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I was desired to visit Mrs. Shaw
upon Sunday last - The Swellings of Her Leggs
had increased very much lately and extended to
her thighs; Her abdomen was also become considerably
full and enlarged: She passed very [semate?] quantities
(not a third in proportion to the liquids she took) of
Urine and more frequently than usual: Her cough
and dyspnoea were very severe, the little sleep she
got was in the morning and with her body in
an erect posture - she frequently starts from her sleep
with a dread of suffocation; Her appetite ↑is↑ much
impaired; Thirst great and Tongue foul; she
complained of wind on her Stomach, and that a
Soreness and Stitches there, were frequently troublesome
to Her. Her pulse weak and quick, Her spirits low.

I directed ʒv vel ʒvi Cr. Tart to be taken
in divided Doses every morning: -- gr.ij of
dried Squill every night at Bedtime - and
one or two spoonfulls of her former aperient
mixture twice each night if Her Dyspnoea
required it - allowed a few glasses of
Gin punch, and a Bit of full aged mutton
at Dinner - Mrs. Shaw informs me her Tartar
gives her three plentifull stools each day, but
has produced no effect in increasing the quantity
of her Urine - that both it and the squills
sit perfectly easy on her Stomach; and that
Her Swellings are at a Stand.

I shall desire him by to-morrow Post to increase
the [25?] of Squils by one grain.

I shall be happy in [reviewing?] your sentiments
and directions with regard to her farther conducting
Her as to regimen and medicine - Our Season
is now particularly severe, and interferes with
the use Exercise.

I have repeatedly, after Squills, Cr. Tart.
Syr. Colchin. purgatives with calomel given in
full doses an ounce, or divided till they produced
a just affect & have failed, succeeded by
giving mercury on the same days with full
doses of squill; but I shall wait your direction
and am with Sincere esteem Dr. Sir

✍Dr Fenwick
Q
Mrs Shaw
Jany. 1781
XI. p. 146.