It is not easy to be positive in the matter you write of but from your
account I am much disposed to believe that there has been no infection in the case. As
there is no other symptom in the man but a very slight oozing from the Urethra
& that without appearance of any inflammation about its orifice or any inflammation
or swelling of the >frenum or prepuce & absolutely without any heat of urine I cannot
believe the case from infection at least I never saw any such. However as peoples fears
are not easily quieted on such occasions I think you was right in taking the
safest side & giving him medecines but I cannot help observing that tho the
infection & gonorrhea in consequence were real you were purging too much

This is enough with regard to the man & with regard to the woman I must say
that unless some more positive symptoms appear in the man before this comes to hand
& also that the woman herself complains I would not in her present situation
disturb her mind & perhaps the peace of the family without an absolute necessity
The appearance on her shirt may be a common accident & if it was otherwise
she would probably take notice of it herself. In that till she complaints more there
can be no danger & when she does complain it is possible to give her such an opinion
as may save your saying any thing about what has happened to her husband.

I give you these prudential considerations but it may still happen that
there is a real infection & that the woman shall truly complain. In that
case I am of opinion that keeping the vagina clean & observing a cooling regi¬
men is all that is necessary. for the first washing & injecting with
Camomile Tea 2 or 3 times aday will answer the purpose. for the 2d indication
Let her abstain from meat & wine, avoid exercise as much as possible, take
powders of Nitric gr. x Gumm. Arabic. ʒj in a glass lbſs of water 3 or 4 times a day
& keep her belly open without purging. For this purpose the following Electuary
is convenient. ℞ Cryst. Tart. pulv. ℥j pulp. prun. Gall. ℥ſs syr. comm. q. s. ut f.
Electuarium tenue sive Lochoch. Capiat quotidie mane a ʒj ad ʒiv ¹
The Electuary should be made so thin that in a tea spoon it will hardly heap
& then the dose may be from one to 4 tea spoonfulls. so as to give one stool every day.
This is the management necessary for a pregnant woman & it will always
answer in the case of a simpler gonorrhea. But if it shall happen that ulcerations
or chancres appear a mercurial applications will be necessary & to ulcerations which
appear externally upon the Labia you may apply the common ung. mercur.
but prepared according to our Dispensatory without turpentine & for the interior
parts you may inject with the following oils. ℞ Ung mercurial. ʒij
asside paulatin Ol. Oliv. opt. ℥iv terito probe ut bene commiseantur. ²
An ℥j of this may throw into the Vagina twice aday. Tho Buboes or other
symptoms of deeper infection should appear the internal use of mercury must be
avoided if possible till she is delivered & a little recovered but in case of any such
circumstances occurring I shall expect a particular information & shall advise
accordingly —