Your ailment, is as all habitual weaknesses are, difficult
to cure, & a habit - weakness - of Stomach from Gout is es¬
pecially so. I have found necessary to leave many cases
of this kind to regimen alone but of late Ive found a
a medicine better than any I have tried before; & I now
send a parcel of it. It is a dry powder, in a phial to be
kept close corked. The dose is as much as will lye on a
shilling, to be taken twice a day an hour before dinner
& supper. It cannot be taken in a liquid, but may in a
little currant jelly or a panada - I have sent only as much
as to serve 8 or 10 days, for if it agree as I expect I
will sent the next stronger-- After taking it 5 or 6 days
let me know how it does, & I will adjust t thenext par¬
cel exactly. It requires no other Regimen than what would
be at any rate proper but your own experience must
have taught you with regard to your Diet.

Keep your feet warm & dry. Wear footsocks at night.
Moderate walking but not much- The best exercise
is on horseback, & is much better than a Carriage, but
never ride soon after eating; & hardly ever in the Afternoon
or Evening. Wash down the Bolus with a little spirits and
water. For Captain David I can think of medicine but
the Decoction he took last year. If he continue any
time in Scotland, he should take it again, & closely
for some weeks. Attend to his Regimen, above all
avoid Cold which I take to be the cause of the feverish fits
he has been liable to. I suspect he takes too much
exercise.