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Inclos'd is an account of the case of A Gentleman in the
highlands of Sutherland, whom I was calld to visit a few
days ago, only, and the narrative is expressly as I had it
from himself. I have {illeg} this to be delivered to you
with two Guineas, which is but a small fee, but such
as corresponds with the Gentlemans Circumstances, and
after considering the case I shall look for your advice &
directions as soon as may suite your convenience, you may
give it to the person that deilvers you this & he will
forward it to me. -

Last post brought in your advice in the case of
Poor unfortunate Capn. Ross of {illeg}, and I am very
sorrie to [Acquant?] you at the desire of his friends, that
since the [Ordrs.?] send you of him by Dr Alves were made out
he has been almost daily growing worse.

Two days after Dr Alves left him, as he visibly grew worse
he was by Intreaty got to submitt to have his hair cut
out, his head shaved, and a blistering plaster was applyd
over the whole Scalp, which, as it began to have effect
appears to have quieted him a good deal for about 30 hours,
in which he slept more than he had done since the
Commencement of his Illness, some times express'd a sense
of his situation, & a hope of his getting benefit by the
Application. The Blister was allowed to ly on 45 hours

Since the use of those evacuations now & formerly
mentiond to you, his pulse is quite easie, except in those
furious fitts, his face seldom flushed & no Inflamation
in his eyes, but a great fierceness of look.

He has been taking [1/2?] oz of soluble Tartar dayly since
Dr. Alves saw him which keeps his belly easie, but

Mr Farquharson
C. a Gentleman of
Sutherland. -
Aug. 1781

Mr. Hugh Munro of Achannie, aged 65 years, remarkably
healthy through life, living in a highland country, much
accustom'd to exercise of various kinds, particularly, Hunting
Deer & game of various (↑all↑) kinds, Generaly living very temperatly
& sober. About three years ago he was suddenly seiz'd with
a violent pain in his right side, on the short ribbs, which --
continued for some days & was removed by Blistering the part
Affected. In the beginning of febry last, owing as he believd
to cold, got a cough which distress'd him a good deal till the
end of may, expectorating very little but by the use of Squill
pills, all that time his urine was high colourd with a great
deal of sediment, especialy when he used the pills.

Soon after the cough ceased, the pain in his side remov'd, when
he took recourse to another blister, which removed the pain
a second time, some days ago it recurrd a third time but not
with such violence and was in some measure relievd by
the application of Camphorated oyle, but not thorrowly -
removed, & feels painfull to the toutch.

For four weeks past he has had a {illeg} & fullness on the
Abdomen, partly on the Stomach and below it, attended with
a tightness of the parts, which, as he thinks, oppress - his
breast & confines his lungs, though he breathes easie.
Also, a slight pain in his right shoulder from the top of his
neck, & some times a slight headache, to which he has been
now & then, subject for years. -

Ever since, or soon after the commencement of his cough in
febry, he fell, & continues still subject to sweatings, which
comes on regularly about three o Clock in the mornings &
continues till he get out of bed after Irregular broken sleep,
a thirst in the Mornings, but a discharge of urine always
in proportion to his drink, His pulse easie, without any
degree of fever, his apetite tollerable, but he beleives his
digestion not so good {illeg} (↓x↓[Start of margin text]x though[End of margin text]) naturally easie in his belly.
Little or no medicine used, oyr. than some Elixir of Vitriol,
& some Bark for a few days back

The Case of
Hugh Munro
of Achannie
10th August 1781
V. XIII. p. 133