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The nature of Mr Clerks ailment is sufficiently ↑obvious & well↑ known to us. Such
Ailments are often of Difficult cure & always require attention & pains, but as as the cause
of them in ys case was such as can hereafter be avoid avoided & as the disease seems
already to yield to proper management there is little doubt but that Mr Clerk may be
entirely cured The measures especially necessary we judge to be the following. --1st that
the low diet he has for some times followed should be strictly continued. It is very
proper to avoid Animal food entirely but it is not necessary to take Roots &
Greens & the best is to take for ye most part milk & grain. He should give up
Suppers entirely or take only a very little of the lightest kind. 2d. As his former
habits are very intirely broken of we would have him to abstain entirely from
all kind of strong drink and take water alone. We are of the opinion that it is easier
to abstain intirely than to trust to motivation & we believe that even a small
quantity may do harm. Neither Tea nor Coffee are proper for him & if he is accus¬
tomed to either & desires it we advise him to take Cocoa tea. 3. Frequent gentle

exercise on Horseback or in a Carriage will be of service but bodily Exercise must
be managed with Caution as his being either heated or fatigued may do much harm
4 He should carefully avoid being heated by being in the sun, in a crowd of Company
or near the fire. His bedchamber should be large & without fire & he should keep his
Bed cloaths as light as possible. 5 It is very proper for him to keep early hours
both in going to bed & getting up in the morning. 6 He should take care to keep his
belly regular and therefore when threatened with costiveness to take a Dose of the pills he
has got from Dr Robtson. 7 It will be very proper to continue both the Seton in his
neck & the Issue in his arm. 8 When he is settled at home it will be very proper for
him to use cold bathing & he may do it most conveniently by having the water poured
upon his head & shoulders while he sits naked in a tub fit to receive the water that
runs down. At first the water may be tempered by putting one pint boiling water
to 3 pints of cold & every day or second day afterwards withdrawing half a mutchkin
of the boiling water till he uses it quite cold. 9 While Mr Clerk keeps to the diet
we have desired advised we think there will be no occasion for bleeding & we
would avoid the practice of it except when it is very necessary but if Mr Clerk
should at any time appear full & ruddy or should be affected with other marks of
fullness as headack, giddiness, drowsiness, or disturbed sleep, he may very properly
have some blood taken from his arm. 10 These are the several Articles of Mr Clerks
Regimen & conduct which we depend upon for his relief & if these Articles are punc¬
tually attended to he will have little occasion for medicines. However there is
one ordered on a paper apart wch we expect will be of great service to him. It
is in the form of Pills & he is to take one every night & morning but the last
only after bathing. If the single pill gives any degree of sickness or squeamishness,
the dose is enough but it the single pill does not affect him he must take two
for a dose & even increase it to three four or five till he finds them affect his
stomach & at that dose he is to take them for a month