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I finished my lectures only this morning & have there¬
fore so long neglected your Sister but I hope I am still in good time.

I have the same opinion upon reflect (x)ion that I gave you here.
I think the disease is a constitutional one that may be liable to return
& is only to be guarded against by a proper regimen.

Her diet must neither be low nor full. She must not take to Roots
& Greens nor on t'other hand live entirely upon meat & her safest
course will be to take a little meat but she must keep her Stomach
light & incline rather to a spare [Sinbad?] (↑diet↑). Let her ordinary
drink be Spirits and water avoiding fermented liquors but Wine
is safer than Ale. Indian Tea & Coffee are both bad for her. Cocoa Tea
is very Safe & Milk if She digests it easily is a very proper part of
her Diet. She will not bear either a bound or an open belly & the
medium must be studied. I expect that the Diaphoretic Pills ordered
below will keep her regular without purging but if they do not you
must try what equal parts of Lenitive & Sulphur will do. Try to find
the smallest dose that will answer & a little Nutmeg or Ginger mixed
will make her bowels bear it the better.

Exercise on horseback in an open Carriage will always
do her Service & tho much walking is not proper she will be the better
for being much in the fresh Air. However there is nothing so ne¬
cessary as guarding against cold & moisture particularly in her
feet & legs. If her ailments are not gone very entirely before Winter

If the pains in her Stomach are at any time troublesome let
her try the Stomachic Drops ordered below. She may take sixty for
a dose & repeat it in an hour after. The best way of taking them is
on a bit of tea Sugar wtout any liquid.

If she takes these often a Laxative will be more necessary.

The Diaphoretic Pills ordered below will I hope keep both
her Stomach easy and her limbs I free from pain. Let her take her take
3 every night at bed time washing them down wt two ounces of the
Infusion ordered below. If the pills purge her the dose must be
diminished but if they do not it may be increased.

If at any time she should have a considerablee return
of the pains in her limbs I would give her a gentle sweat wt a scruple
or half a dram of Dovers Powder. She must be laid in a flannel
Shirt & blankets & take the power in the morning keeping in bed
all day & till the morning after. I have no more to say nor anything
now wt regard to your Spouse. When you have anything to say either
about her or your sister I shall be ready to answer you being always