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About five months ago he was seized with a cold
accompanied with a most violent cough, for three or four weeks, and more
or less for upwards of two months, when the Cough went intrely off without
having used medicines or prescriptions of any kind, excepting considerable
quantities of what is commonly called black sugar - especially during the night
season --- During the cough he expectorated pretty fully; nor did he think his
breast near so much oppressed as he had done in former colds. The Cough
however had hardly left him, when he found he could not accomplish his ordi¬
nary saunter of about half an english mile, without awakening a pain in
his breast which gave him much distress, and made it difficult for him to re¬
turn. It was at first a hard suffocating pain in the very center of the breast;
and which in a few weeks became so adverse to motion that he could not
creep along a hundered paces, but at the hazard of sinking altogether. Some¬
times, and this is his present situation especially in the afternoon, he can hardly
attempt to move a limb without stirring the pain. Hence you will naturally
conclude that he is pretty much at ease, but when he attempts to move or some¬
thing suddenly affects him, and indeed this is pretty much the case -- But
though he can bear no voluntary self motion, he can suffer the trot of an easy
horse; which therefore he uses every day, though he has yet perceived no benefit
arising from it; but what is more extraordinary, after alighting at the church
door and pausing a little, and stealing step after step with the pulpit - and pau¬
sing again; for five or six sundays past he hath been enabled to talk calmly,
and at considerable ease to his people half an hour -- In short he does not find
that speaking with composure, whither sitting or standing, except too long con¬
tinued, irritates the pain.

This is a general, but I think pretty exact account of the
disorder of his breast -- so far. But for weeks past this pain hath assumed
a new form; It hath mostly shifted to his left breast so that the pap forms
as it were the center of it, and the pain forms as it were a circle round it - but
how to describe it he knows not, except he call it a sickly wringing pain
that quite overwhelms, and which were it ↑to↑ continue for any considerable space
would certainly extinguish the vital principle. It gives him All the idea he
can possibly have of dying. And one thing to be marked it is, that it often
seizes him of a morning before he gets up - generally when he wakes - and
now more frequently if he attempts to walk but a few paces than the had

pain in the middle of the breast - and what is peculiar the whole left arm to
the very points of the finger is affected with a pain as much similar as any
pain that affects the heart and arm {illeg} can be. In eight or ten minutes the
overwhelming abates - but still he feels a root - as at the moment he now writes.
--- He is much distressed with wind, and sometimes receives relief, especially
when the hard pain seats in the prepart of his breast, from a belsh or two.
His age is sixty one, his manner of life is temperate, and rather studious
and recluse than otherwise -- His general habit is neither costive nor laxative -
- rather inclining to the latter --- His sleep much broken -- distressed with
ugly dreams ---