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Tho the tumours that appears in so many difft
parts is discouraging we think it is very probable that
Miss Monro may get the better ↑of it↑ entirely if we can prevent its
settling in the breast. There has been threatenings of this
by Cough and frequency of pulse but the last is so much gone
& the other so much mended that we are inclined to hope the
best. In the meantime we think the measures most promising
are the following.

1. As soon as Miss M. gets to the North we think she
should try one of the mineral waters in the neighbourhood and
we would prefer that which appraoches the nearest to the Sul¬
phureous water of Moffat. In trying this water let her begin
by b a small qty, a gill & more are it by degrees never -
exceeding a chopin. In using this water it is desireable that
it should mostly pass by Urine but if it at the same time keep
the belly open there is no harm tho its purging would not be fit
Instead of employing the water to purge her we advise her
to [tring?] once a week or threetimes in a fourthnight a dose of
the Salts prescribed below, which have answered pretty well here
& a parcel of them is sent along with here--

Let it be observed that if in using these waters either her cough
or frequency of pulse & especially the first shall return the
waters must be laid aside.

2. A diligent and attentive trial of bark did not succeed here
and since her cough became troublesome it has been entirely laid
aside. We are of opinion it should not be employed while any
degree of cough remains but when that is quite gone we think
this towards the approach of next winter and for some part of the
course of it the bark may be an usefull nay a necessary remedy

3. We think that both on account of her symptoms & on
account of the mineral Waters & other remedies there is
at present no room for any mercurial medicines. The
mineral might be omniscent but for that very reason we do not
think it necessary to trouble her with it -------.

4. There is a remedy we think extremely proper & suitable
to her particular circumstances from which we have frequently had
benefit. This is the Juice of Tussilago leaves fresh expressed She
may take it to what qty her stomach easily bears but at least
to a gill twice aday. -- The preparation of this may
seem troublesome but if a proper mortar for brusing & a press for
squeezing it are provided it may be done in a large qty at one and
therefore with little trouble Only this is to observed that the
herb is to be squeezed as soon as gathered & the expressed Juice is to
have about a Sixteenth of brandy put to it & so be set by in a
cool cellar for 24 hours when it is to be carefully decanted from
its sediment, passed thro a flannel bag and poured into half
muchkin Vials wc are to well corked & set by in a cold cellar
till there is occasion for them:

5. After Miss M. has drank the mineral waters for a
month or six weeks this is to be laid aside and she is to begin
to drink goat whey. If the Cough continues & more certainly if
it increases She is to quit the water & take to the whey Sooner

We suppose that particular discretions are not necessary for the
drinking the whey. We only say that it should be taken pretty early
in the morning & only then, that it is not necessary for her to take
much of it and between a muchkin & a chopin will be enough &
even this she should come to by degrees & it does not pass easily she
may at times take a dose of the salts mentioned above ---

6 Whether Miss Monro drinks water or whey it is abso¬
lutely necessary for her to have frequent Exercise either on

7. For the tumours that appear in different parts let them
be bathed twice aday with the Discutient Spirits ordered below
while they are neither inflamed nor painfull but in Case they
are affected with either of these circumstances let them be bathed
with the cooling Solution also ordered

8. When any of the tumour break & continue to discharge
matter let them be washed once aday with the same cooling
solution & dressed with a pledget covered with ointment
prescribed below.

9. Miss Monro's Diet must be ordered according to the state
of her pulse & breast. When she has no frequency in her
pulse & very little cough she may have broth, & x a little of
any light animal food once aday; but if either her pulse is
frequent or Cough troublesome the Animal food must be
let alone & she must live upon Milk & grain with a very
moderate qty of any thing from the garden ---

10 The same rule may be applied to Miss Monros drink
While she is [sool?] and her breast free she may have a little wine
to her water but when it is otherwise she must keep to
water and watery liquors alone at all times Malt liquors
are improper for her.

11. If Miss Monro's breast was free from ailment or Suspicion
of it we should think cold bathing might be of very usefull
to her but at any time we have seen of her of late cannot
[therito?] it in any ways safe

to be dissolved in a
pound of Spring water & two three or four table
spoonfuls to be taken for a dose mixed with a gill or
two of water & taken at two or three draughts in the
morning.