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I again trouble you at the request of Mr. Renton, whose ex¬
treme Anxiety about his Daughter, & the progress of whose disease
you will easily conceive -

Having seen her yourself, you would have an Opportunity
of examining minutely into every Symptom, and among the
rest the nature of the Expectoration, which ever since I saw her
hath been either simply frothy, or frothy mixed with blood, or a
Gross pale yellow stuff sometimes ill tasted, not a day passes which
she spits up some of this last, and which I have not the smallest
doubt is really purulent, the fatal Termination of which Cases
daily Experience but too sadly convinces us of --

The other Symptoms are such as may be expected, Pulse varying
from 100 to 120 - heat considerably greater than natural - Night¬
Sweats which last Symptoms hath been very troublesome and
weakening, and which she wishes much to have moderated,
Some days she enjoys considerable ease and as in all these
cases at that time indulges great hopes -- Since I wrote you

Till this last Attack she had been so easy as to imagine herself
getting well, She rode out every day which agreed extra¬
ordinary well with her, The Regimen, along with the Asses
Milk strictly adhered to, the Issue kept running -
The Menses made their Appearance - Cough was loose &
the Expectoration easy - so that the Morning Sweats were
what She herself thought most uneasy. ----

This Account is transmitted to you at the earnest desire of the
fondest Parents anxious about the Fate of a Beloved (and most
deserving) Daughter, and Mr. Renton desires me to tell
you that if any Symptom shall occur, that may render
it necessary to Apply to you again, that either he or his Son
are to be in Edinr. in a few Weeks, & will then wait on you

Doctor William Cullen
Physician
Edinburgh