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Mr Wm. Wilson Concerning Mr Tucker.

After considering the whole of Mr Tuckers case I am sorry to
find that there are no circumstances which point to either the remote or
proximate cause of the disease & therefore that we must go very much at
random in attempting a cure. I think you was absolutely right in
employing bleeding at first tho as his pulse has never been frequent
or full it cannot be insisted on now and probably his low diet
has answered the purpose of it sufficiently. - Your trial of the Tartar
Emetic was a very probable measure but as it operated always
more by stool than by vomiting & that the purging did not seem to
have a good effect I believe you have very properly laid it aside.

Tho you do mention bleeding I dare say you have tried is
or if you have not I would by all means try it now by applying
one to his whole head, - but I would neither let it ly on above twenty
four hours nor keep any part of it open as an Issue. - If it should
produce any strangury I would not let it longer when ever that should happen

As soon as the blister is well healed I would try cold water poured
upon his head. Set the water be taken from a giving
immediately before it is to be used so that it may be as cool as

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possible & by degrees you may increase both the quantity poured on & the
h↑e↑ight from which it is poured on. Let his head be held over a bason & let the water be
poured from the pipe of a tea kettle upon the crown of his head. -- If by the
good effects you are encouraged to continue this practice, you may in¬
crease the coldness of the water by throwing in a handful of salt into
the Kettle of water & pouring it on which the salt is dissolving. If you
cannot easily make him submit to this practice you may try a
a Clay cap this clay made so soft with cold water as ↑that↑ in about
half an inch of thickness it will apply like a cap upon his head
where it may remain for an hour or more at one time & it may be re¬
peated two or three times a day. Besides this cold bathing after blis¬
tering both being confined to his head, I would propose no other remedy
but soluble Tartar of which he may take dissolved in a muchkin of
water every morning as much as will give him one Stool and no more.

With regard to his confinement I must observe that if he is [very?]
unruly or ready at times to become so, the proper management is by a
strait waiscoat, & if you have not employed it I would by all means advise it as
with that, one man will manage him more easily than two can do without it.