[Page 1]

[Page 2]

[Page 3]

I have at lenth taken it upon me without the intervention of
any body else to mention to you my present state of health which is & has
been worse for some time past then ordinary the Cheif alterartions seems to
me to be that my stomach complaint has been much more acute and frequent then
formerly besides it has for some time extended to my right side which while
it lasted gave a good deal of pain but within this fortnight I find it pretty
severly in my Belly espacially on the right side of it owing I presume to the
flatulencies I have been all along so much troubled with as the Eructings &
belchings are more frequent & violent, Rhubarb hast lost much of its efi¬
cacy in supeting the trouble in my stomach &c: but as I continue at times to
be much Costive I suply the place of rhubarb with some other laxatives such
as Glasses Magnesia Anderson's piles and sometimes the tincture of rhubarb
made up with bitters such as Gentian & snake root how far that is right you
are the best judge, I have not gone deep in brunt Magnesia, I used the Hartfal
spaw for a Month from which I thought I reapt no great benefitt however
I have ordered a fresh quantity to be sent me, upon the whole I have been a
good deal distrest this winter especily in the night time which deprives me
of sleep and proves hurtfull to me no doubt if you can make out this incorect
state of my complaints shall expect your opinion upon it with your convenency
and upon the recept shall writ to Henry Lindesay to wait on you my weak
sight which keeps pace with my stomach oblides me to employ a Clerk who
who is my Wife she presents her compts to you. I still keep the Issue in my
shoulder tho I am not sensible of ever being the better of it. I have the pleasure
to be with great esteem

Doctor Cullen Physician
Edinr