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Miss Cook

I am favoured with your full, exact
and Judicious letter concerning Miss Cook and
give you now an Answer to it as soon as
I possibly could. I have considered the whole
very attentively and am of opinion that it is
a Catarrhal and not a Phthisical Case though
I think the latter may be possible and is so
far possible as to require every precaution
and I must commend you for taking all
these precautions in the most judicious
manner and I truly must chiefly repeat
what you have already advised.

I am heartily sorry to find Miss
Cook so averse to Riding which however
is the remedy I would very much [depend?]

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on and the Season is at present so favourable
that She cannot have a good excuse for neglec¬
ting it. Another remedy that I would in
the next place depend much upon is frequen[t]
doses of Ipecacuanha; perhaps every Evening
not long before bed time. I would give thre[e]
or five grains so as to give Sickness and a
little Vomiting but without her drinking
warm water to encourage it and when
the Nausea is well over giving a dose of
Laudanum not under fifty and perhaps
Sixty drops. These remedies will I hope
remove her Catarrhal complaints but the
use of the Laudanum will require some
attention to obviate Costiveness and for th[is]
purpose She may [every?] ↑[other?]↑ morning early

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take such a dose of Cream of Tartar and compound
powder of Jalap as may give her one Stool
before She needs to go out to ride. The last
remedy is particularly proper with the view
to her scarcity of urine and Swelling of her
Ancles but if it does not answer that
purposes you will be obliged to give her the
Squills both as a Pectoral, a laxative and a
Diuretic. You may make a mass of Pills
of which every five grains may contain half
a grain of properly dried Squill and let
her take one of these several times in the
course of the day as often indeed as her
Stomach will easily bear, and if you find
that her stomach bears the half grain of
Squills without sickness you may make
the next mass with one grain of a Squill

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to every pill and use them in the same manner
but I hope all of this operation will be
unnecessary. I hope also that further blis[te]
ring will not be required but I must say
that you employed such a remedy with
great propriety and may do so again if
you find occasion. I can find no occasion
for advising any Mineral water and I
hope there will be no occasion for urging
a Sea voyage.

If you have an opportunity of seeing
Miss Cooks Brother Mr. John of Gallowhill
make my Compliments and tell him it will
give me great pleasure to hear that he
has continued to receive benefit by my
Advice. I cannot have more pleasure than in
hearing of your prosperity and Success being with
sincere regard