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Mrs Wharton aged 54 of a low stature & rather corpulant of
a sanguine, & very good habit, seldom any complaints, but
had enjoyed an uninterupted share of good health, for
several years excepting ✍a little (↑{illeg} violent↑)✍ head-ache, ✍in hot weather, or
by too much fatigue, but by {illeg} was always soon (↑✍which never continued [along?] one Day at a Time↑)✍
✍reliev'd✍, -- about the middle of last November 1781, was seiz'd with
a pain on the left side of the head, over the left Eye, came on
regularly every morning, without any previous shivering,
or heat, or any sickness, it begun generaly about nine in the
morning, in a gradual manner, & increas'd untill 12 at noon,
that it got to its achme, & continued for one hour, or two, & then
declined in the same manner, as it came on, untill 3, 4,
5, or 6 in the evening, & then was perfectly well untill the next
morning, that it came on in the same manner, she had no
sickness, or loss of Appetite, & slept well in the nights, & did
not appear to have any other bodily complaints, evacuations,
were first try'd, Vena Sectio, & Hirudines Temporibus, Haustus Aperient & the intermediate days Jalep: hel. & Emplastrum Vesicatori Nuchæ
was better, but yet the complaint return'd every day, more or less,
but sooner went off, - left off medicines, or doing any thing,
untill December 31st., when the pain return'd more violent & continued
longer, at every accession, she took the Bark in powder, - Decoction,
& Extract, pretty liberaly in the intervals, untill January 18th. it seem'd
to make the remissions longer, but did not put an entire stop to
it, after omitting the Bark for a Week, it return'd more violent,
& continued longer, & for the first time, had a rigor, & was feverish,
24th. had Haustus Emetic vesperi, & Haustus Aperient in [Rhoej?] [crasamant?]
appear'd to be much better after the Emetic &c, 26th. took

28th. repetere Haustus Emetic, & Haustus Aperient discontinus
the powders as they disagreed, 29 Emplastrum Vesicatori {illeg}, the
blisters answerd well, & was kept open for sometime, but
cannot say with that reliefe we expected, February 1, Haustus Solutio,
was generaly reliev'd by purgatives, was a little better, but
the pain yet return'd, but did not continue so long. Julep.
Salin, tertia quaq hora, continued this method for a fortnight,
now & then taking Haustus Aperient, some days had very little pain,
& then would return, at uncertain periods with more violence.
February 20th. was advised to take the following, which was taken very
regular, untill March the 1st.

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it was thought more benefit was receiv'd,
from the above, than any other medicine, though not without
slight returns now & then -- took a Journey of four score
miles, & continued tollerable well, untill within this fortnig[ht]
May 10th. & has had a return of the complaint in the same
periodical {illeg} ✍one whole Day, caus'd most
likely by Cold, has now only a little of the
complaint now & then but wishes to pursue
such steps as are likely to relive her from
it entirely. For some years past Mrs. W - frequently
struck [into?] a sweat in an Instant which went
off in a few minutes, she does not use so
much Exercise this last Year, is {illeg}
moderate in eating & drinking & in general
keeps early Hours, she had her Disorder every Day till
within these 2 months, once for 48 Hours together in general
8, 10 or 12 but never missed one Day, She was often free
from pain in good Health & Spirits we seldom
went out or saw any but her own family, but for
these 2 Months She has been amongst her Friends
& out or in company every Day & Night - takes
an airing in the carriage every morning [for?]
{illeg} this last Year to walk pretty
constantly, very slow but frequently 3 4 or 5
[miles?] at a Time - What does Dr. Cullen
recommend in regard to Diet & Exercise? She
was order'd how to {illeg} the same -- She
began with the Bark without an Emetic
{illeg} apprehended ↑that↑ may have fix'd rather than
reliev'd her of the Pain, Dr. Hunter found the
Bark woud not agree with her & left it
off she had taken an immense Quantity
from the apothecary before she sent for
him. --

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✍
Mrs Whartons
Case
May 1782 -
V. XIV. p. 62