[Page 1]

My Patient Mr. Monro of Kinloss has been
in a poor way since my last accounts to you of him.
He begs of me to inform you again of his situation.

Before I was favor’d with your letter, I had persever’d
in giving the Bark in the remissions of the Fever, in as
large quantities as possible, by doing so, distinct inter¬
missions were brought about, which gave further room
for administering this medicine, and in the course of two
weeks the fever intirely left him; from that time he
began to get strength, his appetite was good, and
he was able to step through the room supported by
two people he could bear the weight of his body upon
the Paralytic limb; he was permitted to take this sort
of moderate exercise two or three times a day, till a
flaccid swelling seized the thigh, leg, and foot, this again
deprived him of the use of the limb, and the swelling
has continued sometimes more, sometimes less, ever since.

When the Fever left him, he was put upon a strength¬
ing diet, animal food with mustard and Horseraddish
and a due proportion of vegetables, which his Stomack
always digested with ease, and he has been indulged
with a few Glasses of Claret dayly, he has not been
denied the use of Porter which for a time he lik’d &
it

---

[Page 2]

agreed with him, from his sedentary life &c. He
has been constantly costive, and never has a stool
but when procur’d by the strongest Purges, and ʒſs
or gr. xxxv of the Pill. Coch Minor, must be assisted
by an Injection to cause a single motion and this
operation he is obliged to undergo two or three times
a week. A few grains of Calomel were given two or
three times with the above Pills which Purged briskly
but I did not like proceed in the use of it, as it would
be necessary to repeat it often, and might be of bad
effect. Since the Fever left him, his Pulse has been
regular and good, and for months past his nights
have been tolerable, except upon change of weather
when he suffered from a violent pain in the Paralytic
arm particularly on the shoulder joint, and though
it is not emaciated, yet he has not power to move
it, it is sensible upon touching, and immersing ye
hand either in hot or cold water, gives exquisite
pain to the whole arm. The Issue in the head is
still kept open, frictions as usual have been con¬
tinued, and for a time ↑he↑ swallowed a portion of mus¬
tard daily. The use of the Spring Deal has been
advised as exercise, and Electricity has been recom¬
mended, but a machine could not be got, his memory
is but little impair’d being able to dictate a letter

---

[Page 3]

upon any particular business, triffling circum¬
stances he sometimes forgets, such as mistaking the
day of the week. For three or four nights past he
has rested ill, upon waking imagines himself
neglected and thrown into a corner to perish, at same
time not the least degree of Fever. It will give me
great satisfaction to have your opinion of the
method that has been pursued, as well as your
advice how to proceed further. I beg leave to return
you thanks for your good wishes, and believe me
to be with respect, Sir

---

[Page 4]

Dr. Cullen
Edinburgh

✍ Mr Herriot
Mr Monro
Feb. 1777
V VI. P109 -