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DEP/DUA/1/42/42 (Normalised version)
Archibald McPhail
1787
No9. November 20th. 1787.
Archibald McPhail at 50, complains of a constant & fixed pain at the lower part of the sternum attended with great difficulty in breathing. By the Dyspnoea he is often suddenly awaked during the night, & obliged to sit in an erect posture for two or three hours, to prevent immediate suffocation. For more than a year [past] he has always been obliged to lie on his right side, as he cannot sleep on the other on account of Dyspnoea. He is affected with some cough, & expectorates a large quantity of viscid yellow matter which has in general merely the appearance of mucus. But which has sometimes been tinged with blood. Pulse 80 rather small & irregular. Belly regular, Urine natural, appetite much impaired. Some thirst, & strength much diminished. These complaints first attacked him about nine years ago & have since that gradually increased in severity. The pain of breast & dyspnoea are more severe in spring & harvest than at other seasons. He attributes the first beginning of his complaint to cold to which he was much exposed at that time. None of his relations were ever affected with any similar complaint. And he has used no remedies, from which he has derived any advantage. Cap. Pulv. Crem Tart. coch parv. bis indies. 24 The powder moves his belly a little & his Dyspnoea is rather easier. Cont. Pulv. Crem Tart comp. sed cap dos om m. solum. Rx. Pulv. Fol. Digital. gr XII Sap. Hispan Jii Syr. Simp. g. s. f. mas divid in pil. XII cap I. om n. December1 Has taken the pills regularly without any sickness at stomach or vomiting. And he does not observe that his urine is anything increased. The Dyspnoea is he thinks somewhat relieved, & it is less frequently necessary for him to rise to an erect posture during the night. The pain of his breast also is somewhat diminished. But he is still much distressd with dyspnoea. Belly natural. Pulse about 86 & irregular Interm. Pulv. Crem Tart comp. sed. Cont. Pil ex Digital. u. a. 8. The pills have produced a very considerable discharge by urine, & the affection of his breathing is now much relieved. But he complains of considerable sickness at stomach. Cont. Pil. ex Pulv. Fol. Digit u. a. 15. The discharge of his urine is considerably increased. But he has been affected two or three times during the week with vomiting His symptoms continue much as before. Cont. Pil ex Pulv. Fol. Digit. u. a. December 22 Urine nothing increased since the last report. But the affection of his breathing still continues easier. Cont. Pil. Digital. u. a. 29 Symptoms much as before. Cont. Pil. Digital. u. a. January 5th Symptoms continue easier. Cont. Pil. Digital. u. a. 12 Symptoms continue easier Cont. Pil. Digital. u. a.
