DEP/DUA/1/37/53 (Normalised version)

John Stuart

(1785)

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N^o48. March 26. 1785

John Stuart at 43 complains of severe pain in the small of his back, somewhere about the region of the kidney. The pain is extended from thence in an oblique direction down to the os pubis. He is troubled also with a hard indurated swelling of the right testicle. He complains at times of a shooting pain along his right thigh, which terminates & is always most severe in the knee. Appetite impaired. Belly regular. Urine very high coloured & scanty. The present complaint began about two years ago & has continued to increase in severity ever since.

No cause is assigned & he has used no medicines.

Rx. Pulv. Crem Tart. ℥ii

Cort. Cassiae. ℥ii M

cap coch parv. 4ter indies

2. Has rather discharged his urine more freely since he began his medicine, it is also more copious & less high coloured, but he is much distressed with severe cough which aggravates the pain of his back.

Cont Med. u. a.

9. Continues to discharge his urine with less pain & rather in larger quantity than before. But during the course of last week he has been much distressed with cough & dyspnoea. Belly open. Cont. Pulv. Crem Tart. u. a. & applic vesic inter scap.

16. There was a tolerable discharge from the blister, since which his cough & dyspnoea are somewhat relieved. He has regularly continued the powders, & his urine is again somewhat increased in quantity & discharged with more ease than before, though it is still very turbid. The pain of his back & side are easier, but the tumour in his scrotum is increased.

Cont. Pulv. Crem Tart. u. a.