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For many years by past Mrs Thomson was often subject to pain
in the temples of her head, these were more frequent in spring
and the beginning of summer than at any other time of
the year & at that time more severe when the wind was easter¬
ly & the air damp than the air was dryer or the winds westerly
she is constitutionally very Costive & when most so these
complaints were more frequent & violent.

In spring 1774, she was attacked with a periodical Chilliness
in her feet which came on about 2 or 3 in the Morning regularly
that complaint was soon succeeded with a dry uneasy heat which
terminated in an hour or twos time in a pain in her bowells
some times higher & at other times lower & some times in her
back & keept free of the Headach all the time she felt pain
in her bowells after Every fitt of this kind the urine de¬
posited a lateritious sediment. The Costiveness still continued
as usual. Saline Juleps, boiled bricks applied to her feet
when the Chilliness came on & a little warm white wine whey
with a few drops of hartshorn shortened the duration of the cold
fitt & brought on an easy perspiration & a solution of
soluble tartar & manna relieved the Costiveness These with the
Assistance of a little exercise wore off as the summer advanced
but the Costive habit still continues.

Last winter & spring her principal Complaints were
her former Costiveness watchfullness if she sleeped an
hour or two at a time she was not refreshed with it & was
not sensible that she had been sleeping, A constant pain in
her bowels the urine sometimes thin & frequent at other
times depositing a Lateritious sediment; she complains
much of a loss of strength without being much emaciated
& her pulse is generally low & slow, tho sometimes it varies
& turns ten or twelve pulsations in a minute more
frequent. Early in Spring she was advised to {illeg}
{illeg}, & a draught of Almond emulsion at bed time for
drink about a fourtnight ago she took a Salt of wormwood
draught at bedtime which had the effect of bringing on
a gentle easy Perspiration since which she has not
complained much of her bowels & for some nights sleeps
better & was more refreshed. The watchfullness however
continues & the Costiveness so that there is a necessity of
having recourse to Injections or Laxatives. Lenetive
electuary with Cream of tartar she has been useing &
tho it answers the Intention as an Apperient it gripes her
Moderate exercise agrees well with her. She does not
disagree with acids in moderation & by Magnesia [which?]
which she has tried not acting as a laxative we have

What effects might be expected from a trial of mineral
waters and of these which are to be preferred? Or might not
a journey to Edr Glasgow or Carron or any other way that
is most agreeable & where there is no Chaunce of bad stages
be tried takeing some easy laxative to prevent Costiveness