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Mr Somervell is about 35 years of age, of
a Lively imagination & a good Spirit unless he is
under the Influence of his Disorder

The first arthritick complaint was at Phi¬
ladelphia about Ten years ago, which was in one
ankle & was treated as a Strain -- It is to be
remarked that before the joints were affected
he was troubles with sore eyes, & which he has
ever since been free from ---- for one or two
years from the first attack he had only one
ankle affected once a year 8 Days at a time --
after that both ankles twice a year -- in 1776
or 77 he was much affected with pains in his
Bowels every day for 8 Days, which abated
every day after a Bumper of gin, & the fit termin¬
ated without visiting the joints ---- In January
1778 then at Jamaica was for the first time

Last Autumn came to Glasgow & in October
was laid up with violent pains in head, neck, back
kidneys; Disordered imagination, great irritability,
spasms sleepless nights &ca, all which he recovered
off tho' not so perfectly as usual, ↑& with↑ a greater Debility
in the parts affected ----- a fortnight ago after a Jaunt
to the North Country a fit recurred sooner than he
expected, owing as we imagine to his having caught
cold in a tedious passage across Dundee ferry
This attack much like the last which seized him
in October, only less Violent, & is not abating slowly.

As he has been under my care ever since he
came to Glasgow, I am pretty certain the relation
of his disorder is tolerably accurate since that time