DEP/DUA/1/36/18 (Normalised version)

William Smith

1784

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N^o14 November 28^th 1784

William Smith at 25 a hair dresser complains of severe cough & dyspnoea which are at times attended with pain in his side situated under the false ribs. He is troubled also with spitting of blood which is sometimes cast up of a blueish colour & at other times comes up mixed with mucus & is of a blackish appearance. Pulse 120 Belly natural appetite good.

The cough has continued with him three years & has always been much aggravated during the winter.

The difficulty of breathing first attacked him about a month ago. The spitting of blood made its appearance three months since, & continued for eight days

But after this it left him & never was perceived till within these eight days past.

He cannot with any certainty assign the cause, but is inclined to think that it is owing to sudden & frequent change of temperature, as his business unavoidably exposes him to pass from warm rooms into the open air. He has used venesection & has been in the country but with little benefit.

App. vesic p. d. lat. & f. font. ope Ungt. Epispast. m. m.

Rx. Pulv. G. Arab. ℥ i

Sal. Nitri ℥p. M

cap. coch parv. ter indies

December 4^th Has taken the powder as directed. The blister rose well & there has been a free discharge from the issue. The pain of his side is easier but his cough is still very severe. And he had some bloody expectoration on Thursday last. Pulse 100. Belly regular.

Cont. Fontic & Pulv. Sal. Nitr. u. a.