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Gout not to be cured by medicines without inducing a
worse disease –– but a certain regimen will ––.

Avoid indolence & sedentary life: but much exercise
on foot, & especially when threatened with pains in them, is
very bad for you. At other times walk every day a good
deal. Ride on horseback summer & winter as mc as you can.

Every day, especially in winter & spring rub your feet
& legs w a flesh brush for half an hour every morning im¬
mediately before you are to get out of bed. The
rubbing should be gentle ––

Guard carefully against cold –– warm cloathing at all seasons.
A flannel shirt next your skin the whole year through.
Thick shoes & warm stockings. The streets & quays of
Bo:ness particularly require this.

No indian tea or coffee at breakfast, but you may
if you please take Cocoa tea or tea made of some herbs
of home growth, balm, ground ivy &c. or weak choco¬
late, or still better than all, some bread & milk.

At dinner avoid heavy meats, & of any animal food
take moderately, filling up w broth puddg or ve¬
getables. But of these last be sparing especially during
winter & spring. Avoid those which are apt to prove
windy, cold or sour upon your stomach.

No animal food at supper & if possible take no sup¬
per at all – but some boild barley, rice or sago &c with a
spoonful of wine in them or you may take dry toast with a
little negus or weak toddy.

Abstain from all malt liquors & take water alone or with
a little spirits or wine in it

At dinner & supper you may take a little strong drink but
moderately – avoiding the weak bodied wines, & the strong ones
should be taken diluted with water. Wine strong & sound is
better than spirits, unless they sour upon your stomach, when
you must avoid wines altogether, taking to spirits & water, taking
however still more care to avoid exceding in quantity. You
may take what kind of spirit you like best.

Avoid costiveness – & if necessary take a medicine such
as set below.

Avoid medicines as much as you can. Must not have
recourse to bark or bitters for any stomach disorder but must
be more assiduous in exercise.

Much continued business improper. Intrupt it by
much air & exercise.

When you feel any pains threatening your feet, you

If at any time wandering pains trouble you without settling
in your feet you may for a night or two take such a draught as
I prescribed when at Bo:ness, taking after it a little weak
negus or warm toddy to procure a gentle perspiration
by taking a cup of balm or sage tea with perhaps a little
mixture spirit of hartshorn in it –– but when you have had
any sweat either in the night or morning you should not
go abroad but guard against cold, for the day after.