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I wrote you on Saturday as fully as my time
could allow and hope you have found some relief from what I
then advised. Since that time I have considered the whole of
your letter very attentively and think I understand your complaints
as well as if the account had been given me by a person of the
profession though I must say I would have known the whole
more exactly from a personal interview. In the mean time I
can offer you some advice that I hope may put you in ↑a↑ condition
of coming to see us here. In the first place I must say that
the medicines which I prescribed for you in October last are
by no means proper at present nor can hardly be so till some
means are employed to take off the attack that has lately been
made upon your breast. For this purpose I would in the first
place have a little blood taken from your arm more or less
as your surgeon shall find your pulse more or less full and
frequent. After the bleeding let a blistering plaister be
laid between your shoulders taking care to drink sufficiently

so as to prevent strangury. The blister is not to be kept open
but healed up in the usual manner. If the draught which
I prescribed in my letter of Saturday to be taken after the
vomit had the effect I expected in moderating your cough
you may repeat it again every second night till I hear from
you again, and I must hear from you very soon for I cannot
well advise farther till I know the effects of the vomiting
bleeding, blistering and pectoral draughts which have now
been prescribed. However for your further relief I have
given you a prescription on the other page which I hope
may be of use in quieting the Cough when it comes in the
afternoon or evenings. I have only to say farther that
till I hear from you again you should live low and if possible
very entirely without animal food except it may ↑be↑ a little beef
tea and bread at dinner but for the rest pudding & vegetables. If
you digest milk tolerably you may take it very freely. Wishing
you heartily relief