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Mr Lambert Concerning the Misses Peareths -

I am sorry their Complaints still continue, and am more
so that they are likely to continue for some time

With respect to Miss Mary M I hope you are right in thinking
the collection of matter if any still, is at least less than it was
and allows us to think that at length it will entirely heal up -
but I t must observe that after such ailments in the neck
of the Bladder even when they are healed up some affection
remains which occasions a more copious discharge of Mucous
that approaches often to a purulent appearance and I hope
that the appearances in her Urine is in great part to be imputed
to this -- Such a discharge of Mucus has been called and not
improperly a Catarrhus Vesicæ and in Cases of this kind
I have frequently found benefits from the Uva Ursi -
Let her take half a Dram of the Powder twice a day
for two or three weeks, and if it agrees well with her stomach
I would increase the Dose to two Scruples & even a Dram
To be taken in water or a Bolus with syrup and
swallowed in a Wafer -- The times an hour before Dinner
and Supper -- All other medicines to be laid aside During its use
but I would be glad that Miss Mary would confine herself to
a milk Diet & farinacia & other Vegetables -------

Miss Barbara's Tumour I consider as purely Schirrous
Try the Circuta -- with the same Diet as Miss Mary &
as much gentle Exercise on horseback as she can easily bear

For Miss Peareth - if her ailments threaten to return
she must have recourse to the same medicine viz Guaiac