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After considering very {illeg}
Donald has been pleased to inform me of {illeg}
of opinion that her ailments depend entirely from an ↑{illeg}↑
{illeg} of the lower orifice of her stomach. This
seems to have been forming for some time and will therefore
be as it commonly as difficult to remove. It was very pro¬
perly attempted by the use of Mercury but it seems to
have proved ineffectual and I cannot advice any repe¬
tition of it. The Cure seems also to have been with some
probability attempted by the use of Hemlock ↑{illeg}↑ but it
does not appear that it was ever properly employed
as either from the bad condition of the medicine or
from the smallness of the dose it ever had any sensi¬
ble effects upon her and without that nothing was
to be expected from it. I am much disposed therefore
to recommend a further trial of it taking care both
that the medicine be in good condition and that the
dose of it be gradually increased till it has

In the mean time Mrs. Donald must palliate
her complaints by the best regimen that can be {illeg}
Upon this subject I could offer some advice but the
best direction must be got from her own experience I
think she has already learned from that that the
most part of Vegetables from the Garden are to be
avoided. If she bears Oat meal Pottage without their
increasing the acidity of her Stomach I have no
objection to her continuing the use of them but I would
expect that {illeg} is the only shape in which
Oat meal would agree with her and I believe that
the only subst food made of grain that will best
agree with her is well leavened and well baked
wheatened bread and the finest kind of that
better than the coarser.

With respect to liquids I suppose she has

It is solid Animal food that will give the
least acidity but even of this She must make her choice
to be chiefly directed by her experience but in general
I believe that fat meats will be the slowest in di¬
gestion. I should expect also that fresh soft boiled
Eggs should answer particularly well.

These are the observations I can offer with
respect to diet and must add that till the obstruction
of her stomach is removed take {illeg} she {illeg}
it will arise to a degree of {illeg}

As the disease is almost necessarily attended
with costiveness and in increased by it should be
very certainly obviated or removed but will commonly
require a medicine of some force. The Castor Oil com¬
pounded in the manner prescribed in the inclosed paper
will I believe answer better than any thing else.

I have proposed a certain dose but that must be
more exactly regulated by trials.

Air and exercise in almost every shape will
be of service to Mrs. Donald but it is necessary
at the same time to take every precaution against
cold.

I have proposed a medicine for correcting acidity [however?]
I believe there are none which could be in any degree useful
but by being taken in such generally as would be otherwise
hurtful.