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Account accurate and management judicious

A tendency to Apoplexy or Palsy & this in Miss Gordons
habit – and age dangerous & of difficult cure

While the convulsive startings are the urgent symptom
nothing can be more proper to relieve these, than the
& otherwise obviate the tendency of her disease than
the frequent rubbing & chafing her limbs in warm
flannels & it will be proper to apply the same to
her right arm –– These startings may also be
relieved by some internal Antispasmodics and the
Solution of Asafœtid & Spirt C. C. was very
proper – If the Symptom continues Musk if to be
had genuine will be a more powerfull remedy

With a view to her Principal disease – the Blisters
& Sinapisms were very proper – but a perpetual drain
by Seton or Issue will now be proper. Necessary to
keep her belly regular, & sometimes purging –– Use
Use the Electuary ordered below as a Laxative or
Purgative as Mr Dougals discretion &c c

I do not think bleeding can be employed with
any freedom in this disease, but in case of any fresh
attack of Apoplexy some blood may be taken from

The vomiting depends more upon the head than
the stomach and I dont think vomiting suited to this disease

Stimulants – ambiguous; but Mr Dougals discretion
must determine the necessity –– Mustard & Horsera¬
dish most safe & safer than Wine or any form of
Volatile Alkali – But I would allow some wine
in her bread [berry?] & a moderate use of Tinct. Valer. Vol.

When her symptoms will allow it frequent
fresh air & gentle exercise in a carriage or on
horseback – & if she cannot allow of these try
the Chamber horse ––

Diet light – not very low – I suspect the large
use of Acids have been hurtfull.