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Mrs Knots ailments are entirely of the nervous & somewhat of the
hysteric kind. They are therefore without danger tho exceedingly trouble¬
some - To prevent such ailments the Bark was a very proper remedy
but the long continued use of it, has now rendered it less effectual & for
that & other reasons I would now lay it aside - In place of it I have ordered
a medicine on a paper apart, which I hope will be both more agreeable
& effectual. It is a strengthening Tincture of wc she will take twenty
drops in an ordinary glassfull of spring water twice a day. The
proper times are an hour before dinner & Supper. If it shall be found
to agree very well with her, She may take it three times a day, that
is before Breakfast as well as before Dr. and S. r. -- This medicine
will be of service in strengthening ye Nerves, but it will be much
assisted by fresh air & Exercise, & ye best way of employing these is
in a journey. I hope Ms K. has been so mc ye better of ye journey
she has made & is to make & as it is now convenient & I hope allow¬
able for her to settle for some time in one place, I have only to say
that she should continue still to take what air & Exercise the
weather will allow. -- It may still be in a large Carriage but if she can [Page 1]

easily go on horseback, it will be of more service. -

To prevent the return of Ms K--s complaints some attention
must be given to her diet. At breakfast neither tea nor Coffee
are proper for her, but if she takes ye former very weak & wt a good
deal of milk it may be allowed. - At Dinner she may take
a bit of any plain meat that is not fat but the lighter white kinds
are to be preferred. - Her Cooking should be plain boiling or
roasting & all baked stewed or fryed meats are improper, &
all heavy or high seasoned Sauces are to be avoided. Tho it is
very proper for her to take meat, she should always keep her Stomach
light with respect to animal food, & to prevent her taking too mc
she may begin her dinner with a plain weak Soup, & bread, &
may end it wt a light Pudding. - As to garden things she must be
cautious. The colder as Lettuce & Cucumber she must not taste &
what is liable to prove very flatulent as Cabbage she must also
abstain from. At times when her Stomach is very light she
may take a little well boiled Collyflower & a little dry mealy
Potato is as safe as any thing she can take. The lighter kinds of
fish she may take, but it should be seldom & sparingly & always
with a plain light Sauce. It is right she should abstain from
Suppers, or if any, without meat.

For ordinary drink water without wine in it, & must
abstain enterely from all malt Liquor. If she is in use of takg
any ↑wine in her↑ water let her in place of it take a little spirits in it.
After dinner every day She may take a glass or two of any Strong
sound wine as Madeira Sherry or Red port, but if she shall find
that these are ready to become sour or windy on her Stomach

Ms K - must take care to guard against cold in general, but particulary
against Cold or wet coming to her feet or legs
These several means shall I hope be of use in preventing returns but
in case they should happen the following medicine advised

This failing she is to recourse to her former medicines.
Told her in conversation that she may be with child which will probably
change the state of her ailments and therefore the use of medicines. ---

The Strengthening Tincture referred to above is