DEP/DUA/1/45/27 (Normalised version)

Isabel Middleton

1788

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N^o22. December 30^th. 1788.

Isabel Middleton at 39, complains of frequent cough, pain of head & breast, with general debility, much thirst, expectoration copious, belly costive. pulse rather feeble. Her menses have not appeared these three months. She sleeps ill in the night as at that time her cough becomes most troublesome. Her present complaints are of three weeks standing. But she says, that a short time before their commencement, she had some symptoms of intermittent fever & since that she has never been in good health. She knows no cause to which she can attribute her present symptoms & has used no medicines.

Cap. Pulv. Ipecac ℈i. [pro.] Emet.

January 3.

Did not take the vomit on account of the appearance of the menstrual discharge. In other respects she continues much as before.

Cap. Emet. u. a praescript. nec non Rx. Mucil. G. Arab. Syr. Simp. Ag. Tont. aa ℥ ii. Tinct. Theb. Spt. [Vitr.] ten. aa ʒI. M cap. ℥p ter de die.

January 10^th

Cough nothing relieved since she began the mixture. She has been much affected with profuse sweatings & has had several shivering fits since the last report.

Cont. Mist. u. a. sed fiat cum Spt. Vitr. ten ʒ ii nec non cap. ter indies Pulv. Cort. Peruv. ʒp

24

Has in general considerable looseness after the Bark; & her symptoms are nothing alleviated. Interm Cort. sed

Cont. Mist. u. a.

31.

Has had nothing of the looseness since the Bark was intermitted. But has still a return of the feverish [accession] every third day. Cough & expectoration much diminished. Interm Mist. sed Rep. Cortex. u. a.

February 7^th

Has had little return of the febrile accession since the use of the bark & her cough is much diminished.

Cont. Cortex. u. a.

14.

Had a febrile paroxysm on Wednesday last, but it was very slight, & she still continues free from the cough.

Belly regular. Pulse 96.

Cont. Cortex. u. a.

21

Has had a febrile attack every day since the last report; & each has been succeeded by profuse sweating. But they do not occur at any fixed time. Interm. Cortex

& Rx. Mucil. G. Arab.

Syr. Simp.

Ag. Tont aa ℥ii

Solut. Miner. [gt.] XXX

M cap. ℥s om m & vesp.