4th. After the second bleeding last night, the pain was entirely
removed: she slept well, and the pain continued absent until this
morning, when it returned with great severity, or rather violence. She
was bled to the extent of fourteen ounces with immediate and great
relief: blood in both cups with firm buff and proportion of crassamentum
large: at present, the head is quite free from pain; there is scarcely
any pain in the back; no tenderness of the abdomen; tongue loaded in
middle with white fur, moist at edges, of natural colour; four stools;
pulse 120, weak.—Pt. med.
5th. No return of pain in the head; that of back continues; slept ill;
tongue much more clean and quite moist; four stools; pulse 120, weak;
skin warm and damp. Omit. pulv. Pt. alia med.
6th. Pain of head returned with great severity last night, for which she
was bled to the extent of four ounces with only temporary relief; no
sleep on account of the severity of the pain; skin hot; entire scalp
extremely hot; face pallid; nothing unnatural in the appearance of the
eye, and no intolerance of light; pulse 120, sharp, but easily
compressed; tongue loaded with white fur; thirst; four stools; buff on
blood pretty firm.
C. C. ad ℥x. nuchæ. Camphoræ, gr. v. c. Extract. Hyosci. gr. iij. 6ta.
q. h. Pulv. Aper. Mit. h. s. Lotio frigida capiti raso.
7th. Pain of the head entirely removed since the cupping, and has not
since returned; slept well; face continues very pallid; tongue loaded
with white fur in middle; very pallid; pulse 120, of good strength;
feels quite easy, but very weak. Cont. Pilulæ. Capt. Haust. Quininæ
Sulph. 6ta. q. h.
8th. No return of pain in the head; some in loins; scarcely any sleep;
tongue the same; four stools; pulse small and extremely weak. Pt. Med.
omnia. Capt. Vini Albi, ℥iv. in dies.
9th. Free from pain in the head, back, and every organ; scarcely any
sleep; much restlessness; delirium; countenance pallid and sunk; feels
very weak; tongue the same; four stools; pulse 120, not so weak as
yesterday. Pt. Med. Vini Albi ad ℥viij.
10th. Slept ill; much restlessness and delirium; frequent and deep
sighing; severe pain in the lower extremities recurring in paroxysms;
she says the pain is as if some one were rending her limbs from her;
tongue white, moist; four stools; pulse 110, weak; takes and relishes
her wine. Statim capiat Haustus Anodynus, c. Liq. Opii Sedativi, gtts.
xl. Augt. Vini Albi, ad ℥x. Cont. alia med.
11th. Long and tranquil sleep after the draught; less delirium; no
sighing; no return of pains in the limbs; mind perfectly distinct;
“feels greatly better;” countenance much more animated; tongue the same;
pulse 108, more strong and firm, but still easily compressed. Cont. Med.
Rept. Haustus Anodynus hora decubitus.
12th. Slept well all night; “feels very much better to-day;” no return
of pain; complains only of sense of lowness; pulse 96, weak. Pt. Med.
omnia.
13th. Continues to improve in all respects.
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