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For Mrs Ranie

She appears to have been in danger of a
dropsy-- from loss of much blood & it is only the general
weakness & difficulty of breathing on motion which
seems now to distress her & if the return of Piles &
loss of blood thereby can be prevented, I hope her
colour & strength will be recovered & every other
symptom disappear. Among the rest I expect the
prickling heat will go off for I find no evidence

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of Scurvy or any occasion for drinking wort.

To secure her recovery it is necessary 1st. to
guard against costiveness & for that purpose, the Lax¬
ative powder ordered below. A tea 's spoonfull or 2
of it mixed with honey or simple syrup in the morning
I cannot fix exactly, the dose but upon trial she
will find how much is necessary to give her one
easy stool & that quantity she should take every 2d or 3d
day to prevent costiveness.

To keep her breast clear & her kidnies open
let her take 2 or 3 of the Pectoral pills ordered below
every night at bed time. These may have someeffect
in keeping her belly regular & therefore she may
take more or less freqly the Laxative powder.

The taking of bark may be of use to her but
the taking of a small quantity every day for a long
time may rather do harm & I would advise her
to take a quarter of an ounce in a day but for
8 days only at a time & them to intermitt it for
2 or 3 days.

Keeping her belly regular will help much to cure her
heart burn, but I have no objection to a little
magnesia in the mean time.

What will do her most service is exercise.
She cannot take much in walking but stirring about
a little is very proper & if possible she must
get on horseback or into a carriage to take exercise
more fully -

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Her diet should be of a middling kind. Roots
greens & other garden &c will if I mistake not
be digested ill & give too little nourishment to
restore the blood that was lost, & a full diet of
animal food would induce a plethoric state &
be very hurt full. She must therefore observe a
temperament. May take some light animal
food every day at dinner but never a full meal
of it & make it up with pudding & vegetables.
No meat at supper, but make it entily of
some kind of grain. Drink should be as
little of any kind as possible but may take
a glass or two of plain wine at dinner & for or¬
dinary drink a little wine & water. In the kind
of wine no nice choice of necessary. Tea is
bad for her & therefore contrive another breakfast,
as chocolate gruel or the like.

For Mrs Rainie

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