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After considering Mr M --- complts in every light, I cannot
conclude that they are entirely of the Nervous kind, cannot
find them dangerous, & hope that in time they may be removed
But after havg subsisted so long & baffled so many promisg
remedies, I cannt undertake to relieve them immediately
nor can I think it allowable to trouble Mr M --- with ye repe¬
tition of what has so often failed. I shall therefore speak
only of the conduct which I think most proper & absolutely
necessary. --

Tho he has found no benefit from a low Diet persisted
in for some time, I am certain that fullness would be
hurtfull & therefore can recommend great moderation
both in eating & drinking. He may take some animal
food at Dinner, but he should never make a full meal
of this, but should always introduce a great proportion
of Broth, Pudding or Vegetables. He should take no Sup¬
per at all or a very light one. And always without
animal food.

For ordinary Drinks he may take water or small
beer as he likes best, & every day at Dinner & Supper
he may take a few glasses of Wine or Punch. If the
quantity is very moderate, the quality of his Drink may
be at pleasure, & the quantity should always be so little
as not to heat him in the least. Tea or Coffee are both
bad for him, & at Breakfast he should take Cocoa, {illeg}
or Rosemary Tea. --

Mr M -- should be much in the cold fresh air, & in fre¬
quent gentle exercise sometimes walking but more
frequently on Horseback. A sedentary life, warm Chambers

At the same time, that I recommend being much in the
fresh air, he must take great care to avoid Cold & wet
he must take. He should always be well cloathed & take
particular care to keep his feet & legs always warm & dry -

I have a suspicion tho the Evidence is not clear, that
Mr. M --- ailments depend upon a Gouty disposition, &
therefore think it particularly necessary, that he should
avoid any coldness of his feet, & that he should take pains
to keep them warm both by day & night. and if at any
time he should feel any pains in any part of his lower
extremities, that he should cherish them by warmth &
admitt of no application & remove them. Warm bathing
I should think very improper. --

Cold bathing of the whole body I think may be dangerous
but I would have him wash his head all over with cold
water every morning, & if he finds this agreable & that
it lessens the giddiness he is liable to, he may have some
cold water poured from the pipe of a Tea kettle upon his
hind head, while he holds his face over a Bason
It will always be necessary for Mr M -- to keep his belly regular &
to avoid any degree of costiveness & if for that purpose any
Medicine is necessary, he may take one or two of Andersons
Pills at bedtime. --

I have now mentioned the measures, most proper for preser¬
ving his health, & cannot promise much upon any Medicines
being of much service, but am much disposed to recommend
one as prescribed on tother Page which I think may Strengthen
his nerves releeve his hdachs. & favour any disposition to Gout.

Medicines. Chalybeate Powder. Limat. Mart. gr. x. &c. & Bark Infusion. See
p. 25. for. Macdowal -- For a few draught at one time & the same course repeated at intervals
several times during winter & spring