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To Dr Stevenson about Mrs Barclay

I am heartily concerned for Mrs Barclay & very anxious
I give you what assistance I can but I dont see clearly with the case &
resolve if possible to see you tomorrow however that is a a little uncertain
& & in the meantime I say what I can. The preceeding inflamatory
state the pain of the side the appearance of the blood with the dyspnœa
& frequent P. ¹ give strong suspicions of Peripneumonic but you have
not said a word of cough which I think is inseparable from Peripneum
& you call the dyspnœa asthmatic which implies some suspicion
of Spasmodic. But however all this may be if there has been enough
of inflammatory diathesis to authorise all the bleedings which you
have ↑been↑ practised but now when this comes to hand you are at the
great day of the disease & that is later than ever I saw it allowable to
bleed in a Peripneum. The other remedy & particularly blisterings have no
limits in this respect. The Seneka promises to be a remedy but you
must push it farther than ʒj per day. Have you had no thoughts
of the Tartar Emetic directing it to purge with very little vomiting
I still think it will be a probable remedy & trust is to your good
judgement & discretion discretion. If the disease continues I shall think
is necessary anodynes deserve to be tried & would go the length of Dovers
Powders. I think it is the safest form of an opiate & especially when
it {illeg} sweats freely without heat. I shall think this remedy the more
necessary that the asthma is suspected to be by transl[ation?]. I think
the case has been particularly well managed so [sfar?] as you
have given no gums or other heating pectorals & I cannot
think that any such are yet proper. This is enough
for tonight for if I do not see you tomorrow & you
expect any assistance from me either your or Mr Parlane
must write me every post. Tis in my opinion that a
few days will determine the case & in the mean time it
must be conducted with by your circumstances of the day. I am
much afraid of Col. Napier I have no sort of objection to the

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artificial bath water but I am sorry he declines the Issue
Tis certainly that all his ailments [&?] even his the occurance of
the Catarrhus vesicæ if from retrocedent Gout. What do you think
of scruple ℈j of Dovers Powd. given in the morning & directed
to an easy sweat thro the whole day for much depends upon
the length of it. For what is further necessary I trust to being your