Case of Epilepsy. 15 



On the third of February, 1804, he commenced the 

 use of the nitrate of silver, combined with opium. 

 The medicine was exhibited in the form of pills, each 

 of which contained one-fourth of a grain of the metal- 

 lic preparation, and half a grain of opium. Half a 

 grain, at first, and, afterwards, a grain of the nitrate 

 of silver, was taken daily. He continued this medi- 

 cine for six weeks, and, since he entered upon the 

 use of it, he has had no return of his disease. It is 

 now twenty-two months since his last paroxysm took 

 place, unless he may have had one within the last 

 month. It is hoped, therefore, that the medicine has, 

 in this instance, effected a cure. 



In two other instances, I have reason to believe, 

 the same happy result would have taken place, had 

 the use of the nitrate of silver been continued. But 



one of these persons (Mrs. A ) retired into 



the country, while under the use of the medicine ; 

 which, however, appeared to have done some good 

 before she departed. The other laid it aside on the 

 fifth day, because an increased dose, combined with 

 a very small proportion of opium, produced much 

 pain and uneasiness at stomach. 

 I am, Sir, &c. 



P. K. Rogers. 



Philadelphia, Jan. 2d, 

 1806. 



