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The obstinate continuance of this Ailment might
give the apprehension of a white swelling coming on
but we are happy to observe that there are yet no
circumstances of that disease in the least appearing
and we hope that by some attention and pains the
ailment may be entirely removed. For this purpose
we advise the following means to be employed

1. As soon as the Young Gentleman is for
two or three days settled at home let four or five
Leeches be set upon each side of his right knee
and let the wounds bleed freely or let pains be
taken to make them bleed freely.

2. Two or three days after the bleeding and
when the wounds made by the Leeches are entirely
healed up let a blister be applied on the same
places. The Plaisters being two inches broad by four

inches long and let them be laid on each side clear of the
Knee pan.

3 Let about the bigness of a Crown piece on the
inside blistered place be kept open by Issue Ointment
for the space of two weeks. This will be especially
proper if the bleeding, blistering and the issue for a
week have considerably relieved the pains which
used to occurr on motion and kept away entirely
the Pains that used to come on at other times and
if this happens to be the case it will be adviseable
to keep the issue open for two or three weeks longer.
But if the relief mentioned is not very entirely
obtained in that time the issue may be heated
up and other measures pursued.

4 Let a proper Electrical Aparatus be obtained
and let some moderate shocks be sent through
the joint of the knee and such shocks be repeated
several times. It is to be observed that there is

more to be expected from moderate shocks frequently
repeated than from any violent ones but while very
moderate shocks are employed at first they may be
afterwards gradually increased to some more force.
The number of shocks also may for the first day be
five only but the number may be gradually in¬
creased till they are twenty at one time. The best
time for employing the Electricity is the forenoon
and it may be applied twice in that time once
soon after breakfast and again about an hour
before Dinner. It is not proper to hurry the
Electrical shocks one after another and it is better
to let two three minutes interveen between the
shocks. Immediately before and after Electrifying
to have ↑let↑ all about the knee joint ↑be↑ pretty well rubbed
with a flesh Brush.

5 Every Evening while the Electricity is applied
let the knee be fomented with the Decoction ordered
below. It is to be done by flannel Cloths wrung out

of the hot liquor and wrung as hot and dry as possible.
The Cloths about a quarter wide and so long as to go
twice round the knee and another piece of waster
Cloth is to go round above these to keep in the heat.
The fomenting Cloths should be changed when they
begin to cool and the fomentation in this way should
be continued for an hour together. The Practice of
fomenting should be continued every Evening for a
week or two while Electricity is applied.

6. At all times let care be taken to keep the
knee quite warm by flannel wrapped about it.

7 During the whole course of the remedies
advised he may continue to walk a little frequently
but always very gently and never long at one
time and never after it begins to give him pain