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I wrote you by post an account of
Miss Campbell case, as far as midday on monday last, but
as she has been much worse since, I trouble ↑you↑ with this, in
addition to it, for Dr. Cullen's information -- She is extreme
weak, and I fear must sink, under it, notwithstanding the
best remedies are used -- A tea Cupful of thin gruel, is all
the nourishment she can take in the day, and I am obliged
to support her with a little spirits & water, Lavender, or
some other such cordials ---

Monday afternoon the pains in her
head & stomach, with pain & stiffness in her Limbs.
In the Evening, 250 gtts. L.L. were injected, as usual - About
9 o'Clock, her fitts came on with greater violence; with a severe
pain in the pit, & left side, of the stomach, darting towards the
back, & other side; which has continued, particularly in the fitts,
ever since, soon after her Jaw locked as firmly as ever, & it was
necessary to introduce a bit of wood between her teeth - ----

At 12 o'Clock the fitts had hardly any intervalls, She took
gr XX of Musk -- in about an hour the fitts increased in violence,
each often attended, & always succeeded, for one or two minutes,
by a most violent & quick convulsive motion, or subsultus, of
the whole body; a great dale more violent than any fit of
the ague & felt her limbs benumbed - yet during these
shakings, she is almost always sensible, & sometimes talks.

About 3 o'Clock Tuesday Morning, a sweat broke
out, which lasted 3 or 4 hours -- towards the end of it, the fitts
were less frequent & violent, -- And she continued in this way
all day -- pulse about 70, & easier than could be expected --
At 6 p.m. had 250 gtts. L.L. injected -- -- her complaints all
encreased, & a violent spasm seized her throat, threatning the
greatest danger -- In this condition, at 10 o'Clock, she with
great difficulty swallowed gr XX of Musk, the greater part of
which at least, she vomited in Two hours -- The agitation was so

About 2 o'Clock Wednesday morning the spasm on her throat
was much abated, & she had longer intervalls -- In the
violent spasm of last night, she was speechless & lost her sight
for near Two hours, her pulse very weak, about 60 -- -- The pain
about the Urethra, & Sphincter of the bladder, always violent;
& when voiding, or attempting to void Urine, which is very Scanty,
it is torturing, often bringing on the worst fitts; -- warm [stupes?]
were applyd to the Pubes, which gave some ease -- She has
frequent Borborigmi; & the first ease last night, was preceeded
by some discharges downwards -- At 4 a.m. took 70 gtts. L.L.
The fitts & Shakings less severe all day -- at 8 p.m. had a
Common Injection, which procured two Motions; nothing dis¬
charged with it, but a good dale of Wind; was very weak & faint
for some time after, took some Spt. Lavend. C. & Slept soon after --

At 2 o'Clock a.m. Thursday, waked much pained,
took 100 gtts. L.L. & slept till 5 o'Clock - fitts less frequent
& violent; but extremely weak, sick & faint - inclined to slumber
all afternoon; will take very little drink, being inclined to
vomit - Tongue parched, Skin hot & dry, pulse 88, pretty
full & regular, except when faintish --- The Fluor Albus
has been coming down in large Quantities, for some days past -
I should have mentioned She had taken gr xx of musk at 5 o'Clock
this morning, & had no fitts Since ↑yesterday↑ 1 o'Clock p.m. --- slumber'd much
in the Evening, & at 11 o'Clock p.m. took 100 gtts. - L.L. slept after

At 4 o'Clock this Morning, beginning to fell uneasy,
took 70 gtts. L.L. -- at 6 a.m. gr xx of Musk -- 1 o'Clock p.m.
no sweat nor sleep Since Morning -- Globus sometimes rising
to the throat, & very uneasy -- pulse since yesterday gradually
falling, & is now 61, regular & good -- She is so weak that even
speaking, or turning in bed, brings on a faintness, & ringing
in the Ears - no return of the fitts --

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

Mr. R. Ochiltree
C. Miss Campbell
of Dunstaffnage
April 1785
V. XVII p