DEP/DUA/1/32/28 (Normalised version)

Tibby Green

(1783)

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Tibby Green July 2^d.

This patient though applied for assistance can hardly be said to have attended at Dispensary.

For after receiving medicine prescribed for her saw nothing farther of her.

And as accidentally neglected to take down place of abode have not been able to learn event of case or effect of medicine.

What could be offered therefore respecting these would be entirely on footing of conjecture.

Hence then shall offer only very few observations on case.

With regard to disease had little doubt in considering it as an example of Intermittent fever.

Had a daily periodic attack of coldness & shivering succeeded by heat and sweating

Here therefore disease distinctly marked of quotidian type.

And in history of her affection no circumstance mentioned which in my opinion can be considered as singular.

While disease in all probability derived origin from common cause giving such fever.

Residing viz in Marshy situation.

Had indeed we are told enjoyed [indifference] from period of Influenza last year.

But this probably no farther connection with disease than as rendering her more liable to attack.

From state of complaint therefore as well as nature of disease had favourable hopes of speedy recovery

For few complaints certainly no modification of fever more under power than intermittents.

Hoped therefore that in short time should have been able to dismiss her free from affection.

And with this view had recourse to what may be called common mode of cure.

Premising an Emetic principally with view of evacuating stomach had recourse to the Peruvian Bark.

And this directed to be thrown in, by doses to extent of dram every hour till an ounce taken.

Of different modes of exhibiting bark & of peculiar advantage of each a great deal has been said.

Superiority of particular modes however has often been inferred more from theory than observation.

And after trial of different ones have found none answer better than those here directed.

By such gradual exhibition have best chance of its sitting on stomach without inconvenience.

And at same time of obtaining full effect of limited quantity of Bark as acting on system.

Here then hoped that by use of ounce prescribed cure might be accomplished.

And I think not improbable that this has been case

Reason to believe that desertion has rather proceeded from having no farther occasion for assistance than from any other cause.

But at same time as have heard nothing from patient can only conject.

And therefore unnecessary to say anything farther respecting case.