[Page 1]
For MrRussell ¹

Mr Russels ailments are of such a nature as
to be of very difficult cure and they have now been
in him of such long standing as to make that dif¬
ficulty still greater. We cannot therefore propose
to make an entire cure but some attention and
pains properly bestowed can always make them much
easier.

The attention that is necessary with respect
to diet, exercise, avoiding cold and keeping the belly
regular, our former advice and Mr Russels own
experience have sufficiently instructed him in, and
we have only now to add what we are directed to
by his own late observation and Experience.

From the observations he has made on the effects
of eruptions on his skin we are certain that if the

---

[Page 2]

determination of the circulation to the surface of the
body was sufficiently kept up his asthmatic complaints
would be much easier. We propose therefore that
he should use a medicine which from much experience
we know to be usefull to his purpose. It is a mixture
ordered below of which he must take a table spoon¬
full at bedtime. This dose may give him a little
sickness at stomach and it is proper that it should
do so but to a certain degree but not so far as to
make him ready to vomit. According therefore to
the effects on the stomach the dose is to be regula¬
ted. If the dose makes him very sick and
ready to vomit it must be diminished but if it has
no sensible effects or when the effects it has at first
are by repetition prevented, it is necessary to increase
the dose by half a spoonful at a time till he can
perceive its effects. This Medicine is ↑not↑ to con not

---

[Page 3]

to be constantly employed but for several weeks at a
time and again after some intermission for a like time
more or less as ↑the↑ relief obtained by it shall direct. The
times when it will be more especially necessary are
in Winter and in easterly weather and then too it is
when warm cloathing and every other means of avoiding
cold are to be employed.

Another remedy which Mr Russell's late expe¬
rience has suggested we can also recommend with
great confidence and that is a voyage which if of
some length may be of very great service not only
in relieving him for the time but in keeping him
easier for the winter after. If he could have set
out about the beginning of May I should have advised
him to go to Philadelphia or some other place on the
Coast of North America and to have returned again
immediately but it is now too late for such a voyage

---

[Page 4]

as I think it necessary for him to finish such a
Course and return to his own home before the very
cold weather sets in and that is before the end of
September or rather sooner. For this reason he
must be satisfied with a shorter voyage for this
season and must go to some place to the South of
Europe from whence he may have an opportunity
of returning in due time. Lisbon, St Lucar or
Cadiz are the places most likely to answer.
When he has returned from such a voyage he
must take care not to sit down all at once but
should for some time after go in a carriage every
day so that his exercise may be given up by degrees

In going being at Sea he must avoid the Ships
provisions but need not otherwise be nice in his choice
taking very moderately of Solid animal food and living
very much upon grains

---

[Page 5]

---

[Page 6]
✍

Mr. Rupell
24th. June 1773