DEP/DUA/1/46/33 (Transcript version)

Agnes Henderson

1789

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No10^th Novr 19^th. 1789

Agnes Henderson at 2, is affected almost every day, with fits of laborious breathing attended with a peculiar wheezing, resembling the noise, which occurs in Croup. These fits of dyspnoea do not attack her at any fixed time, but in general begin before eleven o’Clock in the forenoon & continue for the greatest part of the day. She sleeps however tolerably quietly, during the night, & her respiration is then perfectly free & easy. During the fits, she is frequently affected with cough & has a constant sense of languor & uneasiness.

Pulse quick, Belly costive, appetite bad, with great thirst.

This affection began about two months ago under the form of hoarseness & other symptoms from cold.

Upon these symptoms, the present fits of difficult breathing superveend, about a month ago, & have continued to attack her almost daily, ever since.

Since this affection began the child has been repeatedly blistered & bled without any apparent benefit & she has also used syrups of different kinds, cream of Tartar & various other medicines with no better effect.

Cap. Pulv. Ipecac gr V pro Emet. nec non sumat Mist. Oleos ℥ p. ter de die.

Novr 24.

The vomit operated well, & her mother thought her breathing considerably easier the day after. She has taken the mixture regularly, but she is still affected with severe fits of dyspnoea, though the noise in respiration is not so remarkable as formerly. Cont. Mist Oleos. u a

28

The noise on inspiration, is, her mother thinks less loud than formerly. But she is still affected with it every day, & it now in general continues from five in the morning till five in the afternoon, after which she is tolerably easy

Interm Mist. &

Rx. Mucil. G. Arab.

Syr. Simp.

Ag. Font. aa ℥ ii

Spt. Aether. Vitriol. [gr]. 4

M cap ℥ p. om. her [ungent] dyspnoea.

Decr. 4

Has taken the mixture as directed.

Since she began it the fits of Dyspnoea have been gradually less severe, & she has had no return of them for two days past. P. & B. natural. Appetite good. Cont. [Mist] u. a.

12

Has had no return of the violent fits of dyspnoea, & at present her respiration is perfectly easy. But her mother thinks that it has been somewhat laborious during the night, for some nights past.

Cont. Mist. u. a.

26.

Is now entirely free from the affection of her breathing, but has some sores on her upper lip.

Interm Mist. & Hab. Linim simp. ℥p.

Janr 9.

Has had returns of the fits of difficult respiration for two nights past

And her breathing is at present attended with some degree of noise. After the last paroxism, her mother observd some bloody expectoration. Her lip continues much as before. Cont. Lin. simp. & Rep. Mist. cum Aethere Vitriol. u. a.