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After such cases become habitual they prove very
difficult of cure. Something however may be done to
render the returns less frequent & less severe.

The disease is sometimes affacted by the temper
of mind. Irascibility &c.

Abstain entirely from fish, & salted or high seasoned
food. Moderation in animal food & only at dinner.
Your scurvy grass &oranges were very proper & through
summer I advise for her vegetables freely.
Milk is uncertain, unless she digest it easily. A
meal of cream would be improper but fresh butter
milk & whey are very safe. Unless she be subject to
flatulence, she may take small beer but fermented
or spirituous or other (↑any↑) strong drink improper.
Keep her belly regular & the Andersons pill if it
answer should not be neglected, but a more cooling
laxative would be upon occasion proper.

Avoid cold especially in feet & legs.
A light infusion of the Bark now & then can do no harm.
I have generally even in elderly persons, bleeding necessary
& the practice you entered in two years ago was proper.
If her fits are attended with stupor or coma with any con¬
fusion of head your only relief will be bleeding followed by
cooling laxatives. I allow no application but coarse
flour or oatmeal. Dry lint unnecessary.