DEP/DUA/1/38/35 (Transcript version)

Nelly Spalding

(1785-1786)

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N^o36 Nelly Spalding at 58.

Disease to which this patient subj. a distinct markd inst of Anas.

And although to consid extent, is yet, at least as far as pat. has been able to obs. but of recent date.

While at same time origin attrib to accid expos to cold & moisture

From these circum then led to enter. more fav. hope of recov.

This shall endeav to accomp. by comb. with prop. evac. the use of such tonics as will prev return of effus.

With first view while endeav to prom absorp by Emet & [Friction] shall aim at evac by Diuret.

And as soon as from these have evid of any consid effect will conj them with Peruv. Bark & Chalyb.

This pract have often had recourse to in simil inst with best effect.

And hope that may succeed in pres.

But if fails future pract. must be accom to circum in which shall then find patient.