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Sir Richard Brooke is in the thirtieth year of
his age. Of a strong habit & of a make inclining to
fulness. About six years ago he had a Fever of the ner¬
vous kind which left him in a very weak state
and he did not recover his strength for several
months after. Ever since that period he has been
subject to violent attacks of Giddiness attended
with noise in his ears, dimness of sight, pal¬
pitation of his heart, tremors of his hands and
frequent drowsiness particularly in an
afternoon. His face is apt to be flushed &
disagreeably hot after meals. His nights are
good & the giddiness never attacks him
when in a horizontal posture. He observes
that long protracted sleeps are hurtful to
him - if he lies longer than usual in a morn¬
ing his complaints are always more severe
the ensueing day.

Very rarely a day passes without some attack
of Giddiness; & when this happens to be the

case he has often a severe headache - severe fits of
dizziness & headache are generally preceeded by
Lasitude & dimness of sight.

He is subject to Heartburn & sometimes sick¬
ness at stomach - but the last symptom is al¬
ways preceeded by giddiness or Headache. He
is rather of a costive habit of body.

Even during his worst attacks when he walks
so unsteadily that he is every moment afraid
of falling to the ground if he has resolution to go
abroad as soon as he is a little warmed by exer¬
cise he frequently finds himself releived.

Any thing that particularly affects his
mind is apt to bring on his complaints or
to encrease their violence.

About two years ago a number of large
Boils came out upon his skin which he
thought were of service to him at the time
& he continued to have less of his giddiness
& headache for several months after.

He at all times uses regular exercise - in the
season he takes the amusement of Hunting &
then his exercise is Violent - however he is sel¬
dom fatigued by it.

He is regular in his method of living - when
in company he does as other people do - at
other times he is temperate in the use of fer¬
mented liquors - he eats with a good appe¬
tite.

It may be necessary to mention that of
late he has sometimes had flying pains in
his feet - his mothers family have been
much afflicted with the Gout - & his younger
brother has had some slight appearances
of it in the extremities.

In treating Sir Rd Brooke's complaints
the principal intention has been to ob¬
viate fulness & to strengthen the nervous
system. Upon severe attacks general
& topical bleedings have been used with
advantage. Various tonic & antispasmodic
remedies have been employed - he constant↓ly↓

uses the cold Bath - Bark & Valerian have been
taken in large quantities - at other times
he has used Cuprum Ammoniacum
Chalybeats, Flowers of Zinc &c -
almost all the above remedies have
given some relief but their effects have
not been permanent. Of late when the
sickness at stomach has been troublesome
he has sometimes taken an emetic which
generally brings up some ropy phlegm
& he thinks himself better for a day or two
after.

Sir Richd Brooke
Septr. 1783.
V. XV. p. 280.