[Page 1]

[Page 2]

[Page 3]

[Page 4]

I have the honour of yours of the 3d. Currt.
and have considered the whole of your information
with great attention. I am sorry to find that
you have not succeeded in the use of the remedies
advised as I hoped for, but I always apprehended
that the disease might be difficult, though I
never despaired, and do not yet of its admitting
of much relief. I expected indeed a good deal
from the Electricity, and I regret much that
you have not told me how much you employed
it, how it operated, and how far it gave any tem¬
porary relief. The want of this information
prevents my determining now whether it should
be continued or not. I am glad to find the diapho¬
retic solution answered its purpose so well and
I dare say it has been of service and {illeg}
that it should be continued as often as {illeg} re¬

quires and I would give it as my opinion that your belly
should always be kept open.

For what further may be done for you I offer
the following advices.

Let the infusion prescribed on the inclosed papers
be employed every day for a month, and if it is found
to be of service it may be taken for a still longer time
but if after using it for a month it be not evi¬
dently of service, I would not desire it to be continued
longer.

At the same time every night and morning
let the contrasted joints be anointed with the Oil
Prescribed also on the inclosed paper, the joints
to be especially anointed are the Elbow and Shoulders
of both Arms and the right knee, but the right
Ankle and joint of the great toe are not to be
{illeg} I suspect that pains coming there may
{illeg}with respect to the whole of the
disease, {illeg} flesh brush which may

be useful to the parts not anointed must be
applied very gently to the right foot. The joints
annointed should be kept constantly covered with
flannel, but so much of the Arm that is below
the flannel about the Elbow with the hand may
be freely and frequently rubbed with the flesh brush.

If these measures pursued two three weeks
are not of notable service, and you can find
a person in your neighbourhood well
acquainted with my method of using Dovers
powder I would have a gentle sweat
tried by the use of that powder especially if it can
be done by a moderate dose and you are found to bear
it well and in that case it may be tried several
times. I give the powder in the morning and continue
the sweating through the whole of the day, rather than
give the powder at night for sweating in the night
time. Wishing you heartily success I am