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{illeg} I can pretty [well?] {illeg} of the circum¬
stances of his Case in [the year?] 1775 and the accurate information
I have received. I am sorry to {illeg} that his own
situation is in a bad train. I am afraid there are
considerable obstructions in his Viscera and particularly
that the Spleen is very much affected and if the
general swelling of his belly will allow any distinct
feeling of what [is?] within I believe that some par¬
ticular hardness would be found in the left Hy¬
pochondrium. The disposition to Dropsy seems to
have appeared pretty strongly but as the swelling
of his belly is diminished and his thirst is abated
I hope the Hydropic diathesis is not so strong as
it was but there are still so much of the symptoms
remaining as to lead us still to a particular conduct.

The conduct in such circumstances would be in general
to {illeg} the {illeg} but as it is observed
that purgatives depress him very much and that
his evacuations by stool are very regular I think
the use of purgatives cannot be pushed with any
freedom and certainly no otherwise than by a little
of the bitter wine when any incidental slowness of
his belly may seem to require it.

Mr. Innes relief must be chiefly attempted
by the use of Diuretics and for that purpose I
have prescribed a medicine on other Page which I
hope may be of service. As I cannot exactly foresee
how his stomach and bowels may bear it I have
prescribed a small dose only of the Squills but if
this quantity shall neither disturb his stomach
by Nausea nor run off too much by stool, the

quantity of the Squills should be increased to what
his bowels will {illeg} if possible {illeg}
thier Diuretic effects. I have no other medicine to
propose at present and his diet ↑and drink↑ seems to be already
very properly ordered.