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These case notes are a transcription of the original manuscript lodged with the Lancashire Record Office. We found this handwritten document difficult to decipher in places, especially where the doctor had written over earlier notes at a 90 degree angle when there was no more room at the bottom of the page.

Ann Entwisle (nee Marsden)

Date: 26 March 1846

Ann's casenotesAdmitted this day from Entwistle. 30 years of age. Married and has five children. Handloom weaver. Can read imperfectly. Church of England religion. Temperament phlegmatic. Duration 6 months; first attack. Frame good. Has a strumous look.

Eileen's note: possibly means abnormal swelling of the thyroid gland.

Has frequently a falling down of the womb. Head small; low forehead. Mental condition: restless impatient. Senses: eyes irritable to light. Visage: cheerful. Chest natural... Appetite good. Sleeps well, dreams much. Catamenia (periods) have appeared since admission. Has been twice to the Bolton Workhouse during the last six months.

Date: 19 June 1846

No decided amendment since admission. Not disposed to talk often. Complains of being separated from the family. Supposes that everything she does is right. Is kept occupied sewing in the laundry.

Date: 29 July 1846

Has lately been worse in mind since seeing her husband. Was agitated and talkative for 3 or 4 days. Is now settled but converses very strangely at times. The catamenia have been absent for some time.

Date: 29 December 1846

Has lately had an attack of excitement when she was flushed and talkative. Took purges. Is at present quiet.

Date: 20 January 1847

Calomel quii...

Eileen's note: A colourless, white or brown tasteless compound, Hg2Cl2, used as a purgative and insecticide. Also called mercurous chloride.

Date: 23 March 1847

Calomel/opium ... at night.

Date: 16 April 1847

Dilution of morpine ...

Date: 23 November 1847

Has frequent attacks of excitement when she talks much. The face flushes and the eyes glisten. Takes morphine at the night and porter and exercises out of doors.

Date: 12 August 1848

The attacks of excitement have been more frequent of late, continuing for several days when she required seclusion. Takes morphine when needed, also malt liquor. During the intervals is quiet and willing to assist in sewing.

Date: 31 October 1850

The paroxysms of excitement have continued to be frequent averaging in a month or 6 weeks at which time she requires seclusion being noisy and violent. It has been noticed that these attacks coincide more or less regularly with her menstrual periods. Is at all times flighty in conversation and almost immediately becoming incoherent.. Often talks about her family. Has delusions, rather ill-defined. Is in tolerable good health. Is useful in assisting in the Gallery but at all times irritable and liable to sudden impulses of violence from slight causes.

Date: 11 January 1851

Again noisy and much excited, requiring seclusion. Has taken Tr Hyoseya... 3i three times a day with advantage.'

Eileen's note: possibly Hyoscyamus niger

Date: 15 February 1851

Whilst excited broke several panes of glass. Attacks of excitement more frequent of late.

Date: 22 February 1851

Upon the whole improved. Is taking iron in combination with H........(?)

Census Date: 1851

Eileen's note: In 1851 Ann was not at home at the time of the census. There was, however, an Ann Entwisle who was a patient at the District County Lunatic Asylum (now Standen Park) at Lancaster. This Ann was 34, married, a hand loom weaver, born in Bolton, Lancashire.

Date: 16 August 1851

Attacks of excitement are frequent when she is in seclusion takes henbane.'

Eileen's note: Henbane contains hyoscyamine, the active ingredient in certain prescription drugs for spasms and cramps, including Cytospaz and Urised. Henbane fights cramps by relaxing the smooth muscles that line the internal organs, especially those in the digestive tract. It also relieves muscle tremors and has a calming effect. Henbane has been known for its wine-like sedative properties since the time of the ancient Greeks. Mentioned by Shakespeare, Marlowe, Gower, and Spenser, it is also one of the best known herbs in English literature.

Date: 20 December 1851

Is slowly recovering. Has not regained her usual looks.

Date: 14 February 1852

Again excited, in seclusion, loud in conversation.

Date: 1 May 1852

Has had another attack of excitement, face also swelled from toothache. Is now better again.

Date: 6 July 1852

No improvement. Removed by her husband by permission of magistrates but in opposition to the opinion of the Superintendent.

Source: Lancashire Record Office [S153] Case book HRL/1/14

Page last updated 5 April 2008