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I use the freedom to acquaint you of My present
Distress - The Pain in My Breast & uneasiness in Swallowing are greatly
better particularly the last the former I often feel but not severely -- On
Thursday last I rode out about 12 Mile's in the Heat of the Day by
which I was quite overfatigued & overheated. I eat my Dinner with
very little appetite, found a tendency to a small degree of [Chilliness?]
all the afternoon, turned easier in the evening, eat no Supper,
rested ill, next Morning had no appetite for Breakfast, Tongue quite
white & foul, pulse quick from the State of My Stomach, had a Constan[t]
loathing at all food, {illeg} which Continued so severe through the night
that I scare Shut my Eyes, pulse Still irregular from the State of
My Stomach, Saturday no better, Continued loathing & Tongue foul
went abroad in the Chaise for an hour before dinner - overfatigued,
feverish, ↑from the state of my stomach↑ Loathing all food, little or no Drought - eat no Dinner
In the afternoon drank a Dish of Tea & eat a bit of bread and in the
evening eat a Small bit of Chicken & drank an Glass of Wine without
appetite, but Loathing not so great, pulse pretty regular - Slept
[since?] through the night. ↑Sabbath↑ easier when I rose but tAfter taking a
Single Dish of Tea & a bit of bread-, The nausea Came on again
& in place of having any appetite at Dinner Could taste nothing
tryed a Crumb of bread & a little wine, Loathing rather increased, so that
If my Appetite Continue in this way as it has now done for nigh

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four Days past I shall scarce be able to take as much food as
keep me alive - As the nausea increases with the Day I attribute
it in Some Measure to the Heat, which prevents me going abroad
till the Evening - I have used no Medicine, being averse to a vomit
on account of my former Complaints & because I never found any benefit
but hurt from their use, but If this most intolerable Nausea Continue
I must venture upon a gentle puke - Cool air its probable would
do me Service being always easier at night which is you know
the Case with Similar Constitutions - Suppose I receive no advantage
from the vomit must I try the Bark or Set out on a long ride If
the Heat permit, or both - Sea Breezes or Cold bathing would I
have no doubt be of service - I am very good at prescribing but
bad at executing, having no Resolution - Upon belching of Wind
I find no disagreable Eructation as if my Stomach were foul nor
indeed Can it be as I have eat ↑very↑ little ↑&↑ with great reluctance for
four Days, and no Change to the better - my Belly pretty regular
urine high Coloured yesterday & to day - but otherways on Friday
while the fever &c Continued - My Pulse to day has been natural - I have
frequently had the Same feeling at Stomach, with a degree of want of
appetite, but it seldom lasted more then a Day, as this has Continued so
long it makes me uneasy - Be Sure to write me on Wednesday night if
you do not will not get your Answer till Monday Se'enight - Your good¬
ness will excuse this freedom, need not mention that I wrote You - perhaps
shall be easier before your Answer Arrive, In the mean Time I am Dear Dr

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Dr Culln

✍
Dr Innes.
August 1780.