This unique medical manuscript book contains 196 pages including a 2 page index and consists of medical conditions, symptoms and their treatment. It is signed by the author George Morgan, London Hospital, 1870 on the paste down end-paper and the entire text is in his distinctive hand, mostly in ink but with some contemporary pencil annotations in the same handwriting. George Morgan was a student at the London Hospital (later known as the Royal London Hospital) from 1868 and he was originally from Pontypool, Wales. There are written references to contemporary medical luminaries such as Frederick Pavy on testing for sugar in urine and Marshall Hall (1790-1857) on the spinal cord. Pavy (1829-1911) established the importance of measuring sugar in urine and improved on Hermann Von Fehling's 1850 test. The entire book is very legible, in very good internal condition and bound in contemporary roan backed boards, but with some damage to the spine. It measures 180 X 120 mm. There is in this manuscript a diligence and attention to detail that indicates the rigorous requirements of a student medic to be fully informed by the latest research as well as with more traditional practical treatments.