[Page 1]
Miss Russel

I have had the honour of your letter and
case inclosed in it by Miss Ann Wilson, and after
considering the case very attentively I give you
here my opinion and advice upon it.

The circumstances described have much
the appearance of Scrophula, but as there is not
any ground for considering this as hereditary, and
that it seldom arrives without such a cause, I
hope it is not a proper Scrophula, and may be
cured more easily than that disease commonly
is, and I am the more ready to think so, as
the remedies you mention as already employd
have been either insignificant or improper.
The only remedy that I can advise to be continued
is the Sea bathing, which though it has had
little {illeg} very dangerous if con¬
tinued {illeg} [advised it?] to be yet

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continued till the end of September. At the same
time I would have the Prescription inclosed to
be employed. If the dose prescribed happens
to purge her, it should be diminished, but
if it does not move her belly at all it should
be increased a little, and it ought to be so
regulated as to move her belly once a day, and
no more, and in this way ot ought to be cont¬
inued as long as she continues the Sea bathing
But let this be observed that She ought to
have the Bath if possible soon after She
gets out of bed in the morning, and it is so[on]
after she comes out of the Bath, that she
should begin to drink the prescribed water
and if it happens that she is in such a
situation as to be obliged in her Bathing to
follow the times of {illeg} but she
cannot bathe [even in?] {illeg} but and

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"
only in the forenoon, She must at such a time
either intermit the Bath or the water for
that day, and (↑for↑) She must never go into the
Sea soon after drinking the water, and at
such times as when the Tide falls improperly
it may be enough to take the Bath on one day
and drink the water on the other, and only when
the Bath can be got before Eight oClock of the
morning to do both on the same day.

With respect to the Sores when any crust
comes upon them, let them be washed night and
morning with a Solution of Sugar of Lead
and Rose Water putting five grains of the
former to every ounce of the latter, and when
the sores are without any crust or Scab
let them be dressed with the Ointment
prescribed on the paper inclosed.

{illeg}young Lady may have some
[broth and?] {illeg} part of light Animal food

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every day at dinner, making up the rest of her
Meal with Pudding and Vegetables. At Breakfast
let her take Cocoa Tea with dry toast and a very
little butter. At Supper she may take Rice
Sago, or Panada. In any of which she may
take a spoonful of Wine, and a little Powdered
Cinnamon. If She is very fond of Milk she
may have a little, either at Breakfast or Supper
but I am very averse to her taking much of
it at any time.

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[Page 5]
For Miss Russell