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For Mr Macalasters Son.

Tho the case is very unpromising we thought it our duty to
try what medicine would do to it, & from the little trial
made we have met with some encouragement.

The injection employed has both diminished the quantity
of matter & mended the condition of it, as it has much less
smell than before. This is favorable but when the amend¬
ment might go much farther, is to uncertain for us
to advise the Boys being kept any longer in Town.

We have only to advise that the same injection may (↑should↑)
be continued, & it may be done in the Country as well as in
town. The same is method is to be practised as for some
days past the ear is first to be washed out with plain
water or with a twelth part of brandy Rum or whisky
in it. This is to have the cold put of it off it, & three

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syringe fulls, are to be thrown in with some force. When the
Ear is thus washed out, a syringe full of the injection is
to be done in the same manner & this twice in
to each ear. The ear is to be stopt up with wool
rather than cotten & the syringing is to be practised
twice a day. ----

We do not think that any internal medicine can be of service, or
could be safely tried. We do not neither think that any
Choise of diet is necessary, only that he should not have
animal food, & should live much on milk & [Grain?] as
Boys of his age should commonly do.

One thing is especially necessary that he should be kept from
Catching cold which would always hurt his ear.