DEP/DUA/1/47/05 (Normalised version)

Jean Thomson

(1789)

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No 18^th Jean Thomson at 20.

In history of this patients case several symptoms enumerated.

Little doubt however that all these arise from excessive menstrual.

And that here an example of Menorrhagia.

A disease which although frequently occurring yet rarely to be met with at this period of life.

Much more common at period when menses usually leave females.

And when occurring at early period is very generally consequence of abortion.

Not impossible although not told to us that this may have been case in present instance.

Here however can be guided only by information given.

And in this view of case, must consider it as proceeding from some cause, of which patient ignorant.

Though such cases rare yet not to be denied that sometimes occur.

And in these upon whole prognosis may be more favorable.

At the same time must be allowed that in every case an affection difficult to combat.

In overcoming first objective to give [const] to bleeding vessels.

And second to restore such tone that not afterwards affected in similar manner

With first of these intentions, have here had recourse to gentle astringent.

Vitriolic acid Alum

And with latter may employ tonic as Peruvian bark.

But observations on practice afterwards