DEP/DUA/1/19/23 (Transcript version)

Barbara Stodart

(1778-1779)

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Barbara Stodart.

Case of this patient manif of compl. nature

But in affect to which she is subj. have no uncommon occurr.

And even combinat which here takes place by no means rare.

Can have little doubt that pain with which affect of Rheum kind.

Situat indeed somewhat pecul.

For at least princip in sides

Seated either in intercost muscles or in tendin parts by which attachd.

But by no means conf to that situat.

Extended also to infer extrem.

And not only in thighs but also in larger joints partic knees.

In this then evid of affect in most most common situat.

But while affect intercost., seems also to have seat in abdom muscl.

At least there also consid pain.

But in some meas doubtful whether this be not conseq of anoth affect.

Cough viz to which subj.

At least told that by cough aggrav.

And not unfreq. that pains in abdom [integ] induced by mere agitat from cough.

At same time more probab that in pres. case merely aggrav.

But whatever may be case with respect to this circum, no doubt that to Rheum affect cough super [added.]

And when consid cont. for four months with state of expect. must natur concl. that has already acquird cond of [illegible] [effec]

In these two diseas then Rheum affec, conj with chron catarh. have disease complic to which patient subject.

And while neither uncommon this even a very freq. conjunct

Nor indeed surpriz, when consid that both readily origin from [same] cause

Of all circum most freq from cold.

And from such may here pres. [orign]

Patient indeed ignor. of any cause

But act of cold a cause to which much exposd.

And may often have effect when [changes] observat.

With this idea of affect prog not fav.

No reason indeed for great alarm.

Yet of neither affect to expect [sup.] [cure]

And remed accom for both by no means the same.

Patient also rather advan in life as otherwise

And has appear of being older in const than in years.

If therefore can palliate affect is utmost that expect.

Of this however prosp at least [aug] from season of year.

And by warmth alone even without med consid remiss may be obt.

While under our care howevr meas at least to be tried with view of [forw] recov.

And here consid Rheum from being most urgt. as cheif claim attent.

Was with view to this that directed as topic applic to paind parts the Ungt. Vitriol.

A remedy act. of which depends on Vit. Acid

Having powers however restr by unct matter

This applic in many inst of Rheum affect have used with success.

And hoped that might here have good affect.

But here did not wish to trust to it alone

And began by conj it with calomel a med of affects of which in Rheum have already oftener than once has occas to speak.

With pres patient howevr sevr circ occurd as obj to giving very long trial.

And has as had not speedily affect [subst] to it the Vol. Elx of Guaiac.

Of this artic also power in Rheum cases oftenr than once subj of observ

And for own part look upon it as being in many cases effic remed.

Whether proved such in pres case cannot posit pretend to say.

But to patient, taste & sense of hear which excited not agreeab.

And very soon tired of employm.

Under this course howevr accord to [illegible] at least pains much easier.

And much less affectd also by cough to which formerly subjected

In this situat then thought it unnecss to cont. pract to which pat herself averse.

As at least consid chance that would not be carefuly executed.

Have now therefore put her on use of purgat pills Pil. ex Colcoth merly with intent of obv costiveness.

And if find her cont. to enjoy same ease as at last report shall take opport of dismiss her.

At same time am far from expect. that will not be again subj to returns of compl.

In this case howevr know no meas more advis. than those already tried, to which cannot I imag. expect compl of patient.

Shall therfore be better placed to have it in powr to dismiss her even with allev of affect.

With these [observ] concl remarks on pres case

And this day [illegible] prop to [illegible] this part of pres. winter course.