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I have sent you the case of a Gentleman of
this neighborhood, to whom I declined giving any
medicine, till such time as you shd be consulted.
He is willing to submit to any mode of treat¬
ment you shall think proper to put him
under; & I sincerely wish you may be able to
suggest one that shall prove more successful
than any he has yet employed. Tho' he him¬
self never told me that there was a scrophu¬
lous taint in the family, yet I am well in¬
form'd that several of his nearest relations
have been martyrs to that desease. This you
↑may↑ hint as a suspicion of your own, as he has
seen the case I have drawn up, & expects to
see your answer. I shall take the first

Mr. M. aged 31, of a full sanguine habit, of an athletic
make, & rather inclining to corpulency, when only
four years old, had a small abscess form'd on the
Buccinator muscle of right cheek, which being
injudiciously lanced, continued long open in¬
spite of every attempt to heal it up. From that
Period there have broke out every winter, in
different parts of the cheek, small ulcers, which
tho' they are only superficial. & discharge a pretty
laudable pus, seldom dry up in less than two
months. During the warm season, there is in
general no exulceration, but the whole cheek,
as well in summer as in winter, appears
of a deep shining crimson. This seems to
proceed from the cuticle constantly seal¬
ing off, as fast as it forms. The eye of the
side affected, is some times attacked by a
considerable degree of inflammation, which
seldom yields, when it comes to any height,

Mr. M. has consulted many of the faculty, &
submitted to various modes of treatment,
but no method of cure hitherto employed
has afforded him any permanent benefit.
when 11 years old he took, for many months,
Ward's white drops, but without any sen¬
sible advantage. He was then sent into
Italy in the hopes that the warmth of the cli¬
mate would open his pores, & dissipate
the peccant humours; but during the five
years he lived there, his face broke out every
winter in fresh ulcers, as before & since, & healed
up in the spring. He was when about 19 put
into the hands of a celebrated Quack in
Flanders, whom undertook by mercury & regi¬
men to change his whole mass of fluids,

Mr. M. besides the above mentioned complaint,
has for these 4 years been subject to noctur¬
nal emissions at least once a week, which
leave him low & languid for two or three
days after. He never had a venereal symptom
in his life, ↑he↑ married in 1773 & had no appearance
of this complaint till within these 4 yea[rs.]
He knows not whether it proceeds from a {illeg}¬
tice use of matrimony, ↑from↑ the unpleasant
sensation of heat which he is seldom without,
or ↑from↑ any acrimony of the fluids. Tho he has
neither lost his flesh nor complexion by this
complaint, he is strongly apprehensive of a
tabes dorsalis. He ↑has↑ taken the Elixir vitriol. & used
the cold bath these 2 or 3 summers past without
effect. The Bark has never been given him, being
supposed too heating -- It may not be improper
to mention that he finds it necessary to let blood
2 or 3 times a year from having been in the habit of
being bled very often when abroad ---

Dr Cullen
Edinburgh

Dr Leslie
C Mr M.
Novr. 1781
Vol. XIII p.214