Part 29

4th DAY. Cap. Calomel. gambog. scill. &c.

OBS. Sufficient time was not allowed to observe its effects, neither was the patient enjoined the free use of diluents. The disease terminated fatally.

CASE II.

William T----, Æt. 42. Ascites, with cough and dyspnoea. Abdomen very much distended. The rest of his body highly emaciated. Urine thick, high coloured, and in very small quantity.

Decoct. Digit. (u. in Esther K----,) 4tis horis.

1st DAY of taking it. The 4th dose produced sickness.

2d. Vomiting after the second dose.

10th. Urine increased to [Symbol: pound]vi.

11th. Flow of urine continues. Abdomen quite flaccid.

12th. Abdomen not diminished.

15th: A smart purging came on, and the flow of urine diminished.

23d. Belly much bound. Took a cathart. powder, which was followed by a diminution of the abdomen.

29th. To take a cathart. powder every 4th morning, continuing the decoct. Digit.

32d. Urine exceedingly scanty.

35th. Vin. scill. [Symbol: ounce]ss. o. m. &c. This produced diuretic effects.

44th. Tapped. Terminated fatally.

OBS. Here the medicine was continued till it ceased to produce diuretic effects; and these effects were not aided by any strengthening remedies.

CASE III.

George R----, Æt. 52. Ascites, general anasarca, and dyspnoea. His legs so greatly distended that it was with great difficulty he could draw the one after the other.

Infus. Digital. [Symbol: dram]iiiss. ad. aq. [Symbol: pound]ss. cap. [Symbol: ounce]i. altern. horis donec nauseam excitaverit. Rep. 3tiis diebus. tempore intermedio cap. sol. guaic. [Symbol: ounce]i. ter in die ex inf. sinap.

1st DAY of taking it. Became sickish towards night.

2d DAY. Made a great quantity of water during the night, and spat up a great deal of watery phlegm. The first dose he took in the morning has produced a sickness which has continued all day, but he has never vomited.

3d. DAY. The change in his appearance so great as to make it difficult to conceive him to be the same person. Instead of a large corpulent man, he appeared tall, thin, and rather aged. Breathes freely, and can walk up and down stairs without inconvenience.

4th DAY. Decoct. bacc. junip. and cyder for common drink.

6th DAY. A second course of his medicine produced a flow of urine almost as plentiful as the former, though he drank little or nothing at the time. In a day or two after he walked to some distance.

12th DAY. Pot. purgans illico.

14th DAY. Pot. purg. c. jalap. [Symbol: dram]ss. 4tis diebus. Infus. Dig. 3tiis diebus.

17th DAY. R. Gamb. gr. iii. calom. gr. ii. camph. gr. i. syr. simpl. fiat pil. o. n. sum. Infus. Digit. 3tiis diebus.