We have examined and consider with the utmost care the symptoms from which
the noble youth Master Sandilands is afflicted.
We find them to be as follows.

1. A Tumour at the Ensiform Cartilage of the
right side and at the upper margin of the false ribs,
which is barely visible when standing, and which actually
is prominent at the right side and
rather visible.

2. Some pustules which pass away into scabs,
and which occupy mainly the chest, shoulder and face.

This tumour is neither hard nor as if it contains liquid,
it is soft and neither painful under pressure
nor with any movement of the body. It is not sufficiently clear to us whether the affected part has been covered by dressings,
but we infer that it was in dressings because a few weeks ago it had been
accompanied by some inflammation of the skin.

The Tumour being now not accompanied by any inflammation
or pain, we do not think any medicine of service. But if any remedy seems to be
necessary, we know none more suitable
than those which contribute to dissipate his other disease,
and these remedies we shall indicate soon.

Regarding the pustules which afflict the face:
these are thought, by some, to depend upon
the taint in the blood and humours; nevertheless,
our opinion is that this is less plausible, and that
frequently we have observed young men afflicted by
pustules of this kind for several years,
intermittently recurrent, inasmuch that in the periods of health
they were completely free of them.

Thus, to prevent the disfigurement of this
noble youth, many remedies have been exhausted. Since
we do not wish him to be harmed, above all
we cannot approve the heavy, or frequent, use of mercury.
Since it seems insufficiently certain that there is a taint in the blood,
and since young men with this kind of disease
are impatient, and escape from any remedy,
we have considered what can put this disease
to flight with the greatest efficacy,
and we will indicate it now.

1. He is to take two pints a day
for a month of the decoction prescribed below.

2. After he has taken the decoction, every third or fourth night
he should take one teaspoonful or half an ounce
of the Solution
of Corrosive Sublimated Mercury, prepared according to
Baron van Swieten's directions.

3. Towards the end of September he may seek out the hot baths in
Barèges. He may employ the baths at the maximum temperature only,
and may drink the waters also, but only moderately; and he may do both
for one month.

With respect to diet, being a young man and of sanguine temperament,
we wish him entirely to refrain from eating meat,
because of the heat of the country to which he is now proceeding;
so as to be sparing in the use of
animal food.

Exercise riding either in a chaise or on horseback can
be of good service, but bodily exercise
of a more strenuous kind will be hurtful.

Although we have prescribed to Master S. the solution of mercury,
we do not think he is affected by any venereal taint,
and surely we do not think that he is affected by
any taint of this kind.

Besides what has already been said, we do not perceive
any other symptom of disease in this excellent youth, and we
are glad to say that we think he enjoys
a perfect health. During the winter we have noticed
a recurrent troublesome cough, but
without any signs of incipient phthisis,
always ceasing with the the Spring and better weather;
therefore, we judge it to be not worthy of attention.