frequent, nay a few days
ago, he thought he could walk better than he has done for
some Months past; catching Cold the other day he feels his

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↑complaints↑ rather returned ––– nothwithstanding his appetite continues
good, he still loses flesh - Pulse steady and regular, Urine
with a Latoritious Sediment, no Thirst -- particular attention
has been had to keep the intestinal tract clear of bindings;
but he cannot bear above i or 2 Stools in the day; Gum¬
Guiac: was had recourse to for that purpose.

The Case is now before you, upon which, I shall trouble
you with no more animadversions of mine, but wait your
Sentiments, to which, all proper attention and deference
shall be paid - I cannot conclude this Letter, without
expressing the very particular satisfaction I feel in com¬
mencing a Correspondence with so celebrated a Pr¬
fessor in the Healing Art as Dr Cullen; and I shall esteem
it as one of the most fortunate circumstances of my Life;
if, in our future professional correspondence I should in
any degree merit his attention. I have the honor to
be with the most perfect Esteem