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For Miss Stewart Dempster

I am sorry to hear of any Distress in Mr Dempsters
family and I must own that Miss Stuarts Case appears
very infavourable. [A?] former Delica[cy?] makes her unfit
to bear the remedies that might be applied in her present
ailment. Hitherto I think you have Done ↑as↑ Properly as could
be proposed I think they have been relieved. Still I think
there are marks of tendency to a Phthisis. To obviate this
make her Continue the Diet you have put her one
let it be chiefly milk and all the farinacea, all
the fruits the seasons affords Her Drink must be most
mild no fermented or spiritous liquor. I think

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ass milk a proper remedy and I think lime water will
make it sit light on her Stomach. Her Delicacy will
not allow her to go abroad but rather makes it necessary
to take care of Cold to avoid every Draught of air at
the same time neither sit on the fire nor in too warm
a chamber. Nothing will do more good than a flannel shift
next her skin. To this Regimen I would add an issue A
seton put in her right side but if not easily admitted I
would put a Pea issue into her right arm. Perhaps she'll
prefer a perpetual issue in her side and [yeild?] to her
but will be more painfull than any of the other two
and will never Discharge so well. Medicines she
cant bear many of but I would always endeavous (↑vour↑)
at those of the emollient and Demulcent kind her
stomach easily bears. Arabic emulsion and mucilage
Decoction of [Dynthylum?] ¹ and marsh mallow roots
even Spermaceti and oil if she bears them. Every
kind of acrid or stimulant Pectoral must Do harm
I have found the Robsambuci usefull and I give it
as in the prescription below. The bleeding was proper
and [timed?] but I hope she may escape any severe attack
again till towards the time of another mesturation

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but I may be mistaken in this and in case of a return
of the Pain of her side difficulty of Breathing or stifling
of blood have recourse to bleeding. How much or how
often you must Decide But I would be as sparing
of such a Delicate frame as possible when any thing
further occurs in which I can be of service Mrs D
may Depend upon my [punctually?] attention

For Miss S: Dempster