DEP/DUA/1/45/17 (Normalised version)

James Sinclair

1788

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N^o17. December. 2^d. 1788

James Sinclair at 20 complains of constant acute pain in the left breast, shooting sometimes to the back & aggravated on inspiration. He has also a frequent short cough attended with scanty & difficult expectoration. He sweats much during the night & at that time the cough & pain of his side become most troublesome. Pulse rather quick, Belly loose, Tongue clean appetite good countenance languid. These complaints have been of three weeks standing; & he knows no cause to which he can attribute them. But he imagines, that they may proceed from cold to which he says he has been lately exposed.

He has used no medicines.

Cap. Pulv. G. Myrrh. comp. coch parv. bis indies.

6.

Has no uneasiness from his powders

And the pain of his breast & cough are somewhat mitigated. But he has still at times sweatings in the morning. Belly natural. Pulse 80.

Cont. Pulv. G. Myrrh. u. a.

14

The cough has been much easier since the last report, & he is not now affected with the sweatings in the morning. But at times he has slight returns of the pain of his breast.

Cont. Pulv. G. Myrrh. [ul] [antia]

20

Has now very little either of the cough or sweating. But is still at times affected with the pain of his breast.

Cont. Pulv. G. Myrrh u a

27

His symptoms have been much aggravated since Tuesday last, & he is particularly affected with pain of his breast & dyspnoea. Cont. Med & ap. vesic pectori

January 3.

The pain of his breast was somewhat alleviated by the application of the blister. But it is again more severe.

[Cont.] om. n. Pil. Theb. grX

10.

Is now little affected with the cough & complains principally of flying pains through different parts of his body. Cont. Med. u. a.

17

The cough continues easier. But he still complains of flying pains in different parts of his body

Cont. Med. u. a.

31.

Is now entirely free from the cough but still complains of flying pains in different parts of his body

Interm Pulv. G Myrrh

Cont. Pil. Theb. u. a

February 14^th

Continues free from cough, but his pains have been very little alleviated from the use of the pills. They have particularly affected the joints of his fingers some of which appear to be a little swelled. Pulse 90. Appetite pretty good, Belly regular

Cont. Pil. Theb. u. a. hab. Bals. Anod. ℥ ii. illin. p. dol.