use
of the gargle also applied a blister around the throat.

In order that thou may not easily be discouraged in the prosecution
of the purging plan, it is necessary to inform thee that I often find
it expedient to give 3 to 6 ounces of salts in 24 hours. I usually
divide 2 ounces into three portions giving one every two hours
dissolved in a teacupful thin gruel. When the bowels are brought
readily and freely into operation I have little difficulty in the
management of the case--but I never discontinue the process till all
fever and pain have subsided. Sometimes when the salts appear to be
in operation I interpose with 60 or 70 grains of the cathartic powder
repeated at intervals of two or three hours. When there is a
despression of the pulse and something of coldness of the
extremities, especially of the feet, I use with advantage mustard
plaster to the feet, to which in such cases may be added with
advantage hot bricks or bottles of hot water to various parts of the
body.

There is one thing which particularly deserves thy notice and that is
that this disease is in a majority of instances I believe preceeded
by certain premonitory signs; such as flying pains about the chest or
some other part, head ache, etc. A reasonable resort under such
circumstances to one or two cathartics will pretty certainly avert a
more serious attack.

I have directed Archy to forward thee a supply of salts and cathartic
powder and I feel a persuasion that by the aid of the foregoing
observations thou wilt be able to manage this disease to thy
satisfaction. It indeed may be not expected that none should die of
so formidible an epidemic, but I think I can with truth state to
thee, that under this treatment 19/20s of those who fall under my
care recover.

With regard to thy wife's present situation, I think it would be
advisable for her to take occasionally a gentle laxative, and for
that purpose I send a package or two of my saline purgative powders.
Let her take one in a cup of gruel and repeat it as may be necessary.

Hoping that thou may be at least as successful as I have been in thy
future management of this complaint, and that thy family may furnish
no more victims is the sincere wish of

Thy friend

ELISHA C. DICK

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