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As Lady Stuart goes to Edinbr
for exercise & to have a Consultation, I
need only to give you a short view of her
Case.

She is past Sixty ––

Upwards of two Months ago she spoke to
me of her Situation, chiefly about an Eruption
on her Skin; flying Rhumatic pains, and
pains of her belly coming & going, & at times
the lower part of the side of her belly was un¬
easy to the touch as if stretch'd with Wind;
The belly seem'd easiest when the other pains
were worst – & she dated them from a Night
that she had been distressed with the ris¬
ing of the side two three weeks before.

The Eruption on the Skin partook a little of
the Erisypelas without fever.

She used an Aloetic Pill with Aromatics
& Ol. Junip. Afterwards the Bark and
Vin. Antim, as she complained of want
of strength, & still had some lesser Eruption.

Her Pulse not amiss, nor her tongue; nor was
she troubled with thirst.

Upon the sudden alarm of Sir John's death,
she passed a good deal of water, it is three
weeks ago – ever since the Urine has been
scanty. She took to a Squill Mixture with
Infus. Dauc. silv. & went out in the Coach.

On Tuesday last week she suspected some
fullness of her belly – I went there, examind it,
but cou'd not distinguish anything particular
only that she had not a flat belly. The Diuretics
however were continued. –– I did not see
her till last Tuesday; when she look'd like
a Woman with Child –– upon further Examination
I found the Belly remarkably full; but in no
part, either then or in the former week, coud
I observe anything particular as to hardness
tumor &c but now I cou'd perceive as if
water slid thro among the guts, but not a

She got Calomel {illeg} at bed time; next
Day – Pulv Jalap. ℈j Cryst. Tart. ℈ſs.
They purged her briskly & fatigued her;
That Evening had an Anod. æq. gtt xx L.L.
also a powder, Rad. Scilla gr iv Nitr gr x.
Zingib. gr. iij. These to be continued
twice a day or oftener. but as I beleive
she is on her journey, these perhaps are not
used, lest they prove inconvenient in the Coach.

Upon my more minute enquiry on Tuesday,
I have reason to beleive that the pain she
spoke of as the rising of the Mother, was an
Inflammatory attack in the lower part of the
side of the belly, whether of the Ovarium or
another part I do not say, but the gut seemd
to be free. Glysters & Anodynes were occa¬
sionally given. I wish you & your Colleague
may be of real use to her, & am

To
Doctor W. Cullen
Professor of Physic
Edinburgh