423 for letters}
398 for telegrams}
Vanderbilt Avenue Brooklyn NY. January. 18. 1882
Wed—Eve.
Dear Mary, Just recd your letter of Mon. Eve. Surprised to learn of Mothers having such an attack and should have felt very uneasy, had I known of it whilst impending; but she seems safe enough now, by your account. Your postal card, a fortnight previous, reported all hands improved; and also stated that her previous sickness, fever, &c, resulted from excess of biliousness. You are right in supposing that the same cause started the lung trouble. An excess of bile, circulating in the blood, predisposes one to hemorrhage in any quarter, lungs included. And the situation of the tenderness in her case confirms it, being down contiguous to the liver. Lachesis ought to help her, if there be still any suspicion of bilious dis / turbance, or undue debility. Better have it in powder of the 10th [faded]uration, or any higher one. 4 times a day or more. But if there be any return of hemorrhage give Carbo Veg. powder 6# or lower, down to the 3rd. repeating it frequently—if need be, every 10 minutes more or less. Better lay in a stock and have it ready. The bleeding might come from the nose, or piles, or elsewhere—all the same, Carbo is the remedy; and better than salt, if the fault be in the bile. Your Bry. & Acon. probably helped very much in preventing it from running on into inflammation, like pneumonia. [?] is also good now in helping to clear out accumulations from the lungs. But I would give a dilution 3rd or higher. Tripe is unexceptionable diet, if thoroughly cleaned. The alcohol ought to be given in very small portions, and