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I have now, {illeg} to give you an Account
of the Patients that have consulted you,
and shall begin with Miss Mary Clut¬
terbuck, who excepting the Want of Men¬
strua, continued in every other Respect to
improve in Health and attentively pursued
you Directions from the time you saw her
'till the 25 of last Month, when she was
siez'd with the spasmodic affection as
usual, upon which I gave her a Dose of
æther and order'd a Glyster with Laudanum
to be injected, but waiting on there with¬
out finding her in the least reliev'd I was
at last compell'd to bleed her very large¬
ly before the spasm in the least abated,
and these large Bleedings have been so often
and so necessarily repeated on account of vio¬
lent Cramps in her Head, Chest & side,
that she is now scarce able to sit up for
an Hour, notwithstandg she has been free

Miss M. Pearith began in July with the
Uva Ursi and in a Fortnight was free from
every Uneasiness in her Bladder, but began to
complain of confus'd sight and Pain in
her Head, which continued /notwithstanding
the Omission of the Medicine/ till ye 20 of
Sbr: when the Discharge from her Bladder
return'd and now she labours under frequent
& painful Collections which she describes
as situated very near the Neck of the
Bladder --

Miss B. Pearith is much better by the
Cicuta & will of course continue it --

Miss H. Pearith's ailment in her Bowels
has prov'd Worms, having pass'd a
large Quantity of ascarides --

Miss Harrisons are much better &
almost free from Complaint --

Any further Directions that you
may judge necessary from this ac¬
count will be very acceptable &

Dr: Cullen
Edinburgh