DEP/DUA/1/38/15 (Normalised version)

Helen Smart

(1785-1786)

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16. Helen Smart, last patient in our list, has chiefly applied for assistance in consequence of violent headache.

This headache you will observe at times accompanied with epistaxis.

From which some presumption that connected at least with state of [illegible] in head.

Am however inclined to think that in this case Cephalgia principally from stomach ailment.

And these indeed constitute, although not most urgent yet most numerous tribe of symptoms.

Hence attempt to combat even headache by stomachic medicine.

And if these successful will tend not a little to confirm opinion as to nature of disease.