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For Mrs Wardrop of Westthorn.

Has had originally a gouty disposition. & as the tendency of that is
naturally to the feet, the accident a twelvemonth ago, prevented
its settling there & has driven it about her body & some times into
her bowels / for avoiding trouble & preventing consequences, the following measures &c.

Avoid cold -- for this, warm cloathing flannel shirt two pairs of
stockings -- thick shoes, worsted understockings

Exercise -- but little during winter or but in the best weather
instead of exercise abroad, use within doors a spring box or deal ---
The flesh brush to her feet & legs every morning before rising, for half
an hour - but gentle. -- In Summer nothing of more service than
fresh air on horseback or in a carriage.

Diet of a middle kind. - Every day at dinner a bit of meat
but not an entire meal &cc. -- -- Some Garden things but
sparingly, avoiding the cold or windy & her broth should have few
vegetables in it. No animal food at supper. --- but milk
meats if digest easy, or if not, rice barley or sago with out milk.
No Green, bohea, or Coffee at breakfast -- Take Cocoa tea -
drink toast water, avoiding malt liquor two or 3 glasses of strong
wine every day at dinner. Red Port best, white wines uncertain
with or without water at pleeasure, but with it, safest., If milk
at night, abstain from wine; if not, a glass or 2 of wine with a bit
of dry toast or any kind of grain.----

For pains which came into her joints - no outward application
but flannel & let them rest. If very troublesome, a dose of the
Diaphoretic Tincture ordered below, for several nights together, --- if in spite
of it, the pains continue, must have a sweat. ---

To avoid colics, prevent costiveness the best medicine if a medicine
be necessary is Sacred Elixer, half a table spoonful or a whole one at

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bedtime, -- If in spite of this, A Colic comes on, it it has been
preceded by costiveness, remove this first, but if no costiveness &
a purging has come on, use Laudanum but this will need some Phy¬
sician on the Spot.