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I am not surprized that you complain of im¬
perfect information with regard to the symptoms of Mr Sanderson's
troublesome case. On the spot here, I have difficulty in
getting proper & distinct accounts-. Alongst with the continua¬
tion of his case, I shall trouble you with a few more parti¬
culars, which I have discovered since my last. --

All last summer he had very little appetite. It was 12 months,
& not 15, since he got a fall from his horse on his right
shoulder, & broke, as was supposed, his collar bone. He
soon turned better. - The Rheumatic affection came on
about 10 weeks ago after sitting in a warm room with
his back to an open window. - On Monday last week, the
day after he was sweated with Dover's powder, his Grand¬
father sent him a Bottle of a mineral water, famous
among the country [both?] for curing colics, a great part of which
he drank on that & the day following, unknown to Mr Lorrain.

March 2nd. Last night, the pain returning to his neck, a
blister was applied to the nape. At 3 a.m. I was raised
out of bed, & found him seized with nausea and puking
up a spoonfull or two of thin stuff. P. 80. Had taken 1 grain
of Calomel & one third part of the Diaphoretic Draught.
Intermitt ye Draught. - Desired his wife to get out of
bed from him. Turned easier & fell asleep. At 7 a.m.
P. 72 soft & natural. Free of pain, sensible.
Repetr. Calomel gr. 1. Omitt.Haust. Diaphoret. - Injiciatur [Inem.?] emoll. ¹

Blister on his neck was dressed & had run well. His legs are much
fallen away, tho' his face & trunk are not. -

3d - Had a stool last night by the injection, slept well, vomited none.
Took some Coffee & bread, & insisted to have some butter. P.72 ,
a stool naturally this morning of a darkish colour. Free of pain.
Begin the Infus. Cort. P. - Omittr. Pil. Calomel. ² - This day he drank
a mutchkin of his mineral water again, almost cold. This
Discovery I only made this morning. - Took one spoonfull
of the Infus. at midday, & another in the evening. Ate a
Custard in the evening after the 2nd dose of the Infus. & threw up a
mouthfull or two of curdled stuff. - refuses the Magnesia.

4th - Vomited the infus. this morning again. Omittr Infus.
Capiat Elix. vitr. ten. ³ - in asking why he refuses the Mag¬
nesia, he says it makes him giddy & see things double,
& that it did so formerly before I saw him. - Took one
dose of the Elix. vitr. ten. this forenoon. At 1 p.m. he com¬
plained of a pain in his right eye, P.80. & rather fuller,
light more disagreable to him than yesterday. Ordered
perfect quiet & Darkness. I was scarcely out of his
room, when he transacted some business with a Bankrupt,
& he was not sooner done than he complained more &
more of his head, & at last grew delirious. I was sent for
when at 6 miles distance. When I came, I found him perfectly
delirious, furious, never pleased with his drinks
which he took greedily, breaking the cups, striking about
him, crying out of a most intolerable headach, vomiting
frequently, tossing, muttering, sleeping now and then, very
sensible to the least noise or whisper, or light, but without
any redness in his countenance; tho' perhaps there might be

5th - Delirium threatening to return at 5 this morning, I
ordered the Glyster to be repeated wch brought away a little
hardened faeces. Blisters on the ancles rose well, that on his
head is supposed to have done its part also; for the
pain of the head & Delirium are gone this morning at break¬
fastime, P. 82 soft, skinmoist. Took some bread [berry?]
this morning & is free of headach, nausea, or vomiting
at present ↑numbness of ↑ right leg today sensible. - & ye Phrenitis symptoms had returned violent
I intended to have blistered the temples again & if possible to have
blooded him at the jugular vein . - His stomach is still weak
& troubled with flatulency, & Hiccup at times. -

Doctor Cullen

Case of
Mr Sanderson.
March. 1777
V vi -- N 109 &c