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We are of opinion that this Lady's ailments are all depending upon an
intermittent fever, which is not yet removed, and when it shall be effectually done
we have no doubt that the catchings of the face will also cease.

For curing the Intermittent we believe that very proper measures
have been already pursued, but partly from her constitution's not bearing
the Bark and partly from the coldness of the Spring these measures have
not succeeded so well as might have been expected; and we suspect that ye
new measures we would propose might not succeed here where we are as
much exposed as at present to sharp easterly winds. We therefor in the
first place advise Miss Waugh to return immediately to Carlile, and
there to pursue the following measures.

When she wakes in the night time with a feverish fit
upon her let her immediately take a Table sponful of the Febrifuge
Solution ordered below. In half an hour after the same dose is to
be repeated, and if this does not make her sick, after anoyr. half hour
she is to take a third dose, and on the like condition a fourth. If
she bears this quantity we expect that it will make her sick and
to reach a little which is not to be encouraged by drinking, and if
much vomiting is avoided the Medicine will go downwards and
purge moderately and at same time produce some sweating, by
all which we hope the fever may be removed. But this will re¬
quire the medicine to be repeated several times and will depend
also upon its operating properly. To this purpose let it be observed
that the proper operation is what we have just now described
its not vomiting too soon nor much, and therefor if the dose above
mentioned occasions vomiting once or twice taking that
dose must be diminished by giving a weaker solution & repeating
at a shorter interval, and thus managing till the proper operation
is obtained. This repeated for several nights may use we hope with
the other assistances to be mentioned remove the fever; but if
the solution cannot be made to operate properly we would
have the James' powder employed in ye. place of it. This we
think has formerly been of service, but think it would have
been of more had it been given more early in the fit, and

Besides these Emetics, we propose that on the days on wc.
she is free from all fever, she should take the Boluses ordered below
She may begin at noon, and take one every two hours till she
has taken six. We expect that she will bear the Extract
better than she would the bark in substance, and we expect
that the Colomba will prove a very useful addition, and the
nutmeg may make the whole sit better on the Stomach. These
boluses will be more safe also if every second is washed down
with such a saline draught as ordered below. If any suspicion
arises that these boluses should act as the Bark has done formerly
that is not to stop the fits entirely, and at the same time to
render them more irregular, they must be given up and the
cure attempted by Exercise alone. The Exercise must be chiefly on
horseback or in a carriage and must be taken daily to the length of
between 30 and 40 if she bears it; for it should go so far as to
give a little fatigue but not a great deal. It cannot be well
managed but in pursuing a Journey, and we would advise that to
be taken along the west road towards Bath; so that if the
journey has not all the effects desired Miss Waugh may try the
drinking of Bath waters, which had so good an effect on her con¬
stitution before. During all of these courses it will be necessary for
Miss Waugh to give some attention to her diet. She should avoid
every thing which may prove heavy on her stomach, and at all
times avoid loading it with a full meal. But on the other hand
she must as carefully avoid every thing that may be too cold
She must take sparingly of roots and greens, and abstain altogether
from Lettuce, Cucumber, Melon, fresh fruit and milk. She
do well also to abstain from Fish and Eggs. For ordinary drink