DEP/DUA/1/46/08 (Normalised version)

Grizell Gall

(1789)

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N^o8 Grizell Gall at 39.

With regard to case of this patient not altogether without doubts.

May however venture to say that either an obstinate catarrh or incipient phthisis.

And must be allowed, that between these, diagnosis often extremely difficult.

For catarrh not unfrequently attended with alarming appearances, as emaciation, quickness of pulse, etc.

And on other hand, Phthisis often extremely insidious & has made very considerable progress before distinctly marked.

Of the two however here inclined to supposition of Catarrh.

To this supposition led from origin of disease, a fever viz consequence of accidental abortion.

May also draw same conclusion from state of pulse & tongue, & regularity of menstrual evacuation.

Besides age of patient more in favour of Catarrh than Phthisis.

For has at least past that period at which Phthisis affections most frequent.

Hence upon whole disposed to hope for favourable termination.

Although must be confessed that season of year, against speedy termination.

Here will observe, have directed for patient [complex] powder of Gum Myrrh.

Consists of equal parts of Gum Myrrh & Cream Tartar.

An article chiefly employed indeed [against] Phthisis.

But also often advantageously used in Catarrh

Have the rather employed it, as [not] free from doubt.

But of use, shall afterwards speak at more length, when come to treat of case, in order of list.