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I have seen and Conversed with your Patient Mr
Samuel Crawfurd and believe I have the case very fully -

There is no doubt of a tendency to Consumption, but I
am very confident that while his appetite, strength and sleep continue
as they are, and that he is free from Hectic and pains about the
Thorax, the disease is by no means Confirmed and still within
the bounds of recovery -

However both you and I have had so much experience of the
insidious nature of such a disease that we cannot suppose any
person to be in security against fatal consequences, but by their
taking every possible precaution against them

The most effectual precaution that I have ever known is the
avoiding the Winter of this Climate and taking into a Southern One
from the first of November to the middle of April. I have
mentioned this to Mr Crawfurd, but not knowing how it might
be suited to his Circumstances I did not urge it, so much as I
otherwise would have done, & I leave it to your discretion to urge it
further if you shall think proper

In the mean time I shall advise upon the supposition
of his staying at home. His first Care must be the avoiding of
Cold, and therefore his using warm Clothing and hardly ever going
abroad on foot, and particularly that he should never go abroad
after Dinner either on foot or in a Carriage in the forenoon will
always be of service to him, but how far it can be safely pushed
in very wet or very Cold weather I am very doubtful, and must
leave it to you who are upon the spot to judge, both of the
Circumstances of the weather and of the trials you shall have
made ---

In his Diet, tho' it was allowable for him to take a bit
of meat when he was in a Course of Travelling, I would have
him when at home and with little exercise to be confined
entirely to milk and vegetables and of the later to take
particularly a good deal of fruit of all kinds. These some
times have a tendency to produce Diarrhœa, but I have
known Lemon juice cure one, which had come on as a
Symptom of the disease. In his Drinking I would have
him abstain entirely from all fermented or spirituous
liquours ---

I have thus mentioned the particulars of his Regimen
which I depend upon more than upon any remedies, tho' I
would not however leave him without something of that
kind. The Seton in his side should certainly be continued
A strong decoction of the leaves of the Tussilago, sweetened
with a little liqourice I have sometimes found of service
I have also found benefit from the Decoctum Senekæ
given as far as he can bear without its either affecting
the stomach or Guts as in such cases I think the indication
is to take off the determination to the lungs by determining
more strongly to the skin; so I have found benefit from
the use of Antinomials, either the Emetic wine or the
Tartar Emetic but either of them given with the same
restrictions as with respect to the Seneka. They should be
felt in the stomach by a slight squeamishness, but it
should go no further & at the same time, should not go
downwards more than to give one regular stool every day
These several medicines you may alternately employ to