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Since I wrote you last I have your
favour of the 8th. ultimoo, according to your orders I had the Seton
put in my neck, & it discharges very freely, about three weeks (↑ten days ago↑) I had
an attack of my disorder about 8 oClock in the morning, after which
I was very sick at my stomach & much inclined to vomit. At night
I had another attack, rather severer than the first, after which I
vomited a good deal. Since that time, till this morning, I have been
pretty well, when I had another attack, I really do not think that
my complaint is in the least lessened. For about a month past I have
not been much troubled with them disorders in my head during
the intermediate time between the attacks. I have observed that
when I am not troubled with them complaints that the attacks are
frequenter than when I am. I use the cold bath constantly every
morning & adhere to the regimen as usual, but I think ↑it↑ does not
seem as if it wou’d have the desired effect as the disorder is very
obstinate. It is a mystery to me what cou’d have been the cause of
it, as there is none of the family that ever had such a thing, and
during my residence in the West Indies, no Person cou’d enjoy better
health than I did, till about two months before my departure, & no
Person cou’d have lived more temperate than I did in every particu¬
lar, so that what to impute it to I cannot say, indeed I attended
rather too closely ↑to business↑ & I did not think I had so free a perspiration
as was necessary in so hot a climate. – I think of departing from

A large handful of Wall Nux, Ditto of Nibwort, the same of Clevers
Clivers, cut small & boiled in six quarts of Water. They must be kept
in a constant slow boil for the length of a whole day, there must
not be above three pints of the liquor when done, then strain it
very close & put in the powder sent, with a large spoonful of soot
Give them two or three boils in the liquor, when cold bottle it, and
give the Patient a wine glass of it every morning two hours before
they eat, not forgetting to shake the bottle. Bathing the feet is good
provided the Patient goes immediately into bed, wrapping the feet
in a warm flannell. It will be proper to abstain from all kinds
of fish & Vegetables ----

She did not mention what the powder was made of but I have
enclosed a little of it, by which I suppose you will be able to find
out the composition ----

The flowers of ladys smock, alias Cacoa flowers pick them pods &
all, set them before the fire strewed thin on a pewter dish. Rub be¬
tween your hands often in a day. When you find there is any powder
sift it, & set the rest before the fire again, & do so till they are all
powdered. Give as much of this powder as will lie on a shilling in
black cherry water or single Pioney Water mixed, every three hours till
the [hours?] are fits are stopped, & repeat it every change of the moon
for three days twice a day for some months to prevent a return. It
will keep two or three years in a dry bottle in a dry place, note the
stock distilled in a cold still is good to give it in but wont keep long
The above quantity is for a Child of a year old & must be increased for a
grown Person