DEP/DUA/1/34/29 (Normalised version)

James Harris

1784

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N^o35 February 27^th 1784

James Harris at 40, yesterday about one o’Clock he was affected with nausea soon followed by a severe coldness which continued without preceding trembling for an hour & a half. To this a burning heat succeeded which was relieved at nine this morning by an universal & profuse sweat.

But it soon disappeared. Pulse 80 & small. Head & back very painful. Appetite bad. Belly costive

His first paroxysm was on Sunday the 14^th instance, & they have since recurred every second day. But the succeeding interval is always shorter than the [preceding]. He has taken two vomits of Ipecacuanha. One of these he took at the commencement of a paroxysm & it had the effect of shortening the cold fit, without disturbing either of the following stages.

28. Cap. Pulv. Ipecac Ji. pro. Emet. er. m. nec non habeat. Pulv. Cort Peruv rub. ℥ i. cap coch parv. om. hor. incip post parox.

March 6^th The vomit operated well. But he took the bark only during the time of his fits & he has had these paroxysms since the last report

Repetat. Cort. Peruv. u. a. & cap. coch min. ii om. hor. donee consump. ℥I Incip post parox.

13. Began the bark after the paroxysm on Sunday had ceased & had taken the whole of it before Tuesday. But the fit commenced at the usual hour. He had however no fit on Thursday but was attacked with a paroxysm yesterday about ten o’Clock. He thinks it was slighter than formerly. In other respects also he is much relieved.

Hab. Pulv. Cort. Peruv. R ℥i cap. coch parv. ter de die.

20 Has taken the bark as directed & since that he has had no paroxysm, but he complains much of sickness at stomach, faintness

Headache & pain of back.

Inter. Cort. & Rx Inf. Amar. ℥V Tinct. Aromat. ℥i. M cap. ℥i. bis indies

27.

Has taken the infusion as directed but he has had a paroxysm almost every day since the last report.

The fits have been observed to anticipate a little but in general they seldom continued above three hours.

Interm. Mist. & Rx. Pulv. Cort. Peruv. sub. ℥p Sal. Ammon crud gr V M cap dos ter de die.

April 3^d. He has taken the powder as directed without any inconvenience & he thinks himself in other respects much better.

Cont. Pulv. Cort. Peruv. cum Sal. Ammon. u. a.