[Page 1]
Miss Trail

When she came here she had a kind of Lepra on arms &
legs which I took as the offspring of the Scroph with which she had for some
time before been tainted, & of which there were still some remains in gland¬
ular swellings about her neck. I treatd her with Decoct. of
Sarssa 2 ounces & [Mezereon?] 1 drachm to the bottle. She was the better
of this as it took off in some measure the swellings of her [g]lands &
the crusts on her skin but I own that the cure was not compleat till
we employed an unguent of sulph. to her arms and legs this with the Decoct
cleared her skin entirely as I hope you will find from her present
state & if there should be any return of it I advise you to pursue
the same measures & as I suspect you in [n. l.?] provide with Mezer.
[I have?] desire her to carry a parcel north with her. It may
lose by {illeg} & if so increase the dose to two drachms to the bottle
of Decoct. when good, very acrid & when lost acrim. good for
nothing. Tho her skin be cleared the Scroph is not eradi¬
cated for since the spring some swellings of neck have in¬
creased but I think will not come forward. Whether or not I
think it will be right for her at this season to take a month
or 6 weeks of the saline solution formerly ordered & in case the
receipt not now at hand I give again the formula I commonly
employ. [Used?] to the with to keep her belly regular but not to purge.

Another circumstance to be [mentioned?] a suppress menses but
I did not think I could do any thing to that in the winter & hoped it ↓would↓

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[Page 2]

mend of itself upon the return of spring & summer. At the
same time nothing promises better than the course of salts I
have proposed. Some other medicines which have been effective past
mercury is I think most well suited for her consistution but
of {illeg} of all kind she should taken as much as possible.

✍
Miss Trail