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The ailments or tendency to them has been of long standing & her
constitution is certainly much broken. I hope however there is no con¬
fined phthisis. The remedies you have used are proper & you
must continue to alternate the Anodynes & Laxatives. As the
other Pectorals are all heating I would employ them sparingly
& therefore simplify your Pills; for it is the Opiate that chiefly
moderates the cough. The Laxative you employ is one of the best
& the form of Emulsion better (if agreable) than the one I use of mix¬
ing spirits with the oil. The blister was well proposed & I
beleive the Burg. pitch did good but now this has failed, I ad¬
vise again the blister, [turning?] part of is into perpetuate issue
& if she will not submit to it, try an Emplastrum calidium [l.R.?]
↑one↑ part of Empl. epispast. to 2 or 3 of the cereum. Altho the
cowsmilk be very proper she should not take it so early in the
morning so as to let her sleep & sweat upon it.

Diet of Milk & farinacea: the milk will digest better
when no animal food at all is taken.

Fresh air & exercice avoid cold. Begin first with

If her pectoral complts continue urgent use a strong decoction
of Tusilago leaves sweetened to her taste & wither season prefer
to this, the express of juice itself. 3 or four ounces a day. I never
give the flowers.

With respect to Mr McDouall he must not try cold bathing
till the season advance. While his glysters answer I do not ob¬
ject to them but if they become ineffectual or disagreable try
this