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For the Countess of Fife

As the ailments have now continued a long
time & have become in some measure habitual
they cure of them will be difficult & we cannot
promise it to be speedily done but if her Lady¬
ship can be brought to admit of a proper regi¬
men & ↑of↑ some remedies we hope that a great deal
can be done towards her ↑Ladyship’s↑ recovery.

[Start of margin text]a.[End of margin text] It is in the first place very necessary
that there should be some person always at hand who
has acquired some authority, to be employed
with discretion ↑with art rather than force↑ but with firmness & steadiness em¬
ploying art rather than force but even the latter
when truly necessary.

The Diet ought always to be light &
cooling. A little animal food may be taken
at dinner but none at all at supper. The
heavier kinds of animal food as bacon pork
or any very fat meat, baked or fried meats,
salmon, herrings & dressed shellfish are all
to be entirely avoided & when she takes
the lighter kinds it ought to be moderately
& the meal should be made up with grain, ve¬
getables & milk.

The ordinary drink should be ↑fountain water, toast water or↑ water with

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a very little wine in it but if at any time a
costiveness should come on small beer may be allowed.
Any kind of Malt liquor of a stronger kind is
not to be allowed nor any plain wine but in
very small quantity & then only when after some dis¬
[Start of margin text]b.[End of margin text] order or lowness takes place. Tea & coffee
except taken very weak & very sparingly are
very improper. We need hardly say that,
spirituous liquors in every shape are so.

With regard to meats & drinks it is
to be observed that the easiest & surest
way of avoiding what is improper is to take care
that they are never brought in sight.

We think it is very improper for my
Lady to lie so long a bed in the morning as
she now does. ↑Besides that it weakens the whole body↑ It encroaches upon the proper
time of exercise & disorders the whole ar¬
[Start of margin text]c.[End of margin text] rangement of the24 hours, & besides that it
weakens the whole body and we would earnestly recommend My
[Start of margin text]Lady's going regularly to bed at no late hour in the evening[End of margin text]

Exercise seems to have a good effect &
we cannot expect better effects from any thing.
We therefore recommended t it to be diligently
persisted in & when a proper season should (↑as the season advances that the airings be↑)
come we would recommend a journey easily (↑made as long as they conveniently can be, We hold moderate walking↑)
but steadily for persued for several weeks. (↑when the Season is suitable to be a very proper exercise↑)

[Col?] When my Lady is so well as to admit of

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Company she should have it but with due caution
avoiding numbers variety strangers & disa¬
greable persons.

The place of her Ladyship's abode at present
we think to be an extremely proper one. It
is sufficiently {illeg}g (↑wholesome↑) & very favourable to her
exercise & to a suitable connexion with her
friends & Physicians.

These are the particulars of regimen
which we think necessary to be taken notice
of & with regard to remedies we believe it
may be difficult to get them admitted
& therefore would be as sparing of them
as possible. The Emetic (↑alterative↑) Mixture which is now
employed we think one of the most proper
that can be & therefore to be continued from
time to time.

In times of ↑in times↑ more violent disorder
there is a medicine ordered below which we would wish
to be tried & repeated more or less frequently as
the effects shall direct and at any time that her
Ladyship requires it a Castor Bolus may be properly given.

We think that some (↑an↑) Issue in one shape
or other as can be most easily executed and
kept very (↑in↑) constantly open may be of great ser¬

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vice

We think that her Ladyship might also
be much the better for cold bathing & when the
season is some what advanced we would have
pains taken to bring her ladyship to bear
it. It should be brought on gradually
& we think it will be most conveniently
executed by a bathing machine within
doors than by carrying her ladyship to the
sea.

For the Countess of Fife ✍For the
Countess of Fife