DEP/DUA/1/35/05 (Normalised version)

David Shiels

1784

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N^o3. May 1^st. 1784

David Shiels at 50 about midway between the superior spine of the Os Ilium, & the spine of the back taken in a right line, transversely he feels a pain upon any kind of exertion shooting down the thigh of that side & cross the small of his back. It has afflicted him ten or twelve weeks & increases in violence. He has a difficulty in beginning to make water, which he observed a considerable time before the pain. Appetite good, but he is at times [subjected] to stomach complaints. His sleep of late is disturbed & does not refresh him. Belly natural he has applied a blister & a strengthening plaster to the pained part without any relief.

He knows no cause to which he can impute his disorder.

Cap. Pulv. Crem Tart. comp ℥ i. om. m.

May 7^th Cont. Med.

14. Thinks the quantity of his urine rather augmented since he began the powder. But it is still very high coloured. The pain of his back & thigh continue much the same as formerly

Cont. Med. u. a. & Illin. Bals. anod. p. dol.

12. The pain of his back is somewhat diminished since the parts were rubbed with the anodyne balsam. But the affection in the discharge of urine continues nearly as before. His urine deposits some quantity of a red coloured sand. Belly regular, appetite good, & he sleeps well during the night. Cont. Pulv. Crem Tart. comp. u. a. nec non Linim. Anod.