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    DEP/DUA/1/11/05 (Transcript version)

    Mary Morison

    (1776-1777)


    Mary Morison.

    Disease as introd into register distinctly markd

    Hitherto however have had no little opport of observing any thing farther resp. it.

    As hads not attended at any of one reports only.

    Hence judgement to be rested solely on first acct.

    And if this accurate little hesit in concluding that lab. under Dyspep.

    Without, at same time which freq. happens, complic of any other affect.

    May farther remark that disease not to excessive degree.

    That is has nothing of one of most distress. sympt. pain viz in stom & bowels.

    Notwith these partic however progn cannot be very favour.

    Affection indeed not one of itself proving fatal.

    And see no reason for appreh that will be so even by second conseq. in pres. case.

    Yet many circum which would lead to be doubtful of cure even if patient were to give regul. attend & to take med with utmost accuracy.

    Disease in its nature one of those usually very stubborn.

    With this patient, already of consid. durat.

    Is farther at advanced period of life when habit affections in general removd with greater diffic.

    And patient both from age & other circum in condit. that will not probab. to induce to use most effect. remed.

    That is regul. exercise in open air & to consid extent.

    Utmost therfore that here expect is to palliate symp

    But even this may probab. find diffic. especially if patient does not on her part do justice by proper attent.

    Of plan of cure here begun or afterwards to be followed can say little

    As judgement at present entirely rested on first history given of her disease.

    And has not been confirmd to us by after reports observation

    From view however which have of case should consider cure to be princip expected from strengthning tone & promot due action of alim canal.

    For appreh that in these this morbid affect has origine.

    In affecting these ends however partic care necess to avoid all causes augm affection.

    And appreh. that in proper regimen more than one half of cure consists.

    With this view partic necess to avoid whatevr tends to relaxat as warm liquid or generat of acid as farinac vegetables, food even of farinaceous kind.

    While at same time diet should be such as of easy digest.

    And stomach never to be overloaded with greater quantity at once than weak action prop. fitted to expell in due time.

    With one in rank of our patient howevr regulat respecting diet in great measure unnecess.

    As must be more accomod to circum than disease.

    Even injunct respecting free exercise therefore which of all other partic reckon most essent of this affect in great meas unnecss.

    And aid which any reason to expect must cheifly be obtaind from med.

    With this view wishd first to try effic of gentle stimul to stomach.

    And that too by a med tending to relieve inordin affection

    In this, meaning was to see how far disease could be overcome, by restoring due action of alim canal.

    Was on this acct that prescribd the pil. Gummos.

    In which cheif artic Assafoet. Myrrh & Galban.

    And was I own to first of these that here cheifly trusted.

    This prescrip however rather by way of trial than any thing else.

    And if has not prod any that allev. of symptom will be more convinced of justice of conject respecting nature of affect which expected from it.

    In case of contin of disease shall then attempt cure by bitters arom & tonic.

    And own that consider this to be case in which think that fash. remedy of Columb. root has chance of being service

    Intend therefore to give it trial.

    And if shall not produce desired affect mean next to have recourse to Gentian & Peruv. Bark.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

Tel: +44 (0)131 225 7324


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