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You use me very ill in thinking that
one hundred part of the preface or apology you make, was neces¬
sary. It would mortify me extremely if you could think me either so
loving of money or sparing of labour as to require so much introduc¬
tion to a request in favors of any friend of yours, or of any person in
the situation you mention. I assure you I am willing but find it
very difficult to give you any assistance. Of all the difficulties I
meet with I find the greatest to be the minstering to a mind diseased.

{illeg}[have?] found it so in this case for otherwise the many judicious
[reme?]dies you have employed would have been more effectual.

The only remedies untried are cold bathing and Uva Ursi. The
first I think not only safe but expect it will be usefull but let it be
brought on by degrees. Take one part of boiling and four parts of
[spring?] or pump well water that is of a steady temperature for the
[first application?] and every second day by withdrawing one eight
{illeg} boiling water you will bring her soon to bear the whole quite
{illeg} [the?] easiest and in this case perhaps the best way of applying
[the cold?] water is by pouring it from some height upon the small
of the back ↑{illeg}↑ while she stands ↑inclined↑ in a tub to receive the water which
runs down upon her limbs. But I have perhaps said more than
necessary to you and shall only add that this remedy is likely to
be more effectual as it goes with her own mind.

With respect to the other remedy I have mentioned, the Uva

Whether from the medicine or as more probably from the disease
if costiveness comes on it is extremely necessary to remove it and [the?]
most proper medicine in my opinion is the Oleum vicini, Rhubarb
is the least proper. Flores Sulphuris is particularly fit and S. {illeg}
Cream of Tartar or Glaubus Salt given par reprises answers very well

Gentle Exercise in a carriage or even on horseback might be of
service but walking I cannot admit of beyond what is absolutely
necessary. Even for this it is very necessary to take [some measures?]
for preventing either the one or the other prolapsus.

I have found benefit from Balsam Capivi but if it [proves?]
heating it must be let alone. I have found no benefit from M{illeg}
and cannot well expect it from a medicine so little soluble in our [fluids?]

Of all things I find external heat the most hurtfull in such
cases and it is therefore most industriously to be avoided.

It is common in such cases to employ a nourishing diet and
the women are fond of it but I always find it hurtfull as the [weakness?]
and seeming laxity is always accompanied with irritability.

Opiates may be necessary but they are pretty [hurtfull?]
I leave you to choose the smallest evil.

I have now said all I can and earnestly wish it may be useful
Tho I must on occasion take fees I do not desire nor take them on every
occasion and I would have you believe that I have really more
pleasure in making a cure than [in?] taking a fee. believe me to be