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Dr Gilchrist about Mrs Dixon

Hope will soon get better. By the suddenness of the attack
& the long interval, certainly Spasmod. affection, but wants
the flatulence of stom. & some other cirumstances of the pure
spasmod. asthma. this case is attended with phlogist. diathesis
I was begun by the Epidemic Catarrh, cough has never left
him, expectoration has been bloody & blood sizy, & bloodlet¬
tings been useful without sinking the pulse. You are very
right in trying Antispasmod. but you should try chiefly
to cure the Inflammat. diathes. Mr D. should therefore
for a little, abstain form animal food, & repeat from time
to time the Pulv. Jalaps. comp. increasing the proportion of the
Crem. Tart. to render it the more cooling & in severe fits on
any considerable fullness of Pulse repeat the bleeding. The
repeating the blister on the back, very proper, & a constant Issue
may be of service, but put it on the top of one of the shoulders
so as not to preclude a fresh blister if necessary. With regard
to the Antispasmod. I am not surprized that the >Aether fails in
repetition as usual & the Opiate will be [more?] effectual,
& as you &c given same little time before the accession, but
let it not quicken the pulse, give drought or headach. You
foetid glyster is certainly safe but not very powerful. The
same of your Ammoniac. but continue it as Expectorant.
The reason for not using Euretics very good but I am sorry
for it as they would have been useful here, & if you think

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nauseating doses can be [exangged?] ¹ without vomiting, you should
try them. The advance of the season b will be of service
to Mr D. but that is far off & the weather now too preca¬
rious for going abroad, but may bring him to it gradually &
on such days as this, Saturday last, & Wednesday senight
must venture a little, not in a carriage.

Coffee with or without milk & sugar I agree with you is innocent but
nothing more than a little warm drink.