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Your letters from Ardchyline & Glasgow,
having lain some time at Inveraray, came to hand
only a few days ago ---- Our patients disorder has
run to such a length without any great appearance
of recovering suddenly that I think it will be proper
to have Dr. Cullens or any others ↑advice↑ upon it --

Her Age & constitution you are acquainted with, and her
complaints have been as follows ----

The Catamenia from the first have always
bear rather difficult, & in small Quantity -- In the
month of May last, during that period, they suddenly stopt.
About that time she received a scratch upon the skin,
which, from inattention, degenerated into a small Ulcer; &
with near a Month confinement, & Bark, was cicatrized
about Christmas --- In this confinement her violent
complaints began; altho' she had long, & particularly
since May, been subject to headache & sowerness in
her stomach, & other complaints incident to indigestion

In December her headach became almost
constant, & she was seized with a most violent & Constant
pain in her stomach & side -- As she was accustomed
to take Vomits, one was given, & some laxatives
after wards, without relief -- Opium æther other were
given, & a blistering plaister applyed to the stomach,
which seemed to give some ease -- Faintings suc¬
ceeded, & continued for some days, &, as the period of
menstruation was near, she took a small quantity
of some bitters with steel, & sometimes some Castor
& sal Volatile drops, with Lavender; her feet for a
few nights put into warm water, & some blood taken

About a month ago the Spasm became
general, affecting almost every Muscle at the
same time - these fits return every quarter or
half hour, & remain for one or two minutes - She
has been for several days at a time, free of them,
but they generally come on every Evening, & con¬
tinue for three or four hours - her headach is
always tormenting, & the pain in the Stomach
very severe --- In the beginning of Feb:
the Catamenia came on at the proper, & continued
in much larger Quantity than ever, which deemed
to releive her head & stomach -- And there was a
tollerable Quantity the last time, altho' it did not
continue above a day ---- She has been twice
blistered on the head, without any effect, but the
first releiving the spasm on the Jaw, which she
can open a little, but it brought on a very trou¬
blesome stranguary, which still continues ----

She has been often in the tepid Bath, has got several
fœtid injections mixed with Soup, but now declares
against them -- Sometimes takes of the Gum pills, &
in the Intervalls of the Spasmodic fitts sometimes
Bark -- She takes almost no Nourishment,
drinks moderately, but her Urine is scarce; she
never has a stool but from a laxative pill ---
Her pulse is hardly over at 80, & has been often
under 60, but, in general, is pretty regular, & from
60 to 70, varying in Strength ---

Her principal complaints at present a[re the]
spasmodic fitts, the headach, pain in the stomach
the stranguary & frequent sicknesses -----

Since she was about ten years old, she has had
always less or more of the Fluor Albus, & in h[er]
present weak & reduced state, it is almost constant

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This is nearly I think an Account of her case from
the first; from which I hope you can make easily a
state for consultation, -- I fear these fitts may
become Epileptic --- Dunstaffnage begs you
will advance the necessary fee, which he will order
to be paid you -- If any Medicines are ordered, which
are not easily got in the Country, please to send
them to me by the first opportunity -- I shall
write on my own affair in a few days --

Mr. Ivie Campbell
Care of Mr. James Stewart
Druggist
Edinr.