DEP/DUA/1/24/13 (Transcript version)

Betty Auchinlech

(1780-1781)

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Betty Auchinlech.

After last little of pres.

Not indeed same complic.

But more dist. marked inst of one [part]

Affect. viz of alim canal.

Here also cheifly under form of flat.

And perh. with greater prop. Flatu. than Dysp.

But whatever name no doubt that is affect of alim. canal.

Consists evid in debilit & depr. [action]

And here as in former inst manif cause

For little doubt in attrib to [Haemorh]

With this told to great degr affected about eight years ago.

Since that almost const liab to [illegible]

At least though for some time [susp] again return as before.

This consider as sole affect.

For all compl. either evid sympt of this or what freq arise from it.

In this light even view affect of Mens.

Accord to acct irreg & scanty.

And has not are told app. for 12 month

Well known howevr often conseq of other disease

And when consider affect from former compl. no doubt in reff. it to these.

Serves howev to shew how far has already affected syst.

And leads to more unfav. progn.

But at same time nothing very alarm

And no appreh. but pres that patien victim to affect.

But compl in nature obstin.

And long contin against speedy recov.

Hope howevr for obtain such [rem] as has had on former occas.

And this perhaps utmost to be here expected.

To obt. this ultim aim restor of due tone to alim canal.

But besides meas for that purp. necess also to obv. sympt.

Partic flatul & acid.

With this intent diff meas employ.

First recourse to Inf. Amar. w [Ag.] [Men [P]

In this conj. veget bitter & [illegible].

Former powerful tonic.

At same time as well as absorb. [destroy] acid

Latter remark influ as expell. wind.

Hoped therefore both allev of sympt & tenden to cure of affect.

Accord. from contin consid relief.

This even during first week.

Partic case with stomach compl.

But at report of Decr 2^d still distr. with affect from wind.

And in such form as indic pres. low down in alim canal.

For this the pepp. water less fitted.

As oper dep on essent. oil must be wholy exerted on stomach.

Led therefore to prescr. of Pil. [Gum]

Of these basis Assafoetid conj with other Gums Galb. Myrrh &e.

Hoped that would act as carmin & antisp at lower parts of alim canal

And farther that would keep belly [genty] open

For although aggrav by loosenss yet constip more to be dreaded.

Seemd at first to have effect of reliev borborigm.

And from contin expected that consid obviated.

But from superv. looseness led to interm use.

And at pres contin on [Rubus] infus alone.

If belly howevr returns to natur or bound state shall probab again retur to use

And on this course unless in case of new occur. shall cont. patient to fair trial.

And must own as much expect as from any meas which can emply

If however ineffect may have recourse to some others.

May employ with view to radic cure tonic in subst.

Such for exam as powder of Peruv Bark or Colombo.

May employ as [const] [accid] absorb. powder or lime water.

And with view to flatul. diff vegetab conj aromat & antispas. powers.

But in all this must be [regu] by circum.

And even in hopes that nothng farther necess. than contin of pres. course