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I have attentively considered your full and distinct accot of the
Young Ladys Case & tho Sensibility & weakness are often difficult to mend I have no
doubt but that this Young Lady may entirely get the better of her Com¬
plaints. I dont think the ailment of her Eyes was a consequence of the
Nervous Fever, but entirely owing to a strain which is always recovered very slowly
& possibly might have been recovered sooner if due pains had been taken immediately
after the accident now I think the disease depends upon increased sensibility
& weakness & it may be still as necessary as ever to keep her Eyes from
lights & from all Exercise of her sight which requires any minute
attention such as sewing or reading. I can recommend no outward application
but that of washing her head all over with cold water every morning. If she can
dip her face in cold water & open her Eyelids in it so as to admitt the water
to the Globe of the Eye it will be of service & instead of washing her head
as I have said she shall have the Water poured from a Tea Kettle upon
the Crown of the head it will have a Better Effect-- For Internal medicines
I am of opinion few can be of service & particularly that within Antimony nor
mercury can be of any service at all But in respect of the former swelling of
the Ankle & of the present affection of the knee & my opinion of her having in
general a lax habitt I have prescribed a Tonic Medicine as below.--
This she may take for a fortnight at one time & after the Interval of a
week or two she may again repeat the Exercise once or twice which will
draw on matters to the Spring when the nature of her ailment may
appear more clearly & the Season admitting remedies more properly
I shall be willing & advice further. For your other patient I am
happy to think that my advice has been of some service to him
& that in pursuing the same plan matters will be still further-
mended. I cannot at present propose a better and would only say that it
may be proper both his medicines & bathing for some & in consequence when
he shall return to them again he may find them more powerfull. I
like much his getting out of bed in the middle of the night I
have found it of service in other cases -- By your saying nothing
of your own Headaches I hope you are much better -- --