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A flatulent & nervous complaint depending on a gouty
humour not determined to the feet

To prevent its returns avoid flatulent meat or drink
all kinds of vegetables, malt liquours, tea & coffee, &
all heavy meats, with baked or fried meats or heavy sauces.

Keep the belly regular by a prescription below.
A table spoonful or two in the morning will give one
motion which is all that is necessary but if upon trial
& repetition it be found too weak let the dose be
taken at night with the addition of two or three tea
spoonfuls of the Elix. sacrum.

Guard against cold, and especially in feet &legs.

Moderate exercise the best remedy for the Stomach,
& bowels.

If in spite of precautions her complaints should return
let her manage in the following manner.

As soon as any uneasiness is felt in the bowels let an
injection be immediately employed of a strong decoction
of Chamomile flowers & Carraway seeds & to this when
strained add a heaped table spoonful of common salt
& two table spoonfuls of Florence oil, & if one injection
does not fully empty the bowels let another of the same
kind be given in the two or three hours after. This will
properly remove the pains but if not, take a dose of the
Laxative ordd. below, at bed time. If this operate
properly I hope it will prove acute but if notwithstan¬
ding its operating properly the pains be not removed
let twenty drops of Laudanum be taken or if her
Ladyship has great aversion to this let her take 60
drops of Paregoric Elixir & if either of these do not relieve
the pains, in two or three hours, a second dose should be taken.