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You will particularly oblige me in
considering the following case

A Lady aged 27 –– Extremely well formed, of
healthy parents, and was herself till
after her marriage, to her second husband
who died of a confirmed Phthisis Pulmonalis
and Pox –– she had a Child by him, it died
a perfect object –– and a Physician of character
that attended the Child, told her friends it
was one of the worst venereal cases in Child¬
ren that ever had come under his care ––
the same Physician declared the mother
of this child not to be infected with the disease
from which reason the Mother never
has taken mercurials –– her 2d. husband
died 4 years ago –– she never has had any
venereal sore –– tho' constantly affected

In June 1783 was seized the day she ought
to have had her menses with a most
violent Cough, pain of her left side
and difficulty of breathing, both of which
have continued ever since, and now has
almost every hectic symptom great ex¬
pectoration /tho not of absolute pus/
night sweats and general debility ––
frequent pains in both the Tibias –– not
as great a waisting as might be expected
with many nevous spasmodic compts.
she has been blooded frequently in small
quantities used large Blisters keept
open –– without advantage of any
kind –– Pulse 120 –– sometimes
rather hard ––

I have put her on a vegetable diet & & and
as nearly followed my much esteemed
masters wishes in hectic fever ––
as in my power –––– also giving her
Mercur. Calcinat. gr.ſs Pulv. Dr. Jacob. gr iv
omni nocte –– Haust. Salin. et [cat?] Elixir
Vitriol. gtt XX ter in die –– You will confer
a singular favour in giving me your
opini[on] on the case – by the return
of post –– I hope it soon may b[e]
in my power to consult you for my
patients –– in the manner I could
wish –––– Your usual goodness to me
I hope ↑will↑ excuse this trouble and
freedom from

Dr. Cullen
Edinr.