[Page 1]

[Page 2]

[Page 3]

[Page 4]

I have carefully considered the whole History of her
Case and can freely assert that it is ↑not↑ in any respect dangerous
but it may prove tedious as it appears that the humour
in her blood has subverted more or less for Eight years
past. It must therefore be more difficult to eradicate
it now and especially from the condition of Pregnancy
in which She is now. However though the business may
be a little difficult as the disease depends upon no
hereditary taint I have no doubt but that in time
it may be entirely removed. There is even a chance
that her Pregnancy, Childbearing and perhaps Nursing
may entirely discuss the tumour below her Ear or others
about her Neck but whether this shall happen or not
I am clear that the medicines which I would employ
for the purpose cannot be properly or safely employed
while Mrs. Fraser is in any of these [conditions?] nor
can I say just now what would be proper when these

conditions are over and till I know precisely what is the
state of her tumours or other circumstances of her health at
that time. I am therefore to give no full advice at present
but that if either her Pregnancy by any accident shall be
interrupted or that after recovering of her delivery or lastly
that She is not to Nurse or lastly if after Nursing is over
I shall be informed of the state of her health I engage to
give her the fullest and best advice I possibly can and
so far as any ways to require for recovery of her health ✍and
this without further fee or rewards.✍

In the mean time I have only to say that her
Regimen is to be suited more to her state of Pregnancy than
to any consideration of her complaints and with respect
to Pregnancy the proper regimen is directed by every
Persons Particular feelings ↑rather↑ than by any general rules.
With a view to Mrs. Frasers complaints she should
avoid in her Diet all kinds of fish, that she should avoid
Costiveness going to any great degree and should obviate
this either by Diet or medicine and when a medicine

is required there is hardly any thing better suited to her condi¬
tion than Magnesia in a pretty full dose and perhaps with
the addition of a little Rhubarb or Jalap. For the tumour
of her Neck I would employ none of the applications men¬
tioned in the Case. Let care be taken to defend it from cold
and if upon any occasion the swelling should either increase
or become Painful let it be Bathed twice a day with the
liquor Prescribed on the Paper inclosed. When it is to be
employed let it be warmed a little by Setting the Phial in a
Bowl of warm water and by some folds of Linnen Cloth
dipped in it let the Part be Bathed for a few minutes twice
or perhaps three times a day covered afterwards with a
Piece of flannel.