DEP/DUA/1/32/39 (Normalised version)

Elizabeth McIntosh

(1783)

---

Elizabeth McIntosh. N^o18.

An example of profuse menstrual discharge product of some disagreeable symptoms.

And from which if had continued still more to be apprehended.

Here even from circumstances of case could have no difficulty in concluding [that] Menorrhoea merely of passive kind.

And this still more demonstrated by cause from which originated.

Violent exertion viz in raising a heavy weight.

From this however greater hopes of recovery than if had reason to infer, that depended on increased action of vessels.

And from effect which at last report introduced into our register¹, found to result from remedy employed reason to hope that may [here] recover.

For effecting this principal objective seemed to be the restoration of due vigour & tone to [ruptured] vessels.

And with this intention had recourse to employment of Peruvian Bark.

Might indeed have here employed astringent more [enn] in action.

But from sudden check of discharge to which system has long been accustomed even where is of passive kind, inconvenience often results.

This therefore a reason, not only for making choice of Peruvian Bark, but also for using it only, in small doses.

And if patient continues attending hope that by persisting in these health may soon be restored.

If does not attend, shall conclude that desertion proceeds from having no more occasion for assistance.

---

Explanatory notes:

1) References are made throughout the case notes to a dispensary patient register. However, no evidence has been found that this register survives.