[Page 1]

[Page 2]

[Page 3]

I have studied the case of your patient
Mr Brown with all possible attention but must own that
the nature of it is not quite clear. He has not the smallest
appearance of any thing venereal in his throat or upon any
part of his body except a little scurfy eruption on his head
which I do not think decisive but allow that it gives so much
suspicion as to make us look after it. This I must leave to your
attention and shall be ready to advise farther whenever you
shall say there is the least occasion for it. In the meantime
I am more clear in advising for the complaint in his limbs
which is a mixture of rheumatic and paralytic that I have
frequently met with & succeeded in the cure of it by the follow¬
in measures. Let him drink every day a bottle of the decoc¬
tum Lignorum but made of half the ordinary strength and in
place of half the quantity of the common ingredients to put one
dram or two of good Mezereon. When he has drank this

for three or four days let him begin to use a semicupium
every second day for three or four times. It is to be taken
about seven o clock of the evening, he should remain in it for
half an hour at least, and if it is taken in a long bathing
tub that will allow a person to rub his feet and legs a little
while they are in the bath it will be of service. On coming out
of the bath let him be very well dried, and put on his ordinary
cloathing or a little warmer upon his limbs. He must keep
his chamber for the rest of the evening and go to bed only at
his ordinary time. Next day let him guard against cold es¬
pecially in his limbs. It would be well if he could keep at
home for a week or two of this course. He should frequently
walk a little in his chamber but never long at one time.
If this course of decoction and bathing relieves his feeling
and motion very considerably I hope nothing more will be
necessary than continuing it a little longer but if in a fort¬
night he should not be much relieved you must try to sweat
him two or three times at the interval of two or three days

with a moderate dose of Dovers powder, continuing the
decoction and alternating the sweatings & bathings. Let
the dose of powder gr. xx. be given in a bolus in a wafer in
the morning and let him be laid in blankets and in a flannel
shirt & in these circumstances let the sweating be kept up in
a gentle manner through the whole of the day. When the
whole of these measures are properly tried if they are not
quite effectual I shall expect to hear from you or Mr Brown
or rather from both. I have nothing to say at present
about Mr Browns diet as be the account he has given me
of it I think it has been very properly regulated and may
continue quite on the same footing. I am very sincerely