[Page 1]
Dr Riddel about Mr Greigson

I suspect he has not attended sufficiently to my directions - We
agree in the measures to be pursued. The Bloods being without size
does not contraindicate the repetition of Bleeding if other circum¬
stances shew it necessary. - but as his pulse was calm, probably proper
to let it alone. In Diet we agree perfectly -- Your Electuary and
Julep. proper - My astringent Electuary might seem to have little effect.
because you will find the Alumen was in small quantity and should
have increased the [Blood Spits?] ¹ because urgent. & I dont think the
Elex. Vitr. which I advised would interfere with your remedies -
However as the Blood is not thrown out in great quantity & no fever pre¬
sent, it does not urge the use of many or strong remedies & this
is a reason why I would not urge the use of Emetics -- and a
Blister on the back or breast very safe & is often usefull -
Costiveness carefully to be avoided - & therefore advised Crem.
tart. but in some persons a large dose necessary & in that case
I chuse to employ somewhat else, or to make an addition of
Lenitive Electuary or Jalap., to the Crem. tart. -- Aur. Pulv.

---

[Page 2]

and Jalappa compounded if prepared by long triture a very
agreable medicine and noways heating but I commonly add
a larger proportion of the Crem. tart. as no more
is ordered in our Pharmacy than sufficient for the
triture of the Jalap. --- Nothing more necessary with
regard to Medication but refer you to my former directions
for Regimen on which I depend much. When the [Blood Spits?]
is present ↑bodily↑ exercise is certainly mischievous - Riding
precarious - & an easy motion in a carriage the most
proper --- Yours.