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His Complaint obstinate, but as it seems connected
with Gout. We hope it may I in time admit of a Cure

The remedies already employed very judicious &
tho they have not done much service we think they should
be continued - particularly the Electricity - the Shocks shd.
be moderate and gentle & passed chiefly thrra thorough
the bottom of the Back & Haunches -- The should shocks
should be pretty numerous at one time & may be repeated
every other day -

The rubbing should also be continued especially in
the morns with warm flannels - long continued &
gentle - In the Evengs also; but for a shorter time
the rubbing should be from the toes up to a little above
the knee -

Gentle Exercise proper - very moderate walking --
In Summer riding, frequently if it gives no numbness nor
uneasiness to his feet or legs -- at present he must only
go out in a single horse Chaise well covered about the feet,
&c.

Carefully avoid cold - flannel next his Skin
warm under Stockings night & day &c ---

His Diet seems very well ordered at present - He
may take a little animal food a glass or two of wine
every day at Dinner; but be sparing of fish & more so
of cold Vegetables, as fresh fruit, Cuccumber Lettuce &c

For Medicines the following.