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    DEP/DUA/1/34/19 (Transcript version)

    Peter Campbell

    1784


    No30 Febr 6th 1784

    Peter Campbell at 30. Has a constant cough with expectoration which is at times free but at other times more difficult.

    He was affected with sickness yesterday at 12 o’Clock which continued for ¾ of an hour, without his having any inclination to vomit

    He then perceivd as he expresses himself an inward & violent trembling in his belly, which ceased in two or three minutes. Immediately after this he had successions & rigours over every other part of his body

    These suddenly ceased in about fourteen minutes afterwards & were again as suddenly followed by tremblings in the abdomen.

    The internal & external tremblings generally succeed each other three times in about three quarters of an hour. They are followed by a hot fit which after two hours terminates in a gentle sweat.

    Appetite bad, belly bound, Pulse natural.

    He has been unwell for these six weeks past & thinks the complaint was first contracted by exposing himself to cold when sweating. He was confined to his bed for the first forth night. After which the ague began & has continued to recurr every day since but at uncertain intervals.

    The cough has been present from the first & it is most distressing when he has the internal affection. At this time he has an inflation of his belly especially after taking a little food, & this is often terminated by a discharge of wind.

    7 Cap bis in 7mana Pulv. Ipecac Ji. nec non sumat om m & vesp. Pil. Foetid cum Aloe gr V.

    14. Both the vomits operatd well & he has taken the pills as directed which have kept his belly gently open with a considerable discharge of flatus.

    He is still affected with the shivering fits formerly describd, which however now only return once in two days & he is still much distressd with the wind in his stomach if he sit at rest even for the space of a few hours.

    Cont. Pil. Foetid sed cap. gr V om. m. solummodo nec non habeat Pulv. Cort. Peruv. rub. ℥ i. Cap. ℥p. om [bihor] incip post paroxis.

    21 Took the ounce of red bark without any other obvious effect, than slight uneasiness at stomach. Since that he has had no return of his former paroxysms & his health is in every respect much mended though he has still some cough. The pills keep his belly regular.

    Interm Cortex. Cont. Pil Foetid. cum Aloe. u. a.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
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