DEP/DUA/1/39/35 (Normalised version)

Charles Riddell

1786

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N^o35 February 17^th 1786.

Charles Riddell at 28. a blacksmith of a tolerable healthy appearance with dark coloured hair, & eyes seemingly natural, complains of frequent cough with copious expectoration of viscid yellow matter

He is distressed with an acute pain in the left side about the false ribs chiefly when he coughs, or makes a full inspiration, but he feels a constant soreness in the middle of his breast. He has headache at times. He sometimes sweats a little in the morning & his cough is then always very severe & expectoration very copious. He sleeps well however in the night & lies easily on either side

Pulse 75. rather sharp & weak Tongue clean, thirst natural. Appetite good belly bound

About 4 months ago, these complaints commenced. He had a violent headache for three days.

After this he was seized with an urgent cough & acute pain about the middle of the 6^th rib, in the left side, which continued about a week. These were then followed by an evacuation of pure blood by coughing to the extent of a tea cupful. He had bloody expectoration for the space of 24 hours. From this time he observed no more haemoptysis, till about a month ago when it returned & continued for a week in some degree. The pain about the 6^th rib is now gone. He imputes his complaints to cold but he thinks he overstrained himself at work, about the time when he was first seized. He was formerly in good health. He lost two brothers of Phthisis, but neither of them had any haemoptysis. He was blooded during the attack of the spitting of blood, with considerable benefit.

Rx Pulv. Crem Tart ℥i.

Sal Nitri ℥i. M cap coch parv. ter indies

25. The powder sits easily on his stomach & he has had no return of the haemoptysis but has been very much distressed with severe cough & headache & has had frequent hot & cold fits through the day, with profuse sweatings when in bed.

Belly rather bound. Pulse 92 tongue clean.

Cont. Pulv. Crem Tart cum Nitr.

Ap. vesic lat. sinist. & postea f. fontic ope Ungt. Epispast.

side following page March 1

March 4^th Has had no return of the Haemoptysis & his cough is considerably easier since he began the use of the mixture

He also sweats less during the night. There is a free discharge from the issue, which is very painful but he is much less affected with the pain of his side.

Cont. Med. u. a.

11. As the issue in his side was very painful it has now been healed up. He has had no return of bloody expectoration, but is still very much distressed with the cough & he expectorates a large quantity of viscid yellow matter

Cont. Pulv Crem Tart & Mist

March. 1 Cont Med & Rx

Spt Vitriol ten. Tinct. Theb. aa ℥ i.

Mist. Mucilag. ℥VI M

cap. ℥i. om. m. h. s. & ℥p urg tussi.

18^th. Continues free from any return of haemoptysis & has little pain of his breast; but is still much affected with severe cough & copious expectoration

He has had no sweatings during the night since the last report. Belly regular. Pulse 96.

Cont. Med. u. a.

25. Cough rather easier, but his expectoration continues very copious & his strength is rather diminished

P.108. Cont. Med. u. a.

April 1. Cough much as before

Pulse 100. He proposes to go to the country. Let him be dismissed.