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On Sunday last I was desired to visit
a young lady concerning whose recovery,
I am on many accounts anxious. She lately
came from White haven, where she has
been a long time ill, & has hither to
reaped little advantage from the
remedies that have been prescribed.
As her situation appears to me some¬
what alarming, I thought it prudent
to take the best medical advice with¬
out delay, & have therefore sent
the following which is her case, for
your consideration; & I beg you
will be kind enough to return an
answer as soon as opportunity will
permit.

Miss Brown aged 19 years, of a
delicate habit of body, complains

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of a very frequent, troublesome & dry cough,
attended with great hoarseness, roughness
of her throat, & soreness of her mouth. During
the day she expectorates little or nothing
but towards morning a small quantity
of mucous matter is discharged which
swims in water, & does not appear from
its colour to contain any purulent
matter. She has no pain in her side
or breast, no difficulty in breathing.
Tongue a little whitish, but moist,
thirst rather increased; appetite moderate;
eyes clear; belly regular rather inclining
to be lax; menses have also been regular
until the last period, viz 17 days ago
when there was no discharge or any
pain in the region of the Uterus.
Pulse weak, & small, when in bed about
8 o'clock a.m. 120, when out of bed about during
the day 130, sometimes 135.

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She sometimes, tho seldom complains
of a coldness over all her body, which is
succeeded by heat, & the palm of her hands
are frequently affected with a hot
burning sensation. Her sleep is often
interrupted by the cough, & she
sweats considerably during the nights.
These symptoms, without much
variation have continued since February
last, & were occasioned as she imagines
by getting wet of her feet one day during
the frost. The hoarseness has continued
much longer, & was the consequence
of a previous cold. She has been bled
5 times to about a pint each time,
& she says her blood was always
covered with a buffy coat. What
other remedies she has used I
cannot tell, but I imagine they
have been altogether Pectorals &
Balsamics. Within these few days

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she has complained of some little pains &
sickness at her Stomach. Can bear to
ride in a carriage, & thinks her cough
is not then so frequent & troublesome as
when at rest. Till I have the pleasure
of hearing from you, shall order her
nothing but a mild opiate at bedtime
and a few drops of Tinct. Cort. Peru & Elix.
vit. acid. twice a day in Infus. Fol. Tussilag.
with a light diet, new milk morning
& evening warm from the cow, and
exercise in a carriage.

You will now be soon relieved from
considerable fatigue, & will have
leisure to attend to your health which
I hope may long continue. Mr.
Irwin died in the autumn, he was not
able to retain any thing on his stomach
for some weeks before he died. My
compliments to Mrs Cullen.