DEP/DUA/1/47/30 (Normalised version)

Alexander Kerr

1789

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No 20^th December 15^th. 1789.

Alexander Kerr at 43 a shoemaker of a weak & lax habit of Body, complains of severe cough & pain of his side, attended with copious expectoration of a frothy, whitish matter. He is affected with much dyspnoea, which is increased upon motion, in such a manner as to give a sense of suffocation. He sweats much during the night.

Pulse near 80 & weak Tongue white. Belly bound. Appetite & strength much impaired & he sleeps ill in the night. He is often disturbed from his sleep when it does take place by frightful dreams.

He was exposed to cold about a year ago; & to this he is inclined to attribute his present symptoms. He has not since been entirely free from his complaints, but he thinks that since the commencement of the colliquative sweats, about six weeks ago, he perceives himself much weaker & more emaciated than before.

He has taken syrups & other pectoral remedies from which he found little amendment. About six weeks ago, he had a blister applied to his left side, which relieved the pain & dyspnoea considerably. He has not used any remedies since.

Ap. Emplas. [Vesicatoricim] pectori, & postea fiat forticulus ope Ungt Epispastici, nec non Cap. Pulv. G. Myrrh. comp. coch parv. ter de die.

19

The blister rose well & there is still a free discharge from the issue

His dyspnoea is now much relieved

But he complains of severe pain in his throat, with which he has been affected for a considerable time.

His powder has no obvious operation. Belly bound. Other symptoms much as before.

Cont. Fontic & Pulv. G. Myrrh u. a.

26

Has discontinued the issue as he found it very uneasy, & thought it weakened him. He is still much distressed with the cough & dyspnoea.

He has in general two stools daily

Intern Fontic. Cont. Pulv. G Myrrh. u. a. sed cap dos bis indies solum modo nec non

Rx. Spt. Vitriol ten ʒ ii

Tinct. Theb. ʒi.

Mucil. G. Arab.

Syr. Simp.

Ag. Font aa ℥ ii

M cap. ℥ p. ter indies & repet [urg] tussi

January 2^d 1790.

Thinks his cough & dyspnoea much relieved since he began the mixture; & he sweats less in the night. He has still in general two stools daily.

Cont. Med. u. a.

9^th

His cough is again more severe although he still continues to be less affected with the dyspnoea. He is much distressed with tenesmus

Cont. Mist. addend. Conf. Japon ʒ ii Intern. Pulv. G. Myrrh.

16

Is now much less distressed with the tenesmus & has in other respects been rather easier, for some days past. But today he complains much of sickness at stomach & vertigo.

Cont. Med. u. a.