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Dr Riddell Concerning Mrs

A difficult Case to cure immediately. It is a
suite of the irregular and large menstruation she
was formerly liable to & depends upon a
particular condition of the Uterus at her time of
life. it is hoped that advancing years will do
her service but that is distant and uncertain &
I have known the Disease in the mean time prove
fatal - So long as the discharge is ↑a↑ white
and somewhat acrid viscid liquor in moderate quantity
it may be pretty safe; but if it changes to a copious
greenish matter Water it is very dangerous ––

The pains in the Back Loins & shew an
irritation and increased action of the Vessels which
makes it me think that Opiates are not only
necessary to procure sleep but may be also
a fundamental Remedy in the Disease &
I should be willing to try not only the {illeg}
but a strong Solution of Sacch Saturn –
applied in Cloah Cloaths to the Loins ––––

According to the notions I have of the operation
of Cantharides suited to cases of pure debility I should
think them improper in your present Patient –
The Tonic Remedies have a Chance to be usefull,

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but the simply Astringent and Cooling I would
prefer & therefore the Allum to either Bark or
Chalybeates – To what length you have gone it with
it I cannot exactly judge but I think you may
go as far as the stomach easily bears, and I have
gone to a Dram in the day in divided Doses; &
not continued for many days together ––––

I suppose that the Catarrhal Complaints exclude
the use of cold bathing; but there is one Remedy
which I think iadapted to both the Catarrhal
& Uterine Complaints & that is a Voyage of some
length; but if the season or other circumstances prevent
this a Journey in a carriage might be substituted especi¬
ally when the Season is further advanced and in the mean
time I suppose you have advised some degree of this sort
of Exercise – I dare say you have ordered the Diet
very properly, and I have only to say that very much
of a milk Diet might be proper –––– Tho I have
said above that I prefer the Allum to the Bark
I still think that the Allum might be given in
the form of a Bark Electuary & if you have the
Kino it may be either an ingredient in the Electuary
or a portion of its Tincture might be put into any
liquor which you employ to wash down the Electuary ––
Lord Erroll continues well &c.