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I have been just now consulted [by]
Mr Brisbane from America but going to his native p[lace]
of Glasgow. I have desired him to put himself in your [care]
and therefore I address this advice for him to you

He has had an Ascites to a considerable degree and
a good deal of Anasarca Since October last and he has al[ready]
been tapped three times and I believe may Soon requir[e it]
again, but in the meantime we are to attempt by diure[tics]
&c to render it unnecessary or after it to obviate another {illeg}¬
tion. For these purposes I would give him ten grains [of]
the common Mercurial pill every second night at bedtim[e]
taking care that it neither runs off with any violenc[e by]
Stool not Starts Suddenly to his mouth & with a view to
possible events you will manage his dose accordingly. [At the]
Same ↑time↑ I would have him take two or three times ↑a day↑ a dose [of the]
Diuretic pills prescribed in the inclosed. I don't think [him]
in a condition to Stand much purging and therefore ↑I↑ Sep{illeg}

Besides these I have prescribed also another diuretic the
[dose] of which I am also uncertain of but I hope you will adjust
[it] to what you Shall find him to bear both of artichoke leaves
[and] of the alkaline Salt.

With these medicines he should take as much exercise on
[hors]eback or in a carriage as his Strength and the weather will
[all]ow.

Let his diet be as light and as dry as he can bear. Let his
[ordi]nary drink be porter with two parts of water and he may
[ever]y day take two or three glasses of Port or Sherry or of Gin
[pu]nch or Toddy.

I have no more to say of Mr Brisbane but to tell you that
[ he g]ave me no fee and if you can draw him accidentally to tell you
you may tell him it is not our way to run an accompt. With
best wishes to Willie I am Dear Thomas most sincerely