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    DEP/DUA/1/41/07 (Normalised version)

    George Brickford

    1786


    No20th December 15th 1786

    George Brickford at 24 by trade a wright, with black hair & of a healthy appearance, complains of a gnawing pain, attended with a creeping motion in his abdomen so that he can hardly rest above an hour or two without being sensible of it. His appetite is very voracious, he imagines however that he does not properly digest his food, as shortly after taking it, he complains of acid eructations & a sense of weight at the praecordia. About five months ago, after great fatigue in walking he passed a worm, which from his description seems to have been of the lumbricus kind.

    If at any time he takes a few glasses of whisky, he observes that he discharges urine of a blackish appearance & containing small calcareous bodies covered with mucus. At times he is affected with vertigo & deliquium animi

    Pulse 86 & small. Tongue clean

    Belly very irregular, sometimes bound, at other times open. He sleeps remarkably sound.

    His calcalous complaints have been of three or four years duration. But never trouble him unless when he indulges too freely in spirits, & he has felt nothing of them for these six months past. The gnawing pains in his abdomen are of nearly the same standing but he can assign no cause for either.

    Cap. om. m & vesp. Pulv. Sem Santon ℥i. & cap. mane die Veneris. Sal. Glaub. ℥iss. ex Ag. Calid. ℥VIII

    23. The powders have occasioned some uneasiness at his stomach & he has had some returns of his calcalous complaints. But he thinks his voracious appetite somewhat diminished & the gnawing uneasiness a little abated. Belly bound. Sleeps well.

    January 6th Has taken since the last report, a pill with one gram of the Mercurius Cinereus, & a dose of Jalap which operated briskly as a cathartic, but without any appearance of worms. He has at present none of the Calcalous complaints, but he still complains much of voracious appetite, & a sense of gnawing pain, which he now refers to the region of the stomach.

    Intem Med. &

    Rx. Tinct. Aromat

    - Amar

    Ag. Menth Phiss aa ℥ii M cap ℥p ter de die

    13. Has had frequent eructations from the mixture & during its use, his urine was remarkably scanty, in the same manner as from drinking spirits.

    But he did not perceive any discharge of sand. The sense of pain at his stomach continues much as before. Interm Mist.

    & Rx. Pulv. Rhei ℥i

    Magnes. Alb. ℥ii M cap coch parv ter de die.

    20 Has continued his powders without any uneasiness. Pain somewhat relieved & he is free from any affection in the discharge of urine

    Cont. Pulv. Magn. cum Rheo u a

    January 27 All his symptoms continue relieved

    Cont. Pulv. Rhei cum Magn u. a.

    February 3. All his symptoms are at present gone & his appetite nearly natural.

    Dismissed.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

Tel: +44 (0)131 225 7324


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