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I shall without any apology beg leave to submit to your consideration the
following case, --- Mrs Woodcock a married lady who has had several chil¬
dren & aged fifty one or two of a gross & corpulent habit went to Whitehaven
about twenty months ago where she was seized with a ↑slight↑ paralytic affection
of the left side, but this in part soon went of by bleeding &c:a leaving behind
it only a small faltering of the speech & the mouth a little awry; for some
days prior to this shock she had a troublesome cough & complained of great
weight & stupor in the head; she continued for near sixteen months after this
attack in a tolerable state of health only now & then complain'd of the weight
& stupor, with headach sometimes but in the beginning of November last she had
more frequent returns of these last symptoms attended with a general coldness
great lowness & ↑a↑ frequent & troublesome nausea ↑withheartburn↑ in this state she continued three
or four days when she was seized with very severe convulsions which continued
a full hour; after these were over she labour'd under the greatest heaviness & stu¬
por that could be for several days, & during this time she had lost all recollection
& was very frequently incoherent, in the fitt the common methods were had recourse
to such as strong friction with [s Oleum?] Animal:. blisterings & the application of sinapisms
to the soles of the feet, when it was over the much & camphor Juleps with Volatiles
were given as was likewise some of the warm opening tincture to render the

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belly soluble, these for a time seemed to relieve but not sensibly so untill she
had took a vomit which relieved her remarkably for after it she grew considera¬
bly better {illeg}, at this time she began with a strong decoction of the bark &
Valerian to which was added the Balsam Gaujacin: by this treatment she soon
became better, for she recovered her strength & looks, spoke with a less faultering
voice than what she had done before the convulsions, in short she apppeared
to be almost well, --- from the time of this recovery she has continued in the
use of her medicines (viz the bark tea & the opening tincture) & has had
constant drains kept open with by blisters or issues, -- notwithstanding these
appearances of being so much better she has at times complain'd of her head, {illeg}
& ↑of↑ a troublesome heartburn & sickness accompanied with the most violent coldness
that can be supposed during which she always made large quantities of quite pale
urine, --- whenever the acidity is the greater in her stomach, she always complains
the most of her head, & is assured she says that makes it worse; she has had two
or three of these cold fainting fitts lately, but by the immediate assistance
of puking, warm wine whey, volatiles &c: they have soon gone of, --- yesterday
morning she awaked as well as usual only complain'd rather more of her head, she
rode out in a carriage ↑in the morning↑ the jolting of which she thought encreased her complaints, & soon
after ↑her↑ return home was attacked with an extreme coldness, a faintiness & very severe
twitchings & cramps in the extremities which soon ended in the most violent
convulsion D:r Pemberton (the other physician concerned) & I ever saw, it continued near
↑a↑ full hour & was soon after succeeded by another equally violent but not of so long continuance

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this left her with a great apoplectic & lentor for which lasted some time, by degrees she reco¬
ver'd herself without any seeming loss of the senses or paralytick affection, again we
made use of the friction, blisters & sinapisms with fœtid, camphor, & musk medicines;
as her pulse rose considerably after the fitts we order'd the [loss of a a few ounces of blood?] from
the arm, this upon standing the {illeg} appeared a little sizey, its crassamentum was
very tender & its serum too much & very briny to the task; her pulse in general are
rather quick but generally (↑commonly↑) soft, her urine is commonly (↑generally↑) palish except when she is at
the best, --- in the former part of her life she was much troubled with the acute
Rheumatism for which she had {illeg} repeated bleedings, -- [these?] {illeg} [all the par¬?]
ticulers; I at present recollect of her case ↑&↑ from which imperfect [account?] {illeg}
{illeg} am in {illeg} [you'l?] be enabled to form a pretty accurate knowledge of it, un{illeg}
have your re{illeg} this we intend to pursue the old method which at the best is only a [tem¬?]
porary relief, -- when you favor us with your answer we should be glad to be
informed what ↑in your opinion↑ will be the most likely means to prevent a return, & when the fitt is
coming on what would be the best either to lessen its violence or {illeg} it of, ---
I shall take care to order some person in Edenburgh to give you your fee so soon
as I see some of my Manchester friends who have connections with your city, -- let
me request it of you to have as speedy a reply to this as suits with your con¬
venience & in the mean time

To
Doctor Cullen Professor of Medicine
in
Edenburgh ✍
in ferrybridge