DEP/DUA/1/35/09 (Normalised version)

Mary McIntosh

1784

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N^o5^th May 14^th 1784

Mary McIntosh at 13 is subjected to a very considerable affection of her voice so that she is incapable of speaking excepting in a low whisper. She seldom coughs or expectorates any thing

When she does it is in small clots of hardened mucus. She has a pain in her throat immediately above the clavicle which she refers to the wind pipe. It is not constant, but is aggravated by the cough, & sometimes by swallowing food.

There is frequently a pain at the middle of her breast under the sternum which continues from five to fifteen minutes at a time, & then she perceives a difficulty in breathing.

No fault can be discovered in the throat or other organs of speech. Her tongue is white & in the morning remarkably furred.

Pulse, Heat, Belly & Appetite natural.

Her disease is of six months standing, but she has been at times perfectly well. It is within the last fortnight or three weeks that it has become much worse. It was observed to begin after wading in a pond of water. In other respects she is perfectly well. She has used various medicines but without any manifest advantage

Cap. Mist Olios. ℥ p. bis indies