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your favour I received Thursday Last
and as I was oblidged to go to the West
hand ¹ I sent your Letters and some Leeches
out to Lady Ruthven; her Daughter was
then in great agony with pain upon which
two Leeches were aplyed to her Knee and
two to her Ankle. They Bled plentifully
and was easier after for some time. She
tryed the Bathing once - and while in the
Bath was quite easie - but turning very
Sick was oblidged to be put to Bed and
all her bad ailments returned so she
has never tryed ↑it↑ since; in my last I wrote
you (I believe) that she expected her Menses or had
them, when they came they only continued
a short time not the 4th part of her (↑the↑) time
common to her, As she has no ease for 2 or
three days I sent out your Laxative Electuary
but she would not take of it but choose
two of Anderson's Pills those had no Effect
for 2 days upon which my Lady gave her some
Salts as she ↑had↑ not ease that way for 4 or 5 days
The Salts did very well but ever since she has

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had a small degree of a looseness She was
prevailed upon to take a Spoonfull of the
Diaphoretick Julep, it immediately made her
very Sick and Vomit excessively {illeg} a very
severe press and rent her to pieces for several
hours and then Sleept a little Since that time
(I wrote you before there was some little streiks
of Blood in her Spittle) She has spit allmost
clear Blood she tells she is Sensible when{illeg}
kind comes upon her that she feels it coming
up as she describes it from the pit of her
Stomach. I find it quite needless to prescribe
any Medecines to her except made into Pills
as she cannot or will not take them.
Upon my coming home yesterday I went
out to see her and found her wrapped in a
Big chair She had got a little More spirits
her pains fixed in her extremities her
Knees and ancles swelled as also her very
fingers but her Mother told that about 6
or seven her spirits would languish and also
her other complaints return. Palpitation
pains &c her Pulse was about 90 when
I was there. I did not leave ↑her↑ till after seven but the {illeg} theose Paroxisms did not appear.

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As you wrote me you intend to be soon
here if you'll be so good to acquaint me
by the Post the night before you set out I'll
meet you at any hours you apoint att
Moncrieff I am most respectfully
Sir,

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To
Doctor Cullen
Phisician in
Edinburgh

✍
1766