DEP/DUA/1/46/37 (Normalised version)

George Gray

1789

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N^o12 November 24^th 1789.

George Gray at 48, by trade a mason, is affected with cough & laborious respiration attended with a wheezing noise & a considerable action of the intercostal muscles.

He expectorates very little with the cough, but he feels a sense of tightness & oppression across the thorax; & he complains of pains in his back & limbs. He sometimes also observes slight swelling about the ankles, in the evening bearing the mark of the [finger] upon pressure.

Pulse about 80, full & regular, Tongue clean, appetite much impaired, Thirst moderate Belly regular. Urine scanty

These complaints first began about six weeks ago, & were induced he thinks by exposure to cold. He made use at first of some pectoral medicines, from which he thought he received considerable relief. But since that his complaint is again much aggravated which he ascribes to fresh exposure to cold when at his work.

Rx Vin. [Mistian] Gut 4 X

Ag. Menth

- [Font]

Syr Simple aa ℥ ii

M Capiat ℥ p ter de die

24^th

Continⁿ. [Mixture] u. a

28^th

Had at first some Sickness at Stomach from his Mixture, but he now takes it without any Inconvenience: the Quantity of his Urine is considerably increased: the Swellings of his Legs almost entirely gone and his Breathing somewhat relieved, tho’ still much affected upon any considerable Motion. Skin cool, Pulse 96, Belly regular. Expectoration more free

Continⁿ. Mixture u. a.

December 4

Cough & breathing considerably easier. He has still at times some sickness from his mixture. Urine much increased. Swellings entirely gone.

Cont. Mist u a

12.

Is almost entirely free from the cough & dyspnoea. There are now no remains of swelling in his legs & urine continues very copious

But he has been much affected during the course of last week, with sickness & pain at his stomach. Interm Mist & cap. Pulv. Cort. Peruv. ʒ p. bis indies.

19

Continues almost entirely free from the cough, dyspnoea, & swelling of his legs; but has been a good deal affected with pains in his Bowels, which are relieved by eructations. Cont. Pulv. Peruv. u. a. & Cap. Pil. Foetid cum Aloe gr V om. n.

26.

Continues free from his former symptoms & the Pills keep his belly open. but he is still frequently effected, with the pains in his bowels & has discharged some blood by stool. Interm. Med. & Rx. Pulv. Cum. Tart.

Janr 9^th. 1790

Has had no return of the bloody stools, & is less affected with the pain of his Belly, but complains more of pain of his breast, attended with cough & dyspnoea.

Cont. Pulv. u. a.

16

Has of late been much affected with the cough & dyspnoea, but without any return of the swelling of his legs. Urine high coloured but not scanty. Interm Pulv. & Repet. Mist cum Vin Nicot. u. a.

23.

The cough & dyspnoea are rather increased notwithstanding the use of his mixture, & he is frequently affected with sickness at stomach. His urine still continues free; & there is no return of the swelling of his legs.

Cont. Mist cum Vin Nicot. u. a.