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    DEP/DUA/1/47/08 (Transcript version)

    Marion Mosman

    (1789)


    No21. Marion Mosman at 40.

    Here little doubt that all symp the conseq of affect of menst disch

    And perhaps better entit to appel of dysmenorrh or diffic menst than any other.

    Prob. not so much conseq of want of due accum in uterine vessels, as of want of proper action for expuls of blood.

    And of ready passage by vessels through which should make its way.

    How far shall be able to obv. it, am at loss to say.

    At same time may obs. that consid case as in no degree danger or alarm.

    And if cannot be artif removed by restor of prop. disch. may soon expect natur cure by total cessat.

    For that a more common occur. between 40 & 50, than at any other period.

    And at first of these terms pres. patient has already arrived.

    But from this very circum [somet] restr in pract in pres. inst.

    For well known that at time of ceasing of menst. flux excessive flow a very comm occurr.

    And would not even wonder, at spont trans from one state to other even to excess. degree.

    From this there in some degree restr. from use of more powerf. remed.

    Such for ex as electric.

    Or at least before having recourse to this have thought it necess to try more gentle meas.

    Accord have directed Aloet Pills & Peruv. Bark conj with Rub.

    If these however fail may at succeeding period conj electr.

    But [of] pract reserve obser. till again speak of case

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