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Miss Marys ailment of a singular kind & I have no doubt that
there has been a purulent discharge from the neck of the bladder &
I think your remedies were well adopted to that supposition, nay
I am persuaded they have been of Service, for by her account of her
Symptoms &. general health for sometime past she is certainly
much relieved --- Since her coming here, her Symptoms have been
very moderate & as to her Urine, -!- from frequent inspection
I have not discovered any thing like Pus, but once, or twice, &
generally there is only a small portion of ash coloured Mucus
So if there is any ulceration it must be very inconsiderable
& such as I hope may heal up very soon, but as she has had
intervals of relief & returns of her ailment I cannot be
certain of what is to happen --- I have made trial only of
The Balsam Capivi wc she has now taken to 40 drops in the
Evening -- I dont know it has done good, but it has
given no irritation to the part. I was led to the trial of this
remedy by her complaints being originally Hemorrhoidal.
& in such Cases I have found it of Service -- She is to lay
it aside during her journey, but when she has been at home
for a day or two, I would have you try it again to the qty of 50
Drops for a Dose for seven or eight days, & if it does not seem
to give any irritation to the neck of the bladder, it may be
continued a little longer, but it cannot be long insisted upon
at one time -- If her complaints should grow worse & show

I would not carry the Mercurial Course for unless it shows
very good effects. & I would lay it aside & trust to a Diet
of Milk & farinacea persisted in for two or three months
At all times she must avoid Cold & any but the most
gentle bodily Exercise ---

I am persuaded the Tumor on Miss Barbara's Stomach
in stpite of some change of situation, is in the small lobe
of the liver not in the Stomach. I know of no remedies
for it, but to prevent her thinking her Case desperate or
that we are neglectfull of it, there are other ailments
in her Constitution wc require much attention

Her Stomach is weak & She is liable to indigestion & an
irregular belly -- For these, I would advise the absorbent
Powder & Rhubarb as below -- When her belly is open
the Absorbent Powder may be one of the Testacea
but when costive it may be Magnesia & in a somewhat
larger Dose --- I dont advise Bark Steel &c. as I think
her constitution would not bear Tonics -- as I am inclined to
suspect something Phthisical about her breast and
fear she may be attacked with Phthisis &c.

With a view to this I have prescribed a Pectoral Pill &
which will not hurt the Stomach --Myrrh has been

Miss Peareth, has also some Complaints, seemingly a Spas¬
modic affection of the Intestines. with an irregular Belly -- I
have given a ℞ below for these Compts. -- She seems also to have some
affection of the Urinary passages - It is singular that all the three
should have an affection in these parts ---

For Miss Barbara Peareth

For Miss Peareth