DEP/DUA/1/40/35 (Normalised version)

Donald Frazer

(1786-1787)

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No35. Donald Frazer at 34

Disease of this patient evidently a [peculiar] affection.

Consists almost entirely in [severe] cough.

For to this may I apprehend refer pain of back breast & head.

Although Phthisis an [immediate] [danger] yet from different circumstances inclined to view this as merely catarrhal.

And to that complaint would [appear] that with this patient strong tendency

For in former winters had been repeatedly subjected to it.

With this idea of complaint & judging from what has already happened to patient naturally disposed to favourable prognosis.

At same time when catarrh severe as in present instance will often continue for considerable length of time

Is especially apt to do so when has had frequent recurrence.

And particularly during cold & [variable] weather.

Hence will not be disappointed [although] unable to accomplish speedy cure.

That with one in situation of our patient necessarily a good deal [ex.] will very much depend on state of weather.

Mild [temperature] as giving [person] free circulation on surface will probably do more to recovery than all we can accomplish by medicine.

Yet at same time from these also may look at least for some affects as mitigating & shortening complaint.

Particularly from counteracting vicissitudes of weather, from supporting free circulation on surface by proper clothing.

From unloading breast by means of Emetic.

And from diminishing determination to breast, in consequence of increasing that to kidneys & intestines by means of diuretic & gentle laxative.

Is with these intentions that have had recourse to practices already employed.

The occasional use viz of Ipecacuanha as Emetic of Vinum Nicotiana as Diuretic

And of Cream of Tartar with Sulphur as laxative.

Under these am hopeful may get rid of affection.

But not improbable that may be led to conjoin with them, use of blisters & opiates.