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For The Right Honourable
The Earl of Panmure

We have attentively considered the information
communicated by Lord Dalhouse and Mr Leslie and
are of opinion that though the fits of giddiness which
Lord Panmure is liable to are disagreeable and alarm¬
ing to His Lordship we do not think they threaten
any thing dangerous. We hope ↑they↑ may be relieved and
we have known many instances of persons at Lord
Panmures time of life who have been liable to them
and in whom tho they could not be entirely removed
were without consequence. The giddiness
most commonly depends upon some fault in the sto¬
mach or bowels. If his Lordship is liable to any
costiveness that must be removed or obviated by some
gently laxative medicine the choice of which we
must leave to his ordinary Physician, who probably
has experience of his Lordships constitution in

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that respect. We think a small dose of polychrest
might answer very well. But the fault is more
commonly in the stomach and if his Lordship complains
either of want of appetite or indigestion, the cause of
the giddiness will be evident and a gentle vomit will
be of service but as there is no mention of these sym¬
ptoms of the stomach in his Lordships letter and if
this ↑is↑ truly the case we would not advise the vomit,
but a medicine to strengthen the Nerves and such
a medicine we have prescribed on the other page.
His Lordship will please to take at first a table
spoonfull of it in a little water twice a day about
an hour before dinner and supper. If this shall be
found to agree with the stomach and head the dose
of it may be increased to two table spoonfulls. As
this composition contains some bark, His Lordship need
not at the same time take any of the decoction of Bark.
If fits of giddiness should still come on His Lordship may smell a
little eau de luce but not too nearly or very strongly

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For The Earl of Panmure