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Am quite asham'd to trouble you with so tedious
& prolix a Case as the enclos'd for your farther advice
– I had the pleasure, & satisfaction on the Year: 74.
thro' the Compliance of Dr. Pannell, to consult you
for a Miss Hodgson & to receive your very excellent
& Judicious advice – which she has never yet regularly
complied with; the tepid Bath was inconvenient – & a
repitition of salivation – did not suit her notions of its
propriety, In short she is one of the most extraordinary
Ladies, both mental & corporal, I ever met with,

She has a little Apothecary's shop of her own, & is frequently
taking such medicines as the Whim of her own mind
dictates – has had variety of advice since your's
& has taken Camphor, [Flor: Zinz:?] & all the novel Drugg's
recommended for Spasmodic Disorders – She has got the
minutes of the Case I represented to ↑you↑ drawn out & the rest
is the Compilation of her maid – all of which has made
me promise to forward to you. My friend Mr Blackburne

Her generall Complaints are not materially alter'd
since the first Note of her Case, this last year more
particularly she has had frequent Inflammatory
Rheumatisms – which, notwithstanding the Exhibition of
P: Jacob., Nitr. Camph. &c could not be conquer'd without
general & topical Bleedings with the laxative neutral
salts – of which the Tart. Vitr: ʒi was most serviceable –
– her Opiate was always necessary & if delay'd too long –
– the convulsive Complaints became intolerable – as they
are always much more violent – when affected wt these
Inflammatory Disorders, the Vagina, Perineum –
Abdominal Muscles, Intestines – & extremities, & oyr. parts –
at different ↑times↑ have been affected –– since her maid got
the enclos'd wrote has had a very severe attack.
– & I think the neck of the uterus, has been one part of its