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Miss Forster, the young Lady Who comes
to consult You, has for some years been in a
bad state of health, & her complaints have been
mostly of the nervous & stomach kind, of which
she will tell you more particularly. She once
had a fit of the Gout, during the continuance
of which she was reliev'd of these complaints:
She has been also for most of that time troubled
with lax bowels & griping stools, & the return of
her Menses very irregular, the quantity very little,
& the returns too seldom:- this was Her acc.t of
her past & present state, to Me about 14 days agoe,
when she put Herself under my care; I found also
that she was short breathed upon walking, with
palpitations, & a tension & fulness of the stomach
& Abdomen, which increased towards Night, & a
frequent coldness of the extremities & little persp¬
ration: I advised Her to wear flannell, & on
acct of the laxity of her stomach & Bowels to
refrain from Vegetables, & flattered Myself that,
if by {illeg} the Solids & warming & invigor¬
ating the fluids, the quantity of the Catamenia
cou'd be increas'd, & the returns regular, she
wd be relieved - for that purpose she took the
following Pills [bis die horis medie?].

You will not I hope think this long detail
unnecessary tho' you see the Patient, as it is
intended as a help to her Memory, & to shew
how much I am Sir

Doctor Cullen