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No. II.

MEDICAL REPOSITORY,

FOR

MAY, JUNE, AND JULY, 1804.

ARTICLE I.

OBSERVATIONS on CHOREA SANCTI VITI, with a new Theory of the Disease: Communicated by JOHN REDMAN CoxE, M.D. of Philadelphia, in a Letter to Dr. MILLER.

JOHN

OHN MAGNUS, aged 40, a taylor by profession, of a full habit and sanguine temperament, about June, 1801, began first to complain of irregular or convulsive motions of the head, mouth and hands. It appears that he has, for a long time previous to this, had irregular motions of his hands and head, which gave him no concern. About two years ago he laboured under syphilis. At his first application for assistance he was advised to abstain from liquor, to take regular exercise both morning and evening, and to avoid costiveness, and sitting up so late at night at work as usual. This advice he neglected; and in about two weeks fever supervened, with great costiveness, which was removed by Glauber's salts, and the occasional use of aloetic pills. His complaints augmented, and in about a fortnight more he began to complain of stupor and giddiness of the head. His pulse was frequent and quick, but not full. He was bled to fourteen ounces, and took senna, manna, &c. The giddiness still continued, and pain began again to recur in a few days, with almost constant coma and stupor. He was again bled, and purged with jalap and calomel. Stramonium, boiled in vinegar, was ordered to bathe his head, and poultices of the same were applied to his feet every night, which appeared to relieve him much. The good effects gradually subsided, and its further use was omitted.

Previously to the last bleeding, in July, he complained much of weakness of the eyes, attended with a dull pain and slight inflammation. A wash of sugar of lead and white vitriol was prescribed, and six leeches to the temples, which all died soon after sucking. A soreness of the nose and throat rendering VOL. II.

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