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This is delivered you by
Mr. Mcduff of Bonhard a young Gentle¬
man of this Neighbourhood a sister of
his of the age of 21 years, has for some
years past had many consumptive
symptoms, and along with ↑them↑ a tumour
on the elbow of the right arm, which
at times had appearances of coming
to a suppuration but never did. A small
suppuration formed on the first joint of
the forefinger of the right hand, and affect¬
ed the metacarpal bone. This hurt her
spirits and gave her much uneasiness,
She always having a dread of a scrophu¬
lous tendency. She lived with a Sister
married to Mr Baxter Minister of [Monzie?] (↑Monivaird↑)

The first and only Child of her Sister died
in April last. She was extremely fond
of her, and ↑the grief for↑ her death added to her
former anxiety of mind disordered her
so much that she became quite me¬
lancholy, and by the end of July or the
beginning of August was so far gone
that she would have done violence
to herself. She was blooded vomited and
frequently purged, was blistered on head
and back. Her former delicate habit
required perhaps more tenderness than
was necessary for her present disease.
The insanity continues, but at pre¬
sent is in terror of being murdered.
She is quite inattentive to the natural
evacuations, and is obliged to be keept
in a straight waistcoat She has had only
once an appearance of the menses.

She is in a very retired country
place, attended by two Maids, and is
I believe fully better and more tenderly
cared for, than she would be in any
place of confinement. Time often performs
wonders in such cases, but I own my
expectations are not sanguine

Mr McDuff and I Both wish to have
Your opinion and advice.

I beg to present My best Respects to
You and Family, and I am with
much regard

To
Dr. William Cullen
Physician in
Edinburgh

Miss Macduff
of Bonhard
Jany. (Decr.) 1786
[VXIX P.?]
V. XVIII. p. 366