DEP/DUA/1/46/41 (Normalised version)

Alexander Napier

1789

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N^o14^th December 1. 1789.

Alexander Napier at 20, frequently discharges by the anus single joints of a Taenia. They are of different sizes, but most of them about half an inch in length, & two or three tenths of an inch in breadth.

They have considerable resemblance to the seeds of a cucumber. They are most frequently discharged with the faeces when he is at stool, but sometimes come away insensibly. He complains also of [being] frequently affected with pains in his belly, sickness at stomach & vomiting. But he has never observed any joints of the Taenia discharged by vomiting.

Pulse Heat, & Belly natural, appetite in general good, & he sleeps well during the night.

For seven years past he has continued at intervals to discharge these joints. In August last he passed a number of joints connected together measuring about three feet in length, but without a filum. After this the discharge ceased till about a fortnight ago. But since that time he continues to pass single joints as before. He attended at the Dispensary in the summer & ascribes the discharge of the long fragment, to some powder of Tin which he took at that time.

Cap. Stanni pulverat. ℥ p. om nocte ad tertiam vicam. nec non Rx. Pulv. G. Gambog gr iii

Sal. Alk. fix. Veget. gr V fiant ejusm. dos. iii. cap. unam mane die Veneris & reprt. Om. hor. donec nisi prius superv. catharsis.

December. 4^th.

Took his medicines as directed without any inconvenience. The Pulvis Gamboge had no obvious operation in the way of catharsis, though all the three doses were taken yesterday, & he then discharged only some joints of the Taenia as usual; but this morning he discharged a ball of it, consisting of a number of joints connected together which when extended will measure about nine or ten feet in length. There is however no appearance of any filum.

Interm. Med &

Rx. Tinct. Amar.

Ag. Menth. Pys. aa

℥ iii. M cap. ℥ p. bis indies

nec non sumat. om. n. h. som.

Pil. e Camph. gr X.

12.

Has not discharged any joints of the Taenia since the last report.

But he has been much affected with pain at the stomach & uneasiness from wind in his bowels.

Cont. Med. u. a. sed adde Mist. Spt. Vitriol ten ʒ i.

19.

Has seen no more joints of the worm, but still at times complains of heat & uneasiness at stomach.

Cont. Med. u. a.

26.

No more of the Worm has been seen, since the last report, & he thinks his stomach rather easier

But he still complains of the sense of heat in his bowels.

Cont. Med. u a.

January 2^d 1790

Has seen no more joints of the worm since the discharge of the large fragment; but still complains much of weakness.

Cont Med. u a.

January 9^th

All his symptoms are much easier, & there is no more appearance of worm.

Cont. Med. u. a.

26

Was about eight days ago, a good deal distressed with headache, & vomiting. But has been much easier since & there is no appearance of worm.

Cont. Med. u. a.