[Page 1]

[Page 2]

[Page 3]

[Page 4]

I have again reviewed the Case of Mrs. Fraser
with great attention and am sorry to find it so very
obstinate. I did not think her State of Pregnancy
to be at all proper for the use of medicines and I
hoped her Child bearing would be a more effectual re¬
medy than any I could propose. I perceive it has
had some effects but they are far from being so com¬
pleat and permanent as we would wish and therefore
some other means must now be employed.

On the other page I have prescribed two reme¬
dies now to be employed for some length of time. In
my former letter I desired to be informed whether
after her delivery she had attempted to Nurse her
Child but you say nothing about it and therefore
I conclude that she does not, for if she does I should
not think my present prescription quite proper.

The powders may happen to open her belly and in
that case they must be given but once a day or what is
better dividing a powder into two parts and giving one
half in the morning and the other at night.

It is very much upon the supposition that the powders
will not move her belly that the Solution is prescribed
each dose of which it is proposed should move her belly
and if the dose prescribed does either less or more
than this it should be diminished or increased. On the
days she takes the Solution, the morning dose of the
Powder is to be omitted. The dose of Solution should
be always taken in the full quantity of water prescribed
but this may be taken in divided draughts but the
whole of it should be always taken before breakfast.

These remedies are to be continues for five or six weeks
and in that time if they have any manifest effects
in diminishing the tumours it may be proper after a
months intermission to renew the Course again.

I suspect strongly that the tumours now cannot
be entirely discussed but must come to break. I would
not however have any pains taken to bring them
forward till they are very mean to break of themselves
for I find little or no good got by hastening this and till
they point very much at breaking of themselves the
only application I would employ is the Lotion prescribed
below.

During the course of medicines Mrs. Fraser may
take her ordinary diet avoiding only fish
Ham or other salted meats and taking sparingly
of Cheese or Eggs. Let her ordinary drink
be plain water and it may be useful to her to take
this pretty largely. She may take a little wine or
Punch but no Malt liquor is proper. She should
take great pains to avoid cold but with this precau¬
tion Exercise on horseback will always be of service.