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Enclos'd I send you Miss Mary Peareth's
Fee; she continues your last Prescription and with
apparent Advantage; forty ↑five↑ Drops of the Lixivium at
a Dose give no Inconvenience and she is continu¬
ally passing Gravel similar to what I sent you --

During the Menstrua about a fortnight ago, she was
very hysterical and intirely rejected all kind of
food - Wou'd you at that Time omitt the Medi¬
cine and recommend the free Use of Opium? --

When you write next, I will be oblig'd to you for
your opinion relative to my own Health - I must
tell you that I am now in my thirtieth year, that
when 18 years of age I had a Pleurisy affecting the
left side particularly, after that, occasionally upon
using any violent Exercise had a Difficulty of
Breathing, which soon went off upon Cessation
of Motion; during my Apprenticeship with M.r
Lambert had once by excessive Laughing a
Return of bad Breathing, which very quickly
went off; in 1775 I had a Pleurisy again affecting

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the left side as before, since that Time
upon any very great Cold or extraordinary
Fatigue I have had the same uneasy Breathing
tho' it is now six years since I had that kind
if spasmodic Asthma to any Degree, before the
1th: of this Month, when it attack'd me from
going about with a Cold for near six Weeks before
and undergoing uncommon Fatigue, & continue
violent longer than usual viz 18 hours and was
not reliev'd before I less'd ten ounces of Blood and took
one ounce of syr e Meconis, since that day I have had
slight Returns but never to confine me, indeed
my extensive Business compells me to go
abroad, when perhaps Prudence wou'd confine
me to the House; I will esteem it a particular
Obligation to be favor'd with your early Answer
and shall with great Punctuality follow your
advice - Certainly it is for an irritable state
of my lungs that I am subject to recurrency
of this Complaint, for when free from spasmodic
asthma, I never cough or expectorate, and can
use as much Exercise with as little Fatigue

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as any Man and ↑what↑ adds to my Opinion of
it's being Irritability only, is that it is
brought on occasionally by violent Sneezing,
Coughing or Laughing, and if I can by any
means drop asleep with or without Opiate,
then I breath as free as any Body, but
if suddenly awake'd my Complaint will then
return - I forbear to mention any thing
about my appetite, Stools &c as independent
of this local affection I enjoy as good Health
as possible -- I beg Pardon for this long
History and am with very great Regard

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✍
Mr Ingham
Concerning himself and
Miss Mary Pearith
September 1783.