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In Consequence of the liberty You formerly
[g]ranted me, I presume to consult You in the following
Case -- A Young Girl of eleven Years of Age, and of a
phlegmatick Constitution, has, during some weeks, laboured under
the following Complaints; Headach, Nausea, want of Appetite,
frequent flushings of Heat, frequent Languours, Startings in
her Sleep, pain in her Belly, working and Uneasiness at her
Stomach, something similar to the Globus Hystericus, frequent
[con]vulsive Attacks (which were always preceeded by an Increase
of the Uneasiness at Stomach and by a Vertigo) &c. These
Symptoms have appeared at different times. At present the
convulsive Attacks are banished, but the patient makes no pro¬
gress towards the Recovery of her Appetite and Strength, and
the Complaints of her Head and Stomach, in spite of all I have
done, frequently return -- The Method I followed in attempting
a Cure was this. Suspecting Worms as the Cause of all the
Symptoms, I directed my Efforts to the Removal of them. Eme¬
ticks, and mercuriall purgatives were used. The last, tho' used
[in] great Doses, never operated. I gave another Emetick, and imme¬

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diately after it had done working, I gave the Infusum Amarum
or duplice Senna. This brought away an immense Quantity
of Slime, and alleviated all the Complaints. Some simple nervous
medecines were used, and the last purgative repeated again and
again with the same Success. Once it brought away a large
round Worm -- After this the Child gained Ground, and was easy
for some Days, when the Headach, Sickness, and Gripes, returned.
The emetick and purgative were received with their former good
Success, bringing away great quantities of Slime. In this In¬
tervall of ease, I gave her twice a Day, an anthelmintick pow¬
der of equall parts of Sal Martis and Valerian Root. She
continued well, for some some days, taking these, but has of late
relapsed into her usuall Complaints of Head and Belly. As she
is much extenuated, and without any Appetite, I am difficulted
how to proceed. I was proposing to put her upon a Course
of aromatick Bitters with the Elixir Propriet: vulg:, after
promising another Dose of the purgative. Her Complaints were
never attended with any fever, till this Relapse. -- Your Advice
will greatly comfort me, for the most cutting Anxiety distresses
me, when Affairs dont goe as I could wish; and this Anxiety
is aggravated when I consider, that much depends upon my pre¬
sent Success. ---

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If Your time permits, I should be glad to know the
determination of the Society with Regard to my Essay on Marle
and also the Reception given to the paper to on Cornhill Water ¹

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To
Doctor William Cullen
at his Lodging in Warlds-end Closs
Edinburgh

✍1757