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I have no doubt he has a considerable ulceration in
the right ear affecting the bones so much as to give the
fetid discharge. I have had such cases often, in con¬
sequence of fever & other causes & I have almost al¬
ways found them of tedious & difficult cure. The
only remedy I have found very effectual is an injec¬
tion of the Corros. sublimate while some Mercury
was also used internally. I think you may try them
both with your patient. Take care to have a pure
distilled water & in four ounces of it dissolve half
a grain of the Corrosive Sublimate. Inject about
half an ounce of this into the Ear & if it gives any de¬
gree of smarting it is enough & you may continue to
inject it twice a day not quite cold but if it gives no
more smarting than what as much simple water would
do you must increase the proportion of Corrosive by
degrees till the Ear feel it a little & with such a Sol¬
ution you must continue for many days. At the same
you may give half a grain of well tincturated
mercury, once or twice every day taking care that it does
not run off too much by stool nor take too much to
the Mouth. I dont think the trouble of a Seton ne¬
cessary but a pea issue on one side of the Nape of the
neck next to the Ear affected may be of service.

For Miss Brown I am sorry to observe that the
disease seems to gain ground. Tho her spitting does
not yet appear to be of any bad kind, the cough,

Such cases too often difficult and insupperable.