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Miss Campbell of Silverbanks

This comes along with your Neice Miss
Campbell of Silverbanks, and I think it necessary to give
you my opinion and advice concerning her. That opinion
is by no means favourable, but I think it my duty to give
you my opinion fully and freely, leaving it to your dis¬
cretion to communicate more or less of it, to the Father and
Mother, or other friends, as you shall find proper.

For, more, I think than two years (↑a twelvemonth↑) past Miss Campbell
has had an Indolent Glandular Tumour, under her
left ear. It has been better and worse at times, but
never entirely discussed. Several remedies were tried,
but were not urged, because I judged that the nature
of the Tumour was obstinate and to be left to time, and
that time, with the eruption of the Menses, would do more
than our medicines could do. This winter and Spring
the Tumour has continued to be much the same, but
she has got an additional ailment, of a frequent short

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cough and a frequency of Pulse; and further, as in Winter
her heels, have been liable to Kibes. The severe frost of
this winter have made her kibes worse than ever before.
These have ↑there↑ not neither, healed, ↑as usual↑ upon the return of Spring
and are indeed not yet entirely whole. The ulcers upon
her hea (↑e↑)ls have had very much of a Scrophulous
appearance; and now I must tell you that taking the
whole of the Circumstances together, I have no doubt
in considering the whole as Scrophulous case. If the
Disease had affected only the neck or the hea (↑e↑)ls, time
might have given an entire recovery, but I suspect
there is a Scrophulous Tubercle, formed in the Lungs
which may give a Phthisis Pulmonalis, of the worst
kind. This is what you have to apprehend, and it is
upon this apprehension that I am to form my advice.

I have desired her to be removed to the country
there to enjoy fresh air and frequent exercise and a proper
Diet and these I believe are almost the only remedies

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we can employ. The use of Sea water or other Saline reme¬
dies which were tried last year, with a view to Scrophula
cannot now be employed, till ↑the cough↑ and all suspicion ↑of her breast↑ is removed
I think also, that all Em↑m↑enagogue Remedies as stimulant
would be very hazardous in her present situation. The
Season is now favourable for exercise and unless the
weather is very bad, she should have some exercise
every day. As she is very sensible to cold, I would till
the Easterly winds are over, give her exercise in a
carriage. But a single horse chaise with a cover, may
answer the purpose very well and afterwards when the
weather is both mild and fair, her best exercise will
be on horseback. In wat whatever manner she goes
abroad she should be well defended against cold, parti¬
cularly her neck, feet and legs.

Her Diet must be chiefly of Milk and farinacea
but at dinner she may have frequently a little broth
and sometimes a bit of chicken or Lamb. She must have
no kind of Strong drink, whether wines, malt liquor

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or Spirits and her drink must be water, fresh drawn Whey
or such watery liquors as Barley water and water gruel.
↑N L↑ If it can be conveniently had, as I suppose it may, in a short
time time hence, she should drink some Goats whey every
morning, for the management of which, I need not give you any
particular directions. Till the Goat Whey is ready, you
may give her the medicine in the inclosed Receipt. I give
it you as I usually prescribe it, and if she is near
enough to you, I would wish you to prepare it, but as
the Decoction will not keep in good condition for above
two days together, if she is at any distance from you
you must give your freinds directions in English
how to prepare it. You will perceive, that the chief
difficulty arises from the necessity of expression, [for?]
which they may not be provided; but such a simple
affair, as you have seen employed for squeezing
Lemons ↑will answer the purpose↑. When any new circumstances cast up or when you
have any questions to put, you may depend upon a ready answer
from