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your patient Mr S. of Harpsdale Junior has been
with us a good dea while, and long enough for any purpose.
there is of his being under your care & inspection. In sending
him home you will expect I should give you what opinion I
have formed of or what advice I would give respecting him
- With respect to the nature of his disease, I have the same opinion
I had before he came up. that it is a pure Scrophula but
now from having gone of seen him, I am of opinion the
disease may go off, without any bady Consequence. His sores
have all mended since he came here. & the swelling on his
right arm is greatly abated & or the sores on it more disposed
to heal. The motion of the left Elbow can never be reversed
and ↑whether↑ the bones are affected or not I cannot determine, but I think
they are not, & tho they should be, the Carries will in time
cast off of itself, & I never hold it necessary or even proper to
take any pains upon it, & much less to think of an Inflam (↑Amput¬
ation↑). Ulcers upon the joints are sometimes very
tedious, but Commonly heal at length as in other parts,

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tho they gave been attended with Caries. The mea¬
sures we have pursued are to dress the sore with unguen¬
tum saturnicum; to bathe him in the sea every morning;
to give him after his bath a dose of the Aperient solution
ordered below, & of late I have given some bark in the
form prescribed below.

In all, I have been joined by Mr Alexander Wood Surgeon
Mrs Sinclair desires to have with her a quantity
of the medicines employed, from hence; accordingly we
have sent, Aperient solution, Unguentum saturninum
and Bark. As the form I give the bark in renders it
easily taken, I think you should from time to time
make up a quantity of it in that way; tho indeed hardly
more at once than the quantity prescribed below.

The sea bathing has been rendered safe by cutting out
his hair, & I think it should be constantly kept so; for
as his habitation is near the sea I think he should bathe
thro the whole winter, unless in frost only taking care
that he has some cover to undress in & dress again.
During the severe cold of winter he may lay aside the
bark but should take it up again upon the first
fresh weather in January or February and in the month of
April or as soon as any fresh leaves of the Tussila¬
go can be got let him lay aside the bark and begin
the Tussilago decoction.