DEP/DUA/1/44/10 (Normalised version)

Ann Ross

(1788)

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N^o10. Ann Ross. at 61.

In affection of this patient have in some degree a combination of pectoral & stomach ailments

At least evident affect of latter in diminished appetite, nausea, & pyrosis to which at times subjected.

But by much most material part of complaint is affection of breast.

And can have no doubt in considering this as an example of chronic catarrh.

This disease abundantly indicated, by cough dyspnoea appearance of matter expectorated continuation of affection, & increased severity during winter.

For in that season is one of most frequent as well as most troublesome diseases.

And very difficult combination with those who from condition of life & from necessary occupation cannot avoid exposure to cold.

When to this add, that affection of present patient, already of seven years standing cannot look for speedy cure.

Especially at this season of year, when cold weather but beginning.

Some practices however may be employed at least with view of alleviating affection.

As such have here directed a vomit of Ipecacuanha & Squill pills.

By first have in view to unload breast

For of all expectorants, action of vomit the most powerful.

By last to prevent fresh accumulation by promoting discharge as secreted & increasing quantity of urine.

Besides this have enjoined the supporting cuticle discharge by proper clothing & by avoiding cold.

But of effects to be expected from this as well as other practices which may be found necessary shall afterwards speak when [treat] of case at more length.