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I wrote you by last Post merely the Needfull
But the more I consider your management I find
the less necessary to add to it. From several things
we may fear a Phthisis coming on but as the Present
Complaints were manifestly owing to accidental cold
I hope the lungs are not tainted and that with the
advancing season the affair may be Discussed.
However ↑we↑ should fear the worst and take every precaut¬
ion

against it. Upon this plea the flannel shift was a very
proper measure and must be continued till midsummer next
at the same time guard every way against new Cold
He must keep out of any stream of air avoid sitting
on the fire avoid a very warm bed chamber and many
bedcloaths in the night time. The Pea issue is
proper and while that Discharges well I do not regret
I do not regret the Drying of his back and am rather
Pleased that that place is reserved for a fresh blister
which I would apply at any time when the cough be¬
comes more severe and more bound or when it is atten¬
ded with more blood than usual in spilling. Is right
↑especially↑ if he feels pain in his breast or a fixed pain in either side
that be bled in the arm. Not need of much at a time
it being safer and more usefull to repeat it. It is lucky
he has a wheel Machine at command I would wish him
to go in it three or four hours every forenoon the weather
is neither very cold nor wet. Every bodily exeorcise
I think bad and how ever mild the weather I would
have him to walk very little. The Diet you have advised
both the properest and absolutely necessary till his sym¬
ptoms are either better or worse in short I would forbid
every kind of animal food if at any time his appetite

falls of and there is any suspicion that the milk he takes
fouls his stomach it may proper to give him a Gentle
vomit which is otherwise not unsuitable to any of his
complaints. Now it is by a carefull regimen and by
the remedies of issue, blister bleeding and vomiting
occasionally that I expect his releif and beleive me¬
dicines can do little service. However I would not Decline
the assistance they can give and those you have employed
are certainly the most proper. I shall remark that the
Pills are apt to be heavy on the stomach and therefore
the Dose is not to be pushed the ptisan ¹ is light and
may be employed with freedom but you are in
Danger of being ill served with the Rad Althea
and therefore preparation of gum may be increased
a good Deal. The Scillitic mixture may certainly be of
service. but it is liable to keep the stomach affected with
a Nausea which is hardly compensated by its other be¬
nefit. . It happens often that these ailments shew a tend¬
ency to Diarrhea and if any thing like it occurs you
must avoid the Squills altogether. This is all At
Present