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Mr. Sinclair of Harpsdale consulted you
about his Son last year, & He was then favoured with
your Directions, dated the 4th May. ----

At that time the Patient had been affected for
more than a twelvemonth with Swellings which you
judged Scrophulous, & for which you directed the Expressed
Juice of Tussilago, a Saline Solution, & a Diet composed
principally of Vegetables.

Your Directions have been punctually observed,
& the young Man, besides the expressd juice in the season
which afforded it, continued to take the Decoction of
the dried Herb of the Tussilago thro' the winter & Spring
- about the end of Harvest He used the Saline Solu¬
tion for six weeks, & is just now to begin it again. - The
swelled parts were frequently wet or bathed with Salt¬
water or Spring Water & all night the sores covered with
Diachylon Plaister.

Upon the whole however the Disease does not
seem as yet to lose ground. There are swellings round
the right Elbow, over the metatarsal bones of the left
Foot, & above the internal Ancle of the other Leg,

At the same time, there is a reason to believe
that the Course of Medicine & Regimen to which he has
been directed have contributed very much to pre¬
serve his health in other respects. --- For, notwithstand¬
ing the continuance of these external swellings & --
runnings, he looks I think better than He did
last year; his Appetite is tolerably good, & He has
very little Thirst: In his belly he is very regular, &
it was generally moved once or twice a day while He
took the Solution - He has no Cough nor Difficulty of
Breathing; no Tumour nor Pain about the abdomen -
There is a very observable swelling of the upper Lip
which is not painful nor inflamed; but there never
appeared any glandular swellings about the neck or
maxilla. ---

His Pulse was all along, & still continues very quick;
but seems rather uniformly so than with any tendency

Last summer I directed Him to bathe in the Sea, which
He did for some days, till He catch a Cold & Cough, when
it was immediately discontinued & never repeated again.

The Cough removed intirely in a short time afterwards. --

I may mention that the Patient is now Eleven years old.

We would be glad of your farther advice in his --
present situation. - Whether you judge it proper for
Him to continue in his former course some time longer,
or if any alteration or addition to it will be necessary.
If it should be your Opinion that He might be treated
more successfully under your own immediate inspection,
his Father will readily agree to send him to Edinburgh
on purpose, and in general will comply with any
direction, you think fit as far as they are in his {illeg}

To
Doctor William Cullen
Physician
at Edinburgh