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Mrs. M. 56 12 years since fell through a coal hole striking on the genitals. Felt as if torn across the Stomach. had subsequent ulceration of Lt. Climaxis* commenced 4 years since with profuse flooding, 1 year after had uterine polypus removed, lost a great amount of blood. Status praeseus, visions of legs & arms fighting, no bodies, says a fly lights on her face & screams loudly, says don't let any one speak to me, has a fixed look, seems as if the top of her head would fly off, cries easily. Globus hystericus. Froth rises in throat cannot raise it without nausea. mouth + throat dry, much thirst, appetite - good Stools - marble like balls , natural color rather dark. slip unclear has flakes like scrapings of intestines mild flatus -- no relief on expulsion which is exceedingly painful, rumbling of wind causes cutting pains & the head symptoms. There seems to be a sore spot which she locates at the sacral region

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*Climaxis is a 19th-century term for climacteric, or menopause. R.R.