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I have carefully considered the full and exact his¬
tory of Mrs Falconers former and present state of health
and observe that she labours under two ailments which
I think are quite unconected. The Cough and Difficulty
she has been long habituated to and I am afraid it is
impossible to cure it entirely and too much pains taken
to that Purpose might be very hurtfull it is possible I
however to rereleive it the change of Season will at
it in some measure and the very measures I am going
to propose for her other ailment may be of service
to her breathing.

With regard to the swelling of and hardness
of her breast I would not precisely determine the
the nature of it for at Mrs Falconers time of life it
may be of a more benign nature than many would
suspect and I have frequently experienced this and
as the tumor is still without Pain I hope in this case
as in many others it may continue long without incon¬
venience. -- This observed in the exel [relation?] that
the breast is quite loose moveable and without ad¬
hesion to the ribs. I am glad to know this as a
good symptom, but I would not admit of it as of any
foundation for attempting extirpations. I have many
reasons for declining this tho there was no objections
from the circumstances of the toumour but the little
hardness discovered upon the axilla puts an entire ne¬
gative u upon it. As the hemlock poultices have
further to been of no service in retarding the growth
of the toumor I am very adverse to their ↑being↑ continued
for I think they make the skin tender and being on
an ulceration that otherwise might never happen
I am against every other external application till
Pain or inflammation shall require them. Covering
with Flannel is all I should think necessary only
if its being long accustomed to the poultices seem
to require something warmer I would employ a
peice of any fine and soft Fur

If this swelling is to be discussed or as consequences
are to be prevented it must I think be done by internal
remedies I should have had no objection to the use of the
hemlock either in powder or extract but hitherto it cer¬
tainly has not been used in any quantity that could do
service. It may still be continued but great care must
be taken to have it good of its kind and the dose must
be gradualy increased ↑till↑ it has some sensible effects. In
this way let it be continued but as it has often disa¬
ppointed us I would not trust to it along and I
have here Subjoined a prescription from which I
have had better effects, It is to be begun in the small
doses I mention but gradualy increased till it has
some sensible effects. That effect and in fact is to be
desired is a disposition to a more plentiful per¬
spiration. and some moisture in the skin especialy
in the night time while it has this effect in any de¬
gree it is enough and if it has it not, I expect no
good from it If the dose goes on encreasing without
this effect some attention must ↑be↑ given in observing
if it has t any effect on the nerves or Stomach by
Giddiness, Tumor, Sickness, or nausea & if any such
Symptoms occur the does must not be increased till
those Symptom's cease when the medicine is found to
produce a little moisture in the Skin, it is to be con¬
tinued at the same dose till it ceases to have any effect
& then to be increased as before. With this medicine
it is very proper to guard against Cold but in the