[Page 1]
Dr Dolman in York

A gouty disposition at the bottom of your complaints, but your
constitution shattered by many & various accident leaves little hope
of bringing that disposition to take a proper course. No medicines can do.
Bark & bitters will do harm. The only plan is to palliate
by Opium, brandy, [amusement?] exercise, the 2 first as little
& the 2 last as much as possible -- & at the same time a Regimen.
which should be ex media materia. Light animal food, moderately.

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[Page 2]

Vegetables, except the cold & flatulent. Milk if you can
digest it should be a principal [part] of your diet -
Drink water with with a little spirit or ↑some of↑ the stronger kinds of
wine, avoiding the small bodied, or malt liquor. Avoid
tea & Coffee. During this, be in constant exercise
on horseback if you can, if not; in a carriage.
Tho constant let it be moderate. A journey. Spend
your winters in a Southern climate. Every where avoid
Cold. warmly cloathed never changing. particularly
feet & legs. My advising you to a warm climate implies
that I do not advise you to go to Bath. for you can be
little the better of the water wither drinking or bathing &
may receive harm from it. Blistering might be of
service occasionally, but it can do nothing towards a
radical cure. . Continue the perpetual blister in your back
I cannot say what ↑occasional↑ symptoms may arise require, but think
you should avoid bleedings as much as possible. Large evacua¬
tions of any kind, improper, but the bilious state of your
bowels & the use of the Opium will require frequent
laxatives to keep regular & even open. No venere¬
al affection, therefore from that or any other consideration can
see no use for Mercury in any shape.