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December, when flie was feized with an evident peripneumony, 

 attended by confiderable pain under the fternum, which required, 

 and yielded to, copious blood-letting and blifters. It terminated 

 as ulual ill an abundant expedoration, and (he recovered from 

 it but flovvly. About the latter end of February however fhe 

 began to gain ftrength and foon after was to all appearance 

 perfedlly recovered. 



On the 14th of July 1789 I was again called to her, and 

 found her again labouring under the fymptoms of pneumonic 

 inflammation ; from which fhe was by the ufual mode of treat- 

 ment freed in four or five days. 



August 4th I was again called on. She has been troubled 

 for five or fix days paft with a vomiting of blood, which generally 

 recurs twice or thrice in the twenty-four hours ; and is preceded 

 by a fenfe of weight and oppreflion about the prascordia, which 

 are relieved by the vomiting. The quantity thrown up is vari- 

 ous at different times; fometimes a tea-cup full, fometimes not 

 two table-fpoon fulls, and generally in clots. Complaints alfo of 

 want of ileep, profufe night fweats, tendency to cough, which is 

 prevented by great forenefs in her cheft, want of appetite, and 

 fometimes difficulty of breathing; pulfe natural in point of fre- 

 quency, but very full, belly regular. She was bled to about 

 eight ounces, blood remarkably fizy. 



August 6. Symptoms as before, excepting the pulfe, which 

 is very natural. She was ordered an infufion of the bark, with 

 the vitriolic acid, and a mucilaginous opiate. 



August 



