DEP/DUA/1/39/05 (Normalised version)

Peggy Malcolm

1785

---

N^o20^h December 9. 1785

Peggy Malcolm at 30, unmarried has frequently the sensation of a ball forming in the side & working up towards the stomach producing sickness & great uneasiness. She is troubled also with almost constant distension of the abdomen, attended with flatulence Borborygmi & acidity in the stomach. She is also affected with flying pains in her sides & back which are chiefly distressing in the night. Pulse about 70 & feeble

Appetite variable. Thirst great especially in the morning. Tongue natural Belly costive. menses regular sleeps ill.

The above complaints commenced about a year & a half ago but were much aggravated by a fever she had about four months ago, which weakened her exceedingly at this time too the flying pains supervened.

Her mother was affected with similar complaints. She has used no medicines.

Cap. Pil. Foetid cum Aloe gr V om. m.

17^th The pills have had no effect either in moving her belly, or relieving the uneasiness from wind, & she is still much distressed with the sense of a ball working upwards to her stomach as well as with the pains in her side & back.

Cap. Pil. Foetid cum Aloe gr X om. m. nec non

Rx Calc. Zinci gr V Pulv. Valer. Sylv. Ji. M cap dos. bis indies.

31. Had at first some vomiting after the use of the powders, & they still occasion some sickness at stomach. The pills have had little affect in moving her belly. And her other symptoms continue much as before.

Cont. Calc. Zinci. u. a. sed cap. Pil. Foetid cum Aloe gr X om. m.

January 14 Has still some sickness from her powders & her belly continues bound notwithstanding the use of the pills. But her other symptoms are somewhat easier & particularly she is less distressed with the sense of a ball rising to her throat. Though she still complains much of flatulence & sourness at stomach.

Intem. Med. & cap allern quag. nocte. Pil ex Colocynth cum Aloe, & Rx Calc Zinci gr V Pulv. Cretac Ji. M cap dos bis indies.

28 The pills give her a stool every day & she has no sickness from the powders, though she is still at times affected with sourness at stomach. She is free from the globus hystericus but still complains of pains in her sides

Cont Pil ex Colocynth cum Aloe & Pulv. Calc. Zinci. u. a.