MARGARET SKEY, æt. 37, married. Five days ago attacked with sense of
cold, shivering, and heat, together with pains in the bones. At present
complains of pain in small of back; no headache; no pain of chest; some
cough; no tenderness of abdomen; tongue white and dry; much thirst;
bowels constipated; sleeps tolerably; pulse 112. Haust. Sennæ Sal. q. p.
et c. m. Rep. Mist. Acid. pro potu.
6th. Abdomen very tender; tongue red; four stools; much thirst; skin
warm; face flushed; pulse 100, easily compressed. Hirud. x. abdom.
Postea Catap. Emoll. Rep. alia.
8th. Much delirium through the night; considerable muscular tremor; pain
of abdomen gone; tongue tremulous, but not much coated; much thirst;
four stools; pulse 100, weak; frequent shivering. R. Quininæ Sulph. gr.
ij. Aq. Rosae, ℥j. M. Sit Haustus, 6tis. q. h. sumendus. Jus. Bov. lbj.
in dies. Rep. alia.
10th. No sleep; mind confused; two stools passed in bed; urine in bed;
respiration laborious; pulse 90, weak. Alcohol (brandy) ℥iv. ex Aqua per
diem. Pt. Med.
13th. Slept better; less delirium; two stools not passed in bed; pulse
96.
15th. More power; stools not passed in bed; other symptoms the same. Pt.
17th. Strength again rather diminished; tongue rather brown; much
thirst; pulse 100; no pain. Pt.
21st. Little change, excepting that the tongue is more brown, dry, and
tremulous; pulse 108, extremely feeble; mind distinct; no delirium; two
stools. Aug. Alcohol ad ℥vj.
22d. Tongue less brown and more moist; pulse 108, stronger; slept well.
Pt.
24th. Countenance much more animated; tongue more clean, quite moist,
still brown towards root; pulse 110. Pt.
25th. Countenance still more improved; tongue more clean; no longer
brown; pulse 102, weak.
26th. Much improved; tongue nearly clean; two stools; pulse 108, weak.
27th. Gains strength. Alcohol ad ℥iij.
34th. Convalescent, but still very weak. Cerevis. lbj. Pt. alia.
45th. Has been gradually, though very slowly gaining strength; tongue
now clean; appetite good; bowels regular (Low Diet); 2 ozs. meat daily.
52d. Dismissed cured.
II. TREATMENT DURING THE CONVALESCENCE.
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