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For the Revd Mr Spiers

1. When settled at home. Let him put a Pea Issue on each side of spine.

2. A table spoonfull of unbruised white mustard seed every morning if
this gives him one stool, enough, if not, take it both morning & Evening.

3. Once a week let him take the Infus. Tamarind. sufficient to move
3 or 4 times, but not oftener.

4. Twice a day take two tablespoonfulls of the Infusion ordered
below - One dose in the forenoon at least an hour before dinner,
the other between 7 & 8 p.m.

5. Every morning his whole body espicially his left side to be rubbed
with the flesh brush long continued but gentle

6. In tolerable weather Exercise and fresh air. -- Walking he
may use within doors, but if abroad great care must be taken to
avoid carrying it the length of heat or fatigue -- Till stronger
a Carriage & a single horse chair if he can drive it himself
the best -- When his strength is tolerably established a Horse.

7. Avoid cold in every way - Wear woollen everywhere next the
skin

8. Reading bad for his Eyes -- Any serious study also improper

9. In Diet he may take ordinary fare, but for some time & perhaps
all his life he must be sparing of Animal food - A little bid of light
meat at dinner & fill up with broth pudding & vegetables. --
Of Fish very sparingly & only of the lighter kinds - No meat at
supper. Cheese very sparingly -- No Indian Tea Coffee but
Cocoa Balm or Rosemary Tea -- for tea in the afternoon Valerian
ordinary drink plain water -- or if costive good Small Beer --
Every day at dinner he may take two or three glasses of wine but never more
& if so he may take any kind he likes best -- or two or three glasses of punch
or half a muchkin of Port ----