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It is not easy to prevent Quinsey when it is once become
in any degree habitual & in a habit disposed to become full.-

The disease is indeed sometimes depending very much on the
State of the part itself; but there is always also more or less of a
general Inflammatory Diathesis; and I find that nothing
will effectually secure against returns but low living and
much exercise. That will do something to take off the Predisposi¬
tion but it is still more necessary to guard against the occasional
cause wc is always cold. For preventing this nothing is more use¬
full than Cold Bathing and I would advise her to return to it again.

In many persons a slight degree of cold will bring on the disease,
because the part is disposed to receive an afflix of fluids, and I have
known some persons preserved by the frequent use of an astringent
Gargle. The late Dr. D. Clark was of this Constitution and used
for a Gargle Brandy alone. I wd not advise this for Miss M.
but you may infuse half a dram of Balaustines, as much red
roses dried, and two drams of powdered Oak bark in an english
pint of boiling water; and after it has stood ten or twelve hours, to
the strained Liquor add one third of French Brandy & Miss M.
is to use for a Gargle whenever She is trouble threatened with a
sore thoat. These are hints for her preservation & with re¬
gard to her management when actually attacked I still think
that Leeches set on upon the outside of the Tonsil may be of service
as also blister, laid to the Nape of her Neck or when one only
is affected to that side of her neck, & you will probably give her

relief by making her frequently take the steam of
warm water from the pipe of a Funnel adapted to the purpose.

If I can be.--

A. A wooden vessel to be filed with boiling water.
B. an inverted Funnel wt ye wooden vessel to be covered
with a Cloth wrapped round it. The pipe of the funnel to be
covered ↑also by↑ with a fillet round it.-