252 DISEASES Class II. i. <5. 7. 



right, but at very fhort intervals, and was obliged to lie at length 

 in the diagonal of a coach. The hedlic paroxyfms were not in- 

 terrupted during the journey, but they were irregular and indif- 

 tincl, and the falutary effects of exercife, or rather of geftation, 

 were imprefTed on the patient's mind. 



At Briftol he flayed a month, but reaped no benefit. The 

 weather was dry and the roads dufty ; the water infipid and in- 

 ert. He attempted to ride on horfeback on the downs, but was 

 not able to bear the fatigue for a diftance of more than a hundred 

 yards. The neceffity of frequent bleedings kept down his 

 ftrength, and his hectic paroxyfms continued, though lefs fe- 

 vere. At this time, fufpecting that his cough was irritated by 

 the weft winds bearing the vapour from the fea, he refolved 

 to try the effects of an inland fituation, and fet off for Matlock 

 in Derbyshire. 



During the journey he did not find the improvement he ex- 

 pected, but the nightly perfpirations began to diminifh ; and 

 the extraordinary fatigue he experienced proceeded evidently 

 from his travelling in a poft-chaife, where he could not indulge 

 in a recumbent pofition. The weather at Briftol had been hot, 

 and the earth arid and dufty. At Matlock, during the month 

 of June 1784, there was almoft a perpetual drizzle, the foil was 

 wet, and the air moift and cold. Here, however, the patient's 

 cough began to abate, and at intervals he found an opportunity 

 of riding more or lefs on horfeback. From two to three hundred 

 yards at a time, he got to ride a mile without flopping ; and at 

 length he was able to fit on horfeback during a ride from Mafon's 

 Bath to the village of Matlock along the Derwent, and round 

 on the oppofite banks, by the works of Mr. Arkwright, back to 

 the houfe whence he darted, a diftance of five miles. On dis- 

 mounting, however, he was feized with diliquium, and foon after 

 the ftrength he had recovered was loft by an attack of the haem- 

 orrhoids of the mod painful kind, and requiring much lofs of 

 blood from the parts affected. 



On reflection, it appeared that the only benefit received by 

 the patient was during motion, and continued motion could bet- 

 ter be obtained in the courfe of a journey than during his refi- 

 dence at any particular place. This, and other circumftances of 

 a private but painful nature, determined him to fet out from 

 Matlock on a journey to Scotland. The weather was now much 

 improved, and during the journey he recruited his ftrength. 

 Though as yet he could not lit upright at reft for half an hour 

 together without a difpofition to giddinefs, dimnefs of fight, and 

 diliquium, he was able to fit upright under the motion of a poft- 

 chaife during a journey of from 40 to 70 miles daily, and his 



appetite 



