DEP/DUA/1/32/40 (Normalised version)

John Downie

(1783)

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John Downie. N^o19.

Concerning case of this patient not altogether without doubts.

At same time most probable [supposition] that those pains which are principal part of his affection depend on inordinate action of alimentary canal.

And that this principally excited by flatulence.

Most immediate relief therefore seemed to depend, on free discharge of it.

And was with this intention, that had recourse to Pill Foetid cum Aloe.

Which while opens the belly in consequence of latter article, have from former a very considerable tendency to immediate expulsion of wind.

But though these might afford considerable relief yet radical cure to be looked for, from strengthening alimentary canal.

And was with this intention that employed mixture of Infusion Amarum with Peppermint water.

While pills however had effect of keeping belly gently open, this seemed to have but little influence.

And had some reason to suspect that diminished tone somewhat at least supported by acid in stomach.

This therefore led me at last report to conjoin with Pulveris Foetid use of Pulveris Cretacea as an absorbent.

From these hope that patient may be much relieved.

And that by [subjecting] use of Peruvian Bark affection may be completely overcome.