DEP/DUA/1/34/09 (Normalised version)

Mary Manuel

1784

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N^o25. January 30^th 1784

Mary Manuel at 29 of a sanguine temperament five or six times every day feels a pain beginning in the right side of her body which moves upwards & in about ten minutes fixes itself in the stomach & back. She then becomes sick & in about a quarter of an hour afterwards she begins to vomit. The matter discharged is very acid. When the sickness comes on she is flushed & hot & has a trembling over her whole frame

She has not found that any particular food or liquor either aggravates or retards the fits. Pulse & Belly natural. Appetite impaired. menses return at long intervals, are small in quantity & very irregular.

She thinks her complaint is considerably easier while her menses are flowing. After being affected in this way for a month, the vomiting & other symptoms disappear for the succeeding month, & then return with their former violence.

Thus she has continued for these last twelve months past.

She has taken a few doses of the Confection Japonica as she thinks with advantage. She knows no cause to which she can attribute her complaint.

Janr 31 Rx Magnes Alb. ℥ ii

Calc. Zinci Ji. M cap

coch parv. bis indies. Nec non sumat om. m. Elix ex Aloe & Rheo ℥p.

February 7. Has had none of the vomiting or sourness at stomach since she began her medicines

But she still complains of the pains in her bowels.

Cont. Med. u. a.

14 Thinks she is much easier & continues free from the vomiting or sourness at stomach

Cont. Med. u. a.

21 Has been more affected with uneasiness at stomach & vomiting

She has seen nothing of the menstrual discharge for nine weeks past. Cont. Elix ex Aloe & Rheo Interm Magnes & accip indies ithus electric sex.