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I had the pleasure of yours this
morning by Mr. Home, & am happy to find
your superior Judgement with regard to Miss Home's
case exactly conincides with my own.

Miss Home's case is a true hemiplegia, the
whole left side being affected, even the muscules
of the face have not escaped, which points out
the source of the disorder to be in the brain. --
Altho' from the appearance of our Patient
Plethory might not be expected, yet as you
observe in all healthy people attacked with
palsy, it is always more or less & notwith¬
standing her pulse was not [feeble?], yet I bled
her largely & as I hoped, the pulse from the
obstruction in the Head being [lessened?], rose
& became more firm, the Blood was sizy &
{illeg}. I ordered Her to lay in a cool room,
the Body, particularly the Head to be lightly

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covered; & the head to be raised high, and
a Matress to be putt upon the Bed. On
Wednesday she was taken ill & the [next?]
day she took a [paying?] Decoction of Senna
Salts & which operated briskly & well,
same day had six Leeches applyed to the
Temples, which releived her much, entirely
removed the pain of the head, & procured a
considerable motion to the affected Leg. Yesterday
the Leeches were again applyed & this
day she still gains ground. Tomorrow I
have desired the Leeches to be applyed
again, if any pain in the head, redness
of the Eyes or defect in vision makes this
application [hurtfull?], & on Monday, I
intend to repeat the Laxative & then apply
a Blister to the head. The reason why I
have not putt the Blister on before is, that
I wished to avoid every thing either external
or internal, that is any measure would oil

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a stimulus, in however small degree, but
I think by the time I mention, there will be
no danger from the Blister acting in that
way, tho' on external stimulus often removes
an internal [one?]. I ordered the Arms &
Leg to be rubbed with a solution of
Camphere, as I saw something was
expected by my patients friends for that
purpose, & if you aprove I shall add
some Other to it. Shall be glad to have
your opinion about the future plan of operation
supposing no other symptom occurs --
What occurs to me [or?] Bleedings when {illeg}
by the Lancet, Leeches a {illeg}. Blisters
applyed [healed?] up & applyed again.
The Belly kept open, & [sometimes?] {illeg}
the Electrical. efluvia, wisely & cautiously
conducted, wishing ↑you↑ the peace of God I am

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PS. I have forbid all animal food, spirits
& fermented liquors, & have given no continual
medicine whatever, except the first day, a
a small dose of the compound [tincture?] of Castor

✍
Dr Hamilton Concerning
Miss Home
September 1780