DEP/DUA/1/41/31 (Transcript version)

James Thomson

1787

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No32. Febr 23^d 1787

James Thomson at 64 a labourer, complains of cough dyspnoea & pain of his breast particularly towards the right side. The cough is accompanied with copious expectoration, & his other symptoms are much relievd upon his expectorating freely. But the pain of his breast & side are always worse when the cough is severe.

Pulse 98 & of natural strength

Tongue clean but rough. Appetite impaird, with considerable thirst. Belly regular. He is often prevented from sleep in the night by the cough.

These complaints are of about ten days standing & he ascribes them to cold to which he was exposed at that time.

Cap. Pulv. Crem Tart comp. coch parv. bis indies

March 3^d. The powder has had the effect both of opening his belly & encreasing the quantity of his urine. His cough is somewhat alleviated, but still at times severe, & attended with copious expectoration.

Cont. Pulv. Crem Tart comp u. a.

10. The powder continues to operate as before, cough easier & expectoration upon the whole diminishd

Cont. Pulv. u. a.

17 Has in general five or six stools a day from the powder & his urine continues to be considerably encreased. Cough easier.

Cont. Pulv. u. a.

24 Has still frequent loose stools from his powder & his urine continues augmented. His cough is easier, but he is still affected with dyspnoea & pain of breast with considerable expectoration.

Cont. Pulv. sed cap. coch parv. om. n. [solemn] nec non sumat bis in 7 [man] Pulv. Ipecac. Ji [illegible ] Emet.

31 Both the vomits operated well & he has frequent loose stools from the powders

Interm Emet. Cont. Pulv Crem Tart u. a

April 8. Has in general three or four loose stools every night

And since last report has been a good deal distressd with Dyspnoea.

Interm Pulv Crm Tart & Repet. Emet bis in 7 [man]