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Having now repeatedly considered all the circumstan¬
ces of Mrs Smiths complaints we are of opinion the {illeg}
depends entirely upon a nervous weakness and that there
is no fixed obstruction in the Eyes. We hope the disorder
may be entirely removed but as a weakness which has
continued long does not easily admit of a very entire re¬
covery so it may not here be perfect but we hope that in
some times a great relief may be obtained. For this pur¬
pose we propose the following measures.

1. The head is to be shaven all over twice a week and
every morning washed with cold water drying it how¬
ever very well immediately after. Twice a week on the
next day after shaving let a large quantity of water be
poured on the crown of the head while it is held over a
bason. This at first may be done by a large spunge
squeezed on the crown of the head but afterwards the wa¬
ter may be poured from a teakettle held at some distance

above the head. Let care be taken that the water em¬
ployed either with the spunge or the teakettle be always
from the same spring and be taken up only immediately
before it is to be used.

2. If Mrs Smith at any time should have any considerable
return of headach or pains about her eyes let two or
three leeches be applied to her temples, to one temple if
the pain is on one side only but to both if the pain is
more general.

3. Every day, for a fortnight at one time, let her take
twice a day, that is an hour before breakfast and
dinner, one of ↑the↑ strengthening powders in a little cur¬
rant Jelly, washing down each dose with three or
four table spoonfulls of the Cephalic Infusion which
with the powders is ordered on a separate paper.

After these medicines have been taken for a fortnight
they are to be laid aside for as long but after that in¬
termission another course of them is to be taken.

4. Besides these inward medicines we have also ordered a
water for washing the eyes in the morning and every morn¬
ing for a week or two at first but afterwards only now and
then when the eyes feel weaker than usual.

5. While these measures are pursued it is necessary that the
belly be kept regular but purging is not necessary. If any
costiveness should come on let Dr Wood provide a remedy for
obviating it

6. We hardly need to advise Mrs Smith to avoid all kinds of
strong light which her own feelings will commonly suggest
but must say that such a measure is very necessary.

7. Fresh air & gentle Exercise is necessary to everyones health
and Mrs Smith should therefore go abroad frequently but her
exercise should always be very moderate & never to the degree
of heating or fatiguing her.

8. In Mrs Smiths diet no great nicety is necessary and
it is enough for us to say that whatever meat or

drink either in quantity or quality she finds to prove
heavy or in the least heating should be avoided.