DEP/DUA/1/45/35 (Normalised version)

Kitty Ord

1789

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N^o26. January 20^th. 1789.

Kitty Ord. at 10 is frequently during the course of the day attacked with fits in which the umbilicus is contracted to the spine, & her extremities are slightly convulsed, but she does not foam at the mouth. She is ignorant of what passes during the paroxysm but says that it generally begins, with a sense of suffocation in the Trachea. These fits are commonly terminated by coughing & they leave her for some time after in a state of languor & fatuity.

They are not always of the same duration, nor do they observe any regular period of accession. They are observed to be excited by any sudden emotion of the mind. Pulse regular at present, but during the paroxysm it is remarkably feeble. Belly costive, Catamenia have not yet appeared. Appetite & other functions natural.

These fits first came on about a year ago, but without the sense of a ball in the Trachea at that time. She remained free from any attacks during the summer. But about a fortnight ago they returned without any manifest cause. She passed some worms by stool about two years ago, & is at present observed to grind her teeth at night & to pick her nose Has used no medicines Rx. Zincum praecipitate grV

Pulv Valer Sylv. ℈i.

M cap dos bis indies

29.

Has taken the powders regularly, but has sometimes vomited after them. The frequency & severity of the fits are nothing diminished

Intern Pulv. & Rx Zincum praecipitate Mic Pan. aa ʒ ii. Syr. Junip g. s. f. mas. divd in pil grV cap. Pil. I. ter indies

31

Her fits still continue frequent. The pills sit easily on her stomach.

Cont. Pil. u. a. nec non. hab.

Ag. Cal. ob. inji ℥IV om. n.

hors om.

February 7^th

No worms have been observed since the use of the injections & her fits still continue to be very frequent. She is also much distressed with sickness at stomach.

Intern Med. &

Rx. Mist Mucil ℥VI

Spt. Aether Vitriol ℥p M

cap. ℥p ex Ag. Cyanth. bis indies.

February 14^th

Has had no uneasiness from the mixture with Aether & since she began the use of it she has hardly had any fits, & these few attacks have been very slight.

Cont. Mist. cum Spt. Aether vitriol. u. a.

21

Has had no return of fit since the last report, & at present she complains of a sense of coldness with some headache.

Intern Mist &

Rx. Infus. Amar. ℥IV

Tinct. Aromat ℥ii M

cap. ℥p bis indies.

February 28.

Has had a fit every day since the mixture with the Aether was omitted

Interm Med. & Rep. Mist cum Spt. Aether Vitriol, nec non cap

Pil e Cupro. i. indies hor [undec.] A. M.

March 14^th

Has had little return of the Fits since the use of the mixture & is in other respects free from complaints.

Cont. Mist & Pil u a.

28.

Has been little affected with her complaints for a fortnight past

Cont. Med. u. a.