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Mrs. Paterson aged about 52, of a thin
habit, has since the menstrual flux ceased, been
frequently attack'd with the Fluor Alb: and some
degree of Diarrhœa; tho' it does not appear that
these complaints generally came together.- She
has generally at these times complained of a
scarcity of urine.- About three months since,
which was the first time she ask'd my advice,
she was attack'd with the Diarrhœa and along
with it the Fluor Alb: in pretty considerable
quantity.- She complain'd of a great degree of sick¬
ness at Stomach, every thing which she took
disagreeing with her, and belching up sour &
ill tasted.- Her urine was scarce, not more than
three or four wine glass fulls in the 24 hours, but
no swelling, either in the legs or abdomen, and
no degree of breathlessness at any time.- She
complain'd frequently of colick pains, and what
she pass'd ↑by Stool↑ was watery, sometimes Slimy, and as
She said, like the scrapings of paunches.- For

these complaints, I made trial of several medicines,
as Emetics, the Bark in various forms, the Ol: Ricin:
Rad: Rhabarb: torrefact:, Spir: Vitriol: ten:, Laudan:, and
advised frequent riding on horseback.- She recovered
so much that I was in hopes she would do well;
but about three weeks ago, she was attacked with
all the complaints, I have above enumerated, tho' in
a milder degree apparently.- She is, besides these, at¬
tack'd with a new complaint, >Vizt. a Short tickling
cough, without any expectoration.- It begis as
soon as she lays down at any time, whether night
or day, and seldom troubles her when she is in
an erect position.- Her legs for some days past
generally swell a little in the evening, and she
has a considerable degree of thirst.- She has no
pain in her breast or side, and breathes easily &
freely.- Pulse from 80 to 92. Her appetite is
better than for some time past, tho' She is conside¬
rably fatter off within these two or three weeks.-

She has used very little medicine in this last
illness.- Sometimes Magnesia when she feels acidity
in her Stomach, and every other night 15 or 20 drops
or Laudanum, which puts a stop to the cough.-

She wears flannel next her skin, and generally

rides out a few miles once or twice a day.- I have
advised blistering but she rather declines it upon
account of the warmth of the weather.- She uses
now and then a little of the Spir: Vitriol: ten:, which
she thinks quenching, without adding to the un¬
easiness of her bowells.--- I beg you would
assist us with your advice as soon as possible

Doctor William Cullen
Physician
Edinr.

Dr Hamilton C.
Mrs Paterson.
July 26. 1779. V. X p. 52.