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For Mr. Broune

Mr. Browns ailments have now recurred so often that there
cannot remain any doubt with respect to their nature & tendency but
at the same time the symptoms are so moderate that there is great reason
to believe that if proper measures are pursued every bad consequence may
be avoided. –– The measures proper to be avoid are Chiefly those which
avoid the recurrence of the Cases of which cold is the chief. It is therefore
necessary to pass the winter in a milder Climate than that of Britain &
all things considered there is no part in Europe fitter or more convenient
to resort to than Lisbon. But on the other hand it is to be observed that when
the Tendency to this disease has appeared the consequences of it are to be
avoided chiefly by avoiding the causes of fullness & inflamations & therefore
a very warm climate or season are to be avoided as much as a Cold one
From all this it will appear that tho' it is proper for Mr Broune to
go to Lisbon for the winter it is not proper for him to go there till the

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Autumnal heats are over. But in the meantime as change of air
& Gentle Exercise are proper for taking off all determination to the Lungs so
it may be proper for Mr. Broune to take measures immediately for
moving gradually to the south of England. If he sets out soon on
this Course he may still be too soon in the south of England to sail for
Lisbon & therefore it will be proper for him to make a little stop at
Bristol. Tho we have no great opinion of the Bristol waters we are
perswaded they can do no harm & therefore that Mr. Broune may
try them for 2 or 3 weeks. The ordinary preparation for drinking these
waters is by giving 1st. a Gentle dose of Physic which however I think Mr.
Broune has no occasion for & all purging is improper for him but
there is another preparation frequently employed & that is the letting
a little blood from the arm. This may be more suitable to Mr Broune
& if he shall have met with warm weather & appears to be heated by
his Journey or shall find any uneasiness in his breast or any increase of his
cough, in all or any of these cases he may have a little blood taken from his
arm before he begins to drink the waters. In drinking the waters
he should take but a small quantity at first & increase it by degrees
as he finds it agree with him. But on the whole of this subject he
will do well to take the advice of a Physician on the spot & I would
particularly recommend Dr Drummond to him. -- While Mr Browne remains
at Bristol he should continue his daily Exercise in a Carriage or if he
has bore his preceding Journey well & has had no return or threatning
of his spitting of blood & can find a proper easy going horse he may
at Bristol try to go on horseback proceeding to it by Degrees & taking
care to avoid either heat or cold. –– Besides change of air & climate &
taking what Exercise he can easily bear the other measures proper for
Mr Broune are those especially designed for avoiding Inflammation &
those are chiefly a cool air & a cool & spair diet, but on these subjects I
suppose he is already well Instructed so that I need not be particular,
nor tho I recommend cool air need I say what precautions are necessary
to avoid cold. Mr Broune's constitution has formerly been liable to
Costiveness but I do not suppose that this will happen while he
takes a great deal of fruit & drinks his cream of Tartar whey but if by
Travelling or other Cause any Costiveness should come on he may take
mixed with a little syrup as much cream of Tartar as he commonly
employs to make his whey. ––––

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It will still be proper for Mr Browne to continue the
use of a cooling Acid Mixture & especially upon feeling
any unusual heat over his body & particularly in his
breast.

As soon as Mr Broune is settled at Glasgow, he
should have a perpetual Issue put into his right arm
but if either after some trial it does not discharge
well or is very painfull on dressing it may be
heated up or a pea Issue may be put into its place

It is very proper for Mr Broune to take some
quantity of Cows milk as a part of his diet, but it
will be proper to use it only well distilled diluted
This may be done by putting to the fresh Cows
milk an equal part of Barley Water or thin Water
Gruel, Sweetening the whole very well with Sugar
Candy, which is to be kept ready powdered.

If the Barley Water or Gruel is a little warmed
it will mix the Better & it should be mixed only
a little before it is to be used. This diluted milk
may be taken with bread Rice Sago Barley or
fruit in the same manner as plain milk
commonly is