DEP/DUA/1/41/03 (Normalised version)

Bell McKay

1786

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No19. December 15^th 1786.

Bell McKay at 40, with black hair & of an unhealthy appearance, is much distressed with pain in her back & loins, remarkable oppression & weight at the praecordia, attended with the sensation of a ball moving from her abdomen towards her stomach producing vomiting & a discharge of flatus. She complains also of headache & is frequently affected with deliquium animi. She has frequent acid eructations & great prostration of strength. Her symptoms are in general aggravated toward evening.

Pulse 72 & small. Belly generally bound but sometimes loose. Appetite impaired, great thirst, sleeps ill & her menses have not occurred for these three years past.

About nine years upon a stoppage of the menstrual discharge she began to have the same symptoms but they left her after three months continuance, on her menses appearing.

Her present symptoms are of three years standing & commenced when the menstrual discharge disappeared. She ascribes them to the want of this evacuation

Cap ter de die Pulv. Magnes cum Rheo. coch parv.