DEP/DUA/1/43/27 (Transcript version)

Ann Kennoway

1788

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N^o25. Janr 1 1788

Ann Kennoway at 56 has had a hard tumour of a considerable size in the upper part of the right mamma. There is no change of colour or affection of the skin above the tumour but she complains of a sense of burning heat in it. There is also a tumour of a smaller size in the lower part of the same mamma & one in the axilla of the same side. She is affected also with severe cough attended with but little expectoration

Pulse about 90, low & weak Belly regular, some thirst, Appetite indifferent, & she sleeps ill in the night.

The largest of these tumours was first perceivd about two years ago, the others have [since] superveend, & all of them have gradually encreased in size. He can assign no cause for their occurrence.

She has used some medicines one of which she thinks was hemlock, from which she imagines she derivd some little advantage, in diminishing the uneasiness from the tumour, but it had no effect in retarding its progress.

Rx. Pulv. Fol. Cicut. R. Glycr aa ℥ p cap coch parv. bis indies nec non sumat Pil. Theb. gr V om. m.

breast rather more painful

Cont. Pil u. a. & repet.

Pulv. Cicut add sing. [uncus]

Pulv. Fol. Belladon gr V

26.

The pain of her breast continues much easier But she observes that it is always much aggravated when by any accident the powders are omitted. The size of the tumour is nothing encreased.

Cont. Med. u. a.

Febr. 2.

Has continued her medicines regularly without any obvious operation

The pain of the Mamma continues easier. But the tumour is nothing diminishd

Cont. Med. u. a.

Febr 9.

Her medicines have no obvious operation, but the pain of her breast continues easier though the swelling be nearly in the same state as before.

Cont. Med sed cap. Pil. ii om. m. h. s. nec non elicit indies scint. electr. e mam. [dl]

10

In general feels a sense of heat in her breast, for about a quarter of an hour after the electricity, the pain continues easier & the swelling is nothing encreased.

Cont. [Elecr] Interm. Pulv. Cicut & cap Pil e Ballad. Ii om m. & vesp

23.

The augmented dose of her pills has no sensible operation. The electricity has been regularly continued. The pain of her breast is much easier & she thinks the swelling somewhat diminishd

Cont. [Electr]. & Pil. ex Bella. u. a.

March. 8.

The swelling of the mamma is considerably diminishd; & she is much less affected with pain But she complains of severe looseness attended with considerable gripes

Cont. Med. u. a. nec non

Rx. Mist. Confect. Japon ℥VI

Tinct. Theb. gt. [4] X M cap. ℥p. ter de die

22.

Is now free from the looseness & the swelling of her breast continues to be considerably relievd.

Interm. Mist. Conf. Japon. Cont alia medic.