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

Christian Murray

1788

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N^o33. February 12^th 1788.

Christian Murray at 40. is commonly attacked every day with a cold shivering fit which begins about four o’Clock in the afternoon & lasts for two hours. At the expiration of this a profuse sweat comes on, & continues during the night. She has also constant headache anxiety, weakness, & nausea. She has likewise a pain at the bottom of the sternum, which shoots to the right side & top of both shoulders, from thence it extends down the back to the lumbar region

She is also affected with dyspeptic symptoms, with cough & with difficulty of breathing.

Pulse about 94 & feeble. Belly rather bound. Sleeps ill. Catamenia regular.

These symptoms began about a fortnight ago, & she ascribes them to the action of cold.

She has used no medicines

Cap. Pulv. Guaiac. comp. coch parv. bis indies.

16

Has in general had two stools a day from the powder. She has still severe returns of pain in different parts of her body. At present it is most distressing in her back.

Cont Pulv. Guaiac & hab Ungt Tereb. cum Opio ℥ ii illin. p. app. dolent.

23.

Pains nothing relieved since the friction with the Unguent Terebinth & she is still daily affected with a return of cold fit.

Cont. Ungt. Tereb. cum Opio Interm. Pulv. Guaiac. & cap cr. hor. 10ma ente mind.

Pulv. Ipecac ℈i. pro Emet. nec non hab. Pulv. Cort. Peruv. ℥i. cap coch parv. 4ter indies.

March. 1.

The vomit operated well & since the use of the bark she has had no return of cold fit. Her pains are somewhat easier. But she still complains of uneasiness at stomach

Inter. Med. & Rx. Tinct. Amar. Ag. Menth. Pys aa ℥iii M cap. ℥p [illegible ]

Continues free from any return of the cold fit & all her symptoms are easier.

Cont. Med. u. a.

15.

The pains in her back & sides are rather increased. Cont. Med & Rep Ungt Tereb. cum Opio. u. a.

22

Pain of back easier since the friction.

Cont. Med. u. a.

29

Is at present little affected with the pains, & her other symptoms continue easier; her principal complaint being weakness.

Cont. Med. u. a.

April 5

[Has] been much distressed with the pains in her shoulders & back which prevented her from sleeping during the night.

Interm. Mist. cum Tinct Arom & Cont. Ungt. & Cap. om m.

Pil. Theb. gr V

12.

Pains relieved, other symptoms considerably easier. Let her be dismissed