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I got to Paisley on the morning after
I saw you, having set off from Edinr. on that night.
On my return I found our Patient Mr. Wommersley
in much the same state in which I left him.
I left no time to put him under the course of regi¬
men and medicines you had ordered him,
but I am sorry to observe that I have not been
able to continue them in that regular and
uninterrupted manner I wished.- The Diaphoretic
Draught has indeed been given every night
but the Aperient Decoction was soon given
up as he thought it sit uneasy on his Stomach
and had an evident tendency to run-off by
stool and neither, had Diaphoretic or Diuretic
effects. The Gin punch likewise I have been
obliged to give up on account on its stimulant
effects: producing heat and thirst and consider¬
ably raising his pulse.

His urine is still scanty but not so high coloured
as formerly, and there is still a deposition of a
lateritious sediment.

The tension and swelling of his belly is ↑a little↑ diminished
and the fullness about the Scrobiculus Cordis is
almost entirely gone.

He sleeps but very indifferently and he is a
good deal harrassed with frequent-watery-stools.
There is no affection of the Liver that I am
able to determine, but he complaints of a
considerably acute pain immediately under
the Cartilago Ensiformis more particularly
when he coughs . I must particularly Notice
this last symptom as it distresses him greatly
which with the pain I have mentioned is
a principle occasion of his want of Sleep.
The consideration of this last [Symptom?] induced
me to apply a blister to the part which has
discharged pretty well and has in some measure
removed the pain of that part but the cough
still continues.

His thirst is at times pretty considerable but
his appetite for food is upon the whole worse.
When he takes in some drink, particularly if
it be cold there seems to be excited a motion
of the whole intestinal tuble and which for
the most part immediatly produces an

inclination for stool.

When he awakened from sho short sleep which he
had this morning he felt such an oppression
and pain of his left side as he with difficulty got
the better of.

He has had a few airings in a carriage which
he relishes and stands very well, but his weakness
is daily increasing and is now very great.

His pulse is never ↑under↑ a hundred strokes in the minute
and is small and weak.---

In short I now dread his case to be almost des¬
perate and doubt much if medicine {illeg}
of much avail.

Do you think we might venture upon an
anodyne Draught at bed-time?

Doctor Cullen
Edinb.

Mr White
C Mr Wommersly
Novr. 1781
V. XIII p. 204