DEP/DUA/1/38/70 (Normalised version)

Isabella Renton

1785

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N^o17. December 2^d 1785

Isabella Renton at 46 a married woman of a slender make, & somewhat florid complexion is distressed with severe pain about the praecordia, much aggravated with frequent & severe cough accompanied with copious gross expectoration. This often produces sickness at stomach but it is never attended with retching or vomiting

She has also considerable dyspnoea, which, as well as the cough, is most troublesome in the night, & interrupts her sleep very much. She is almost constantly distressed with headache, to a great degree. Pulse about 90 & very feeble. Thirst & tongue natural Appetite impaired

Belly costive. menses have been very irregular for four months past.

These complaints commenced about three years ago; & were always relieved in the summer. For these last three months, she has been much worse, than at any former period. This she imputes to cold & a severe stress she got at that time. She knows no cause for the disorder originally. She has used no medicines.

Cap. Pulv. Ipecac Ji. pro Emet

December. 4^th The vomit operated well & has somewhat relieved the Dyspnoea, but not her other symptoms

Cap. Vin Nicot [gr] XL ter de die ex Ag. Cyatho.