DEP/DUA/1/47/08 (Normalised version)

Marion Mosman

(1789)

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No21. Marion Mosman at 40.

Here little doubt that all symptoms the consequence of affection of menstrual discharge

And perhaps better entitled to appellation of dysmenorrhea or difficult menstrual than any other.

Probably not so much consequence of want of due accumulation in uterine vessels, as of want of proper action for expulsion of blood.

And of ready passage by vessels through which should make its way.

How far shall be able to obviate it, am at loss to say.

At same time may observe that consider case as in no degree dangerous or alarming.

And if cannot be artificially removed by restoration of proper discharge may soon expect natural cure by total cessation.

For that a more common occurrence between 40 & 50, than at any other period.

And at first of these terms present patient has already arrived.

But from this very circumstance [sometimes] [restoration] in practice in present instance.

For well known that at time of ceasing of menstrual flux excessive flow a very common occurrence.

And would not even wonder, at spontaneous transfer from one state to other even to excessive degree.

From this there in some degree restrained from use of more powerful remedies.

Such for example as electricity.

Or at least before having recourse to this have thought it necessary to try more gentle measures.

Accordingly have directed Aloetic Pills & Peruvian Bark conjoined with Rhubarb.

If these however fail may at succeeding period conjoin electricity.

But [of] practice reserve observations till again speak of case