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I was greatly disapointed in not haveing
the pleasure of seeing you when I was in Town, & as I
was in a Manner necessitate to be at Home on the
Sunday, it was not practicable for one to see you that day
at the Hour you fixt. I will Attempt to give you as
distinct Account of my Situation as possible, in order
that you may be able to form Some Notion of it, but
I am affraid not so proper a One as if you had seen
me - During the Course of Medicine you prescribed
some of my Old Ulcers dryd up, & Two New Ones broke
out, but the Worst of them more detached from ↑the↑ Primary
Spot than any of the rest, it is Just on the round before
the Armpit commences, & has run more Matter than

any other One of them, but now seems to be in the
way of drying up. As next Week falls in Course for me
to take my Medecine, I think it prudent to state my present
Situation & have your advice whether I ought to proceed or
not - In the begining of Jany, I took a Slight Cough
which continued for that Month much the Same, in Feby
it attakt me at times most Violently & after spitting up
Flegm I was quite well, for some days I coughed None
at other times I was Seized on going to Bed with [that?]
degree of Violence that it woud have lasted for 15 Minutes
For these ten days I have been perfectly Miserable, & if
I get no relief I can not hold out long. The Defluxion
I have is immense, & our Surgeon gave me a Vomitt
which eased me for a Night, but I was as bad the next
I then took Cammomell, which made me throw up, but
I found no relief. I am now commonly Seized with

the Cough about 5 oCk in the Evening & at 10 oCk
when I go to Bed, & at both times it is incessant till
I discharge every thing from my Stomach & then often
I am plagued with Wind upon it. From the Violence
of the Cough I spitt Blood this Morning, but I hope
only proceeding from the Stress upon some parts on
the throat. I have no pain in my Breast ↑or↑ Sides, but
what proceeds from stress of Coughing, & that is
as if Bruised. A Person in my Situation is naturally
alarmed, & what increases Mine is my Habit of Body
or rather State of my Blood may have fixt some of
the Malignant Humours on my Lungs, but then I
first↑have↑ have no reason to think so from my Breathing which is
very good Untill such time as the Cough is comeing on
then I am Astmatick, & continues for some short
period after I throw up. I feel after Eating some

uneasyness in my stomach, Cough a little, & some defluxtion
arrises. My Pulse very good, but I now & then feel a kind
of Palpitation of my Heart, & during the Palpitation every
Sixth or Eight Stroke an Intermission. You may perhaps
form some Notion of my Complaints from this Account
& therefor I entreat you will write me in Course of Post what
I should do. I am almost thorougly perswaded the Stomach
is the Seat of my disorder as throwing up I am always
relieved, But I find my Appetite good, & can not form
an Idea how a Cough cou'd last so long if it had no
other Ground Work than the stomach to proceed from.

I don't Venture on Milk as I have been told it fouls
the Stomack, & chiefly Stuck to Solids. Whatever you prescribe
shall be punctually followed & I am