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I have again attentively considered this Gentle¬
mans Case and find that his Complaints depend as
before upon a weakness and flatulency of his
Stomach but now as usually they do, they have
affected and oppressed his Spirits to a greater
degree. As however they were relieved by the
medicines and Regimen I formerly advised, for
I have no doubt but that again they may be
entirely removed.

For this purpose I must in the first place
advise him to retire to the Country where at his own
Seat he will find a milder Climate than we have
here at present or can expect in the course of the
Spring.

One great advantage of his being in the Country
will be his having more convenience for Exercise
than he can possibly have in town and I would

His diet may be of ordinary fare taking
moderately of Animal food but avoiding those things
which might prove heavy and more especially
those which might prove windy on the Stomach
He must therefore avoid Scotch Broth or that
made of Barley and Greens but he may take
frequently of plain Soup. He must at all times take
very sparingly of Roots or Greens. the safest of any is a
little dry mealy Potatoe.

He must avoid all kinds of Malt liquor but may
take two or three glasses of wine, Port or Sherry every
day. His ordinary drink must be water but he
may put into that either a little wine or a very
small quantity of Spirit. On a separate paper

The only addition I have made to the medicines
formerly advised is that of a Laxative tincture of which
he is to take a table Spoonful at bed time as often
as Costiveness may require.