[Page 1]

[Page 2]

Mr Innes, Whose Case was in the Year 1775 Acurately Drawn up
and sent to you for advice, has Ever since been in a Declining state
Both as to his strength and flesh.

About the End of the year 1783 he was seizd with a Vomiting
of a Bloody Black matter Attended with great sickness, and Weakness-
and the three following days passed a quantity of it by stool. In a
few Days, the sickness went off. Was put upon a Nourishing light
diet, and by reason of great Costiveness took a Gentle Laxative once
a Week. Which regimen seemed to agree with him as he Dayly gain'd
strength and had no Complaint but Costiveness and Want of sleep.

In the beginning of last Spring he was again seizd with the
Bloody Vomiting as the preceding, attended with a Brisk fever which
lasted a forthnight accompanyd with great Weakness Pain about the
false ribs in Both sides Especially the left side reaching some times to
the arm pit and top of his shoulders and at times affecting his thighs
and knees.

Upon the fevers abating his feet and legs began to swell, and
some time after his belly, with Extream Weakness and oppression in his
breathing, a loss of Apetite and great thirst. Ever since the swelling appe¬
ared he has taken a solid light Diet with a resonable quantity of good
good Wine Mostly Rhenish, and frequently Bitter Wine with rhubarb
as Long as he Could bear, the swelling of his Belly is Diminished
some what by the Purgative Bitters, his thirst is Abated, the swelling
of his ↑legs↑ still Continues and the Pain in Both his sides, he has had
regular Passage Every Day without medical assistance. He Makes Water
in a moderate quantity but the secretions generaly seame to be diminish{illeg}
Except by the Bowels. And it is to be observed that purgatives depress
him in a Very great Degree.

Mr. Inne's Case
July 1784
V. XVI p 128.