In 1783 he published his first work, which was about leg ulcers and "in which former methods of treatment were candidly examined and compared, with one more rational and safe, proving that a perfect cure may generally be effected more certainly, without rest and confinement, than by the strict regimen in common use." He included "an introduction on the process of ulceration and the origin of pus laudabile: to which are added hints on a successful method of treating some scrophulous tumors and the mammary abscess and sore nipples of lying-in women." This work was reviewed in The English Review, where it was written favorably: