DEP/DUA/1/43/19 (Transcript version)

Isabel Angus

1787

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N^o21 Decr 18^th. 1787.

Isabel Angus at 60 is affected with a considerable colourless swelling in her inferior extremities. It is most considerable in the feet & ancles, but extends above the knee. It leaves deep pits on pressure. She has likewise a severe cough accompanied with gross expectoration & great difficulty of breathing. The dyspnoea is always most severe during the night so that she is often obliged to rise from danger of suffocation.

Pulse about 80 & regular, Belly natural, urine in small quantity, Appetite good, No thirst.

The cough & dyspnoea are of about three months standing & the swelling of the legs & ancles superveend about five or six weeks ago. She attributes these complaints to the application of cold

She has taken a cathartic without any sensible effect.

Cap. Pulv. Crem. Tart. coch parv. ter de die

Decr 22. Cont. Pulv. Crem Tart u. a & Rx Pulv. ol. Digitat gr XII Sap. Hisp. ℈ii Syr. Simp g. s. f. mas. divid in pil. XII Cap i. om. m.