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Having considered the whole History of Mr Ingrams complaints
which I have now fully before me I am of opinion that there is no other
disease here but that of relaxation and weakness owing to the long conti¬
nuance of fever at the time of life when the body should be acquiring its
firmness ---

In this case I have no doubt of Mr Ingrams getting quite well
but lost strength can only be recovered slowly & some time is necessary perhaps
a year or two may be required to give him the firmness that is suitable to his
condition and time of Life - It is to be done by management rather than
medicine & that management I can advise but the execution must depend upon
himself & I think it necessary to begin with the this that some pains and a
constant attention will be necessary for some time to come for in his present
state every trespass will not only retard recovery but may even throw him
greatly back perhaps break his Constitution for life. But to come to the Point

His diet must be of middle kind. He must avoid Bacon, Pork, all
fat meat & heavy, Sauces. He must be sparing of Beef & Mutton but when
very good & tender and take chiefly Whitemeats; Veal Lamb, Whitefowl,
Rabbit or tripe. -- Of Water fowl, Wild fowl & Pigeons He should take
seldom & always sparingly -- Of Fish He should avoid the heavier
kinds as salmon Herrings & Shellfish but may sometimes take a little
Haddock Codling or Whiting boiled & with a very plain sauce --
He should never make a full meal of meat but fill it up with pudding
or Vegetables - Of the first he may take of pleasure but the lighter
they are made the better. Of Vegetables He must make some choise, all
raw Vegetables as Sallad or Cucumber. He must abstain from Green Pease
Turnep, Colly flower & artichoke when they {illeg} first come in
season & while they are young & tender He may take but when they grow
older they are improper. Cabbage & any other he finds prove windy on his

He should take meat only at dinner. At supper he may some time take
an Egg but seldom & rather make his meat of milk with bread or some kind
of grain. He shoul His milk should always be plain, & cream is very
improper. If he digests milk well He might do well to take a little warm
Cows milk every morning - but unless he digests it with easily he should
let it alone. Butter if at all should be taken very sparingly. - A bit of cheese
such as People commonly take after meals is allowable but he should take but
a little only. -- For breakfast He may take milk or water gruel Weak choco¬
late or Cocoa Tea but must abstain entirely from Common tea or Coffee

As his strength depends upon his digestion nourishment & this upon
his digestion I have taken Pains to direct his {illeg} conduct and I hope
he will be guided by it as his Diet is more consequence than young folks are
apt to imagine

It is of much consequence still to attend to his drinking and in the first
place it is moderation in quantity rather than any nice choise in the quality of his drink
that I would insist on. He may take two or three glasses of wine every day after
dinner or two or three glasses of Punch & if he keep to that number it may be of what
kind comes in his way but if he observes any soreness or wind {illeg} in his {illeg}
Stomach he must take care of his wine to confine himself to Madeira or Red Port
& even if these fret in the least on his stomach he must take his Punch wothout
Sowring & perhaps without Sugar. Malt Liquors of all kinds I think improper
& ordinary drink he should take toast water --

To this diet he should give a great deal of Exercise on horseback but his
motion should be gentle & easy & in warm weather he should avoid the heat of the
sun. Much walking is very improper & especially to the degree of heating him &
therefore Dancing is hardly safe.

He may be the better for doing a little business but much application
or sitting for any time at accompts is very bad for him --

He should go to bed betimes in the Evening and should not lye long in the
mornings

To all these observances let him join Cold bathing and there is no
better way of taking this than by his sitting down naked in a tub & having a
a large Bason or two of water poured upon his head & shoulders. Let the Water
employed be taken from a spring or pump & be exactly measured. At first put
to this water an eight part of water from a boiling Bottle but every day after keep
out an eight part of the boiling water so that he may be brought by degrees to bear
it quite cold. This management will render it quite safe --

If the above directions are steadily pursued for the Course of this Summer
I have no doubt of Mr Ingrams being quite well or at least far advanced towards
being so & that without the use of ↑any↑ medicine whatever. He has already had
the some of the most ↑proper↑ strengthening medicines in pretty large quantity but it
is for that very reason I would have them no laid aside, but when any new
circumstances shall cast up, I shall be very ready to give them