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I have yours yesterday but could not
answer it in course. I cannot help thinking that Mr
Shanks has a strong disposition to Phthisis but
as he has no hereditary taint, as he has formerly
got the better of very bad symptoms and as he
might have done so now had the Season been
more favourable so I hope when the Season mends
which must be very soon by the remedies which
you have properly employed and will continue
to employ he may get the better of all his Com¬
plaints. The bleeding you have employed was
certainly very proper and if the pain of the
right side should return with difficulty of
breathing {illeg} Cough and any hardness in the
pulse a little {illeg} with
{illeg}

time. It is not plethora but inflammatory diathesis
that we have to struggle with.

The blisterings you have employed were exceedingly
proper and I should think it right to keep up a
constant drain by an issue of one kind or other. There
is nothing I have a better opinion of in such cases
than frequent gentle Vomits. They prove the most
effectual expectorants and at the same time by
determining to the surface of the body prevent
afflux to the lungs. You may continue the Solution
of Ammoniac or rather of Asafœtida but either
of the [Gums?] may be heating and therefore should
be in small quantity only and the power of your
solution may be increased by some addition of
squills. A little nitre may perhaps be useful
and demulcents may be used at pleasure. I

find your account of the Case sufficiently full {illeg}
exact and I have nothing more to say but to {illeg}
you to Consult th upon the whole with Mr {illeg}
I forgot to say that Mr. Shanks should {illeg}
present be close confined to the house and {illeg}
diet of milk and farinacea without Animal {illeg}
one one hand or roots or greens on the other.

With respect to your own Case there is {illeg}
about the nature of it. You had before and
have now a biliary stone sticking in the ductus
communis. I hope this stone shall soon pass
as the other did but I must own I dont know
how to force it immediately off. Vomiting is
sometimes of service but strong and frequent {illeg}
is very improper. The keeping the belly open {illeg}
and necessary. [Scop?] if your stomach could {illeg}
might possibly be useful but it is not to be {illeg}
upon a weak stomach. I find it do better by {illeg}
it from [an?] eight to a fourth of powdered {illeg}
{illeg} find any thing also to {illeg}
but shall be glad you hear from you again. With {illeg}
compliments to Mr. Wallace I am with great regard