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Mr Glassford & I will be obliged
to you for your Asistance in his daugh¬
ter Miss Becky's Case, and will be glad
to hear from you in course of Post.

She is past 20, of a pale complexion,
not formerly liable to any particular com¬
plaints - regular enough heretofore.

On the 4th Augt She felt a slight degree of
coldness, but no shivering, which was succeeded
by a pain of the left side, not so severe as a
Stitch, just below the breast & more towards the
back -- 5th Mr Wallace took ℥viij of sizy
blood from the Arm -- next day, she got Salts
& was the part was rubd with Linim. vol.
She was pretty easy till the 8th when she was
bled again to ℥viij. which was sizy.

Continued pretty easy till the 15th & had walked
in the garden two Days before - Pulse moderate
& Symptoms mild, Menses expected, but did not
appear till the 18 when they were scanty & but
for one day.

19th The pain of the side turn'd worse. Leeches
were applied to the part. & afterwards a Blister,
Injections, & local fomentations being previ¬
ously used ---

21 Her Pulse from 112 came down to 96
she got at Night a draught with Acet. Scill.
& Laud. liq. gtt xxv. Slept well

22 Pulse 92 but rose to 100 upon an increase
of the pain. She was bled, fomented & the belly
opened gently - Slept, but not refreshed

23Bled again to ℥viij; both very sizy.

Since then she has in general been
pretty easy, tho' at times the pain was worse
& She used various Pectoral Infusions and
Linctus' & a few Pills of the Sullit & Bals Tolut
[p. c.?]

I have said nothing of the Cough. She had
none at the beginning & but little for a good while
after, which made me hope the cause was rather
external with regard to the Lungs, or that they
were but slightly attacked. She has had more of it
since. but it is a short tearing cough and the
Expectoration is generally of clean phlegm, but
occasionally it is yellow - never approaching to
the purulent: sometime ago it seemed to come
from the pained part & satisfied us that the Lungs
were a good deal affected

About 14 days ago she was bled to ℥vi by way
of precaution it was still sizy - Two Days
after the pain of her Side increased with pains
flying to her Shoulder & tho' the breast to the
Scapula - it yelded to an Anod. Embroc. an
Injection & Poultices frequently renew'd. A Blister
wou'd have been applied had there been one there.

From the tooth ache, her Eyes being a little affected
& a slight headache, I suspect some
push upon the head, perhaps from Cold;
& the lungs have also suffered.
The Headache abated by the Drops of blood
so did the tooth ache; I therefore desired
it might not be discouraged -- She took
Salts to day & I hope a Blister will be put upon
the Side to morrow. She uses a Linctus wt Syr. Pap. alb.
Her Diet has been chiefly Bread & Whey from choice,
Vegetables & fruits - & Asses Milk - She wears flannel

I am anxious for so fine a girl as the Season be¬
comes more unfavourable: what alarms me for her
is her great debility tho ↑She↑ has had no Evacuations
to cause it - no Sweats nor Chillness - no Looseness
& her venæsections were moderate & at good intervals.
She has never been able to ly upon her left side.
Her Spirits are good & she is cheerfull: for some days
she does not bear to be half an hour out of Bed.

I have been more Minute than was necessary
perhaps when writing to your but you will excuse it.

To
Doctor Cullen
Professor of Physic
Edinburgh

one Sheet

1. V.S. The [surent prec.?]
& as far as her strength allows
[birt?] I would it

Blist. not yet exhausted.
& I hope - a good opin:
B. [siger?] but not perg.
if easily [vomded?] or
Diet - Pectorals

Dr Stevenson. C.
Miss Glassford.
Octr 10.th 1779.
№.X. p.98.