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Mr Wilson of Greenock Concerning -

I have now kept your patient
with me for Some days that I might be more certain
of the nature of her disorder. From the account She
gives me of her last mercurial course I am persuaded that
the venereal taint is now eradicated and that nothing now
remains but a local affection of which the nature may
be doubtfull but to determine it I have employed a
Solution of the Corrosive ↑by injection↑. There is now no external
Swelling or ulcer or if there was any internal I expected
that the injection would discover it by the pain it would
give and if there was an ulcer that the corrosive was the
most likely means to mend it. I began with ¼ of a gr.
to the ounce of distilled water and that giving no Smart
I proceeded to gr. ½ and this neither giving any Smart
I have now employed one grain to the ounce for these
three days past. This gives Some Smarting but Slight

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and of Short duration. From all this I conclude that
there is no internal Sore and the discharge which Seems
increased by the last injection depends upon fluor albus
or a gleet which takes place in females as well as Males.
and is frequently attended with Some phlogosis of the
Vagina which may be affected with the Strong Solution --
but an ulceration would be affected with the weakest. I am
confirmed in all this by their being no ardor urinæ and
by their being much pain of the back. She is to set
out on her Journey home tomorrow morning & till She
is Settled at home I have desired her to lay aside the
Injection but then you may let her try it again for
eight days or thereby. It may at first again increase
the discharge but if that Should depend upon ulcer I
think the Injection will heal that and diminish to
entirely dry up the discharge but that I the ceasing
of the discharge I by no means expect and therefore
I should not think it necessary to continue the In

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jection for any length of time. The discharge may be
very tedious but for drying it up I have found great be¬
nefit by the prescription inclosed if her Stomach will bear
it. It is to be managed as follows. Put a teaSpoonfull or
two of powdered Sugar into a tea cup, upon this drop 20
drops of the Balsam and Stir ↑it↑ well among the Sugar with
the back of tea Spoon then pour on an ounce or two of water
and Stiring the whole very well & quickly let her Swallow
it immediately. The dose at first may be 20 drops but
you are to increase it by degrees till She can take 50 or
60. The time of taking it is at bedtime and She may wash
it down with water, Small beer or a little brandy & water.
This is my plan for the present but I am always ready
to acknowlege the fallibility of my best judgement and
therefore Shall allow that Syphillitic Symptoms may
Still recur and in that case our measures must be
changed but I shall Say no more till I Shall find from
your account that it is necessary. If it Should I think
the measures will be very easy. In the mean time please

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mind this that a pimple or small Sore coming upon
the labia or the continuance of the present discharge is
not to be concluded as a mark of Lues without Some other
Symptoms to Show a more general affection of the System.
Mind this also that I Shall grudge no trouble to make
this lady quite well. I Shall willingly read your letters
and write answers to them as often as you please.