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At the Desire of Mr. Andrew Ross, who
Some years agoe Consulted you on his then State of
health; & who by your advice & Directions received
Great Benefitt --

The Nature of his immediate Complaint, is what
he then in part Complained off, & what is now laid Be¬
fore you, for your further advice --

The above Gentleman is Going in the 73d. year
of his Age of a Plethoric habit, & who has for the Great¬
-est part of his life rather lived freely in his Diet,
&ca with the Comfortable Conveniences Annexed to his
Situation; But att times has been oblidged, to Exceed
/tho not from Inclination/ According as Casuall Occa¬
sions Might happen --

The only matter, wch. now Distresses him is a
Very Great Collection of wind in his Stomach & Bowells
wch. of late scarce Gives him Any respite, Being Come
to that height (↑Crisis↑) as to be Extreamly troublesome tho without
the Smallest Alarming or Dangerous Circumstance at¬
tending it. --

For Severall years last past, it was always
a Concomitant with Any other Ailmt. he was Subject
to or Laboured under, & has Gradually Come to the highth
before Described -- The Delicate attention Necessarily
paid to the Difft.Departmts. of his offices, the Anxiety
of his Mind, the Multiplicity of Business &ca has no
Doubt Contributed Greatly towards fixing this Disorder.

For these years /before mentioned/ he has adopted
the most Regular plan in his Manner of living whether
in Diet or Exercise, & has been particularly attentive

This Continues Untill noon & for the remaining
part of the Day & Evening Seems Very Easy --

Having Described the nature of his Disorder
it is now necessary to Acquaint you with what has
been Done for his Releif --

As Sudden Changes of Diet, or Alterations in
the General way of life of any Patient /Especially
in Old Subjects/ may produce Very Bad Effects; so for
that reason the Greatest Caution has been taken to
wean nature from what she has been used to for¬
merly in this Gentleman's Case, & the most Simple Class
of Medicines Given wch. are herewith Subjoined /as to
Quantity in the Last part of this Case - As also the
Regimen juidged proper for him to follow --

As it Might be Suppossed there was Somewhat
Injurious to nature Contained in the Stomach wch. might
in Some measure Contribute towards keeping up
the Disorder -- For that reason he had a Gentle Vo¬
mitt of Camomile flowers Given him, wch. operated
pretty well --

He next had a Genttle purgative of the tincture
of Rhubarb, but without Any Effect, & att times
he Chews a piece of that root Until it Gives him
a motion Downwards & then leaves it off --

This was Deemed Innocent & Given with a Design
to Strenthen his Bowells --

Finding no Releif from the Before named
Applications, the Bark was ordered to the Quantity
of half a Dram twice a Day, but after the first
two or three Doses it purged ↑him↑ wch. made it be left
off for Some time Untill his Bowells were more able
to Bear this Exellent Medicine -- He takes it in Spe¬
cies, & wt. Great Confidence of its being of Service
to him -- Att the time of Writing this he has Begun
again & I hope will be able to persevere --

As to his Regimen --

As he has no fix't appetite /from ye.nature of
this Disorder/ but only random Cravings, he is
Indulged wt. a Bit of Mutton Chop in the forenoon
or any other time Between Mealls -- For Brakfast
a little wine with a toasted Biskett, wt. a Bit of fine
Suggar -- No Tea -- For Dinner, Mutton Broth /Scum¬
ed from the fatt/ Boiled Do Veal, Chicken, wt. all the
nourishing tribe of Young Animalls peculiar to this
Country; The smaller fishes, Such as haddocks, whit¬
ings &ca No Vegetables of Any kind -- None of
ye. hot Spices, nor any thing of that nature, only a little
white Mustard wch.Seems (↑'d↑) to Agree very well wt. him --

As I mentioned Exercise before I am oblidg¬
ed to Mention ↑also↑ with Regrett Our Inconstant Climate
But Especially its Sudden Changes for those nine
months last past, when in Generall he has been
Deprived of his Walk to his farm & wch. lies with¬
in a Small Distance of this Town --

This pleasurable & moderate Exercise
Occasioned by his tour thither made him Chearfu[l]
& Greatly strenthened his habit; And Contribut¬
ed greatly towards keeping, the Most Violent
Symtoms, of his Complaints att Bay --

And altho he makes the most
of his necessitous Confinmt., by walking in his
Garden, in Town; Yet he's well Convinced theres no
Comparison in point of Effect --

Upon the whole I hope you'll be of Opini¬
on that there's nothing alarming in this Case
& Could the wind be prevented from Collecting
in his Stomach he would have few other Com¬
plaints -- His Confidence is Great from your
known juidgemt. /& from what he's already hap¬
pily Experienced/ which will therefore make him
rather impatient for An Answer --

To
Doctor Cullen
Edinburgh