DEP/DUA/1/41/09 (Transcript version)

Alexander Burn

1786

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No21 Decr 22^d 1786

Alexr Burn at 60, of a sallow complexion, is much tormented especially after meals, with the sensation of a ball moving up & down his abdomen for some time & then gradually ascending to his stomach. It is there attendd by heat & gnawing pain which is soon succeeded by vomiting

The fluid dischargd is at first acid then tastless, & afterwards very bitter & when the straining is violent it has sometimes been tinged with blood. These symptoms are in general preceded by a swelling & tension of his abdomen, but are attended with a sense of constriction. His appetite is much encreased immediately after the vomiting & this hunger is soonest allayd by a little warm milk or cold water. And he thinks that flummery & watery fluids agree best with his stomach

His strength is much impaird & he often feels pains in his loins sometimes in his legs & thighs

Pulse about 80 & small. Belly bound & he sleep ill.

These symptoms have now continued with him for five years at times better & at times worse

But within these twelve months he has been much better, his complaints returning less frequently than formerly though they are still very severe.

Cap. Pil. Stomach grV ter de die.

13. The Pills had some effect in moving his belly & since that all his symptoms have been considerably alleviated. Though he is still at times affected with the sense of a ball referrd to the region of his stomach, attended with severe pain. Appetite good

But after taking food he is frequently affected with vomiting.

Cont. Pil. Stomach u. a. & Rx Tinct. Theb. Spt. Vitr. Tem aa ℥ i.

Ag. [Tont.] ℥ VI M cap. ℥ p [uq.] [dolore] vel vomitu