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    DEP/DUA/1/26/19 (Normalised version)

    Isabel Ritchie

    (1780)


    Isabel Ritchie

    Of this case necessary to say still less than with regard to former.

    For since treatment begun has hardly attended here.

    Her complaint which was most distressing to her seemed principally to be of pectoral kind.

    Consisting of Cough, Dyspnoea, & expectation of viscid mucus.

    These were attributed probably with justice to action of cold.

    And not improbable that from previous use of Sulphur affection produced by it more considerable than would otherwise have been the case.

    But besides catarrhal affection was also much distressed by wind.

    And not improbable that by this other circumstances not a little aggravated.

    Particularly Dyspnoea & palpitations.

    Of this presumption from relief which discharge of wind afforded

    With view therefore to more complete expulsion had here recourse to Pill Guaiacum

    By these however after trial for space of week was not materially benefited.

    Or at least pectoral complaint especially cough still very distressing to it.

    With view to this therefore [directed] the application of blister.

    Since that however have seen nothing more of patient.

    And probable that it has never been tried.

    Whether tried or not, now no reason to imagine that patient will return to attendance here.

    Hence any farther observations with regard to case may be considered as unnecessary.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

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