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Lady Abercromby is aged 62 of a pretty full habite of
Body but vigorous & active & has enjoyed good health for
many years. I was called to see her three or four weeks
ago --- her appearance surprised me greatly --- her Face quite
pale without the least appearance of blood in her Lips
or Tongue, qch {illeg} colour was universal, the muscular
parts had that full & soft Feeling as in ye beginning of
an anasarca ---- she was then sitting in a Chaise & had
no complaints -- her pulse small & not perfectly regular
her Lass told me that for some time she had complained
of being short breathd on moving fast or going up
Stairs that her Colour & the appearance of her Urine,
qch was scanty & thick, made her suspect a Jaundece
for qch she had written the Space of four Days past, taken
two Vomits qch had operated briskly, that since the last
Vomite she had become very weak, that ye least
motion, even turning in Bed, brought on Dyspnea
& Palpitation of the Heart, qch ceased after her remaining
in one Posture, & that the Supine Posture in Bed
or wen lying on any of her Sides, was easiest for her

The Secretion of the Urine was endeavourd to be
promoted by a Solution of ye Soluble Tartar & a Water
Infusion of the Horse Raddish & drink any Rhenish
Wine mixd with some of these for her ordinary drink
& the Diet as much accomodated to these Complaints
as her Stomach would bear, by all this the State
& quantity of the Urine was a little mended, but
not so much as to give great releife ----- rubbing
with Flannel ↑her whole Skin↑ was regularly used twice or thrice a
Day & a small Blister was applied to every Ancle---
altho Sinapisms were applied to these parts for two Hours
before, to promote the quick operation of the Blisters,
& they remaind on 48 Hours thereafter, they raisd no
inflammation, only a small Blister here & there

She says whatever brings on ye Palpitations occasions
thirst. --------