[Page 1]

[Page 2]

[Page 3]

[Page 4]

[Page 5]

[Page 6]

[Page 7]

[Page 8]

Inclosed is a case for your opinion, it has at
present a very bad aspect, especially as there
is reason to suspect an original scrofulous
tendency.

Mr. Justamonds publication has induced me
to try the Flores martiales to a considerable
extent, and in some cases of indurated glands,
with great success. -----

A gentleman of this place had about 12
months ago a remarkable enlargement
and induration of one of his testicles. When
I saw it first, the size was nothing less than
a goose egg, exceeding hard, and I may
say without any degree of sensibility. It

I have narrated those particulars by
way of medical news, and also as rea¬
sons for my directing the same medicine
in Miss Richardsons case. ---

With respect to my own situation, I have
succeeded better than I had any reason
to expect when I came here, I am now
Acquainted with the principle people, and
by many of them I have been employed;
Our old Dr. is still going about tho {illeg}
in his 82d. year; I have the satisfaction
to find that when he is quited I am

The inclosed bill for £3.3. on London
was sent me this day to be transmit¬
ed with the case, you will readily get
the cash for it from any banker. --

My wife is in tolerable health and spi¬
rits and will lie in about the end of
next month, which event may perhaps
restore the use of her leg and foot. --

She joins me in compts. to you and Mrs
Cullen. ----- I am dear Sir your most
obedient & humble Servant

Miss Richardson aged 24 years, of a tall and slender
habit, was above two years ago attacked with indu¬
rations of the glands of the neck. When I saw
her in Augst. last, one of them on the left side of the
neck was about the size of a pigeons egg, attend¬
ed with frequent and Sharp pains. This induration
extended to the muscles around it, and the tumour
was so fixed as to impede in a considerable de¬
gree the motion of the neck. A gland in the
right armpit was also much enlarged, indurated,
and fixed, and the hardnes extended over a con¬
siderable part of the pectoral muscle. She also
complained of some enlargment of the inguinal glands,
and frequent pains through them, similar to what
she has in the armpit and neck. Those pains were
attended with the external feel of hardness in the
region of the stomach, and with a sense of full¬
ness and weight in the bowels. The {illeg}
menstrual evacuations, have been tolerably
regular in point of period, tho exceeding little
in quantity, last {illeg} month they did not appear
in any degree whatever. The appetite and di¬
gestion are tolerable, and when food is taken
into the stomach, it neither occasions vomit¬

I directed the flores Martiales to be made into
pills and she has taken about ℈i pr. day for
near a month past, prior to that time, she
did not exceed Gr:xiij or Gr:xiv pr. day. With
this for a Short time She took from ʒiſs to ʒij
of the cort: peruv:; This medicine in substance
disorderd her somach, a strong decoction was
then made of it, of which she took ℥iv or ℥v
every day. She has kept the indurated ↑parts↑ always
moist with a saturated solution of Sal: Ammoni:
crud: in equal quantities of distiled vinegar
and water, and when this renderd the surface
tender, its place was supply'd by Goulards
extract of Saturn in water, with a small ad¬
dition of Brandy. Since she used those

From the symptoms, I fear that the glands
of the mesentery and intestines are {illeg}
also tending to a {illeg} scirrhous state, and
I also apprehend that our present means
will not prove successful in conquering the
disease, tho it seems to retard it; could the
flores Martiales be carryed the length of ʒiſs or
ʒij pr. day, I should have some small hope,
but I fear from the tryals already made with ↑it↑
that the stomach will never admit so free
a use of that medicine. -----

Please to let us have your opinion and
advice as soon as possible -----