[Page 1]

[Page 2]

After fully considering Mr Murray's complaints their
nature appears to me very clear. In a habit naturally disposed
to be full the Interruption of Usual Exercise have allowed
that fullness to increase & to fall especially upon the lungs
& at same time has given a tendency to Dropsy in the whole Habit

For relieving the whole complaints I would propose the
following measures ---

Of the Aperient Pills ordered below let him take one
for a dose at [first?] take that dose three times a day that is at
morning noon & night. These Pills some times occasion a
little Sickness & Squeamishness & it is very proper that they
should do so a little & if the single Pill has no such effect two
must be taken for a dose & indeed the dose is to be increased
to three four or five till the give a little Sickness or that
without this they are found to Operate Sensibly by Urine or Stool.

When any of these effects are observed the dose need not be
farther increased for several days but it will be found that
after some days the same dose will not have the same effects
as at first & in that case it should be again increased

With every dose of the Pills let him take two table spoonfulls
of the Aperient Mixture also ordered below

These are the only medicines necessary at present & I hope I shall
take away some of the noxious humours but the will be assisted by
in this by a Pea Issue put into the left arm & made so large as to
contain several Pease ---

Besides these evacuations it is very necessary for Mr Murray
to prevent the farther growth of [tumours?] by taking as much Exercise
as conveniently can. Walking gently upon local ground a little at
one time but frequently is very proper but that cannot go a far
way & his dependance must be upon his Exercise in a carriage

He must at the same time {illeg} take some care of his diet and
avoid broth, Tea & all liquids as much as he can. If he is troubled
with any dryness or clamminess of his mouth let him wash it as
often as he pleases with Lemon & Water without drinking

If he is thirsty let him take a little Rhenish wine & water or a
little weak Punch with a good deal of Lemon & a little sugar
but let him avoid drinking as well as he can & rather put of his
thirst by holding a slice of Lemon or a bit of Tamarind in
his mouth.

He should take no meat at supper & at most an Egg -
At dinner he may take a bit of any plain meat rather roasted
than boiled but let the quantity be very moderate & his meal made
up with Pudding & Vegetables

He should always keep his stomach as light as possible
& avoid whatever he knows to prove heavy ont -- Fish of any
kind he should take sparingly & seldom mustard & Pickles he
may take freely, Spiceries more sparingly.

Fits of Drowsiness he should divert as well as he can
& he should lye no longer abed than is quite necessary