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Case of Mr Fraser of Culduthills

A Gentleman agid 60, naturally a healthy Active Man
About a Twelvemonth ago began to feel some Stomach
Complaints, such as pain and a sense of heat,
after drinking punch or acids or anything hard of
Digestion, attended with flatulencies. These
complaints were so unconsiderable, that he did
nothing very material to remove Them, (about
a fortnight ago, (having been for some days costive)
They attack'd him with more violence, attended
with considerable hardness and swelling of The
Epigastrium Towards the Evening he
complain'd much of pain with a sense of
weight from the Umbilicus upwards to the
pit of ↑the↑ stomach. In this state he continued
for some days more or less uneasie, when he began
to have frequent nausea and reaching, throwing-
up most of the food he attempted to take, which
was little as his appetite was greatly impaired.
On Sunday last he took an Ipecauchan Vomit
which carried off a considerable quantity

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of Billious stuff, from which he felt him self
relived for the best part of next day, but the
complaints return'd only he was not so much
troubled with the Vomiting, and for two or three
days past not at all, he cannot lay ↑with↑ ease upon
either side. The tension and flatulence of the
Epigastrium have considerablie abated, but
upon gentle pressure, there is to be felt hardness
within which occupies about a hand breadth
above the Umbilicus, by the use of Injection &
some Laxatives he has frequent stools for some
days past but without much relief of his
complaints, his pulse has been but little affected
by the disorders from the begining, till within
this day or two that it has become a little frequent
he has sleep'd little during the course of this
disorder, and is useless & uneasie when he does not
complain ↑of pain↑ ↓&↓ his looks are bad and he has lost a good
deal of flesh, he has not complain'd of much Thirst
till this day