Pardon me for saying, that for sundry motives which
will readily occur to you, I am not without uneasiness respecting Mr.
Whitwell. I conjecture that for fever joined to pleuritic systems, he
has not lost a sufficiency of blood. Sydenham's rule is 40 ounces for
the cure of the pleurisy of an adult; & you know what the averages of
[smart] fever-attacks require. To get into the train of bleeding again
will require caution; but I think you may safely propose to yourself 4
ounces, & by the effect of the bleeding be governed as to any thing beyond.
I think you will always find his pulse sufficiently [wiry], or his cough
sufficiently catching, to permit this for a single trial.
Secondly, if no blister has been applied to his breast,
should not one go there? You [must] perceive that the habit of your patient
does not warrant against a consumptive sequel, if strong measures are
not taken at present.
Thirdly, though I am ignorant of the