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To Dr Saunders. query General Abercrombie's Neice

I agree with you entirely in thinking the Case a chorea
which I haue treated a hundred times. The symptoms of worms
& Chorea somewhat agree, but in most instances the Chorea
is without worms, but there is no reason to suspect them
here & therefore no occasion for drastic purgatives, altho
it will be very proper to keep the Belly open with such
Antispasmodic Glysters as you have employed.

The Blisters were properly tried but I have always
found what you observe that they giue no durable
relief & the reason is obvious, that they do not touch the
state of the Nervous system -- My dependence in such
cases is on Tonic medicines which seldom miss in time to giue
Relief- Upon this plan I approve very much of your
trial of Cold bathing & if it operate properly in producing
immediately after it a due heat of the skin and an [alacrity?]
in motion it will certainly have good effects I also
think the Mars praeparatus a promising remedy & I
now know that the doses may be carried a great way .
Six drams in one day have been taken. I have not
found ↑any↑ patients fit to bear such a dose, but I haue
carried it the length of two drams. Even this will
be a great deal more than your patient can bear
but you may increase your doses by degrees &c

If she does not mend I depend upon the Cuprum Am
moniacum & more than upon Flores Zinci

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you may give the C.A. in the way you think best
at first to the quantity of 1/8 grain but increasing it to what
the patient bears without vomits or purging

This last minds me to take notice of the unbruised
Mustard which I think is as proper a Laxative as you
can employ - Your orders about Exercise & Diet proper

I think Sandie Dirom in great hazard. The goat's whey
may be of service but it cannot do much. At
present it is far off & not comparable to a sea Voyage