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Ever Since he had the Jaundice, about eight or nine years
ago, he hath complained every now & then of a dull Sluggish pain
in his right side extending up to the top of the right shoulder
- altho there is no external appearance on the side complained of
to give room to suspect a schirrus of the Liver --- This complaint
was in use to increase upon every slight ailment of Cold or such Like
, attended with a feeling of weight upon the part & depression of
of spirits --- Otherwise he hath in general been pretty healthy
since he had the Jaundice excepting once or twice a slight fit of
the Gout. his evacuations regular, his urine pretty copious as
customary with old men, & going to Stool in general once in the
two days - - This state of health continued till Christianmass last

About Christianmass last he was seized with a severe fit of the
Gout in both his feet which lasted till towards the middle of
February, about which time it Left him to all appearance regularly
enough, the scarf skin peeling off his feet as usual with him
- he was then advised to take a few doses of Rhubarb but as
he thought his health pretty well established he declined it
- his urine however still continued of the same complexion as when
his fit of the Gout Lasted and let fall the same kind of reddish
sediment of the colour of brick dust - from the middle of February
he continued in tolerable health only complaining a little at times
of the pain in his side & Lowness of spirits till about the middle of
march Last But at that time he was seized with a violent
Looseness accompanied with a Tenesmus & flatulencies & almost
total want of appetite which in a short time reduced him very much
- his urine continuing still of the same Colour ↑& letting fall the same sediment↑ as when he had the Gout
- his stools alimy & of a darkish brown colour - As the pain of his
side encreased at this time he took his disease to be what he called
a fluxus hepaticus; & believing it mortal refused all medicine
- at Last about the beginning of April he was prevailed upon to
call for assistance he got an infusion of stomachic bitters in brandy
of which he took three or four spoonfulls a day adding always a few
drops of the Elixir of Vitriol --- his Appetite grew better & has since
continued pretty good - & he was rather releived of his complaints from
wind -- -- The Looseness however & Tenesmus continued as violent
as before --- He was then advised to drink a little lime water
with now & then a glass of port wine to use rum & water for his common
drink & to take evening & morning a little of the
Diascordium which was prepared without opium as he hath all¬
along been rather enclined to Sleep too much as too Little
but the Tenesmus still continues, attacking him most violently when
he attempts to make water. the colour of his stools much the same as
formerly - & his urine still continuing to deposite the reddish sediment
- his windy complaints less violent & felt Lower down in the belly than formerly

Mr Findlaters
Case
May
1778