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I consulted you some time ago
for Mr Heriot. He continued the Electuary and ri¬
ding in a single-Horse chaise some months but
his symptoms growing worse, he died. I again
ask your advice for my sister, and beg you will re¬
turn it immediately as her Relations are very anxious
about her, & want very much to have your Opinion.
She is now twenty two years of age & two years ago
was seized with the following symptoms, menses
for some months last flowing with pain and in
small quantity, pain in the side & cough; the two
last went off by Blooding; was seized again about
a Year ago with Pain in the side, remarkable tight¬
ness across the Breast and cough. She was at this
time in Edinburgh, but went down to Leith and
by some advise bathed in the sea; (the symptoms
before bathing had been much abated). After three
months she went back to Edinburgh & was in a few
weeks, again seized with Pain, Cough and Tight¬

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ness as before, and which except the Pain has continued
ever since. She was bled by Mr. Al. Wood's advise and
took some pectorals. Since she left Edinburgh which
is four months ago the cough and tightness has been at¬
tended with considerable expectoration of a yellowish
matter sometimes tinged with Blood: Her Pulse was
all along hard & quick, was bled several times within
the last three months, which at first releiv'd her very
much, but since has had no manifest effect. Her
thirst great which still continues, has taken the sa¬
line Juleb in considerable quantities, the Asthmatic
Elixir as she could not sleep & soap Pills as These are
the symptoms as nearly as I could collect them from the
first, and the following the present, Pulse hard and
frequent, Thirst considerable, expectoration yellow
mix'd with Blood, want of sleep at night, great in¬
clination to sweat if she indulges in Bed, frequent
Heats in the Palm of the Hands, flushing of the face with
paleness alternately, difficulty of breathing & pain if
she attempts to lie on either side, vomiting of tough
Phlegm when the cough is violent. I must not omit
here to inform you also the quantity of milk she has
taken, sometimes a Pint or a Pint & half of Goats Whey

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two quarts of Cow whey when the thirst was more vio¬
lent, and as much butter milk as could be got, which
amounted to upwards of a Pint in the day (I mean
English measure) also Asses milk was used for some
time. I must again beg the favor of you to write im¬
mediately as her Aunt in particular is very importu¬
nate, & as I had the Honor of studying what of Medi¬
cine I know, under You, I must hope I may not have ac¬
ted altogether contrary to your Instructions.

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Doctor Cullen
Edinburgh

✍
Mr Home. Berwick
Concerning
his Sister.
July. 1778.
VIII. 14.
IX 14. & 42.