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For Mr Gordon of Earlston

From the account we have now recieved we percieve
very distinctly the state of Mr Gordons complaints.
We are perswaded that tho one stone has come away
there is another sticking in the ureter & his relief
must depend upon its coming down. If there is any
fever or suspicion of Inflamation from the violence
of pain we think that taking a little blood from his arm
may be very proper. There is nothing more necessary
than keeping the belly open & for this purpose we
prefer such cooling purgatives as that mentioned in our
last to A[m?] (↑n↑)dersons pills or sacred Tincture & we
think that Emollient Glysters are particularly
favourable to bringing down the stone. We think the
fomentation with cloths wrung out of warm water
very proper but still think the warm bath would be of

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more service. What we judge to be both very proper
& necessary is an opieate. When bleeding if it seems
necessary is premised & proper care is taken to keep
the belly open we think opieates both safe and
necessary to favour the passage of the stone & to give ease
in the meantime. Lintseed tea or Decoction of
Marshmallow Roots are both very proper to the
length the stomach easily bears. Lime water & soap
are serviceable by preventing the formation of stones
but do little to favour the passing of them therefore
we think it is not necessary to disturb Mr
Gordons stomach with either of these Medicines
at present & for the same reason we shall not say
what occurs to us with regard to soap but we shall
do it soon when we send Mr Gordon a new Medicine
for preventing in time to come such distress as he
suffers at present.