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Altho his relapse may have been owing in some measure to
the accidents at Couper & Brechin, yet its being in so considerable
a degree makes me fear that his Disease may prove more
obstinate than I expected. ––––

Mr Wood and I considered the case from the first as Maniacal
& as his Pulse, tho somewhat frequent, yet it was always weak
and feeble we did not think him or his disease the subject of
Evacuation – the keeping his belly regr and even open, we
with Soluble Tartar we thought necessary. The Soluble
Tartar I should now think more rather preferable to the
Pills I last prescribed – the Blister we employed had sensibly
good effect and altho it has not suceeded so well with you
I think you may repeat it with advantage if the Delerium
continues – I dont think the Seton so suitable as a fresh
Blister & may be delayed till we see further –––

If Spasmodic Symptoms shall continue to recur, the
Pilul. Cerul. may be very proper, but I must observe that
that he seemed to receive benefit fr here from five grains of
Camphire given every night at bedtime & that had he not continued
to recover daily I would have increased the Dose, as you may
do if you think proper. –– He may be troubled with worms
but I suspect an affecton of the Sensorium to be the Primary
& I am much afraid of a topical affection there. – But we
must wait, before we can determine –– When he left this and
before I did not expect any return of Mania & much less a
coming on of any Convulsive Symptoms; but especially
feared a state of Fatuity