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After considering the whole history of Mr Stewarts
complaints I am fully persuaded that they are very entirely
Gouty.

These Complaints at Mr Stewart's time of life &
in a constitution of so much vigour as he seems to have
cannot be dangerous; at least with any tolerable manage¬
ment all danger may be avoided.

But I must own they are difficult to be eradicated &
may be very troublesome & if either neglected or aggra¬
vated by any mismanagement they may become truly
dangerous.

I do not desire to cure the Gout & for ought & yet
know I will not be concerned in advising any remedies that
might cure it for I never yet knew it removed but it was
succeded generally by a worse & generally a fatal disease.
I am not to offer therefore any advice for removing the Gout
but for preventing its troubling his head or stomach and
for determining it more constantly to his lower extremi¬
ties.

For this purpose he must for some time observe a
strict regimen that is till his head & Stomach are relie¬
ved and not liable to the return of some Complaints as
at present. When he has got the better of the disposition
of the houmour to attack his head & Stomach and it is prop
perly disposed to go to his feet he will then be enabled to
live like other People.

At present in diet he must

At Dinner he must abstain from Broths especially of the
Scotch fashion with Barley Root and Greens. A good & plain
soop will not do so much harm. He may take any kind of
plain meat roasted or boiled but should avoid fats meats
or rather existing much fat. Fish of ay kind he should take
seldom and sparingly. All Roots greens and Garden things
are at present very improper. Pudding is much safer & as
he ought to take great care never to load his Stomach or to
make a full meal of meat he will do well to make up part
of his meal Pudding. He may take mustard at pleasure
pepper or other spiceries moderately but he ought to
take no pickles of any kind and Vinegar very sparingly.

For ordinary drink Toast Water is the Best and all kind
of malt liquor is extremely improper. I wish also that he
would abstain from all kinds of Wine for some time, Claret,
Rhenish and all small bodied Wines are particularly
bad for him. If he takes any at all it must be a very good Madei¬
ra or red Port and these with water but the most proper drink
I take to be spirits and Water with very little sugar and no
sowring at all of this at any time he may take a few glasses
but intoxication or any approach to it will do a great deal
of harm.

At supper he may take an Egg or a bit of meat

With this Diet let Mr Stewart take a good deal of
excercise especially on horseback. Moderate Walking will
be of service but any fatigue in walking will do harm.

In taking Exercise let him carefully avoid wet and Cold
and particularly in his feet and legs. Let his shoes be thick
and his stockings warm. He may be the better of frequently
changing his understockings and of wearing woollen footsocks
in the night time

Let him avoid late hours and frequent commerce with
the Sex. ¹

These Rules observed will do a great deal to remove (↑relieve↑)
all Mr Stewarts Complaints and almost supersede the use
of Medecine whereas without this regimen no medicines
whatever will cure him.

In the way of Medecine I advise him to take half
a muchkin of Lime Water every morning and an hour or
half an hour before dinner and again between seven and eight at night
let him take the Tincture and Drops ordered below. The Tincture and
Drops are to be taken for a fortnight together and no longer.
They must be then laid aside for a fortnight at least and he
should only return to them when any accident has brought
back his Complaints. The moderate Use of these Medecines
may be of service but the long continued use of them would
do harm.