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After considering attentively the history and present state
of Miss Balfours complaints we are glad to observe that tho they
have now troubled her for a long time they do not however show any
danger and we hope they may be entirely cured. But at the same
time we must own that their long continuance makes it difficult
to remove them entirely and while they continue it will require
a great deal of care to prevent their becoming dangerous.

For removing and curing them as far as possible and especially
for preventing their having any bad consequences we propose the
following measures.

1. The first and great attention that Miss Balfour should
bestow is in guarding against cold. For this purpose she should
always be warmly cloathed and whatever cloaths she has been
accustomed during the winter she should keep very strictly to the
same during the whole of the summer. Towards the end of har¬
vest and approach of winter if her cough should any ways then
continue she should put a flannel shirt next her skin {illeg} ↑and↑ wear
{illeg} a shirt both for winter and summer for some years to
{illeg}

to come, tho the Winter of the Orkneys is not very
cold, yet the frequent rains which that Country is
exposed to, requires

the same precautions as a colder climate.

2. The most usefull means of guarding against cold is by
being much in the fresh air and the best means of strengthe¬
ning the breast is riding much on horseback. It will therefore
be of great service in every respect to Miss Balfour to ride
as often as the weather and other circumstances will any
ways allow. Besides riding out Miss Balfour may fre¬
quently walk but this ought to be with some caution for she
should never be in the least heated by it nor by any bodily
exercise and therefore dancing should be used very moderately.

3. In diet Miss Balfour may live very much like other
folks but with this restriction, that she should never take
any animal food at supper and that even at dinner she
should be sparing of solid animal food and should make up
her meal especially during the summer with broth, pudding
vegetables or any kind of milk meats. At breakfast she may
take tea & bread and butter as usual providing the tea is
neither strong nor drank very warm.

For drink, water and watery liquors, as whey [and?]
fresh butter milk are the most proper; and al{illeg}
fermented or spirituous.

liquors are to be avoided.

4. No kind of cold bathing either in the sea or otherwise
is safe for Miss Balfour.

5. By these precautions it is presumed that any bad con¬
sequences of Miss Balfour's complaint may be avoided and it is
hoped that in time it may be entirely removed without the
use of other remedies. But we think it necessary to observe
that if upon any occasion of cold or otherwise her cough should
become violent with any pains of her breast or sides or with
any frequency of her pulse that then bleeding blistering &
Issues may become very necessary. In the meantime we
have but one medicine to offer which we hope may prevent
the fixing of any obstruction in her breast. It is prescribed
on a paper apart with the proper directions. It is to
be taken for a fortnight at one time but such a course may
be repeated every six weeks or thereby