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I am of opinion that all his complaints have been owing
to a gouty disposition not taking its proper course to the
extremities. This disposition cannot by any means that we know
of, be eradicated nor is it easy to force it into its proper course;
but I am persuaded that much can be done to favour its tak¬
ing that course and a great deal to obviate the consequences
of its not taking it so fully as might be wished.

The chief means to be employed for these purposes
are the management of diet and exercise.

In diet Mr. F. must be in general sparing. He may
take meat every day at dinner but it ought to be of the

lighter kinds. Beef & Mutton may be taken sometimes but the
white meats should be preferred. Bacon, Pork, and all very fat
meats should be abstained from. Fish should be taken very seldom
and sparingly and the heavier kinds as Salmon, Herrings, and
drest Shell fish should entirely be avoided. Water Fowl, wild fowl
and pigeons are to be reckoned among the heavy meants, and it is
to be observed that baking frying and Strong Sauces, render
every kind of meat heavier than it otherwise would be.

It is not only thus necessary for Mr F. to take even the
lightest kind in moderate quantity. He should never make a full
meal of animal food but should always make a great part of
his meal of pudding and vegetables.

Mr. F. should make light suppers and entirely without
animal food.

Tea and Coffee are both bad for him and therefore
should be entirely avoided. For break fast he may take weak
Chocolate or he may take fresh milk diluted with an equal
part of water sweetened with sugar and taken with dry toast.

In drinking the only rule absolutely necessary is to observe
moderation in the quantity. Every day at dinner he may and I
think he should take a few Glasses of wine and the Stronger
wines as Madeira good strong and red Port diluted with water
are safer than Claret or any small bodied wines. Malt liquors
of all kinds are improper. but porter may be taken sometimes
if taken very moderately. For ordinary draught water is best
and plain if he can be reconciled to it or if not, it may be
taken with a little of the strong wines mentioned. I am averse to
the use of Spirituous liquors in any Shape.

While Mr. F. observes this regimen it will be necessary

necessary for him to be much in the fresh air and take a great
deal of Exercise, and my much the best is going on horseback.

Let him contrive to take this in the manner he likes best
but I would particularly advise to take a journey of some
length twice a year, and the best times are about the end of
may and about the beginning of September.

At other times he should ride frequently and frequently
walk, but in the last he should take care that he is never -
either heated or fatigued by it.

At all times he should carefully guard against cold,
particularly in his feet and legs, which should always be kept
very dry and warm.

If his feet and legs be rubbed gently for half an hour
every morning with a flesh brush his health may be much
the better for it.

I dont think any medecines can at present be of
service to Mr. F. but in case of flying pains with any disorder
in his Stomach or head or with any depression of Spirits
I have joined to this a prescription which I hope may be
of service.