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Mr Riddell Kennedy to Mr Yourston

I have apprehended Mr Kennedys' case would prove ob¬
stinate & therefore advises the use trial of Ld Trimlestones, pre¬
scription, but it has turned out just as I expected. I gave my
opinion that it was insignificant, but I knew his friends, but
I knew his friends would not be satisfied without a trial; we must
now return to do for him what we can. It is necessary to
have an issue again opened as near the head as possible; & the
issue to contain three or four peas made on the inner edges of the
Trapezius Muscle, a little below the old Cicatrices. The Case
appears the more desperate because at the period of Puberty it
has suffered no change, but it is not to be absolutely despaired
of as he is still growing larger & lustier. But in this view
advise him again laying aside all animal food. Lord T---
{illeg} done much harm in indulging him in animal food &
giving him ↑a habit↑ which it may be difficult to brake. -- Try to con¬
fine him to Milk, Farinacea &c. He should still conti¬
nue to abstain from Wine & strong drink.. - It will be proper
to keep his belly open, for this purpose I would prefer the P. e
jalap comp. with some addition of cream of tartar to
Lord Ts sacred Tincture. Right, to continue the Bathing.
with cold water & not only his head, but washing his whole bo¬
dy over with it, which on account of his issue will be more
convenient than immersion, tho' even with an issue this
might be tried. The directions I formerly gave for keeping his
body cool to be still carefully observed ---- To the above
I would trust for obtaining as much relief in the care will [advise?]
↑at present↑ & I have little confidence in amy medicines I could propose
The Valerian substance might be perhaps usefull but I
would not expect so much from it as to urge him
to a disagreeable Dose, & the only Medecine I could now

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propose is a small Dose of the Vinum Antimoniale, the
Dose so much as threatens a little squeamishness in the
morning. --