12mo [but in 8's] half calf (head of spine repaired/lower part of one hinge cracked/2mm lacking from foot of spine) xxxi + 186pp last leaf in Facsimile. Some foxing or browning - mainly marginal. *This edition "contains more than double the quantity of matter" than the 1st edition which only had 92pp and which was also published in 1803. This work pokes fun at the then current medical practice. The frontis shows several doctors coming to blows as to how to treat the patient. Far scarcer than the American edition this has only 3 London imprints in COPAC, which has 10 U.S. editions with imprints from New York, Philadelphia, Virginia, Boston etc.