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Not to express my sensibility of the kind attention wh.
you have all along shewed towards me, but especially when I was of late a
candidate for the degree of Doctor in your university; would be a peice
of conduct for which I should never forgive myself. Indeed I would have
requested permission to have express my gratitude in a public manner
by dedicating my thesis to you, had I not thought that such a step
would have been looked upon by others as a piece of too great forewardness,
and knew that it could be no way usefull to you. I hope then you
will accept of my present acknowledgements, which I am sure areas
sincere as if it had been in my power to do you any real service.

It will give me pleasure to take every opportunity of show¬
ing forth your private character virtues in a part of the world where
your learning & genius have long been admired, & I shall always
think myself bound, should any occasion occur, to do all I can to imi¬
tate you in doing good offices to others.

I beg leave to send you the inclosed case of Mrs Deans, on which
she and Mr Deans will be much indebted to you for your advice

D r Cullen
Edinburgh

About ye beginning of July she was seized with a severe cold, for wh.
he used the peruvian bark without taking advice upon the subject,
and continued to do so till towards the middle of September, when I came
hither. Her pulse was then quick, strong, full & a little hard; she
had all the symptoms of a Catarrh, attended with much difficulty of breath¬
ing frequent warm flushings, & slight nausea. There was a slight
[pain?] in her breast at times, a severe cough, & the expectoration attend¬
ing it, free and pretty copious. The bark was then discontinued
and a cooling vegetable diet recommended, but which was not so ex¬
actly followed, as could have been wished. With a good deal of difficul¬
ty she was persuaded to take a vomit, to have a blister applied, & to
lose a little blood. By these the breathing was was somewhat reliev¬
ed, but in a day or two, again became strong high, & soon after symp¬
toms of Hectic fever began to appear; & the matter expectorated had
all the appearance of pus, mixed with clear serum. A vegetable
diet was then more particularly inforced, she was again vomited
& blistered upon the breast, to the part an issue was applied, which still
continues open. As an expectorant, she to used a solution of Tartar
Emetic, in nauseating doses, and upon a suspicion of tubercles
was put upon a course of the Cicuta, but this was discontinued after
it had been used about a week, upon my expressing suspicions of its effi¬
acy to the Physician who proposed it, and in its stead, by way of
making a determination to the surface, as her skin was very dry
she took a table spoonfull of the Decoction Seneka twice or