DEP/DUA/1/43/29 (Normalised version)

Isabel Dunbar

1788

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N^o26. January 8^th 1788.

Isabel Dunbar at 42. complains of an acute pain at the lower part of the abdomen which extends from thence to her loins & as she expresses it seems to draw the bones together. It often also shoots up to the stomach

She discharges by the anus a great number of small worms, which by her description seem to be of the ascarides kind. They come away in greatest numbers when she is sitting erect. The discharge is accompanied with an uneasy itchy feeling at the anus. She is likewise often affected with severe pain at the fore-part of her head which is in general much aggravated after meals.

Pulse about 86, Body natural Appetite indifferent. Sleeps ill, menses regular.

These complaints first began about a month ago, but were almost well till within these five days when they have returned with greater severity. She knows no cause for their occurrence.

Cap. Mist. Tinct. Aromat

℥ p ter de die nec non hab.

Ag. Calcis. lb. ii. injic pro Ememat.

12.

She thinks that the pain of her bowels is somewhat alleviated since she began the mixture

Few of the Ascarides were observed while she used the injection of lime water. But of late they have appeared in as great numbers as before.

Cont. Mist & Ag. Calc. u. a.

19.

Has used the injections as directed but seldom retains them above five minutes. Her stomach complaints are much easier but her headache is little alleviated.

Cont. Med. u. a.

26

Has seen few of the worms since the last report. But still continues to be affected with the pain in her belly.

Cont. Mist. u. a. Interm. Ag. Calc.

February 2.

Had a feverish paroxysm about eight days ago, which has been succeeded by inflammation & swelling about the top of the left thigh. Other symptoms much as before

Cont Mist. & Hab. Ol. Camph. ℥i. illin. p. dol.

9.

The tumour on her thigh has terminated in suppuration. Her stomach complaints are much easier. But she still complains of headache & discharges the ascarides as before.

Interm Med & hab Ungt Basil ℥i. quo curat. ulues. nec non sumat om. m. Pil e Camph. gr X.

16.

Has discharged a great number of the worms since she began the pills, & thinks her symptoms rather easier, but there is a considerable discharge from the tumour on the thigh.

Cont. Med. u. a. &

Rx. Camph gr X solv in Ol. Oliver

℥IV injic pro. Enem.

23

The sense of heat & thirst have been much increased since the last report but in other respects she continues easier

Cont. Mist. u. a.

March 1.

After the injection of the oil with Camphor she discharged a great number of Ascarides. And a second injection was followed by the same effect, since which she has seen none of them. The tumour in her thigh is now entirely gone

Interm. Ungt. Cont. Pil e Camp

& Repet. Enem cum Camph. u a.

15

She now sees very few of the worms & is in other respects easier. But at present she complains of headache.

Interm Med & Cap. Pulv. Crem Tart coch parv bis indies