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Of little consequence whether the tumor be in the
liver or some adjoining part. It is certainly schirous
& therefore difficult to resolve & in the mean time
it certainly prevents in some measure the excretion
of bile, as appears from the stools, urine, & eyes.

When the weather becomes tolerably mild let him
take in the form of pill half a grain of Mercury
twice a day till the breath be tainted or a copper
taste is felt &c. then intermit for eight days or
till these symptoms are off & then renew the
course. Such a course will hardly affect the
bowels but is at least less uncertain than if
applied by unction.

With this Mercur course, try Cicuta, begin¬
ning with a small dose, & increasing gradual¬
ly till it has some sensible effect.

In Diet take neither wholly animal or vege¬
table food. Steer a middle course but inclining
to the lighter foods & studying the state of his
appetite & digestion.

Cold will do harm, especialy during the Mer¬
curial course. At present use a chamber horse
but when the season improves and the Mercury
is laid aside either from its bad or good effects
fresh air & gentle exercise on horseback will be
proper.