DEP/DUA/1/43/13 (Normalised version)

Jean Robertson

1787

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N^o18. December 11^th 1787.

Jean Robertson at 36, complains of an acute & constant fixed pain at the cartilage ensiformis which often extends from thence to her left side.

She is also affected with troublesome cough attended with expectoration of viscid mucus, & with considerable dyspnoea which is always aggravated during the night. She complains also of a severe pain in the forepart of her head, accompanied with great vertigo & sometimes followed by Syncope.

She is affected also with distension of her stomach attended with cardialgia, nausea & vomiting. She observes that the affection of her stomach is much alleviated by the discharge of flatus.

Pulse about 96 & strong, Belly regular, appetite impaired, much thirst, sleeps ill, & her menstrual discharge returns at shorter intervals & to a greater extent than natural.

These symptoms attacked her about six weeks ago & she can assign no cause for their occurrence

Cap. Pulv. Ipecac ℈i. pro Emet

nec non Rx. Tinct. Aromat.

Tinct. Amar. aa ℥ iii

Vin. Nicotian ʒi. M cap

℥p. om. m. & vesp.