[Page 1]
For Mr Scott. Montrose

From the distinct & sensible account which Mr Scott
has been pleased to give of his own compliments & es¬
pecially from the accurate observations which Mr Rae
has made upon the case I can have no doubt of the
disease. It is evidently gouty & will require some pains
& attention but with these I hope Mr Scot may belong
unreserved in tolerable health.

When such fits come on as on Sunday last the
relief must be expected from the anodyne draught ordered
below. As I do not exactly know what Mr Scot can
bear in this way it must be left to the discretion
of a petitioner upon the spot to increase or repeat
the dose as may seem necessary attending to this
that a full dose is both the safest & surest means of
relief. In the case of slighter fits or where the fits
do not immediately yield while there may be he¬
sitation in repeating the anodyne. I would advise
the Stomachic Bolus ordered below to be repeated for
if occasion requires.

As I understand Mr Scot to be of a tolerably full
habit & formerly liable to Haemorrhagy. I think in
case of any attack in the head the letting a little
blood may not only be safe but necessary.
It is necessary that the belly should be regular &
when any costiveness confesons (↑has preceded↑) the fits or even when

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the Belly has not been open it will be proper for
him always to in the time of a fit to keep open
the belly by a glyster.

Whenever fits attack the Stom. or head & do not
immediately yield it may be of service to fo¬
ment the feet & legs with clothes very well wrung
witto (↑out of↑) hot water.

These are the remedies I can propose in the
time of fits but it is of as much consequence to pre¬
vent the returns of them & I hope it may be done.

1. Let a blister be applied to each leg a little
above the ancle

2. At the same time that it may be ready by the
time the blisters are healed let a pea Issue be put
in two or 3 pease lengthways be cut in below the
of one leg.

3. Mr S. must take to a very regular course of
diet. He may take a bit of any plain meat at
dinner but must never make a full meal of animal
food & avoid all these which he knows may be heavy
on his Stom. He must fill up his meal or ↑the↑ plain
soup bread & pudding & vegetable but taking the
last moderately & avoiding Lettuce Cucumber
& Cabbage & other such cold or flatulent things.
Pickles are very bad for him bt of mustard he may
take freely & of spiceries moderately.

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4 For ordinary drink he may take wine & water or
spirits & water if the last is in large proportion but
all kinds of malt liquor I think improper.

5. He may & ought to take a few glasses of wine or
Punch without souring everyday but the smallest ap¬
proach to excess will be pernicious. The wines safest
for him are Madeira Red Port or good Sherry & there
is hazard in claret or any french or rhenish wines

6. He will always be the better of fresh air & exer¬
cise in horseback or in a carriage to what length
his kidneys will bear but nothing is more necess¬
ary to him then guarding against cold particularly of his
feet & legs by warm stockings & thick shoes.

7. Late hours are very bad for him He may
take full sleep but should not soak long abed
after he is awoke in the morning.

8. The digestive mixture ordered below will be of service
to support the tone of his Stom. & prevent the
attacks of the gout upon it. It is to be taken each
dose in a gill of milk & two parts of water
to one of milk neither cold nor warm

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[Page 4]
For Mr Scot.

to be swallowed in a wafer.

a table spoonful to be taken
in milk & water three times aday about an hour
before meals.