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All his complaints depend I think upon gouty diath¬
esis --

His entering upon an abstemious course when too late
in life & when if I may say so the rigour of the gouty
diathesis had declined; has been the cause of most of
his complaints since; & your plan of Bark & bitters &c.
more generous living in order to restore the tone of his

A little animal food at dinner & a glass or two of
strong wine but avoid being heated or having his cough
increased by either.

Exercise in a carriage; & better on horseback.
I cannot advise going to Bath while in his present
feverish state but he may be better of Buxton both
drinking & bathing; & more by the journey to it: provided
the weather do not set in wet, in which case Buxton
is a very bad climate & may do more hurt by that than
good by its waters.

Belly regr. by Magnesia or Rhubarb; but I should
prefer the Aleotic pill.

His œdematous ancle I reakon merely a symptom,
tho a bad one. His cough tho likewise only symptomatic
requires attention. I cannot think it Phthisical while there
are no sweatings, febrile exacerbations, nor purulent spitting,
but I would alleviate it. The Elix. Paregor. must I believe
be continued & in case of very severe cough, a blister between
the shoulders may be of service. The gum pills are proper &
if they would keep his belly regr. I prefer them to salts
which are too cold for his bowels.