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For Mr Lewis Dunbar

This comes to you with your Patient Mr Lewis
Dunbar. He is certainly better than when He came here
but He is still not well. For a fortnight past He has
not had above five fits in a day but they are rather
of longer duration than before and baiting the recurrence

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of these fits He is in perfect health. For a long time
I gave him the [extract Hyoscyami?] but even in large
doses it had no sensible effects upon him and the change
it made in his fits was so uncertain that I laid it aside
for another Medicine. This was the flores Zinci recom¬
mended by Dr Gaubius as of great efficacy in Spas¬
modic disorders. ¹ He has now taken this as long as I
think safe and to as a great quantity as his stomach
would bear. Its effects on the disease are not plain
and I am come to think he should take no internall
medicines but laxitives. The slowness of his belly is perhaps
a part of the Disease and encreases it so that it cannot
be neglected a Day without prejudice. You know from
your own experience How difficult it is to manage
and I have been obliged to try it in Different ways
A Cream of Tart: Electuary did tolerably well at
first, but required large doses and at length a Jalap
Even this failed and I had recourse to aloetics which he did
better, but by repetition they also failed unless given
in repeated doses. I have given inclosed the receipt
which answers just now and I hope will continue so
but as it may need to be changed I have given a receipt
for an Electuary to be employed. I am perswaded this

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Disease will at length yield but it will require long
time. I am still of opinion some means ought to be
employed to remove his disease as soon as possible
The first I would have tried is cold bathing about
which I have given particular Directions to Mr Dunbar
But if that succeeds nothing else is to be done but con¬
tinuing it through the winter but if after a months
trial it has no effect it may be laid aside and a
Perpetual issue put in the crown of his head and
kept open for six months. To obviate all trouble
from this after it is set a running Dress it with the
Epispasticum mitius and even if this is troublesome
by causing Pain or Strangury, substitute a Pea
issue in the nape of his neck. By one or other of these
means I hope the Disease may be driven of and
in the mean time I see no other measures to be pursued
I perceive no Directions about Diet necessary,
unless it be great moderation with respect to
animal food which if taken fully, may do him
harm. He should have liberty to go about in the
fresh air only avoid being heated. He is the
better for being diverted only not too much applica¬
tion at one time

For Mr Dunbar