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Since you saw Mr. Bethun there is
no change to the Better on the contrary the Sympt¬
oms of his Disease are daily growing worse –

Mr. Bethune has regularly pursued the plan
proscrib'd him by Drs. Cullen & Black without
the least ↑benefit↑ as yet, he has not however got the Elixr.
Propriet: Vitriol: as I had none of it nor my
neighbours I get it from Edinr. tomorrow –

The pains in his Bowels and Back /not about the
region of the Kidnies/ about the middle; for the last
eight days have been so violent that he could
not keep from Crying especially in the after part
of the day and thro' the night he cannot keep
his Bed but must sit in his Chair – the reaching
also has been very violent tho nothing comes up.
Mr. Bethune compairs /as I have never seen him
under one of these fits/ it to the fruitless reaching from
a Vomit, is generally releived after & is disposed
to fall asleep. Miss Lindsay & Mr. [Gregg?] told me

Upon the whole Mr. Bethunes case is the
same as when Mr. Lindsay left him but every
bad symptom become worse, he is almost tired
of proscriptions, his flesh & spirits are much
exausted – Last night as an Antispasmodic I
advised Mr. Bethune to try flannels wrong out
of warm water applied to the Belly when so
violently paind and also I mention'd to him
after so many fruitless trials of resinous
purgatives that he might try one dose of
the Sal: Catharticus Amar: he seem'd to be
afraid they would not set on his stomach –

I shall write you in a few days

With very much ↑respect↑ I am Dear Sir

Henry Lindsay Esquire
Georges Square
Edinburgh