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This will be delivered to you by Mr Mackenzie
on whose case I formerly writ you at considerable
length and corresponded with you frequently. His chief
Complaint at that time was a singular, and very pain¬
ful affection of the leg, seemingly in the bone, for
which I had used Mercury, and you prescribed Meze¬
reon &c. --- In the use of such means, Mr Mackenzie
got at length entirely free of that complaint. -- If
you can still lay your hand on my former account
of his case, which it is not probable you can do, I
think it was there related that when a very
young man, he was reduced in a very great degree
by different complaints, not phthisical, but attended
at times with a profuse Hemoptoe. - From these he
likewise recovered at that time in the manner in wh
I informed you. --- You see he is tall and thin, as he
has always been. - Though he says he does not suffer
from anxiety and fatigue, yet I think he cannot

These two winters past Mr Mackenzie has
suffered considerable, and continued attacks of a
Cough &c. During the last spring he has often spit
blood; not in that profuse manner which occured in
his great and first illness, but in small quan¬
tities, as in cases properly properly phthisical. - -
Till the spitting of blood occurred I saw him but
occasionally & rarely; - and neither then nor since
has he kept strictly to any plan, - always going
about & living at large, though I dare say
very temperately. - He has used remedies too, - as
bleedings, - blistering, and a perpetual Blister; - a flannel

For several weeks past I have been represent¬
ing to him (for he is a man of such a turn of mind
as admits of his being freely spoken to) - that his com¬
plaints are serious, and will require not only
a strict and continued plan of management; but,
if it be possible, some suitable and greater
measure, before winter. -- In this situation he
applies to you, and I heartily wish you may
be able to give him beneficial advice; for his
life is of much consequence not only to his
family, but to this part of the country in general;
to whom his spirited & judicious example in im¬
provements, must be very useful. - His undertaking
is a great one, - the purchase of a very con¬
siderable estate, which nothing but the continu¬

I writ you by Mr McDowall two or three
weeks ago, who missed you. An opportunity has since
occurred of his taking an easy journey to Bristol,
and I advised him to try the Hot well, if the me¬
dical people whom I knew his relations there would
make him apply to, judged it expedient.

Dr Mutter is going as slowly, and yet in a way
that encourages himself and family a good deal, for
certainly he not only speaks better, but uses his leg
& arm much more easily; & he preserves his chear¬
fulness and composure. - Yet we must see a great deal
more of amendment before entertaining hopes of
his ever being able to officiate, which to him, is the
main object. - Nothing so yet appears but that he may
live long enough. -- His diarrhœa, which I mentioned
in my letter by MrDowall is manageable.

A little of the decoction of Bark & pomgranate rind
seems to have some effect in moderating it; and, when
it is given, which has been only twice, I do not
push it farther. His pulse is steady and good,
---- not so slow as at past.

To
Doctor Cullen
Edinr