[Page 1]

I expect that by the time you receive this the
case of a friend of mine be before you, in it the
Subsultory motion of the heart & arteries are not
noticed, indeed I did not know the state of them
at the time but have since learn'd that 2 of the faculty
saw him in the last >fit one was for bleeding him
& the other opposed it so that if you chuse to know
the state of the Pulse it is very likely an [enquirey?]
from them may inform us, - its merely by my
perswasion that you are consulted & I shall be anxi¬
ous that the Event may be sucessfull, Your answer to
the case must be directed as by the letter with it, & in
it I woud not have you drop a discouraging word
nor make any doubt about the case being deficient
but give me a line to Gilling near Easingwould
Yorkshire & Ill take care that whatever further
enquiry you wish shall be forwarded to you,
he is not my patient, the Note by his apothecary
about bleeding is partially true, Ive seen much
more sizy blood & I woud observe that it was taken at
a time when a Cold was rife. thereabouts, - I am in
hopes that youl thoroughly understand his complaint
by that Description given, One versed in the classing of
diseases perhaps might have more easily made
it clear, that has been more study'd since any studying
days than before, tho it is the wrong sex yet I shoud if

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[Page 2]

necessitated to give a difinition of his disease
term it ↑an↑ Hysterical Deliquium ↑The flow of Urine was great but not greater than when much had been [drunk?]↑ - excuse my free¬
dom & when a vacant hour permits it give me
a Line & a Hint or two {illeg} what English au¬
thour will give me the most easy Notion of a Me¬
thodical arrangement of Diseases. - I expect a
fee woud be enclos'd with the case in a Frank, I
am sorry I had not one for this, & had it
not been on my friends account woud not have
troubled you with this at such a busy time, -
If the fee is not right & every other thing pray
mention them to me & Ill take care that a pro¬
priety be observed in a proper channel in my
next - (,) if necessary ---

Ive been inform'd that you use a Machine
for Bathing in some cases, if you think that
proper for this Patient I wish some Student woud
copy a Description of it for me without giving
you [such that?] trouble. - If this Patient is not better
Ill forward him to you ↑if I can.↑ I think that if he marry
it woud tend much to regularity, you'l please to
point out a regimen in a strong light, --- I am
sorry I had not more time to make out this case. I know
that he has often made large quantitys of Pale
Urine which was occasioned by his drinking, - I coud
not learn that it immediately preceeded any of the
fits, - for the future Ill be more attentive to this
Symptom - Especially if a recovery does not happen --

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In regard to Medical News Ill trouble you with
no more just now than that Innoculation is in
↑some parts of↑ the Country fashionable & thata Hint has occur'd
to me that after Natural Infection the Disease
may be rendered more mild by artifial Infection
with warm fresh Matter & the [contrary?] to the
general received notion of Danger from ac¬
cumulated Infection, the proofs of its ↑success in↑ practice
as yet have been few, but just now nine
under one roof are undergoing the practice &
the Event shall be communicated to yo[u] {illeg}
the motives that induced me to put this metho[d] in
practice. -- -- A woman that had taken arsnick
was surprisingly brought about by giving a
Puke & working it off with warm Blue-milk,
she had taken a large quantity & particles
of it was discovered in the Curd after being
thrown up in the ↑a tubular↑ form of {illeg} -- -- We have
had a deep Snow & a Severe Strom its now gone
& we [have?] surprising fine mild wheather for
the season with Generally a Southwest Wind. --
Coughs are rife throughout these parts, ↑highly↑ Inflamatory
diseases are not so frequent as formerly nor not
so much so by far as History says they were
half a Century ago. Please to say what season (↑time↑) of the
year is the most vacant & Ill then drop you a line,
if you come into Yorkshire Pray a Line & Ill meet you.

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Dr. William Cullen
Edinburgh

✍
Mr Marsden Concerning
Mr G.
January 1777
Vvi -- P91-94