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Mr Gascoign sent me your letter
on Friday by post. I chanced to be from home, but received it yesterday
and went to Carron:House in the afternoon being sorry to think that
Miss Gascoigns Cough threatned any danger to her ––––

You are certainly right in thinking that a Cough in young persons
is not to be slighted, and that every precaution shoud early be taken
to prevent bad consequences from it, and therefor as to this you
have very properly given your advice, which will be carefully
attended to. But Miss Gascoign has other complaints that are
very distressing to her wth flying pains and spasms through
her whole body. She woud certainly inform you of these and that
I figured her travelling in a wet Chaise might be the cause of them
Her distress did not begin like a Cold with cough, but first with
pain and stifness in the joints of her legs: then, flying pains att
times affected her forehead, her temples, her nose, sometimes one Eye
sometimes the other – her Cheeks her neck, shoulders joints of her arms
and legs and lastly her breast with difficulty in breathing but
never half a minute fixd in one place: It is since her breast became
affected that she has had Cough. Sometimes she has a pain which
suddenly goes from her breast to her back sometimes a spasm about the
region of the stomach, which /as she expresses it/ draws ↑her↑ together as
with a Cord. I sat by her last night for four hours /she was at
her needlework/ and saw her affected in this manner – on most or all
the places I have named but had no cough till suppertime, after she
compleand of her breast. This morning I mett her comeing out of her
chamber coughing: a dish of warm tea soon put it off. She told me that

Doctor William Cullen Physician
Edinr