Hallowell, Nov. 25, 1802
1 part antimonial wine, & 2 parts Clutton's febrifuge; to be taken according
to my note.
Somewhat ignorant of Mrs. D's first form
of attack, & the regular train of her subsequent symptoms, I am ignorant
also whether the whole be one or two diseases. If there is pleurisy
which has supervened from cold caught, I think to gain a day by giving
the bark is hazardous; & the same, if spasm has supervened.
I suspect the latter, from its frequent cessation & the effect of
anti-spasmodics; from the attempts made to remove irritants from the
alimentary passages not having the result, which might be expected,
were such irritants concerned. -- I therefore have conceived, if a tonic
is to be used, that bitters & chalybeates might have trial, rather
than bark; or at least, that the bark should be confined to as much only
as enter into our new medicine. The bark seems to lead the blood to the
regions of the thorax, & the chalybeate to the surface & extremities.
Why might not our new chalybeate be tried alone, or diluted with vinegar
& water, at the rate of a grain or two / dose. -- What say you to zinc?
Last night I gave 1 part laudanum,