DEP/DUA/1/36/40 (Normalised version)

Alexander McIntosh

1784

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N^o21. December 11^th 1784

Alexander McIntosh formerly a soldier is troubled with severe pain about the ridge of the Ilium which extends entirely round the body.

The pain is most severe on the right side somewhere between the haunch & the false ribs but he says that at times his loins are affected with such excruciating pains, that he can scarcely rise when he has once seated himself.

Appetite good, belly regular & he has never passed any sand in his urine. He sleeps pretty well but seldom or never sweats unless from the use of a diaphoretic which generally gives him some relief.

He has long been affected with the above complaints but never to the same degree as at present. The first appearance was about five years ago when his right knee & haunch bone were attacked. Last spring however, the affection spread gradually round the circumference of the pelvis & since that his bowels have been at times attacked.

During the winter & spring he has always observed the pain to be much aggravated.

He knows no cause for his complaint. He has used some pills & blisters with little benefit.

Hab. Linim anod. ℥ IV illin

paux om. m. & vesp. p. d.

nec non Rx. Pulv. G. Guaiac ℥ii

Crem Tart. ℥i. M

cap. coch parv. bis indies

18. Pains somewhat diminished

Cont. Med. u. a.

25. Has used his medicines as directed. But his pains are still very severe.

Cont. Linim Anod & Pulv. Guaiac

u. a.

January 1. Pains considerably easier

He sweats a little during the night

But the powder has no effect in moving his belly.

Cont. Med. u. a.

8 Has had severe pain since the last report. But he is again somewhat easier. He still sweats a little from the powder.

Cont. Pulv. Guaiac & Lin. Anod

u. a.

15. Pains much easier. Cont.

Pulv. Guaiac & Lin. Anod. u. a

22. Pains continue much easier

Cont. Med. u. a.