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I have attentively considered the full and judicious
Account of her Constitution and Complaints and am
Sorry to find them of a very complicated nature. It
appears pretty evident that there is a Scorbutic
or acrid taint in her blood. At the Same time
it is very evident that the Alimentary Canal
is in a very weak and relaxed state and the
whole of her Nervous System in a very weak
and irritable condition. These are Ailments
which must be very distressing but which
may continue long without much danger, but
if the Straitness of the breast and short Cough
should increase it is to be feared that an
ailment of the breast of a dangerous kind
may take place.

I think it proper for me to point out

In the first place it will be absolutely
necessary to keep her belly constantly regular
and therefore to continue the Magnesia or,
some other laxative. I think it would be much
for the benefit of her bowels if along with every
dose of Magnesia She could take five grains
of Rhubarb and three of Columbo root and this
is the only bitter I would advise at present
But to correct the acidity of her Stomach,
as I suppose She does not need to take a
laxative every day I would have her on the

It would be much for the benefit of her blood
and all her other ailments if She could be brought
to bear Asses milk. She may begin by degrees
but if her Stomach bears it tolerably I would
have her take it to at least half a pint twice
every day. The only other remedy I would advise
at present is the Pill prescribed on the paper
apart and which I hope prove both Emenagogue
and Pectoral.

In the State of this Ladys Stomach it is
difficult to advise a precise and positive diet but
I shall say what I think best leaving it to Dr
Scotts discretion to vary it and to Suit it to
the Lady's taste, appetite and digestion as well
as he can.

At breakfast both Tea and Coffee seem
to be improper and at least the only Indian Tea

At dinner She may take a little plain
Soup made of a thruckle of Veal or an old fowl
but any bulky liquid is not proper. Beside this
She may take a bit of any light meat She likes
best and rather roasted that boiled, or She may
take any of the lighter kinds of white fish, as
Haddock, Whiting, Flounder or Codling boiled and
Served with a plain sauce but She should not
taste any of the heavier kinds of fish as Salmon[,]
Herring, Turbate or Cod. With any of her Meat
She may take a little picery but should not
take Pickles of any kind. As her appetite may
not allow her to make a tolerable meal of meat
She may Supply it with a bit of light bread
Pudding or a bit of plain Rice or Millet pudding

Her drink at Dinner or at other times I
cannot allow her to take any kind of wine or Malt
liquor except it might be a little good Porter but
even that must be tried with caution. The only drink
that appears to be safe for her is Plain water but
I should have supposed that She might have safely
taken in a part of it a little Spirit as I do not
suppose that a Lady will be in any danger of
going to excess in it and if you had not told me
that it had disagreed with her I should have
thought that some in the present state of her
Stomach some little portion of Spirit was ne¬
cessary to it.

At Supper I cannot advise Mrs. Heywood
to take any thing but if She has been in the

There is nothing I should think more proper
or promising more benefit to Mrs. Heywood than
fresh air and gentle Exercise. As soon therefore
as the weather will allow which with us it
hardly does at present I advise her to go abroad
in a Carriage and take what gentle exercise she
can easily bear. I believe the present state of
her strength will not bear much but if She
can bear any at all it is to be prescribed that
her Strength will increase upon it and enable
her to bear it more and more. Nay, I hope her
Strength shall increase so much as to enable her
when the Season is somewhat advanced to go
on horseback at least behind a Man and this I
take to be of more benefit than going in a Carriage.