DEP/DUA/1/46/04 (Normalised version)

Jean Thomson

(1789)

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N^o4. Jean Thomson at 48.

In symptoms to which this patient subjected have common characteristics of Dyspepsia, or what in common language generally known by title of stomach ailment.

Whether these, as patient herself suspects, derive origin from accidental injury which met with, some years ago, is with me a matter of great doubt.

At least if Dyspepsia does arise from such, is at utmost a very rare occurrence.

From such accidents, much more reason to look for other affections.

And everyday examples of occurrences of Dyspepsia where no such accident can be suspected.

But whatever origin, in most instances, when has taken place to a high degree, a very obstinate & distressing affection.

And as far as can be combated much more to be done by plan of life, & mode of regimen than by any medicine.

In case before us, affection of such standing that speedy removal not to be expected.

At same time, must be confessed that although increased in severity, has not hitherto arisen to great height.

And am hopeful that by use of such articles, as tend strengthen tone & support due action of stomach, & other parts of alimentary canal, affection may at least be alleviated.