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I came here two days ago to visit
Mrs Baillie of Lamington who has been indispos'd for
some weeks. Her case is subjoin'd, and when you have
consider'd it with your usual attention I shall
expect your answer by the return of the post.

This Lady is about 30 years of age, of a thin habit,
but healthy constitution, & the mother of several fine
healthy Children. Near six weeks ago having caught
some cold, she felt an unusual chilliness on going to
bed which was succeeded by some heat and perspiration
thro' the night, but no great indisposition next day. Two
days thereafter, the weather being remarkably cold, she
went to a cold church, & that night she had a cold
shivering, with a consequent hot fit & sweat. next
day however she got up, but felt an oppression on
her spirits, a languor & listlessness, want of ap¬
petite & thirst, with a sense of cold on going into

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the open air, & on coming in from her airing in a Chaire,
succeeded generaly with flushes of heat. An attempt
was made after some days to blood her but without
success, as she grew faint from fear, and the above
complaints continued, the chilliness always coming
on when she went into bed succeeded by heat
& some sweating. This circumstance made it be
suppos'd that her complaints were agueish and
she got an infusion of the Bark. Soon after, that is
about a fortnight from the first attack, I was in¬
form'd of her situation. I immediately directed a
vomit & coming here two days after to visit her,
I found that she brought up with the vomit, a
considerable quantity of tough ropey phlegm, and
ill [tacted?] stuff. Her pulse was then about 80 in a
minute (her natural pulse I believe is about 60 or 65)
and she had all the above mention'd symptoms, her
[Casks?] bad & she had lost some flesh. From the idea
of Ague (which by the bye is not a disease of this Country

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never appearing but in persons who have had it in some
other place before) she had been made to drink some
more wine than usual, & to take no Airing daily when
the weather was not very cold, & also to eat animal
food. Observing still some indication of a foul sto¬
mach I repeated the vomit & she brought up a
a great deal of ↑some↑ tough phlegm. I then order'd the
Bark to be laid asside, & animal food, reduced
the quantity of wine very much, & she was not to
go abroad till the feverishness should abate and
then only when the air should be very mild. I
directed the saline draughts, an Emulsion with nitre
manna, & some magnesia to keep an easy belly.
Soon after this change of regimen, the cold and
hot fitts & thirst left her in a great measure,
& she could take a little more food; in short she
mended gradualy ↑only the languor & listlessness sill hung about her↑, & after a week, her menses
coming on at the usual period, she felt himself
still better, & slept well during the five or six
days that discharge continued, & probably would

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have gone [on to mend?] had she not caught some
fresh cold. She cannot account how this happen'd,
but she had evident marks of it last thursday
or friday soon after her menses left her, she had
a return of the hot fits & sweating in the night
time, but without any previous cold fit, com¬
plain'd of a pain in her cheek bone & temple
her head was stuff'd (as they say) & her voice near
that of a person who was much colded. Upon
coming here last monday I found ↑her↑ in the above
situation, her pulse at 90, but small, except when
the hot fit was on her, when it was increas'd a
little in frequency & fullness; the pain had shifted
to her temple & Eye brow, & came & went periodically.
She had also a nausea & thirst. Last night I
repeated the vomit & she threw ↑up↑ a great quantity
of viscid frothy phlegm. The hot fit & sweating
was has been less considerable, she has slept much
better, & she has had no return of the meagrim pain
this morning, but the same frequency of pulse con¬

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tinues with thirst. Her belly is kept regular by
Magnesia. I have put her upon her former Regimen
saline draughts &c. & may parobably give something
more than Magnesia to cleanse her bowels; but I
shall be happy to have your Opinion of the
case & directions how to proceed. She has had
a trifling degree of cough since her last cold, but
spits freely with it, & has no pain in her chest.

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To
Doctor Cullen
Physician
in Edinburgh

✍

Dr Alves
Mrs. Baillie
May 1777.
Vol. VII. p 13