DEP/DUA/1/47/46 (Normalised version)

James Keir

1790

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No 28 January 26^th 1790

James Keir at 63, a labourer

The surface of his body & the tunica adnata of his eyes appear lightly tinged of a yellow colour. He also complains of constant sickness at stomach, but unattended with vomiting & he is affected with an obtuse pain in the right side which is increased in a recumbent posture.

Pulse 86, Tongue white, Appetite much impaired, Belly rather bound & the faeces appear of a white colour. His urine is discharged in rather less quantity than usual & it stains linen immersed in it of a yellow colour.

These complaints have continued for about a fortnight past, & he supposes them to have arisen from exposure to severe cold while at his work. He has taken a vomit from which he has experienced some benefit.

Cap. Pulv Ipecac ℈i. pro Emet nec non sumat Pil Aloet gr V. om n

30

The vomit operated well & he has in general an easy stool every day from the pills. He thinks himself rather easier. The yellowness is somewhat diminished & his stools rather of a darker colour.

Repet. Emet. Cont. Pil. u. a.

February 6

His stools and urine are now nearly of the natural colour & the yellowness is much diminished.

Cont. Pil. aloet. u. a.

13

Has no remains of yellowness or other symptoms of Jaundice

Let him be dismissed.