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His ailments distressing but as I see no symptoms of any
fixed obstruction in his bowels, I hope he may recover ---

Nothing will contribute more than frequent gentle exercise
especially in the way of a journey, steadily pursued for 2 or 3
weeks, travelling about 30 or 40 miles a day. If this can¬
not be done, he must at home go often on horseback or in
a carriage 2 or 3 or 4 hours every forenoon.

If he go on a journey, take no medicine but the Sto¬
machic drops, & take 50 of these on a bit of sugar at
bed time; continue them at this dose for the 2 or 3 first nights.
On the 4th, diminish the dose to 40 drops & on the 5th night
to 30. -- & if then he find that he gets tolerable rest he
may lay them aside; or have recourse to them only when
he is liable to restless nights.

If in the journey he be Costive, take an Anderson's
pill at bedtime.

If Mr A. stay at home he must enter upon the Powders
& Infusion. One of the powders are to be taken twice every
day, washing down each dose w a small cupfull of the
Infusion. Take the powders in currant jelly or panada
but not in any liquid -- the times for taking them are an
hour before supper & before dinner --- They are to be
continued for a fortnight at a time; but then to be
intermitted for a week or 2. Then take another course of
them if his complaints either continue or recur.

While his appetite is bad I can order no particular
Diet but leave him to take what he best can. There is indeed
a choice of Diet but I must leave it to his own experience
desiring him to avoid what he finds difficult of digestion or
windy on his Stomach.

His ordinary drinks should be toast water avoidg all
malt liquors. He may take a little strong drink but very