DEP/DUA/1/42/23 (Normalised version)

Alexander Ross

(1787-1788)

---

N^o23. Alexander Ross. at 31.

Complaint of this patient [somewhat] of anomalous nature.

Particularly the uncommon sense of coldness with which daily affected.

Taken in conjunction with pectoral complaint may perhaps be considered as some mark of Phthisis Pulmonalis.

And especially as patient little passed common consumptive period, & with considerable quickness of pulse.

Am however rather inclined to consider cough, as catarrhal.

And to have already degenerated into chronic state

Of this strong presumption from regular attacks, at early hour in morning.

And from cause to which attributed, hard labour, & exposure to cold.

Is on this supposition that practice hitherto conducted.

After presenting an Emetic, have had recourse to a mucilaginous mixture with a portion of Vinum Nicotiana.

An article which in [several] instances of chronic catarrh, have I think used with advantage.

And from which, hope to reap benefits in present case.

But both in practice & prognosis must have view to danger of Phthisis

And should not be surprised if soon found it necessary to direct treatment to that [affection]