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I have given all the attention necessary to Mr Fleming
& am very sorry sensible of your direction in considering that there was
as much to be learned from the history of his family as from the
appearances about himself

Taking altogether I think a scropholous taint is to be suspected
here but it does not appear to be considerable & there are so many
other favourable circumstances about this Lad that I am confident
he may escape with very little trouble -----

However I think it absolutely necessary that he should take
some precautions & indeed without his taking some gains nobody
can answer for the consequences ---

As soon as he gets home I would have enter upon a Course
of the Aperient Salts ordered below Every dose is to be dissolved
in a muchkin of Spring Water & this is to be taken at three several
draughts with an interval of half an hour between each. The whole
is to be finished about an hour before his ordinary time of breakfast

These salts should keep his belly regular but not purge him but if
they do either more or less the dose should be increased or diminished

Every Evening let him take two doses of the Electuary also
ordered below -- One dose may be taken at six another at eight ↑o'clock↑ &
he may take supper at nine ----

[Both these medicines?] should be continued for a month together
{illeg} taken for
{illeg}
{illeg}

I think it neither advisable nor safe to make any applications
to the part till the circumstances of it are considerably changed that is to put
an appearance of suppuration & which I hope may never happen

It will be very proper at all times to take care of his diet -- He should
not take milk above once a day & with the salts supper is the proper time

For breakfast let him take Water gruel or Beef Tea with toasted
Wheat bread. At dinner he should take broth with a bit of meat Every
day but he should not take much meat & rather make up his meal with pudding
or Vegetables. The meat may be of any kind that is at hand roasted or boiled
but he must take no salted meat nor any kind of fish -- Instead of meat at
Dinner he may sometimes take an Egg but not above twice a week -- Cheese
is not proper for him For drink at Dinner he may take small beer if it is
good of its kind Otherwise Water. A single glass of wine will do no harm
Punch is not ↑so↑ proper

These are all the directions I see necessary at present if any change
of circumstances seem to require it I shall be ready to advise farther

I have only to add a hint that I have not found Mercurials answer in such
Cases