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I took notice of your favour of the 9th. because I
was pretty certain, that you must then have received mine
of the same date. Your favour of the 12th. Curt. I received
yesterday, and am extremely desirous of giving you all
the satisfaction I can on every particular you have
mentioned.

I say no more of your going abroad, but must say
that you cannot expect to be so well at home.

I advised a flannel Shirt because you are disposed
to sweat. In a little time it will render you much
less disposed to that evacuation, and render it much safer
to you, when it does happen. If it shall ever come to be
the Case that you shall desire to get quit of your
flannel Shirt, it may be put away with the greatest
safety, by cutting away, about an inch in breadth from
the bottom of it, and by doing this and no more every
day, you will get quit of it, by such slow degrees
that you cannot suffer from the want of it altogether

As I would myself have advised you to an
Issue some years ago, I did not doubt but that
your North Country Physician had done the same
else I would have mentioned the best place for it
which I think is behind the shoulder between the
shoulder & the shoulder blade.

Tho' I still think that Opiates might upon some
occasions be useful, yet I am very clear that you in
particular should avoid them as much as possible. Hoffmans
Anodyne drops as we make them here have not a particle

As you told me in your first letter that you were
going to apply a Blister, I thought I had no more to do, than
to approve of it, but I shall say now, the place where they
may be applied is indifferent, if it is any where in the Chest
the back, the breast or the sides.

As I cannot teach you Physic it is not easy for
me to obviate all your doubts, but I shall tell you this, that
according to my Physic, the more you perspire, the less you
will sweat, and I say further, the more you perspire, the less
defluxion you will have on your lungs. I therefore think
my Diaphoretic mixture properly ordered and if you cannot
bear the slight sickness which a proper dose of it only will
only ocassion, your distress is not so great as I imagined
I think you should continue it for a fortnight or three
weeks, but it should then be laid aside, for at lest a
week or two & entered upon again sooner or later, as the
effects of the first trial and the state of your Symptoms
shall direct

That your Complaints may be in part Nervous I do not
doubt, but I am certain your Complaints chiefly arise from the
gross and viscid phlegm falling upon your breast. Squills
are often of service in this case, & if you have found so, you shd.
take them again, but I think Asafœtida better than Gum
Ammoniac, because it is generally good for the Phlegm and
better for your nerves, but mind what I have said before
that when the Phlegm is very and your breathing
bad a Vomit & a Blister will do more service than any other medicine

I have no suspicion of your Liver being affected, or any
other part but your lungs, & the affection of them is enough to
account for your Drought which I did not take notice of in
my former, as you had not expressed yourself so strongly
on that subject, but I now send you inclosed a Prescription
which I hope shall moderate your draught & breathlessness
also –– I have now I think spoke to every point that you
desire. I have only to add with respect to your drink that
your allowance at Dinner is moderate - Your Dose of
Port is rather large. Malt liquor of any kind cannot
be good for you - If you have any further questions to put
you may always depend upon the most punctual attention
from ---------