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A Mr. Wood from the parish of Gifford wishes to
consult you for a young Lady his daughter, who has been under my
care for some time Her complaints began about fifteen Months
since with a cough which for a considerable time was so slight
that it was taken no notice of either by herself or the family - It
continued in that way till some time in Feb:y last. when after a
visit where she was supposed to have catched cold it was very
much aggravated particularly after going to bed - from the first
appearance of the cough till the time I have mentioned there was
very little spitting and that little of a frothy nature

Since that time the following symptoms have appeared
An almost total loss of appetite
A frequent and troublesome Diarrhœa
A quick small pulse from 80 to 120 - but very variable
- The Urine high coloured, exceedingly scanty, and full of a brownish
sometimes a Red sediment

The spitting is very copious at times it is of a whitish colour but
for the most part it is yellow or green, and of a tough consistence
The Menses continue, pretty regular but much diminished in quantity

The breathing in general pretty easy

There has been shifting pains in the breast and sides, but of no duration

Sleeps easily on both sides

previous to the date of these complaints, she was of a florid compn:
and had much the appearance of strength, but since the symptoms
became Urgent, a very considerable degree of debility has taken
place together with a lassitude and loss of colour. These as
near as I can recollect are the whole or at least the principal
part of the symptoms -- from the strictest observation (↑attention↑) I have
not observed the fever to put on the appearance of a Hectic, tho'
I have little doubt that a Tubercle or Tubercles are formed in the
Lungs. -- It will be proper to inform you that two of her
Brothers have dies within those two years -- the complaints of
the oldest were a little Ambiguous, but the youngest a lad of
Seventeen died of a Phthisis distinctly marked, and I think
brought on by Tubercles. The first of this young Ladys
complaints appeared after her Brothers death at that time
she was much fatigued by a constant attendance upon him

Her Father proposes bringing her to Edinr.
tomorrow, and wishes you could make it convenient to be at
home between one and two o Clock it is probable I will be
with them -- but if any thing occur to prevent me this will
serve to explain her situation. The only medecines she
has made use of were Squill [Mixtures?] early in the disease
and since the cough became troublesome she has generally taken

Dr. Willm. Cullen
Physician
Edinr