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I have sent you the following Case in order to
have your advice about it. I beg you will let me have
your Opinion & Directions as to the medicine & regimen
proper for the Patient: & hope to have your answer as soon
as possible with your convenience.

About two months ago I wrote you about another
patient, whose Case you was consulted about last year. --
As the Letter was inclosed in a cover to Mr. Douglas the apothe¬
cary, I suppose it did not miscarry. But I am greatly
surprised that I have never received your answer. - In
case my Letter should have fallen by, I will subjoin a copy of it
as far as is necessary. --- I hope your return will be speedy,
for as patients are very apt to be fretted at Delay, the conse¬
quence may be very hurtful to me in the way of Business.

You will please accept the two Guinea Notes inclosed, for
your trouble.

a widow Lady, aged 60 years. - about 14 years ago suffered very
great & long fatigue attending a sick Husband: Since which has -
seldom been free from Stomach complaints, attended with Lassitude,
pains of the belly, & great heat over the whole body: all of them much
increased in the warm season of the year. -- But she is never
troubled with thirst, nor observed her complaints much increased
by any particular food; and her pulse is commonly very slow,
& feeble. Was generally costive. ----

The Menses ceased 12 years ago. But when last 20 Months She
has been subject to a small, but almost continual, hemorrhage
from the Vagina or Uterus, & likewise to the Fluor albus. These

For the Disorder in her Stomach & ca She had been used to take
the Infusion or Tinct: amar: with Pills of Asafotide & Aloe taken
occasionally so as to keep her belly open. They were the only
medicine she found agree with her, or which her Stomach could
bear. - Since the scirrhus in her breast appeared, I gave her
the Cicuta, in Pill, made of the powderd leaves, without Extract.
After using them she thought the pain relieved, till summer
came on; but now the pains are more frequent, & She is much
alarmed. - The least handling of the tumour gives Pain, or the
motion of her left arm, which often happens, the Lady being
of an active turn. I am affraid the Tumor adheres a little; but
the axillary glands are not affected. ----

Since Harvest last, She has been greatly relieved from
the disorder in her stomach & pains in her belly: This I was
inclined to attribute to the Cicuta, tho' perhaps the fever in
harvest, or vomitting else might have been the cause. --

Since She began the Cicuta, She has taken no other medicine,
having no occasion for the laxative Pills. ----

There has been nothing applyed externally, only the part kept
covered with flannel. ---

"Transmitted to you the case of a young Lady in Orkney
last May, who had been for several years subject to
scrophulous complaints, & also itchy eruptions over
the surface of her body. -- The course you was
pleased to prescribe for Her has been punctually followd
ever since viz. a Saline Solution for 2 months, an
Electy.Electuary of the Bark for a fortnight: afterwards in Spring
the Decoct. Tusilag: The whole course to be repeated
alternately, & continued for 2 years at least.

But as hitherto the Eruption continues in her Skin unabat¬
ed, & there is a tumor of the same nature as the former
advancing fast in her Cheek, the young is greatly frightd,
and become very impatient. -- On this account She
has been sent over to this country, her Friend expec¬
ting that I would be of more service to Her after
seeing Her. -- The young Lady is in very low Spirits
as quite despairing of recovery: But having heard from
some people that Mercury has been given in such a
complaint, She insists impatiently upon having it
tryed, notwithstanding all I can urge against it. I am
therefore under the necessity of troubling you, that I
may have your positive authority to support me in
refusing it, if you think proper to do so. -- The tumor
in her Cheek is pretty hard, & I fear will not be kept from
bursting, as it is increasing fast, but attended with
little pain. -- Several of the glands of the neck, upon
the affected side, are also much swelled: otherwise
the young Lady's in good health, & looks well."

✍
1772 ✍
To
Doctor William Cullen
Physician
at Edinburgh