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Miss Young, a patient of mine
a young Lady about one and twenty, always
very healthy from her earliest years, and very
regular in her menstrual discharge, was sub¬
jected during the course of last winter and spring
to very much confinement and fatigue in attending
upon her mother who died in June last of a
consumption. During the winter the only odds that
was observed in Miss Young was a falling away of
her usual appetite for food; about the coming
on of the spring she was taken sometimes with
a cough owing to her getting a little cold, but it
would soon go off by taking a little more care
of herself; by the long continuance however of her
mothers illness and the constant attention she
paid to her which she carried to an extreme,
she had got against the end of May a con¬
firmed severe cough with an increased heat
and quickness of pulse, but the cough attended
with little or no expectoration; she was blooded
once or twice, with some effect and that was
all that was done to her. After her mothers
death when she could be more attended to she
was blooded again, and blistered with considerable

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advantage. I then ordered her to the country for
the summer, amd put her entirely upon a milk
diet and gentle exercise, and as the place she was
sent to was in the sea [coast?], I ordered her to em¬
brace every opportunity of sailing, which she did
very frequently to the intent of several leagues
sometimes; & using this course she became much
better; the cough abated, the pulse fell down
to nearly its natural state, she recovered her appe¬
tite and looks, and every thing promised well;
but upon her coming to town last month she very
soon fell off, and her complaints all returned. The
cough is now worse than ever, attended with a
pretty copious mucous expectoration of a yellowish
greenish cast, she becomes short of breath and
fatigued with the smallest exertion; her pulse
is small and almost always between 120 and 130
and sometimes more, she has lost her colour, and
added to all her former complaints she has fre¬
quent loose stools which weaken her very much.
Since she came to town she has been blooded
and blistered twice or thrice, but without much
effect; the blood is extremely sizy; I put her
upon asses milk; all the medicine she has got
has been only solutions of Gum arabic with
syrup of lemons when the cough is hard, and
the same mucilaginous solution with Electuary

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Japonicum which is of use in moderating her
loose stools. She has become irregular in her
menstruation since she grew ill, and of late her
feet and legs swell particularly at night. With
the approbation of her friends I send you this
account of her case for your advice and assistance
and I will be really happy to have it as soon
as possible. Inclosed you will receive 2 guineas

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Dr William Cullen
Physician Professor
of medicine in the
University
Edinburgh

✍

Dr Marshall
Query
Miss Younge
15th October 1779
X p. 105