[Page 1]

[Page 2]

As a former Pupil & at the Request of a particular
Friend, I beg Leave to address you on the Subject of his Case
in which he has consulted several Medical Gentlemen
without receiving any manifest Advantage. Living in
London, some Miles distant from me, I have not had an
opportunity of attending him in the different Paroxysms of
this Disorder, or of knowing what Medicines have been
prescrib'd, shall therefore describe his Feellings nearly in
his own Words. - Capt. Cotton formerly in the East India
Company's Service about fifty Years of Age, of a strong
athletic Constitution, & tho' corpulent is muscular &
active at the same Time of an irritable nervous System,
lives well & frequently drinks a convivial Bottle with
his Friends; at Times is affected with the following
Symptoms "When stooping down to buckle his Shoes in
the Morning, he feels a weight in his Head, & his Ears
begin to ache, but on recovering himself, in a Minute or
two the Pain ceases -- At any Time when much flurried
the same Sensations return - When keeping still

or walking about the House, he feels no uneasiness, but
on going into the open Air, particularly if he walks fast,
is affected with Pains in he Ears, Jaws, Occiput, Back &
Arms & sometimes has a great Secretion of Saliva
These Sensations frequently begin in the Throat & sometimes
affect his Breathing, but on stopping or sitting down
a few Minutes, he perfectly recovers, & can afterwards
walk a considerable space without any uneasiness. -
Is more subject to these Attacks & with a greater
Degree of Aggravation when he walks out after
Dinner, than at any other Time & the colder the Air,
the more severe is the Pain, & seems most affected
with North Easterly Winds - Pulse before Dinner
the Medicines prescribed I believe have been mostly
of the nervous antispasmodic class - Chalybeates &
antirhumatics - about 17 Months ago he tells me
he was cup'd - if you wish for any further Particulars
shall be happy to give them, & if you can think of any
Thing to releive him, shall be much obligd to you