[Page 1]

[Page 2]

I am heartily concerned to find Mrs. Shaws complaints
continued & I am afraid it will not be easy during the
Winter Season to keep them off entirely but I hope that
some pains taken may relieve them very much. I dont
think it will be necessary to repeat a bleeding unless
upon the former trial it was found to relieve very
much, but I must advise her to repeat both the vomit
& glyster as I mentioned in my last. I am not surpri¬
sed that the Electuary after being taken so long should
now fail, & I would have it now laid aside for some
time. There is nothing however so necessary as keeping
her Belly open & therefore I have inclosed a prescription
for a laxative which she will please to take every
second or third day as costiveness may require. It is
possible that somewhat less than the dose I mention
may answer the purpose, & if she finds that a small
quantity of it will open her belly without purging
she may then take it more frequently, The aperient
mixture may now likeways be laid aside for a week
or two, but if she find that by that intermission the
Urine become more Scanty she must immediately return

It is possible that her Cough may have of late been
so troublesome as to require the use of quieting draughts
and I would not forbid them, tho' I would have them used
as seldom as possible you will please to observe if
they are employed that they will increase the Costiveness
and therefore require both the more frequent & large use
of laxatives.