[Page 1]

[Page 2]

We have considered the very distinct History of her
complaints and think the measures pursued have been
very proper but rather too sparingly.

Though the fever has [had?] frequent remissions
these have not been {illeg} that regularly as to give
us any notion of the fever's being anyways of the
Intermittent {illeg} kind. We are of opinion
from the Cough and other circumstances that it is
much of the inflamatory kind (↑{illeg}↑). We think ↑that↑ more
blood might have been taken and that if the feverishness
continue to recur some blood may still be taken
from her arm About Eight Ounces ↑[possibly more?]↑ {illeg} may
be proper unless a state of debility that we dont know
of should forbid it.

It is obvious that Costiveness has proved a
great irritation and that the pains taken by glysters
to remove it have been very proper and useful and
when she cannot bear a laxative by the mouth

When these measures by bleeding and due
evacuations of her bowels ↑are properly employed↑ we are clearly of opinion that
nothing will settle her stomach and quiet her Cough as
well as Laudanum, but it must be given in a tolerably
full dose not less we think than twenty five or thirty
drops.

In the present circumstances we can only advise
the alternate use of evacuations and Laudanum to be
employed by Mr. Rankens direction and can advise
no further till we shall have a further report of Mrs.
McConnochies condition. In the meantime we can hardly
think that any wine or animal food scan be proper.