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I have considered the former information & advice & what you have
been pleased to put in↑to↑ my hands to day & the last makes very little change
in my opinion of the case, but it is perhaps a little imperfect. I desired
to know the state of his urine & am told that all along it has been
limpid but there is no account of its quantity or what proportion it
bears to his drink. I cannot suppose there is any hazard of a
Hydrops Pectoris, while the quantity of urine is not diminished. I
am told that the asthma returned on his falling asleep, but
this is not explicite enough; persons threatened with a Hydrops
Pectoris often fall asleep with ease enough, but they are soon
afterward awaked with difficulty of Breathing & palpitation.
If Mr. Douglas has either seen this symptom or read of it, he
will be able to speak more clearly, & till he does so, I shall say no
more, but that it may require some measures different from any
we have spoken of & particularly will not bear vomiting

From the state of Mr. Hunters blood now told us I am confirmed
in my suspicion of some Phlogistic Diathisis & therefore think the
bleeding, blistering Issue & open belly were very properly advised & I
think in all events the antiphlogistic Regimin is to be continued.
I think also that upon every supposition, air & Exercise are very
proper, that Mr Hunter attempt a Journey to the South, taking
care however to avoid the heat of the day & too much fatigue.
If he still think of undertaking it, I should propose no other
remedy, but continuing his Issue, & employing as occasion may
require, such a Diuretic Laxative as I proposed in my last.
I leave it to your discretion to judge whether this should be
sent through your brothers hands or sent directly to Mr. Douglas,
Wishing heartily your brother better health I am with great
regard –

To Robert Hunter
of Thurston Esqr