DEP/DUA/1/45/25 (Normalised version)

Barbara Dun

1788

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N^o21 December 30^th 1788.

Barbara Dun at 36 is attacked every second day, about seven o’Clock in the evening, with a cold fit which continues for about an hour. It is then succeeded by a hot stage, & followed by a profuse sweat. She is also at times affected with headache, nausea, & distension of stomach.

Pulse at present 76. Belly regular, she complains of much thirst, particularly during the paroxysms. Catamenia have not appeared these three months. Appetite bad.

These complaints began about three months ago, & she says that on their first appearance, the paroxysms occurred daily. But within these three weeks they have assumed their present form. She attributes her disease, to remaining during the harvest near the marshes in the county Norfolk

She has used no medicines but a vomit on the first attack. From this however she derived no relief.

Rx. Solut. Mineral. [gt] XII

Ag. Font.

Mucil. G. Arab aa ℥ iii

M cap. ℥ p. om. m. & vesp.

January 3.

Has taken the mixture as directed, without any inconvenience. But her paroxysms now return daily & are nothing diminished in severity.

Cont. Mist. u. a. sed f. cum

Solut. Miner. [gt]. XXIV

10

Has taken the mixture without any inconvenience. But has had a severe paroxysm every second day since the last report, & during the cold fit has much inclination to vomit. Intern Med. sed cap. hor 7[ma] vesp Pulv. Ipecac Ji Hab. Pulv Cort Peruv ℥ii cap poch harv. om. hor. incip pos parox

January 24.

The vomit operated briskly & she has taken the Bark without any inconvenience. Her paroxysms were for two days very severe, but of late they have been much slighter & less frequent.

Rep. Cort. u. a.

31

Has taken the bark as directed. The febrile paroxysm now returns every third day. Belly very bound.

Cont. Cortex. sed cap. ʒ p bis indies solummodo. nec non sumat om. n. Pil. Aloet. grV

February 7.

The pills have kept her belly open & she has continued the powders regularly. But she had a severe paroxysm on Wednesday, & another on Thursday last.

Cont. Pil – Cont etiam Cortex. sed cap. dos. [sxies] indies

21

Has had no fit of her intermittent since the last report; & is going to the country

Hab. Pulv. Cort. Peruv. ℥p

Let her be dismissed.