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I take the liberty Dr. Proffessor to Sollicit
you for your advise how to proceed in the Treatment
of two poor Patients whose cases is as follows.

Inprimo Peggy Glasgow,
adg'd forty of pretty full habit of Body, was
Seized with Collick pains in her Bowels in the month
of October last, and which commonly lasted for five or
Six hours at a time. Again Returning regularly
Every third day for the Space of four months. After
which time they began to be more Irregular, Returning
Only once in two or three weeks keeping no Regular
or Stated period. But Soon after a few paroxysms
of this kind, Some few Symptoms began to make their
appearance. Viz. an appearance of Jaundice which
commonly disappear'd before the Return of the next
Paroxysm: but as Soon as ever She was Seized with
Fits of the Collick the Jaundice appeared next day
accompanied with a pretty Smart Fever. My oppinion
was that the whole proceeded from Spasm. however She
was treated by the Surgeon who attended her as a [one?]
please turn over

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Labouring under Calculi. And for that purpose Took
for a considerable time Lime water & Soap Pills without
any considerable Benefits. till the Collick pains intirely
Severed of their own accord. & Shortly after She got
Perfectly free off her Jaundice. She has been now
free from all her Complaints this long time. -
But of late She has complained of a pain in
her Reight Side about the Lower part of her
True Last or beginning of her false Ribs. The pain
extending Sometimes to her Shoulder. There is a consid¬
erable Swelling to outward appearance but no
Discolouration of the part. She is again put upon
the Lime water & Soap Pills. I was of oppinion
that Mercury meight be of Service, but from my Small
acquaintance with Practice I durst not venture without
your approbation. The other Patient Jn. Galt
adg'd Twenty four years of a middle Temperament
affected with Epileptic or Convulsive Fits. which
he has had for thsi two years past. Returning
commonly a Fit once a week. he can assign no
no particular cause for them. He is always attacked
Instantaniously, & in a few Seconds, again is perfectly
Recovered. Now whither this may not he owing to
too great a Stimulus applied to the Sensorium. from

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Blood propell'd to the head in a greater quantity than
usual. & Inducing a Collapse, or from the
Blood being heated & Rarified as when drinking
Freely I wou'd not say, but as he Complains much
of bad Degistion their is reason to believe that the
Disorder may be partly in that organ. He lives
very freely [therfore?] there is a Strong presumtion that
The Stomach is in an atonic State. & from [thence?]
The Syncopi propogated or may be produced is matters
Dr. Proffessor that I must leave to your determination

The Candid and Disinterested Expressions
yoused by you. together with the care & {illeg}
you had for every devidual Pupil an {illeg}
Care. Induced me to apply for your assistance
and I am fully convinced that the pleasure you
have in being of Service to Poor mortals is a sufficient
Recompence for the Trouble.

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Dr. Cullen Proffessor of
Medicine in the University
of Edinburgh

✍ 1772