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With all possible attention we have again
and again considered Lady Dumfries's complaints
We shall be very happy to relieve them and hope
to do it. We think the pills and infusion ordered
are suited to correct the acidity of the stomach or
any other disorder that we can suspect to be there
but they must be continued for sometime. We have
proposed at first a small dose but if that agrees
as we expect it will with the stomach the dose
is to be increased to five pills twice a day. We
expect that these pills may keep the belly regular
but if they do not you may give at any time
a dose of Magnesia and Rhubarb ten grains
of the latter may be sufficient but the quantity
of Magnesia may be [more or less as you?] {illeg}
necessary. If you [shall?] think that the Magne¬
sia and Rhubarb does not do enough in {illeg}
{illeg} too {illeg}

The only other medicine we have to offer at
present is the Stomachic drops which we hope
may relieve the pains of the stomach and superceed
the use of Laudanum. The doses of the drops may
be fifty or Sixty and always taken on a bit of Sugar
in the manner that Lavender drops are commonly
taken but they may be washed down with a
mouthful or two of water. These drops have
often relieved pains of the stomach but we cannot
promise they will relieve the pains that are
violent and feel like a Cramp. When such as
these occurr there is nothing to be depended upon
but Laudanum. And we hope that the disa¬
greeable consequences of this remedy may be
obviated or [lessened by the?] {illeg} given in glyster
When {illeg} the quantity should be not less
[than 6?]{illeg} perhaps to Ninety drops.

The only other remedy we would think of is
Lime water which might be taken ↑from↑ a Mutchkin
to a Chopin every day taking the one half between
breakfast and Dinner and the other between
dinner and supper time in such divided draughts
as may be found most agreeable. The lime water
may be prepared as follows. Take half a pound
of well burned limestone lay it into a stone or China
bowl that will hold some more than a Scotch
pint. Throw upon the lime a small Cupful of [wet?]
soft water and add by degrees a little more water
till the lime is quite [slate?] and falls down into
a powder then add a Scotch pint of water and
with a wooden stick stir the lime among the water
very well and stir it in this manner every
hour for the rest of the day. Let it then rest
for twelve {illeg} [till the lime has fallen?]
down in {illeg} ↑[with?]↑ {illeg} [of the bowl then?]
[the above?] {illeg}
[to another?] {illeg}

While her Ladyship is employing medicines
it will be always proper at the same time to take
as much exercise as the weather and other circum¬
stances will conveniently allow. When the season
is advanced we would expect more benefit from
Riding on horseback than from going in a Carriage
though going in an open Carriage will answer
almost as well as Riding. it will be of service
to be much in the open air and therefore walking
out gently very frequently may be of use.

In diet any plain meat may be taken but
Roasted or [braised neither?] {illeg} boiled. Baked and
{illeg} is ideal
{illeg}
{illeg} [of her?]

This leads us to speak of that meal and
we have only to say in general that it should be
light and sparing.

To conclude the subject of Diet we must
observe that liquid food of any kind else is not likely
to agree well with my Ladys stomach and parti¬
cularly nothing in the shape of Scotch broth can
be proper but it is possible that a little plain
Soup made either of beef or of an Old fowl not
very weak and taken with some toasted bread
may sometimes answer very well.

In drinking we would advise her Ladyship
to abstain [entirely from all sorts?] of fermented
liquor. Her [ordinary drink must?] be plain
water or toast and water but at times a little

We are clear that both Tea and Coffee are
absolutely improper for Lady Dumfries. Weak
Chocolate or Cocoa might possibly be safe but
we cannot advise either. We believe the breakfast
of Panada hitherto employed is the fittest that
can be thought of and when the stomach is weak
or squeamish the Panada may be made more
agreeable by a spoonful or two of cold Cinnamon
water or perhaps by a spoonful of well burnt
Brandy.

To conclude we have not forgot the consideration
of my Ladys time of life but we dont think it [leads?]
to any measures at present. We are with the utmost
respect Dear Sir