DEP/DUA/1/46/39 (Normalised version)

John Keith

1789

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N^o13. November 24^th. 1789.

John Keith at 38 a labourer complains of violent pains along the course of the alimentary canal, attended with temporary swellings apparently the consequence of flatulence. The swellings chiefly appear about the umbilical region. The pains are sometimes attended with eructation, vomiting or a discharge by stool, from which he in general finds relief.

Pulse natural, Belly loose

Appetite considerably impaired.

He was first attacked suddenly with these complaints about three weeks ago. They began according to his account with a fit of Colic attended with severe vomiting. From this however he was relieved in two or three days. But the pain recurred with greater violence attended with the looseness upon attempting to return to his work, & they have continued in their present state for about a fortnight past.

Rx. Tinct. Aromat – Amar. Ag. Menth. Pip. aa ℥ ii Tinct Theb. ℥ I M cap. ℥ p. ter de die.

28^th

Is less distressed with the swelling since he began his Mixture but has still at times severe Returns of the Pain particularly in the Afternoon

His Belly is now nearly natural and he has had no Return of Vomiting.

[Contins.] [Mixture] [ut] [antic]

December 4

Discharges wind frequently under the form of eructation. But is now free from the pains, & in other respects much easier.

Cont. Mist. u a.

19

Is in every respect considerably easier since the last report.

Cont. Mist. u. a.

26

Continues much easier

Cont. Mist. u. a.

January 2^d 1790

Continues free from his complaints let him be dismissed.