[Page 1]

It is 3 weeks past on Tues¬
day since Mr. James Orr writer in this Place
and brother to the gentleman whom
you saw in Edinburgh was attacked with a
pain in ↑his↑ stomach accompanied with an
inclination to Belch, which he could ascribe
to no other cause but sitting too long the night
before in a cold room where he found himself
chilly –– this Pain tho considerable could
not then be said to be, nor never has been,
very Violent –– On the first day of his
being seized disorder I found his pulse
quick and smart and I blooded him
freely; but the Pain remained unabated
and extended itself upwards towards his
right breast but without occasioning cough
or being much increased by deep inspiration

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and was accompanied with a little degree
of sickness – In this state he remained for
six days in which space he was blooded
five times twelve ounces of blood at a
medium being taken each time and he
was once blistered upon the part; the
pain and smartness of pulse and crust
of the blood which was very tough white
and thick indicating inflammation –
Upon the sixth day and soon after the
last blooding the pain abated and soon
after disappeared and his pulse becoming
weak and soft came down to 80 in
the minute – but it did not remain
long in this way for in a day or two
it again quickened and has ever since
beat from 92 to 100 –– It is eight days
since the pain likewise returned and
it at times extends itself up towards

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his right shoulder & he has had frequent
but ineffectual sweats which have weakened
him greatly – his pulse too tho' quick has
always been weak so that I have
not ventured again to blood him; but
he has been within these four days
again blistered and upon the same
part but without benefit –– his
urine at the first was transparent
and high coloured; but ever since
has been white and muddy and
he has in general been costive –– Two
days ago I observed an aphthous ap¬
pearance on his tongue and likewise
white spots of the same kind upon
his throat which was likewise a
little inflamed but he did not feel
any uneasiness in it – This alarmed
me a good deal but they seem to¬
day to be going off and

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his skin is at present cool but his pulse
beats 100 in the minute and is very
weak - He does not want some appetite
and his thirst is not very considerable
– He feels still the Pain at his stomach
which slightly extends towards his right
shoulder; but from any examination
I have been able to observe no swelling
or hardness in any part of his belly
yet I am much afraid that his
liver is affected; but there has been
no appearance of Jaundice –– his
Diet has all along been very low
and he has used no medicine excepting
salts & rhubarb to obviate costiveness
and magnesia for tho' his