James Keen LedgerMedical ledger, 1825-1837, of James Keen, a physician in Mecklenburg County, Virginia. Notes information about visits to patients which include treatments, medicines dispensed, prescriptions, notes, calculations and payment records. There are over 60 entries for the treatment of slaves in which several individuals are named. One includes the removal of a tumor from a "Negro Woman". An alphabetical index in the back of the ledger lists the names of the patients and the respective pages on which the records are located. The ledger contains loose receipts for visits, treatments, prescriptions, etc. Some medicines prescribed are : 1 doz pills, opiate pills, laudanum, Canthar pills, epsom salts, castor oil, hive syrup, nitric acid, blue pills and magnesium. Some treatments include tumor extraction, blister plaster and coughs.