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For the Countess of Dalhousie

It appears plainly that her Ladyships Nerves have
become weak & exposed her to various disorders. It is to be hoped
that some Remedies may be found to mend this weakness but
some of the most effectual in her Ladyships Situation are hardly
admissable. - To prevent them some attention must be given to
Diet & all flatulent food must be avoided & therefore almost every
thing from the Garden but every vegetable cannot be safely avoid omitted
& therefore I would wish her Ladyship to take a good deal of bread
with the animal food she takes. & would recommend also the frequent use of some
light Pudding or Pancake & sometimes with her meat a little dry
mealy Potatoe. Her Diet must be chiefly of Animal food
but should be of the lighter kinds & with respect to quantity the
stomach should be kept as light as possible. Fish should be taken
seldom & sparingly & the heavier kinds avoided. Light
Suppers are particularly proper. The only drink whether
for common draught or as a little cordial after meals

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that can be taken safely is spirits & Water. The spirits being
in as moderate proportions as her Ladyship finds will just serve to correct the
coldness of the Water - With this Diet She should take as much exercise
in a Carriage as she finds she can easily bear but in going abroad
must take great pains to avoid cold & therefore to avoid being
late Abroad in the Evening. Regular hours in eating very
proper & late hours at night should constantly avoided.

With this Regimen I would hardly advise any Drugs with a
view to prevent the complaints & I think vomiting will be of very
little service but if at any time the appetite should fall of with any sense
of weight or sickness on the stomach a gentle vomit may be of service

If at any time She should become more than ordinary costive it will
be proper to remove it by a dose of Magnesia or Aloetic Pill.

When her Ladyship shall be affected with chilliness or other symptoms
which have formerly preceeded the Cramps of the stomach she may
take a dose of Laudanum which should not be under thirty & need not be
more than forty Drops. If this Dose shall prevent the coming on of the
Cramps it is well but if it only moderates the Symptoms for some
time but does not seem to put them off entirely in four hours after
or at least in some what less than eight hours after the first Dose
Another Dose may be given but should be ten drops more than the former.

But in spite of these Doses a considerable pain comes on &
especially if either of these Doses should be thrown up again, I would earnest¬
ly advise against throwing any more Laudanum into the
Stomach & it would be more to the purpose to give it by injection
in the manner prescribed below. If the first injection fails to ↓give↓

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relief within the space of an hour & more especially if the first
en↑in↑jection shall have been rendered soon after being given a
second injection may be thrown in. When the circumstances
occur to render an injection proper, if at the same time it shall
happen that there has been no stool for four & twenty hours
before it will be proper to give a Laxative Injection before that
with the Laudanum is thrown in. The Laxative Injection
may be of three gills water gruel a table spoonfull of
common salt & two table spoonfulls of Florence Oil & when
such an Injection is thrown in (↑rendered↑), the Laudanum Injection may
immediately thrown in.---- If the coming of the pains is
preceeded by much chilliness or attended with much heat & with a
frequent & full Pulse & especially if there are any pains
in the back or others like bearing pains it may be very proper
to take some blood from the Arm. I have only to add that
tho Lady Dalhousie may always find relief from Nervous complaints
by the use of Laudanum I would wish her to use it as sparingly
as possible & only on pressing occasions When it will always
be found more effectual in proportion to the length of time
it has been abstained from before. Spirits may upon
occasion give relief from Nervous complaints but the
relief is always transitory & the use of them by no
means safe. I would therefore have them employed as little
as possible & would always much rather employ Laudanum.

In violent pains of the Stomach when a sweat comes
on it commonly gives relief & is not to be discouraged but
no pains are to be taken to force it nor even to increase ↓it↓

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by may bed Cloths or other means of heat.--

For an Anodyne Injection.