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I consider Mrs Schaws Ailments as of the same
nature with those she formerly laboured under only that
they are now in a much slighter degree & more free
from Asthma than formerly –

However, I think it advisable to treat them
in every respect, as if they were more considerable
& at lest to take every precaution against their be¬
coming so.

For this purpose as soon as she is settled
a day or two at home let her be blooded in the arm to
Eight Ounces –––

Next day let her apply a Blister of midling
size between her Shoulders to be healed up in Course
without turning any part of it into a perpetual blister

In a day or two after the blistering she is
to begin the use of the Electuary as now ordered on
the other Page washing down each dose with two
table spoonfuls of the Aperient mixture as it is
now also ordered on the other page. I don't say
exactly how often the doses of these medicines are
to be taken, for that must be determined by their
effects which should be to promote urine and to
keep the Belly constantly open without any
large purging –––

I hope there will not now be frequent
occasion for the quieting Draughts formerly ordered
but they may still be occasionally employed in
case of restless nights from frequent Coughing
or in case of any considerable purging from
the Aperient Electuary.

I have nothing to add to my former direc¬
tions concerning diet, but must repeat, that
her diet should at present be both light
& sparing particularly at Supper & let her
liquid food & drink be in as moderate a