DEP/DUA/1/43/21 (Normalised version)

Ann McLean

1787

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N^o22 December 18^th. 1787.

Ann McLean. at 36 is often affected with the sense of a ball, rising from her left side which extends from thence to the upper part of her oesophagus, after which a severe pain is felt through her whole head. At times she is affected with stiffness in the back part of her neck extending to the small of her back. She complains also of being often affected with nausea & sickness at stomach.

Pulse of natural frequency. Belly regular, no thirst. Her appetite is at one time voracious, at another it is much impaired. About ten years ago her catamenia totally disappeared & she saw nothing of that discharge for upwards of a year & a half. But after that it again appeared although in less quantity than before.

Her other symptoms came on about six years ago & have continued to increase in severity ever since. She ascribes these to the diminution of the menstrual discharge.

She has used no medicines

Cap. Mist. Tinct. Aromat. ℥ p ter de die.

22.

The mixture sits easily on her stomach, & she thinks her symptoms somewhat alleviated.

Cont. Mist. u. a. & cap. Pil. Foetid Simp. gr V om. m.

January 5.

Is now less affected with the Globus hystericus & his¹ other symptoms are easier.

Cont. Medic. u. a.

12

Is much affected with swelling at her stomach occurring early in the morning. But her other symptoms continue easier.

Cont. Med. u. a. & Cap. Ag. Menth. Pip. ℥i. pro re nata.

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Explanatory notes:

1) Refers to patient as 'his' but patient is female.