DEP/DUA/1/47/55 (Transcript version)

Peggy Hog

(1790)

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N^o32. Peggy Hog.

When formerly spoke of case of this patient stated sentim with resp. to it at consider. length.

And partic expressd doubt whether these fits which may be said to constit whole of compl. were to be consid as Hyster or Epil.

These fits had never here any opport of seeing.

Could therefore judge only from descript. given us.

From all partic taken togeth, but espec. from these never being attended, accord to acct given us, with total abolit of sense, was inclind to adopt opin of being Hyster.

But from what have since learned am now led to diff opin.

For with freq & severe fits a total abolit of sense has we are told in most of them taken place.

But whether Hyster or Epilep, as far as have hitherto proceeded in pract, here no matter diff.

For remed used equally calcul for both.

Began pract here by direct for patient the use of Pil. e Cupro.

An artic which need hardly obs. has now been for good many years at this place at least in common use, both in cases of Hyster & Epilep.

And in both prob from influ. as allaying tend to inord action at times prod of good effect.

At same time must be confessd that in neither, partic latter, are we yet acq with any remed gener or even freq success.

From pills had here as much obv operat as could have wishd for.

That is slight sickness at stom without vomit.

For in admin obj is to obt [tonic] without stim powers.

And not only vomiting but even sickness adverse to intent in view.

After use thought herself howev in some respects easier.

But for about space of forthnigh no change in fits, which still cont nearly in same state as before.

At end of that time however as will obs. from report of 27 Mar fits became both much more freq & more severe.

This however was inclind entirely to attrib to occurr of menstr evac at that time.

For can I think be little doubt that at that time during menstruat there occurs pecul irritab of habit.

And perhaps may also add a pecul irrit cause.

Hence very comm obs. that diseases depend on inord action Hyster, Epilep &e are then augm.

Might therefore have naturally expected some mitig of affect, after evac gone even indep of any med.

And from contin med already directed, which could not hitherto be consid as having had fair trial might perhaps exp. as much as from any other.

Found however that had now some avers to use.

And this perhaps not to be wond at, when consid sickness which excit & that not hitherto attended, with any mitigat of affect.

In this situat then reason to doubt whether would have been empl. by pat although ordered.

Thought it therefore more advis to subst to it anoth med.

And here as in former inst had recourse to [Zinc] [praecip] comb. with Valer.

From this as well of former, not only sickness at stom, but even vom.

Fits however during the course of the week less freq.

But this attrib to cause of [form] freq, the menst evac viz, being now entirely termin.

And I own did not consid it as effects of powders.

If however patient hereafter cont attend shall wish to give it fair trial.

And if [illegible] simil termin shall take place as in last case, will be addit evid of power of med