Part 22

R. pulv. scillæ [Symbol: scruple]i. G. ammoniac, sapon. venet. aa [Symbol: dram]iss. syr. q. s. f. pilul. 42 cap. iii. nocte maneque.

On the 7th found her worse, and the swelling increased; the urine about [Symbol: ounce]x in the twenty-four hours.

R. Fol. siccat. Digital. [Symbol: dram]iii. coque in. aq. fontan. [Symbol: ounce]xii. ad [Symbol: ounce]vi. cola et adde. aq. juniper. comp. [Symbol: ounce]ii. sacchar. alb. [Symbol: ounce]ss. m. cap. cochlear. i. larg. 4tis horis.

She took about three parts of the medicine before any effect took place. The first was sickness, succeeded by a considerable discharge of urine. She continued the medicine till the whole was consumed, which caused a good deal of sickness for three or four days.

I saw her again on the 12th. The quantity of urine was much increased, and the swelling diminished. Pulse and breathing better.

R. Fol. sicc. Digital. G. assafetid. aa [Symbol: dram]i. calomel. pp. gr. x. sp. lavand. comp. q. s. fiat pilul. xxxii. cap. ii. omni nocte horâ somni.

A plentiful discharge of urine attended the use of these pills, and she got perfectly free from her dropsical complaints.

March 15th she was delivered: had a good labour, was treated as is usual, except in not having her breasts drawn, not intending see should suckle her child, being in so reduced a state. Continued going on well till the 18th, when she was seized with very violent pains across her loins, at times so violent as to make her cry out as much as labour pains. Enema cathartic. Fot. papav. applied to the part.

R. Pulv. ipecacoan. gr. vi. opii. gr. iv. syr. q. s. fiat pilul. vi. capt. i. 2da quaque horâ durante dolore.

R. Julep, e camphor, sp. minder. aa [Symbol: ounce]ii. capt. cochlear, i. larg. post singul. pilul.

19th. Breathing short, unable to lie down, very irregular low pulse scarcely to be felt, fainty, and a universal cold sweat: no appetite nor thirst, spasmodic pains at times across the loins very violent, but not so frequent as on the preceding day.

R. Gum ammoniac, assafetid. aa [Symbol: dram]i. camphor. gr. xii. fiat pilul. 24. capt. ii. 3tia quaque horâ in cochlear. ii. mixtur. seq.

R. Balsam. peruv. [Symbol: dram]iii. mucilag. G. arab. q. s. flor. zinci g. vi. aq. menth. simp. [Symbol: pound]ss. m.

Applic. Emp. vesicat. femorib. internis.

R. Sp. vol. foetid. elixir. paregor. balsam. Traumatic. aa [Symbol: dram]iii. capt. cochlear. parv. urgente languore.

20th. Much the same; makes very little water, and the legs begin to swell.--Applic. Emp. e pice burgund. lumbis.

23d. The swelling very much increased.--Capt. gutt. xv. acet. scillitic. ter die in two spoonfuls of the following mixture.

R. Infus. baccar. juniper, [Symbol: ounce]vi. tinct. amar. tinct. stomachic. aa [Symbol: ounce]i. m.

25th. Much the same.

28th. The swelling considerably increased, in other respects very much the same.

30th. Breathing very bad, with cough and pain across the sternum, unable to lie down, legs, thighs, and body very much swelled, urine not more than four or five ounces in the twenty-four hours; hot and feverish, with thirst.

Applic. Emp. vesicat. stomacho et sterno.

R. G. assafetid. [Symbol: scruple]ii. pulv. jacob. [Symbol: scruple]i. rad. scill. recent. gr. xii. extract. thebaic. gr. iv. f. pilul. xvi. cap. iv. omni nocte.

R. Sal. nitr. sal. diuretic. aa [Symbol: dram]ii. pulv. e contrayerv. comp. [Symbol: dram]i. sacchar. [Symbol: ounce]i. emuls. commun. [Symbol: pound]i. aq. cinnam. simpl. [Symbol: ounce]i. m. capt. cochlear. iv. ter die.

April 2d. Much the same, no increase of urine.

3d. Breathing much relieved by the blister, which runs profusely. Repeated the medicines, and continued them till the

12th. The cough very bad, pulse irregular, swelling much increased, urine in very small quantity, not at all increased; great lowness and fainting. She desired to have some of the pills which relieved her so much when with child. I was almost afraid to give them, but the inefficacy of the other medicines gave me no hopes of a cure from continuing them, which made me venture to comply with her request.

R. Fol. siccat. Digital. G. assafetid. aa [Symbol: dram]i. sp. lavand. comp. q. s. f. pilul. xxxii. cap. ii. omni mane; et omni node cap. pilul. e styrace gr. vi.