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I have seen both your letters to Mr H.
Lindesay & have considered the case of both your patients very
attentively. The one I hope we shall relieve entirely and in the
other shall put off the evil day as far as we can.

With respect to Miss Lindesay, I think your plan is
perfectly good. When the fit comes in I believe she cannot be
relieved but by vomiting and if this can be executed by Camomile
tea I shall be satisfied but I am persuaded that ten grains
of Ipecacuana would have better and more durable effects.

When the Stomach is closed of bile you will do well to clar the
passage downward also, and I believe there is nothing better than
the Cream of Tartar but if it should at any time prove sluggish
I should have no doubt in adding from 15 to 30 grains of the
compound powder of Jalap properly prepared.

It is possible that Miss Lindesays complaints may depend
chiefly upon a redundancy of bile but I am persuaded that
there is always a great deal of spasmodic present at the same
time and therefore I am well disposed to the use of Laudanum
I expect it will give more speedy & effectual relief and I think
it will not be difficult either by the aloetic &c pill or by
the Cream of tartar to obviate the astringent effects of the L.L.

When the fit is over I should very readily allow of a little
plain solid meat and would be very averse to the use of acescent
vegetables which do not readily correct [acrid?] bile and Sometimes
joined with it raise great disorder.

If loss of appetite and indigestions are not relieved by

These are my advices for Miss Lindesay and upon your
report of their effects and the further state of the Case I shall
be ready to advise further in the very best manner I can.

I wish I could with equal clearness advise for good Mrs
Bethune but it is both difficult to do good and to avoid doing
evil. I would willingly do nothing. If any hæmorrhagy
threatens to be troublesome the safest styptic will be the
saccharum saturni in pretty strong solution. I hope your
dry lint has answered the purpose but I am afraid of its
Sticking in and being hurtfull on takeing away and therefore
if a dressing is necessary it may be a mixture of Cerate and satur¬
ninurns. If the Swelling with any pain & hardness Spread
toward the axilla you may employ a lotion not quite cold of a
solution of sacch. saturn. in rose water gr. v. ad ℥j ---

I don't think it proper to advise any internal medicine
but if Mrs Bethune seems either to expect it or desire it, I
shall do as well as I can. With Compliments to Miss Lindesay
and to Mrs Bethune if she knows of this Consultation. I am
with great regard Dear Sir