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    DEP/DUA/1/40/65 (Normalised version)

    Jean Frazer

    1786


    No15 December 1st 1786

    Jean Frazer at 26 of a middle stature, with black hair, a full face & ruddy complexion, is attacked commonly once in eight days, with fits upon which she falls down & during their continuance she is deprived of all sense & power of voluntary motion. But they are attended with the discharge of a considerable quantity of saliva.

    The duration of the fits is various sometimes lasting half an hour at other times not above three minutes. After remaining some time in this condition she awakes as if from a sound sleep without the recollection of any circumstance that happened either previous to the fit or during its continuance. But she feels herself confused & weak & she is much affected with headache which does not leave her for the remainder of the day.

    She says she is sensible of the approach of the fit by a sickness at stomach which is soon followed by a trembling & weakness of her whole body & by a dazzling of her eyes which represent objects as much enlarged in size, & even for the whole day preceding the attack she is affected with sickness & confusion of head. But in the intervals between fits before these threatnings commence she enjoys good health.

    Pulse about 100 & small. Belly & menses regular.

    She has been subjected to these fits for upwards of three years, which however within these five or six months past, are much increased both in frequency & duration, at first occurring only once in six weeks or a month. Since they became more frequent she is much inclined to drowsiness & her mental faculties seem to be somewhat impaired.

    Cap. Pil e Cupro. I. om m & [ves]

    9. Has taken the pills regularly without any uneasiness. But during the whole course of yesterday she was affected with the headache & uneasiness, commonly preceding the fit. She had a severe attack about five o’Clock which continued for a quarter of an hour & was attended with the discharge of a mouthful of blood which she thinks came from her stomach or breast.

    Cont. Pil e Cupro sed cap. Pil. ii. ter indies.

    16. Has had no sickness from the pills, but she thinks they created considerable thirst. She had frequent fits on Sunday last, which however were less violent than formerly. And she has had none since that time.

    Cont. Pil. u. a.

    23 Had severe headache on Friday which was followed by an epileptic accession yesterday morning attended with a considerable discharge of blood from the mouth. She has no sickness or other inconvenience from the pills. Belly regular & had her menstrual discharge about ten days ago.

    Cont. Pil e Cupro sed cap. Pil. iii ter de die.

    December 30th Had several fits on Sunday last but has had none since. Has no sickness from the pills.

    Cont. Pil sed cap. Pil IV ter de die.

    January 6th Has no sickness from the pills. She had two fits on Sunday last, & was much distressed with the uneasiness which commonly precedes the fits, on Wednesday last. She had however no attack.

    Cont. Pil. sed cap. Pil VI ter de die

    13. Has had considerable sickness at stomach after the morning dose of the pills. But she feels no inconvenience from them at other times. She has had three fits since last report, but they were slight & shorter than formerly.

    Cont. Pil u. a.

    20th The increased dose of the pills has no sensible operation but she has still frequent return of the fits.

    Interm Pil &

    Rx. Cal. Zinic grV

    [Pulv.] Valer. Sylv. ℥ p M

    cap dos ejum. ter de die

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

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