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    DEP/DUA/1/44/02 (Transcript version)

    Betty Johnston

    (1788)


    No2d. Betty Johnston at 40.

    In this patients case distinctly markd inst. of Cynanche.

    And that too occurring in a patient often before subj to attacks of same affect.

    A circum with regard to the affect. worth remarking & by no means uncomm.

    Indeed perhaps few diseases to which more evid a constit disp than Cynanche tonsillar.

    For while with one expos to cold apt to give rise to cough, with anoth to pains of Rheum kind – with third as uniformly will prod. Cynanche.

    And of this habit of body our pres. pat an example.

    A circum prob. not depend on cond. of habit in general, but merely on that of fauces.

    And perhaps to be prev. by giving dimin irritab. from giving addit vigour when in state of health.

    But without saying at pres any thing on this subj. may only observ that while disease exist first obj to comb.

    And partic to endeav to obt term. rathr by resolut than by suppur.

    With this intent it is that have recourse to volat Lin. Astring gargle & refrig cathar.

    Pract by which no doubt that resolut often obt & [suppor] prev.

    But how far will be success in pres case time must determ.

Royal College of Physicians of Edinburgh,
11 Queen Street,
Edinburgh
EH2 1JQ

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