_October_ 28th. R---- W----, AEt. 33. Ascites and universal anasarca;
countenance quite pale and bloated; appetite none, and the little food
he forces down is generally rejected.
R. Fol. Digit. purp. siccat. [Symbol: dram]iii.
Aq. bull. [Symbol: pound]i. digere per horas duas, et colat. adde aq.
junip. comp. [Symbol: ounce]iii.
He was directed to take one ounce of this infusion every two hours
until it should make him sick. This was on Wednesday. The fifth dose
made him vomit. On Thursday afternoon he vomited again very freely,
without having taken any more of the medicine. On Friday and Saturday
he made more water than he had done for a week before, and the
swellings of his face and body were considerably abated. He was
directed to omit all medicine so long as the urine continued to flow
freely, and also to keep an account of the quantity he made in
twenty-four hours.
These were his reports:
_October_ 31st. Saturday, 5 half pints.
_November_ 1st. Sunday, 6
2d. Monday, 8
3d. Tuesday, 8
4th. Wednesday, 7
5th. Thursday, 8
On Wednesday he began to purge, and the purging still continues, but
his appetite is better than he has known it for a long time. No
swelling remains but about his ancles, extending at night half way up
his legs.
Omit all medicines at present.
7th. Saturday, 71/2 half pints.
8th. Sunday, 8
9th. Monday, 63/4
10th. Tuesday, 61/2
11th. Wednesday, 6
12th. Thursday, 61/4
On Tuesday the 17th, some swelling still remained about his ancles,
but he was in every other respect perfectly well.
He took a few more doses of the infusion, and no other medicine.