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Dr. Bird suffers from gout especially in his hands.

Dr. Bird suffers from gout especially in his hands.

aversion to exercise, sedentary, frequet catarrhs and defluxions of rheum, soft flesh, slend limbs, small boned. Had blotches as a teenager (palm and elbow). Had VD in late 20s.

He currently has pain in his left breast, shoulder and arm, vertigo, heart palpitations, defluxion, fear of suffocation, pain and heat in the anus (he cannot sit for long), difficulty urinating, weariness, difficulty swallowing due to a sore throat and "startings" in bed. He thinks the anus pain must be piles. He also notes that the heat in his anus seems to have spread to his scrotum and urethra. His face has also broken out in scales and he has "wandering" pains in his limbs.

He had been, from childhood, ricketty and frail. This was made worse by his sedentary lifestyle. He lists several ailments. For scaly and rough patches on arms and hands he took anti-scorbutic juices and chaylbeat and Bath waters internally and externally. They did not work. Then he underwent a salivation after which he felt much better. Then at age 27 he contracted gonorrhea and underwent a three month cure.

On the back of the letter there are prescription notes for bleeding, emetic and electuary.

His brother consulted a Dr. Cheyne who advised against bathing in the Bath waters. However, his brother defied him much to his benefit. Thomas noted that his brother had epileptic fits as a child.

L. Delafaye bathed and drank the Bath waters to relieve constriction and pain in the joints of his hands, arms and legs. He also suffered from gout and took a "trimming diet." On f. 60v, there is a prescription in Sloane's hand for a decoction of milk.

The waters have lengthened his legs a bit so that his crutches were too short. However, the cure was not perfect. His brother had asked Thomas to convey his concerns that his condition would worsen and requested that he ask Sloane how to prevent it. Thomas also noted that his brother's knuckles were splitting and becoming flattened.

Crippled legs and gout. He also noted a white patch above his ankle which was present before he started treatment and so cannot be due to that. He also noted that his joints are swollen in his hands.

He took the waters at Bath, bathing in them daily, owing to the inability to fully extend his legs. He had no pain unless he forced his legs to uncurl, but suffered from gout. He read a dissertation on the various Bath waters by a Dr. Oliver and therefore eschewed the "intense heat" of the King's Bath in favour of the Cross Baths. This made his blood less thin, despite his diet which contained no red meat. He wondered if he should rub linseed oil into limbs. He complained that he cannot go abroad because he cannot sit in a [sedan] chair unless it was specially made to suit his condition.

He was still unable to fully extend his limbs and it still hurt to try. He still had pain from gout. He noted that he met an "old French clergyman" who told him of Sloane's electuary that had soothed his limbs.

After recently coming home, at death's door. Had been unable to ride to a neighbour's. Has swimming and beating noise in head. Slept poorly the previous night. Imputed many of the problems to concern over death of a fine infant boy of Mrs Boyles and another accident. Voided some gravel. Very weak and stomach has failed. Hands and fingers often in cold sweat.

[Previously prescribed as hysteria. Sloane MS 4075, ff. 321-322.]

Will observe whatever Sloane orders, except issues. Has recently been bled. Took some mixture of Diacodium Sloane had prescribed in London. Asks if she should take other prescribed drink, too: "I am one of ye least drinkers in ye world & shall drink but little of yt unless yu wod have me." Takes usual drink and tries to get out once a day. Taking mostly barley water and milk, as well as electuary.

This is an update, with descriptions of a fast beating heart, shortness of breath, spots on arms, gas, a possible distemper, foot and ankle pain and hand weakness. Electuary fills her with wind and causes rumbling in stomach all day.