DEP/DUA/1/45/33 (Normalised version)

David Phin

1789

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N^o25 January 6^th. 1789

David Phin at 23 is at the present affected with severe diarrhoea attended with Tenesmus & gripes

His stools are to the number of a dozen in the day & are sometimes of a white colour, but more generally of the natural colour although always thin. He complains of having always a sense of coldness in his feet, & he appears to be much emaciated. Pulse 70 & weak. Appetite impaired. Tongue clean & dry. He is also affected with urgent thirst which however he cannot indulge as he finds that it aggravates the looseness.

These complaints first began about eight years ago, & the diarrhoea during that time has been seldom absent for more than a week. After these intermissions it returns with as great severity as before, continuing for some days.

He knows no cause for his disease & has used no medicines excepting some Peruvian Bark from which however he derived no benefit.

Rx Mist Conf. Japon ℥ VI Tinct. Theb ʒi. M cap ℥ p ter indie

January 10^th

The looseness has been very moderate since the last report. Having seldom more than two stools in the day. But he is at times affected with sickness at stomach & vomiting.

Const. Mist. u. a.

24.

Had pretty severe looseness last week. But has been much less affected with it during the present week. He has taken none of the mixture for two days past, but has used a little of the powder of bark.

Interm. Mist & cap. Pulv. Cort Peruv. ʒ p. bis indies