DEP/DUA/1/35/25 (Normalised version)

Peggy Fulton

1784

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N^o13. June 4^th 1784

Peggy Fulton at 24 is affected with great depression of spirits which are accompanied with vertigo excessive pain of head & pain of breast. She complains also of a swelling of her legs & arms which diminish much towards the morning. She is likewise, sometimes attacked with profuse sweatings during the night, which are attended with febrile symptoms, but these generally disappear in the day time.

She says she finds the pain of breast always much alleviated when she coughs or expectorates & the matter thrown up is always of a bloody appearance. at times however she expectorates a considerable quantity of pure blood.

Her appetite is in general pretty good & she has a great craving after liquids. Belly natural. menses have been irregular for these fifteen months. The discharge does not return at stated times & when it appears it is very scanty.

About fifteen months ago, she says she was first seized with these symptoms, & thinks they are all to be attributed to the affection of the menstrual discharge, as all of them followed the irregularity of that evacuation for which however she knows no cause. She was first attacked with the pain of her breast to which the spitting of blood succeeded & this has continued ever since that time

She has used no medicines

5^th R Pulv. Crem Tart

Pulv. R. Rub. Tinct aa ℥p

M . cap coch parv. bis de die.

12. Has taken the powders regularly without any inconvenience but the bloody expectoration still in some degree continues, although not to the same extent as formerly

Pulse & Belly natural, but there is no return of the menstrual discharge.

Cont. Pulv. Crem Tart cum Rub.

u. a. nec non Rx. Spt. Vitriol

Tin. Mucil. G. Arab. aa

℥i. M cap. om. m coch parv.

ex Ag. Cyanth.

19. Has had a little of the bloody expectoration since the last report. She still complains the pain in her breast & there is no appearance of the menstrual discharge. Cont. Med. u. a.