Mrs Frasers constitution is so delicate & her nerves ↑has been↑ so long in a
weakly State, that it must be difficult to manage. At present
there is no room for Speaking of any measures for mending her
constitution in general. I shall be willing to advise for it here¬
after but just now I can Speak only of the urgent symptom{illeg}
Tho it is not Said I judge from the ceasing of the flooding, that
She has had an Abortion ¹ or that She truely had not conceived.
It is now the vomiting that is to be attended to, & there is no
certain remedy for this but Opiates. These I perceive have
been employed, but I suspect that have been given only by the
mouth in which way our labour is very readily lost. To be
effectual they must be given by injection, in a very full dose
& in a small bulk of liquor, & must also be repeated several
times, every ten or twelve hours. I do not propose a parti¬
cular dose because I Do not know what She has been
accustomed to, but I am clear that it should be a full dose
& even that increased when repitition is necessary. If there
is no topical Affection of the Uterus or Stomach, nor any
mortification come on, I am persuaded that the Opiate fully
employed will get the better of the vomiting; & for re¬
covering the tone of the stomach, I know nothing more
effectual than the Elixir Vitrioli. Almost every State
of the Stomach will bear this, pretty largly, but when the
Stomach is a little confirmed a light prepartion of Bark
may be very proper. This is all I can say in the present
circumstances, but if time is allowed to Mrs F-. I shall be
ready to offer the best advice I can for putting her
health in a better train. ---