DEP/DUA/1/30/23 (Transcript version)

Betty Smart

(1782-1783)

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N^o9^th

Betty Smart at 17.

Of a fair complexion & delicate habit, complains of pain in her stomach which rises up to her throat & there gives the sensation of a ball. This occurs very frequently if she goes about the least work but is easier if she rests. She has a constant burning heat at the stomach, is sometimes thirsty & affected with great depression of spirits. She has been troubled with frequent hysteric fits attended with some delirium but of short duration only. She complains of great palpitation of the heart.

P. about 60 & full. T natural. App. tolerable Belly very costive.

About 18 months ago she had the first appearance of the Catamenia which for four periods recurrd regularly. Since that they have totally ceased & to this she attributes all her complaints. She knows no cause for the obstruction of the menses.

She was admitted Sepr 12 & has used several medicines without any benefite, particularly the filings of steel with Valerian. She had for a week or more electric sparks taken every day from the region of the uterus, which faild in restoring the menstrual discharge & were omitted as she found herself constantly weaker after coming from the wheel & had frequently a tendency to deliquium animi. Her costiveness has been removed by various medicines, & she has lately every morning been affectd with haemoptysis but this symptom is now gone off.

Rx. Calc. Zinci. grV Pulv. Val. Sylv. ℥p. M cap dos bis indies

Novr 23. Has taken her powders which sit easily on her stomach.

On Sunday last the menstrual discharge appeard & continued in small quantity for 10 or 12 hours.

Since that & particularly last night, she has been affected with frequent fits. Belly very bound.

Cont. Calc. Zinci. u. a. sed cap. dos. 3 [er] indies nec non sum om. m. h. s.

Pil. Foetid. cum Aloe gr X

30^th Has taken the powders without any inconvenience. The first dose of the Pills produced several stools & since that she has taken only gr V. om. m. h. s.

She has had no fit since the last report but has frequent threatnings & there is no farther appearance of the menstrual discharge.

Cont. Pulv. Calc. Zin. u. a. & Cap. Pil. Foetid cum Aloe gr V. om. m.

Decr 7^th Has taken her medicines regularly. The powders have not sat easy on her stomach. She has had no farther appearance of the Catamenia. The pills have not procured her passage since Wednesday last but have not produced gripes.

App. not impaird. P. small & quick.

Cont. P. u. a. & Cap. Pulv. Jallap comp. ℥p ter in Septim.