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Having attended as well as I can to every circumstance of
Mr Chisholms complaints, I am of opinion that they all depend upon
a weakness of the glands. The tumours have threatened to
fall upon different places & have been severe on his throat
but the most dangerous was the attack upon the lungs with
hectic Symptoms. These last are however now so far
gone that I hope with time & care he will put get the
better of all his Complaints.

His first care must be to gaurd against cold & it will
require great attention. He must continue his warm cloa¬
thing and not attempt the smallest change before midsummer
next. The parts more especially to be gaurded are his neck
& feet & the last should be particularly taken care of in the
night. He should never lye down with cold feet but have them
warmed with the fire, with chafing or with wrapping them in
warm flannel and wearing footsocks for the whole night.

After this time of the year, he should ever be abroad
after dinner & for certain never after sunset.

If he can find a warm situation for the winter it will
be ↑very↑ proper & if it is was convenient, the going to a warmer
climate would be very desireable --

While the weather continues moderate it will be very proper
for Mr Chisholm to take his forenoon ride but let him avoid
being very cold or being at all wet. His exercise should never
be violent. When the cold weather sets in I think he is more
liable to be hurt by cold there benefited by exercise and
therfore except in very fine weather he should keep at home
till by other measures we shall have given more strength.

It might be supposed that a measure for that purpose
would be a nourishing diet but this may do more harm by
increasing his night fever than it can do service by strengthening
I am therefore of opinion that his diet must be light & cooling
& the more entirely of milk & grain the better. I would allow
him to take a little of any light meat at dinner but never to
make a meal of it & to make it up with broth pudding or vege¬
tables. At Supper he must not take meat of any kind but some
kind of grain with or without milk as he likes best and I prefer
this to any kind of roots or Greens, for breakfast he may take tea
or as usual or weak chocolate --

For ordinary drink he may take toast water and not kind
of strong drink is proper for him, but he may continue as he
does to take a little red port with a little sugar & a good deal of water
once a day

For the soreness & tenderness of his throat he must frequent¬
ly tho not constantly use the powder for which I have given a
receipt below

His Issues must be continued for the whole of next winter
Dr Lindsays Electuary must be continued to the quantity that
will keep his belly regular & & no more.

Three or four times a day as his stomach bears it let
him take a dose of the Electuary ordered below.