[Page 1]

[Page 2]

[Page 3]

[Page 4]

This will be delivered to you by Mr. Maxwell
of Williamwood for whom I have been Consulted for a
little time past. You know well what was his situation
when he came here. Immediately upon his coming he
was put under a Mercurial course first by Mercuri¬
al pill and afterwards by Unction. By the latter
his mouth was kept sore and some spitting conti¬
nued for a very long time till every Venereal symptom
disappeared. Among the rest some swellings in
his Groin entirely disappeared but one in the place
where he will still find an Ulcer continued obstinate
suppurated and was opened and the Ulcer in con¬
sequence has continued in spite of every measure
that could be employed to heal it. Even Mercu¬
rial course was long continued upon the suspicion
of some Syphilitic taint remaining but without
any effect and while every other symptom had

Vanished and the body had been very thorougly drenched
by Mercury I think it was very properly suspected
that the obstinacy of this Ulcer depended upon some
other fault in the blood than a Syphilitic and upon
one which we know Mercury cannot cure. The
Mercury therefore was entirely given up and the
Cure attempted by Bark internally and various
external applications. Dry Precipitate seemed
to have at first good effects but afterwards failed
and the same has happened from the application
of Verdigrease in a strong solution. The Callous Edges
were cut with the point of the Lancet and treated
with Blue Vitriol with seeming advantage but
that could not continue while the bottom did not
fill up and while the Cupper application did
not continue to have any good effect a return has
been made to a dressing with the dry precipitate
and in this state you will now find the business

Mr. Wood and I have now come to this thought
that nothing will answer the purpose till his
general health shall be better established and
for this purpose therefore we have advised his
going to the Country. There by being in better Air
than for a long time past and by some exercise
which however must be very gentle and moderate
and by a proper Diet and at the same time being
he may recover his good health and at the same
time he should be so much within your reach that
you may from time to time see the condition of his
Sore and according to circumstances direct the
management of it as your good judgement in
which we have absolute confidence shall think
best. His Diet we still think should be chiefly
of Milk and Farinacea but not so strictly but
that he may frequently at Dinner take a little
Animal food avoiding however all kinds of fish,

or salted meats. We have no internal medicine to
propose but that now and then he may take Bark
for some days together but with respect to both
internals and externals we leave the matter entirely
to your discretion. If he had continued here we had some
thoughts of trying the Ulcer with Alum and both be washing
with a strong solution and by applying the burnt Alum
but this we leave to your good discretion as also the
removing the edges by the blue Vitriol when the bottom
is a little better filled up. Wishing you heartily success
I am for Mr. Wood and myself with great regard