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I have considered Miss Mc gills Case with great
attention & am sorry to find it a difficult one. I think there
is much ground to suspect a tubercle but you do not mention
either pain or decubitus difficilis to make this more certain
& at any rate I think there is no symptom of purulency
Can there be any thing nervous in the Case? I would try
by giving an Anodyne & if this quiets the Cough & gives
sleep & at any (↑the same↑) time gives no increase of heat or disposition
to sweat you'll repeat the or continue as your good judge¬
ment shall direct. If this succeeds I would not be anxius
about her diet but if the Anodyne increases her fever
it will be necessary to keep her diet low & I find some
people that will bear no a mixture of Roots & Green

You will try this as you find occasion. I have very
little faith in pectorals not even Squills in Cases of
this kind is some times unavoidable & I leave them
to your discretion. I have of late had occasion to learn
that the Bals: Sulphuris crassum is less healing tha[n]
I had thought, & taken to 30 or 40 drops at bedtime wil[l?]
sometimes prevent Coughing. The febrifuge or pectoral I
most depend upon in Such Cases is an Emetic either
Ipecacuana or Tartar Emetic given so as not to occasio[n?]
much vomiting. If the particular constitution afford n[o?]
particular objection you may try it. I cannot advise
her going to a Southern climate at present nor even
to go abroad in this Country she {illeg} should be well

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[IMAGE]

ABCD. is a Section of the bathing machine ¹ at
[C]hatport where two rings are affixed to tis upper edge on
[e]ach side opposite to one another & corresponding to them on
[t]he edge below are two others. Thorough these rings a rope is
[c]arried passing from the one to the other on the lower edge
[u]nder the bottom of the machine & rising upwards is carried
[o]ver two Pullies. PP. fixed by proper Screws in the ceiling of
[t]he chamber. F.G. After passing over the Pullies the rope hangs
[d]own to the floor hang (having) two Hooks fastened to
[e]ach extremity. The Course of the Rope is expressed by the
letters a,a,a,a,a, & c & the two Hooks are [pivoted?] out by b.b.

Two such ropes are applied one towards
each end of the machine & therefore there are four pullies
in the Ceiling directly over the ring thro which the
rope passes & there will be therefore be also be four
extremities of Rope with two Hooks at each for the foll¬
owing purpose. that upon one Hook a weight may may
be Hung & fixed, such as with the three others corresponding
to it may be exactly a Counterpoise to the empty machine
& upon the other Hook is to be hung a moveable weigt
which together with three other corresponding to it & the
four already mentioned may be exactly a Counterpoise
to the machine when full of water. By means of these
the motion of the machine whether full or empty is
rendered very easy. Only if the machine is at different time
to be filled in different degrees the moveable weight must
be also different & as the {illeg} different quantities of water
need be of no great variety & may be always of a determined
quantity, two or most three different sets of moveable weigts
will be enough or it may be managed by a diversion of the
the largest necessing (necessary) into two or three smaller.

For fixing the whole to the ceiling of the chamber, as the
place of the Pullies may not exactly hit the beams, it will
be proper to have a piece of plank larger than the orifice
of the machine. This plank is to be affixed to two neighbou¬
ring beams & the pullies are to be screwed into the plank so
as exactly to fit the most proper situation of the machine

I suppose it is understood that for employing the machin
a shallow tub of a proper width for me receiving the
water following down is necessary & also a curtain for surroun¬
ding the peron person, which curtain is by Hooks to be hung
upon the staples that are upon the sides of the machine