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That the obstinate costiveness continue upon
him – without the least abatement – That he never
has the smallest inclination for Passage in his
Belly but when he takes medicine for that purpose
which he does every three four or five days – and
then it is with difficulty often that it comes away
not from a hardness of the Fæces – but as he thinks
from a weakness in the Rectum – and with evacu–
ations it is attended with great feebleness and
weakness – thro' his whole Body –

That he has great difficulty and pain in making
water – especially before he goes to stool the pain
mostly at the point of the Penis – and stops during
making with much uneasiness.

That he is attacked very frequently since he came
last from abroad with violent Headachs, not
owing to his costiveness – as it is the same when
his Belly is opened with medicine it is most
frequent when he is exposed to East wind – that
it now takes more Oil &other Medicine to open
him than formerly –

That sense of fulness and oppression in
his Bowels very frequent even when he has
no appetite and is hungry – that eating dont better
it – and with it is attended with great languor &
not able to walk but with an uneasiness – that his
stomach is much afflicted at times – indeed often
with a great sense of fatigue & pain even when
hungry – mostly in walking or riding – but finds
relief from sitting down – and mostly from
laying down – the weakness in his Body continue
to a degree –

That the least motion affects him – quickens his
Pulse – and occasions – a difficulty of breathing – even
getting in or out of Bed – have that effect.
Walking often indeed always more or less has
the same

{illeg}