DEP/DUA/1/46/25 (Normalised version)

Jean Holbert

1789

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N^o6 November 18^th. 1789.

Jean Holbert at 10, is affected with considerable swelling & inflammation of the inguinal glands on both sides, which have very much the appearance of venereal buboes. One of them suppurated & broke about a fortnight ago, & it still continues open discharging a considerable quantity of thin matter. The other, is in an inflamed state & seems to contain matter. There are also several considerable ulcers on the labia pudenda, & she is much pained when she discharges her urine.

Pulse natural, appetite impaired, belly generally costive.

Neither the child herself nor her parents know any cause to which this affection can be attributed. And they are very positive that she has not in any way been exposed to venereal contagion

She had a fever about twelve months ago, & they suspect that the tumours in her groins commenced either during the time of it, or immediately after her recovery.

Neither of her parents have ever been affected with similar symptoms or with obstinate sores on any part of their bodies. But two of their other children have had bad sores. One of them had an ulcer in the hand for many years. The other has a sore in the glands of the neck which has continued open for upwards of a year.

She has used no remedies for this complaint as she concealed it from the knowledge of her parents, who had exhibited to her medicines against worms with which they supposed her to be affected. Since they discovered the swellings they have only applied maturating poultices by which one of the swellings has suppurated & broke.

Rx. Terra ponderosae murialae

Ag. Menth. ℥ IV

Syr. Simp

Mucil. G. Arab. aa ℥ i

cap. ℥ p ter de die, nec non [heb] Ungt Saturn ℥ ii quo curentur [u]

Novr 14^th

Has taken the mixture without any inconvenience; but the pains from her sores are so severe that she is altogether unable to walk.

Cont. Med. u. a. sed cap. unciam Misturae ter de die, nec non appl. Cataplas e mic. pan. partibus apprime dolentibus.

21

The pains were somewhat diminished from the application of the poultice to the sores; & the augmented dose of her medicines has not been productive of any uneasiness or other obvious operation. The ulcerations & tumour continue much as before, Cont. Mistura & Ungt Saturn. u. a. Repetantur [etiam] Cataplasmata pro re nata.

22.

Her mother has now discovered that she has been exposed to venereal contagion; & has no doubt that her present symptoms originate from thence. Interm. Med & Hab. Ungt. Mercur ℥ I quo curentur ulcera. nec non

Rx. Calomel. gr. XII

Opii gr. VI

Micae. [Panis] ʒp.

Syr. Simp. g. [s]. f. mas divid in pil. XII cap. i. om. n. hor. somni.

28.

Has used her medicines without any inconvenience. The ulcerations on the labia are somewhat mended, but the buboes, continue as before.

Cont. Med. u. a.

Decr 4

Has continued her medicines without any obvious operation & all her symptoms are much diminished.

Cont. Med. u. a