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Mr S. ailment has now been of long Standing
and Sometimes ill guided so that it is not surprizing
if it now Shall prove tedious, but I think it has been
already relieved and hope that in time it Shall be
entirely cured by the following means.

As he is about to take a long journey he Should
not take it too fast that is not above fifty miles a
day and at the end of every Stage come out of the
carriage to empty his bladder.

During the whole of the journey he should take
plentifully of liquids as weak tea twice a day, or
milk & water made by pouring three parts of warm
water to one part of fresh milk or if that is not conve¬
nient and particularly at dinner he may take palm
water with about an eight part of white wine either
Sherry or Lisbon. Both at dinner and Supper

In diet he may take ordinary fare but both upon
journey and at all other times he Should be moderate
in animal food and Should never make a full or hea¬
vy meal of it and particularly Should be sparing of
fish.

I would not wish him to take any medicine upon
the journey but he may have both the Solution &
Mixture I have prescribed along with him and in
case he Should have any Stricture or threatening
of Stricture he may take a table Spoonfull of the
Balsamick Mixture at bedtime for a night or two
and only upon thats failing he is take a Spoonfull
of the Healing Solution he has been accustomed to.

When he is Settled for two or three days after his
journey let him begin again to that Solution and
take it as he used to do for eight days together -
but (↑and↑) for the whole of winter he is not to take it for
more than eight days together but always after eight
days taking it, to intermit for at least as long, un¬
less contrary to my expectation the return of the Stricture
Should require it. After intermitting the Solution
for eight days whether his ailment Should require
it or not, he is to begin to the balsamick Mixture
and take it for eight or ten days together. I expect
that this will keep him easy and if it does he may
even intermit this for eight days but then to re¬
turn to a Second course if it and only after two
courses and two intermissions he is again to take
an eight days course of the Solution and thus by
intermissions and courses of the mixture he is to

Before that time I would wish to be informed of
his condition that I may advise as circumstances -
Shall then direct; but in case of his being out of his
my reach or my being out of his I Shall now Say wh[at]
may be done. At the end of March or beginning of
April as the Spring is more or less advanced let him
begin to take the Strengthening balsam in this man¬
ner. Put a tea Spoonfull of powdered Sugar in to a
tea cup & upon this drop forty drops of the balsam. Stir
it well among the Sugar, then pour on two table Spoonfulls
of water & Stirring the whole well together drink it off and
wash it down with a little. Continue this every night for
a fortnight but if it agrees tolerably with the Stomach; after the
first night you may increase the dose by five drops every night
till it comes to Sixty & at that continue for the time advised.

A Fortnight after this is finished let him begin the Strengthening
powder taking a tea Spoonfull of it in a glass of water three times a day. After
three days let the dose be two tea Spoonfulls and after three days more let
the dose be Three tea Spoonfulls and at this continue for a fortnight when I hope
he will be quite well.