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Miss Jeany Dabriel a Patient
of mine, having already Consulted you along with
Dr Hunter, when she was in Edinburgh about the
Latter End of November Last. And a Young Woman
a relation of hers having Called upon you on
Friday Last, told me you desired I should write
you Concerning her Case which I now shall Attempt
to do; in Compliance to Your Request, without
making any Apology for troubling you at present
as I hope her Consulting you formerly will plead
my Excuse. For brevity's Sake I shall Likewise
Pass over any Relation of her Case prior to your
being Consulted, as the particulars thereof to that
period I make no doubt will Still be Recent
on your Memory. She has punctually observed your
advice as to Regimen and Medicine; the Issue you
Ordered on her Right Side is doing as well as can
be Wished for. It matters a great deal, much the same
as to Colour and Consistence of what She Spits
Since the Issue has been tryed, her Expectoration is
not so Copious, and pretty Loose, but rather viscid,
which by the Continuance of the Coughing in getting it
up, Exhausts her Strength and Spirits. She would be

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very happy if you can prescribe any thing that
will tend to Attenuate the Viscidity of what
she Spits. She has at present no fixed pains in
Either side of her breast but frequently troubled
with flatulent pains in her Stomach and bowels
The most of her Diet Consists of the Woman's and
Asses's milk with twice a day or so a Glass of
the Latest found out Moffat Spaw Water. The
Severity of the Weather Last week has obliged her
to Refrain going out in the Chaise which before
was her Daily Exercise: the Hectic fever is more
augmented since you saw her but now Seldom any
Colliquatious Stools in the Mornings and never any
Diarrhœa worth Mentioning but Rather Costive
till these some days past. She has been troubled
with frequent motions to Stool tho rather a ,Tenesmus
than any real Evacuation: Her body is much Emaciated
and Appetite very weak, disliking Every kind of food
Excepting her Milk: For the flatusis in her stomach
and bowels she got Every 2d or 3d, an Emollient
Clyster which however has been Omitted since the Tenesmus
has come on for which I ordered a Little Rhubarb to good
Effect: She has been now and then taking a Spoonfull or
two twice a day of two parts Tinct. Stomachic and one part
Water, which agrees very well with her but as her Stomach

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is so Exceedingly Weak she would take it kind
if you would prescribe any thing if possible to
Strengthen it: As the Cough troubles her most
in the Night. She has for about Eight or Ten days
past, got a Draught with a Little Oxymels Scillitic
& Laudi Lig: 20 drops , Every night at bedtime which
Keeps her Cough Easy and makes her Rest. The only
disconvenience I observe from it is that sometimes it
Affects her head so, (especially when Awaking out of a
Slumber) as if she had a Delerium: To prevent which
if you think the use of an Anodyne necessary to be
Continued. With Submission to your Superior Judgement
I think it would be advisable to use it by
Injection rather than the Haustus, However I
Leave that to your Determination; Having Related
Every Circumstance of her Case so far as at present
Occurs to me. I hope you will readily forgive my
Incorrectness and if I have Omitted any thing I
should have mentioned, begs Will take [it Sund?]
if you put me in Mind thereof: I hope you
will favour me with as Return of your Opinion
and what prescriptions you think necessary by
the bearer hereof and by so doing will very much
Oblidge ----------

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To
Doctor William Cullen
Professor –– Practice of Medicine
In the University of
Edinburgh

✍
Mr Lawson
Miss Dabyiel -
January 1780