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A Lady thirty four
years of age, of a thin delicate habit of Body,
who has had eight Children, tho none within these
four years past; about two years agoe began to
complain of some pain at times in the lower
part of the Belly, with an irregularity in the
flow of the Menses, both in time, and quantity,
amounting sometimes to a flooding, with a
discharge taken for a fluor Albus ↑in↑ the intervals
last spring she went to London where she
consulted Drs. Warren and Broomfield, and was
examin'd by Dr. Hunter, who found the
Uterus very low down in the Pelvis, so as
to be nearly in contact with the Perinæum.
The Os Tincæ hard, irregular, very tender,
and so swelled as to fill up the vagina.
The discharge, fœtid, ichorous, and in pretty
large quantity, attended with frequent floodings

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There was a continual quickness of the Pulse, with
Rigors at times.

She was put on the Extractum Cicutæ,
and a mercurial friction in small quantities,
which she has continued ever since, so as not to
affect her mouth. She now takes one and a half drachms a day
of the Cicuta, only she is sometimes obliged to omit
it for three or four days, and take a dose or two
of Rhubarb. When I examined the Tumor last,
I found it larger, heavier, and the Os Tincæ more
unequal, she seems much weaker lately, and her
appetite rather lesser, tho in general it has been
very good. Her food ↑has been↑ of the smoothest kinds and
most easily digested. Her Pain has increas'd of
late, so that she is obliged ot take five and thirty
drops of Tinctura Thebaica every night to procure
sleep.

The friends of this Lady would esteem
it a favor to have your opinion and advice
as soon as you conveniently could give it,
and I will take care to make a proper
acknowledgement for it to any Person in London
you will appoint to receive it.

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✍
Patch Query a Lady
September 1778
9. p. 62.