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Mrs Ratcliffe is aged 29 years, was in
general healthy till the year 1780, when
she married.- Immediately after
her marriage, her Husband was afflicted
with a long and tedious illness, which
confined him to his bed for several
months, in the course of which period
Mrs Ratcliffe underwent great fatigue;
so that her health became impaired,
and her habit so remarkably delicate
that a predisposition to Phthisical
complaints has since taken place-

In the year 1782 the patient be¬
came pregnant, and during that period,
had in general bad health, being subj↑ect↑et
to frequent Colds, Cough &c.- and was
so unfortunate as to have a most
painful, laborious, and difficult labour;

Which circunstance reduced her so
low, that her life was dispaired of
for some time.- And altho she
recovered much better than was expectd
yet her constitution was greatly re¬
laxed, and nervous languors, debility,
and sinking were now joined to her
original Phthisical habit.-- Some
weeks after her delivery, she took pre¬
parations of the Bark, combined with

strengthening Gums, aided by the Acid
Elixir of Vitriol; a light nutriteous Diet with
the Goat whey was ordered, with the
requisites of pure air, moderate ex¬
ercise, on Horse back, with chearful
company &c. &c.-- Last year
the patient went to Ireland, where
she consulted a Physician, and nearly
the same course of Medicines were
continued.--

At present the Lady looks
Very delicate, is apt to become hoarse
on Very Slight Occasions, remarkable
proneness to a cough, which is not
constant but only temporary upon
catching any trifiling cold, a long
neck which a white delicate skin
through which the blue Veins ap¬
pear distinctly, a circumscribed
redness in the cheeks, her
pulse easily flurried and breathing
easily disturbed, wandering pains
in the whole course of the right
side, but lately they have been
more fixed in the right breast,
there is no sensible wasting of
flesh, nor is the appetite much
affected, neither is there any hectic
heat, or fever perceivable at Evening

The Menses flow regu¬
larly at the proper periods--
The patient conplains of Violent
headachs at times, which she

thinks depend upon the state of her sto¬
mach, and her Nervous Complaints
attended with great weakness &
debility, which frequently prevents
her, from being able to take ex¬
ercise except in a carriage.-

Mrs. Ratcliffe
Apl. 1784
Vol. XVI P. 25