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Mr Orr

Your account of Mr Orrs complaint is very
distinct and compleat and it is pleasure to me to correspond
with such writers.

Mr Orrs ailment appears to be a peculiar sensibility
of the Retina which may depend as it most commonly does
upon some degree of inflammation, or it may be upon delicacy
and debility. That it does not depend upon the former ap¬
pears very strongly from its not yielding to the most judi¬
cious measures that could not have been proposed upon
that supposition – and such measures as I certainly should
have advised if I had been consulted at the beginning of
the disease. Now I must take it up in the other footing
and I am encouraged to it from your finding that a better
diet and a glass of wine have been of service. I would in
the first place advise ↑the use↑ of the bark for some time to the quan¬
tity of two drams every day either in powder or Electuary
as you shall find most agreeable to him. He may at the

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same time wash his eyes with cold water several times a
day. I am disposed to advise bathing his whole head but I
would wish first to wh know what becomes of the eruption you
mention and of this you must let me know. I would not ad¬
vise a very full diet but it must by no means be very low, and
a few glasses of wine can do no harm. Costiveness may rea¬
dily do harm, & should be prevented but I would not desire any
purging. His going abroad in a carriage as often as the wea¬
ther will allow will certainly be of service. With respect to
light the management is a little uncertain. Any strong light
is still to be avoided but I doubt if much darkness is proper,
and I think you may take measures to bring him ↑to↑ bear the
light by degrees. In a chamber unless the light of the windows
is strong I should not think it necessary to close the shutters
and that it may be enough for him to sit with his back to
the the light or if even that is not enough to make him easy
you may try to employ thin curtains instead of shutters, and
thus bring him to bear light by degrees. Much darkness ra¬
ther increases sensibility. I am much obliged to you

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for giving ↑me↑ every part of Mr Orrs history, tho I cannot apply
some of the particulars to the present case. Both the toothach
and the Lobsters may have hurt his Eyes but that is not certain
and tho it were I don't think it can have any effect upon our
measures now. I beg to hear from you again on this
subject and you may depend upon my attention.

Your not saying a word about Mr Neilson makes me con¬
clude that he is gone tho I had not heard of it otherwise