[Page 1]

After continuing this course for some (↑a short↑) time,
she had one day an Hysteric fit, followed by great
and lancinating pain, as it seemed, about the Uterus.
She had after this slighter attacks of Hysteria, &
the pain for 2 or 3 periods came on about a week
before the Menstrual Discharge, and was removed,
or at least much alleviated by it. It now however
became constant, and often violent. In the Paroxysm
She could not move, or bear to have any one
walk across the room; and when she had a little
relief, and was out of bed, she sat quite double,
& walked very slowly & with out (↑great↑) pain. She had
an Ardor Urinæ, the water she made was gene¬
rally pale or wheyish, and deposited at times
a pretty copious mucous sediment. The Water
did not excoriate, but made the external partsexternal parts
as well as Meatus very tender, and She had
generally an inability of retaining it. The
pain seemed ↑now↑ more evidently to bee within the
Bladder. Stone had been suspected, but on
sounding, the Surgeon was satisfied there was none,
& she felt very little pain in introducing the [staff?].
She had no fever, only her Pulse was rather
quicker at the time of greatest pain which came
on very irregularly, & she had then more
heat on her skin, but little or no thirst. Emollients
& milk diet were of no service. [Pilu e Cerissa?]
with oil had been injected into theVagina &
Meatus Urinar. without effect. Her appetite
was good, & she did not seem to be debilitated.

She was at the time in Hampshire,
from whence she went in a Coach & by very
short stages to London. After ↑having↑ continued
for some months, the Complaint was removed
by an Injection of Goulard's Extract diluted
with a proper proportion of Water. After a few
injections She could retain her Urine
for a long time, & in the course of a few

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weeks was quite recovered. The Hysteric Symptoms
which had often appeared, being gone likewise.

This complaint being removed, her
Anxiety returned about her Old Disorder
as she called it, the sensation of furzes ¹ under
her Skin. And She wrote to me, desiring
I would send her Case, that she might
consult some other Physician. I sent
her the above drawn up in Latin for obvious
Reasons. And told her She might give
an account of what was subsequent herself.
To save the trouble of transcribing I have
sent the same to you. She went to Dr
Heberden & Sir J. Pringle separately, desirous
to hear whether they would agree about Her
case. And being suspicious of a language
she did not understand, showed my account
to neither, tho Sir John askt her particularly
if I had sent none by her. Neither said
she any thing to them about the Complaint
in her bladder. Dr H. seemed to take only
her general account of having pains all
over her & prescribed Pil. Dov. every night,
& a Laxative, with a tepid Bath. She now
came into the Country. I did not suffer her
to take the Pil. Dover. nor has she taken any
Medicines since. She made use of the tepid
Bath. And in the Summer bathed every other
morning in the Sea & rode as before - with
the same good effect. The same effect too
has succeeded her returning home in the
Winter, & seeing no Company. She is anxious
as before, tho not in so great a degree.
But says she has no ease day or night

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from the sensation of the pricking of furzes ² in
every part of her body, or as if she were
wrapped up in Hair cloth, perticularly in
the breast shoulders & neck. Her skin has
always been fair. Her general Health is
good, & She is perfectly regular in every
respect. She has lately desired me so much
to write to you, that I could not refuse Her.
Being very suspicious of being deceived, shall
I beg the favour of you to adapt the Answer you
send for her perusal, and to remind You
how extremely angry she is, if her Complaints
are Attributed to her Mind & not her Body.
Some little thing it will perhaps be necessary
to order to make her easy, but this I leave
to your superior judgment. If you will
favour me likewise with a few lines on
the other subject concerning which I wrote to
you, you will add to the many obligations
I have received from You. Pray be so
kind as to inclose mine in the letter designed
for her reading, that the Post Mark may
appear on the letter, or she may perhaps
think I have forged it.

I have only to add that she is
of a truly Sanguine temperament. But Her
Father has been often seized with Melancholy,
continuing for many Months, especially in
the Autumn & Winter, and She resembles Him
in features more than any of his other
Children. His sister likewise has been
affected in the same manner.