[Page 1]

Miss B. Peareth

I am sorry to find that what I apprehended
has happened to Miss B. Peareth and that now not
only the stomach but the intestines are ready to reject
whatever is thrown into them. To obviate the latter
you have thought of the most probable measure which
is to throw in some Laudanum along with the Broth
& Jelly but I must observe that if you continue as you
seem to do the giving Laudanum by the mouth you can
hardly throw in by injection so much as may be ne¬
cessary to make the injections be retained. I would
therefore advise you to cease giving Laudanum by the
mouth & to throw in the whole that is necessary by
injection. It will indeed be necessary in this way
to give a much larger quantity than you would do
by the mouth but when that larger quantity is em¬
ployed I know from experience it will do as much
to supply the Vomiting as the Laudanum given by the

---

[Page 2]

mouth and in this case I hope it will have the
advantage of introducing a nourishment which could
not be done in another way. However I would not wish
to abstain entirely renounce all attempts to give some
nourishment by the mouth. It is true that I have
always found in the case of such Schirrosities that
an uncommon quantity of acid was produced in the
Stomach but that acid is produced by an acetous
fermentation which the Vitriolic acid is not capable
of and upon many occasions I have found it correct
the acetous fermentation. I think therefore you
may still try it in this manner. Take some Calves
feet jelly before any wine, lemon or Sugar is put to it
and to about two Ounces of this jelly melted. add a tea
spoonful of my mixture & let Miss Peareth swallow
this by tea spoonfuls at a time & I leave it to your
discretion to push this or abstain from it as your
trials shall direct. I have only to add that I believe
there is nothing that can give Miss Peareth ease

---

[Page 3]

but Opium so I would apply it in every shape & there {illeg}
when upon my plan you cease to give it by the mouth
I would keep a plaister if the Philonium Laudanum
constantly applied to the pil of the Stomach renew
it every three or four days. Wishing you heartly succ[eed]
in relieving this young Lady's extreme distress & wich
respectful compliments to the family I am with gr[eat]
regard Dear Sir