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I am favoured with yours of the 23d with Three
Guineas inclosed.

I have a more favourable opinion of Mrs. Langton's
case than I had before and think it is very possible she
may escape a Phthisis. The pain of her side having yielded
so much to the remedies employed is encouraging and though
now upon the approach of the Menses & the setting in
of severe weather her symptoms have in some measure
returned it is not very alarming. Tho' I have this fa¬
vourable prospect of the Case I think it will not allow
us to omitt any precaution as I said before that Cold is
the most to be feared I think the confinement you have
enjoined is extremely judicious I am rather sorry for her
aversion to an Issue but I hope it is not absolutely ne¬
cessary to insist upon it & I hope her aversion will not
go so far as to prevent your repeating a Blister on the pai¬
ned part as often as you shall find it proper. I can
have no doubt that the bleeding you ordered on the 22d.
was very proper and the opinion on that subject in my

last I stick to very firmly. After what you tell me
with regard to Vomiting I cannot propose to advise arti¬
ficial Vomiting either with a view, to her stomach or breast
& I dare say with respect to the former you have fallen
upon the most proper measures. In advising small meals
at small intervals but I would bid you to consult experience
in determining whether two hours if not too short an
interval to allow what I think very necessary, that
is, some return of appetite. I am sorry to find that milk
which is so desireable a part of her diet does not at
present agree with her. I have found several persons
who did not digest Cows milk easily digest Asses milk
very well and I have found in imitation of Asses milk
answer very well. The imitation consists of adding to
fresh Cows milk an equal part of thin water Gruel or
Barley water & sweetening the mixture very well with
Sugar or Honey. This I employ either by itself or with
the various farinacea in the same manner as I would
do plain Cows milk; tho' I am averse to Animal food in
such cases I think a few Oysters as safe as any thing that

can be employed & I think the number you mention or
two three more cannot possibly do harm. At present I
have no new medicine to propose the draughts so long as
they continue to agree with the stomach may be employed. Mrs.
Langtons recovery must in some measure depend upon the
Season & in the meantime upon persisting in the Plan already
proposed. This with absolute confidence I trust to you and
when I can contribute further you may pdepend upon my
attention. I am always with most sincere
regard