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I have considered your history of Mr L. & have conversed
with himself frequently. I cannot be very positive with respect to the nature
of his ailment but I am clear that it is of the Nervous kind acting however
chiefly upon the great vessels near the heart, & this is chiefly the founda¬
tion of what I am to advise

Fresh air & gentle exercise are very necessary to Mr Lumsden
but he may very readily be hurt by any excess in motion. Bodily
exercise is especially dangerous & he should never attempt it but in
the gentlest manner & by a very little at one time. Riding better
but even this must be gentle & smooth. I think a Carriage the
safest motion for him but the carriage should be easy & jolting
avoided with great care ----

There is the same difficulty in the management of his
Diet. Experience has taught that he is easiest with a tolerably
full stomach & therefore he must have some solid food & a
glass of Wine, but I am certain that anything like full
living may urge on his complaints to a dangerous degree.

Therefore he should take moderately of animal food & keep
within narrow bounds in the use of strong drink. Nothing seems
to me more necessary for him than avoiding heat, whether of the
sun, or warm chambers, especially these heated by a croud of
Company.

If at any time costive, he must take care to remove it
by some Cooling Laxative as Flor. Sulph. Crem. Tart. &.c --
He may be the better of some Nervous Med.s & the
fœtid Pills among the rest & if they keep his belly regr.