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Such ailments in delicate constitutions, difficult & tedious.
In such a weak constitution & after so long an ailment I
agree with you in thinking that bleeding can hardly be used,
yet in much pain with full & frequent pulse it might in
some degree be admitted. Our measures in the mean time
must be to avoid invitation and to employ Tonics. Towards
the first, keeping her body cool & horizontal is very proper.
She must not walk but in the gentlest manner. A little
exercise in a Carriage when her Strength & the weather will
allow, may be of service - Costiveness as a great Irrita¬
tion in such cases must be guarded against tho I doubt
if any Pill can be well suited to it. An aloetic is certainly
improper. I would have you try Prunes, Sulphur, Tartar,
Glauber's Salt, or Castor oil. You say her Diet has been
strengthening and ↑at the same time↑ refrigerant but I am at a loss to know
how you can combine them. All nourishing things tho
easy of digestion are somewhat irritating. Avoid ani¬
mal food there fore & employ milk & farinacea.

In uterine discharge it is common to avoid milk but
I think without foundation. I recommend to her asses
milk every morning: and even cow milk if diluted with
an equal part of thin water gruel & well sweetened with
sugar, & taken with bread, rice &cc may digest very well.

To strengthen you have employed very proper medicines
but as they have not succeeded we must try other measures.
I know nothing more proper than Cold bathing. I would
begin with cold washing, sitting her quite naked in a
tub & washing her all over with a large Sponge. Begin
with one part boiling to three parts cold water taken
from a well & from the same well every morning. This
will be very mild and what a very weak person may

For other Tonics, I would intermit the bark for some
time and give her in its place the following.