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As Mrs Anderson's ailments depend on a weakness brought on
by repeated births & miscarriages and that it has now continued
long and resisted the use of many proper & commonly effectual
medecines I must consider it as very difficult to cure but I still hope
in time from much attention & pains they may be greatly relieved & wth
the concurrence of a certain time of life they may be entirely
cured.

For this purpose it will be necessary for her to use the
strengthening medicines prescribed below. The quantity to
be employed and the time they are to be continued must be left to
Mr Parlanes discretion with whom I have settled the matter
as well as I can.

There is nothing has a greater share in continuing or
increasing Mrs Anderson's complaints than a costive belly and
this must be constantly prevented. For this purpose a change
of medicine is often necessary and I have ordered below a
medicine which I hope shall answer very well.

There is nothing more necessary for such complaints
than avoiding bodily exercise. At certain times Mrs Anderson
should lye constantly upon her bed and at all times she ought
very carefully to avoid all bodily fatigue. Standing on her
feet for any length of time is bad for her and her walking must be extreme¬
ly moderate.

Tho bodily exercise or any fatigue arising from it will always
do harm there are times when she might be much better for some
gentle motion in an easy chaise on a smooth road.

I am well persuaded that Mrs Anderson might be the better for
cold bathing as soon convenient to try it and in the mean time may
try pouring some cold water upon the small of her back.

In diet when her appetite is very bad she must take what
she {illeg} but it should in general be light & cooling. Her drink
should be toast water but at times with a little wine tho without
necessity wine or spirits are neither of them proper for her.