[Page 1]

[Page 2]

I have been consulted for a young man Mr Watsn from Pt. Glasg. & as he
is to set out for that place to morrow I address my advice to you that you may see it pro¬
perly executed.

For the difficulty of breathing upon motion which he has been liable to
from his infancy as it depends upon his constitution I cannot expect to mend it
now & his being easy & safe from any consequences of it must depend upon his
constant attention to avoid all quick & sudden motion. It is to be hoped that
as he grows older his breathing will become stronger but he is [now?] at the
hazardous time of life wt respect to diseases of the breast & if he should
contract any fixed pain or get any difficulty of breathing independent of
motion it will be very proper to put a pea Issue into his arm on the side most
affected if there happens to be any difference.

For the stopping of his nose which is also of very longstanding, I find it
difficult to propose any remedy but I think it probable that the following mea¬
sure may give some relief & at least to his deafness which may depend upon
the same infarction of the Mucous glands affecting the Eutashean Tube.

Let the decoction ordered below boiling hot be poured into a wooden dish
& let him recieve the steam into his mouth & draw it also as much as he can
into his nostrils. While he holds his face & mouth over this steam let a cloth

[Start of margin text]{illeg}[End of margin text] At first it may be for a short time only but afterwards continued longer as he
bears it. I will propably make his head & face sweat a little & that may be allowed
but I would not have it pushed far or continued long. After the [folas?] has been ap¬
plyed from for the you shall judge proper let his face be immediately dryed &
covered slightly with a Camrick> napking til the heat goes of by degress. For
the rest of the evening he must not go out of his chamber or be exposed to any
cold air. Next he may go abroad as usual but must have a little reserve with respect
to colder wet weather & must not go upon the water or be otherwise exposed to any
stream of cold air. When he goes to bed at night let him anoint his nostril wt
the ointment ordered below.

Before you set about this course it will be very proper to wash out his left
ear which is full of Wax & Matter. Let it be done very gently & I think Warm water
with an eighth or ninth part of [s?] Rum in it is the {illeg} w. After the Injection let
him keep that ear moderately stopt wt black that is wt a strong and spring wool
It is only be takend out at the time of fomenting ordered above. After the fomenting
course is finished it will be proper in somedays to wash his Ear again & if after
that you can discern the discharge is from the glands of the meatus or from any ulce¬
ration I would advice accordingly.