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This comes to you by Mr Andrew Blain, who is
to consult you for one Mrs Mcmiken a friend of
mine, who is just now about seventy years of age
She was first attacked wt a Rose in her face, in her
sixtieth year; she had it then for some years only
once a year, but these two years past hath had
it more frequently every year, and this year has
had it [six?] times, the Cause of her having it so much
this year was her aplying a Blister behind her ear
contrary to advice, she thinking it might do her
service, I always gave her in the feverish fitt saline
draughts, and drauhts during the state of effervessence
wt the Sal: [Cal?] wt the Juice of Lemons, and the Juice
of Lemons and Bitter orange in her water gruell
the fever commonly went of, upon the third day
put a Copious sweat, dusted the parts wt flower &
covered it over wt dry Lint, it commonly began wt
a Coldness in her legs, indigestion &c, I caused her to
take after the fitt was fairly gone, infusion of the bark,
in cold water, & sometimes the bark by itself; and I
likewise caused her to drink in the Spring of the
year a glass twice a day of some sea scurvy grass
made into a mash wt white wine to which was added
the Juice of bitter oranges, which agrees very well

she had anoyr attack wt an interrupted pulse,
but went of the same way wt Bleeding, I dont think
they are so bad now but more frequent, Commonly when
she is low or troubled wt wind in her stomack she takes
a tea spoonfull of the Spt. Salin. arom: in a glass of water
which always prove usefull to her, and is naturally
costive, which prevents her from taking milk, which she
is to try imediatly, for she is oblidged to take an Andersons
pill frequently; it seems to be hereditory, for her mother
had a rose in her [leg?] face for many years before she
died, when she was near eighty years of age; Now Doctor
if it be possible you could order a regimen, and
every oyr advice to make the fits fewer & not
so severe it would be very obliging, Mrs Mcmiken
is naturally a tight woman, wtout cough or any oyr
disease but that rose, she agreed very well through
winter it being dry frosty weather, and agrees best
wt dry weather, Mr Blain can give you an account of
the gentlewoman as well as I; wishing you all
success