A very anomalous case - without pretending to explain particularly
I conclude ingeneral, there is a determination & accumulation in the
head, whether of Blood or Serum in no easy to say, & as difficult
to determine whether from irregular menses or haemorrhoids.
By your management you seem to have had the same views &
my advice is for you to persist in the same plan. The
Blister & Issue proper, but a fresh blister more powerful
than any continuance of Issue & as the issue is now I suppose
brought into a small compress, I advise a fresh blister, cover
the place of the Issue with a thick plaister. Or if blistering
her head be inconvenient, apply to the neck. You do
right to keep belly open, but may go farther & now
& then may purge pretty briskly with the [P. ejal. comp.?]
as she bear it ---- In the intervals of the purges,
try a Laxative of Asafoetida & Aloes. if the rectum be not
irritated by it too much. If independent of that the
pains of lower belly with Tenesmus, be troublesome, give
warm water glysters, large proportions of oil in them, without
any addition which mightirritate or bring away the glyster too soon.
During the Delirium, should expect benefit from [Pediluv.?] ¹
if can be conveniently applied. Tho restless, Opiates not
proper, but relief may be got from Camphire given freely.
I agree with you as to her Diet. This ailment may be
apt to assume different forms & in that case &cc.