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Inclos'd you have the case of Mr. Rudd a Gen¬
tleman of this Place, submitted to your consideration; It is
drawn up intirely by himself, and He has given You so true &
minute a description of every symptom of his complaint for two years
bypast, that it is needless for me to observe more than to la¬
ment that every sort of medicine hitherto administred to him
has contributed very little, indeed, towards removing his
disorder; I must, however, add, that He has no fix'd Cough,
that his Lungs do not at any time fail in their functions, sa¬
ving when He walks up stairs or up hill; -- in Riding, or
in conversation, be it ever so brisk or interesting, his inspira¬
tion never appears quickned or interrupted, neither do his
Ankles or Feet swell more at Night than is usual to a Man
at his time of life and sedentary turn; I must also take notice
that He has had at different times, but not of eight Years
last past, some slight attacks of the Gout, but which
never came to any regular or continued fit; in the year
1781 He went to Bath but the Waters heated and disagreed
with him so much, that He desisted and return'd home
without any material benefit, thus far I had wrote for
the inspection and approbation of my worthy patient as a preface
to his own case which I am now to transcribe and inclose to you
for Your opinion, but before, I do that, I must in justice to

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to himself and to all those of his acquaintance, give you, Sir -
every hint in my power, that may enable You, at this distance,
to judge of his constitution, and to prescribe what may be a
means of preserving to us this very valuable Man; He is poss¬
sessd of a considerable fortune, which, with his natural incli¬
nation has all his life afforded him a table serv'd up with
a variety of good things, and of which I have always thought
(notwithstanding He talks of having eat moderately) He indulg'd
too much in, particularly as He has never in all his life time
us'd any sort of exercise sufficient to promote the necessary
exactions, I allude merely to his eating, for in drinking, He has
ever been moderate; He has liv'd very much at home and, tho'
in large rooms, by far too warm, which has ever subjected him
to catch cold when he went out, and consequently made him
fearfull going from home; in short, he is a Bachelor, and
after having livd so long under his constitution, he has got into an
habitual dislike of leaving his own house, either to visit his ffriends
or even coming so farr, in person, ↑as↑ to take your advice, which
I have been pressing him to do for some time, and wond, with
all my heart, have accompany'd him, but this must, & I hope
it will, be hereafter accomplishd by degrees, and by some hints
that may more properly come from Yourself; after you have
given his case a consideration, You will please to communicate
Your opinion and advice to me in what manner You wish us
to proceed, at the same time, You will be so good as confine

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Your opinion and observations to the care as He has stated
it, without taking notice of what I have said in the latter
part of my description, for I know He woud not with that I
shoud use any observations more than those He perus'd in the
former part of my letter. This same Mr. Rudd is Brother to a
late worthy Man about whom the late Doctor Dugud Leslie
consulted You near two years ago.

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Doctor Cullen
Edinburgh

55/5
10

✍

Mr. Rudd
December 1783
V.cv. P.347