DEP/DUA/1/33/31 (Transcript version)

Nelly Spalding

1783

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N^o16^th Decr. 5. 1783.

Nelly Spalding at 55. The skin of her left breast is rugous & pursed up in several places, resembling somewhat the corrugations of burnt leather. The breast is a little swelld & feels unequally hard but there is no discoloration or solution of continuity

She has two or three fits of [shooting] pain in it through the day And these become more frequent & violent in the night. The pains formerly extended to every part of that side. But since she has applied to the Dispensary & has used Cicuta & Camphorated oil they have been confined to the affected breast & even there the hardness is diminishd & the pains are become more easy.

Her courses have been absent these four years, in other respects she is perfectly well & has been always a healthy woman.

Eight years ago she first perceivd small moveable tumours about the size of white peas in different parts of her breast. These remained indolent & without any pain for four years. The pains when they did recurr were soon removed by the application of a whitish liquid. But these returning with the swellings which were never removed have become have become much worse within this last half year

Illin. Ol. Camph. tumeri nec non Rx Pulv. Fol. Cicut gr V Pulv. Cretac Ji M cap dos. bis indies.

13. Has continued her powder regularly & finds the pain of her breast very much alleviated

But the tumour is of the same size & hardness as before & she has had considerable pain during the course of last night Belly rather bound.

Cont Med & cap. Pil Aloet gr V om m.

20 The aloetic pills have kept her belly regular & since she began the use of the powders, the pain of her breast has been much easier

She is now but very little affected with it, & she thinks likewise that the swelling & hardness of the mamma are diminishd

Contin. Medic. u. a.

27. Has had more pain of her breast for two days past during which time she had none of her medicines. But she thinks that the swelling & hardness of the mamma continue to diminish & the Pills keep her belly regular

Cont. med. u. a.

Janr 10^th

Has now very little pain from the tumour in her breast & although a considerable degree of hardness still remains yet she observes that the tumour is much more moveable than before. She has no inconvenience from the powders & the pills keep her belly regular

Cont. Pil. Aloet & Pulv. Cicut u. a. Interm Ol. Camph & elic indies scint. electr. e mamma affecta.

17. The electricity has been regularly continued & she has now almost no pain from her breast

The tumour she thinks is also somewhat diminishd.

Interm. Pulv. Cicut. Cont. Electr. & Pil. Aloet. u. a.