DEP/DUA/1/34/13 (Normalised version)

James Lundie

1784

---

N^o27. January 30^th 1784

James Lundie at 37. Has a very violent & almost constant cough. He seldom expectorates anything but when he does it gives him a short respite from the cough He has also the sensation of a tight girt¹ about the breadth of a persons hand extending from one breast to the other & he perceives a prickling sensation in the various parts of this imaginary girt. The pains are most violent before the cough & are hardly felt when it is present, but return again as soon as it ceases. Formerly the cough was more frequent & severe & then the pain was not so violent. Pulse about 80 of middling strength, belly bound. Appetite pretty good. But on the first violent fit of coughing after he takes food he discharges the contents of his stomach.

He has had this complaint for twelve weeks. It began with a pain in his back & head. When he went to bed he fell into a very profuse sweat, which continued during the whole of the night.

He remained in bed all the next day & the day but one following he returned to work & then he perceived the cough. In about five weeks after this the pain began in his breast & has [continued] ever since

Cap. Pulv. Ipecac Ji pro Emet vesp

31. The vomit taken last night operated briskly. The pain of breast & cough are now rather easier. Belly still very bound

Rx. Pulv. Crem Tart.

Flor. Sulph aa ℥ p

M cap coch parv. bis indies nec non Rx. Mist. Mucil. ℥VI Pulv. Fol. Cicut. ℥ii M cap ℥[ 4ta quag. hor.

7. The powder has had the effect of keeping his belly regular & since he began the mixture the pain of his breast is considerably easier. But his cough continues much as before.

Cont. Mist. cum Cicut. u. a. & repet. Pulv. C. Tart.

21 The mixture has of late been followed by vomiting. His cough is less frequent but his strength is diminished & he is much affected with difficulty of breathing. Interm Med. & Rx Pulv. G. Myrrh. ℥ii Pulv. Crem Tart. ℥i. M cap. coch parv. bis indies. nec non app. vesic lat sinist & postea f. fontic ope Ungt Episp

28. There has been a free discharge from the blister & issue. The powders sit easily on his stomach though he has of late been frequently affected with acidity & vomiting. His breathing is somewhat relieved but his cough is very troublesome.

Cont Fontic & Pulv. G. Myrrh u. a.

---

Explanatory notes:

1) A band, belt or girdle.