DEP/DUA/1/43/09 (Normalised version)

Janet McDougall

1787

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N^o16. December. 4^th. 1787.

Janet McDougall at 38 complains of intense pain in her left side, which generally reaches to the top of her head, on the same side & often remains for some time very acute in her lower jaw, it often extends also to the lower part of her loins.

She complains also of great distension of her stomach which is commonly aggravated after meals attended with nausea & sometimes vomiting, & often with cardialgia. These symptoms she says are much alleviated on the discharge of flatus.

Pulse about 90 & rather low Belly natural much thirst, sleeps ill, appetite impaired, catamenia regular.

These complaints first began about fourteen years ago & have continued more or less severe ever since. She knows no cause to which they can be attributed.

She has used Valerian & various other medicines, without alleviating her pain, but she thinks that the Valerian somewhat eased her stomach.

Cap. Pil. Foetid cum Aloe gr V om m.

8

The pills have produced considerable looseness, her symptoms continue nearly as before.

Interm. Pil. & cap.

Mist. Tinct. Aromat. ℥ p ter de die.

15.

Has taken the mixture regularly & has likewise repeated the use of some of the pills which however have now no effect in purging her

Her symptoms are much relieved & she is nothing affected with the pain in her stomach.  But she had a considerable return of palpitation on Thursday last.

Cont. Mist & Rept. Pil.

22

Symptoms have been rather more uneasy for two days past.

Cont. Mist. & Rep. Pil. u. a.

January 5.

Has been much distressed with palpitation & her menstrual discharge has not returned at the usual period.

Interm. Med & Cap. Pil.

Aloet. gr X. altern. quag. nocte

12.

Has in general four or five stools from each dose of the pills. The palpitation & other symptoms continue much as before.

Cont. Pil Aloet sed cap gr V alter quag. nocte solummodo

19. Cont. Pil u a