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Tho now tolerably free from rheumatism are still disposed to it. Therefore you
must in this climate & season guard much against cold. be warmly cloathed
nor make a change even in warmer season, or at least never so much as other
people do. A flannel shirt next to skin. & a flannel underwaistcoat, & take
care that either it or the ordinary waistcoat have warm sleeves. Flannel
drawers, worsted under stockings, thick shoes, or boxes - Avoid moisture,
avoid being very warm within doors, especially when you are to go abroad.
Avoid small chambers which always have or anyone which has a draught
of air. & the evening or night air. In mild & dry forenoons, take the
fresh air & gentle exercise. but not in wet or frosty weather. You
will not bear much rides or walks, upon account of your urinary
passages - be therefore cautious in your degree of exercise.

No great restraint in Diet. -- but be moderate in quantity
& quality & take no meat at Supper. Avoid salt meats & warm seasoning,
seldom & sparingly of fish, but make up with broth, pudding & vege¬
tables. --- milk & milk meats for supper.

Water or beer for ordinary drink. & plenty of mild watery drinks
are very proper. -- but be moderate in strong drink. may take 2 or
3 glasses of wine or punch but not far -------- All these measures
are for both your rheumatic & urinary complaints. - The latter
are in a good train but it will be long before you be sound or will
can dispense with precautions. Keep your wine mild by plenty of
mild liquids. Avoid ev.thing in Diet or Exercise that can irritate these parts.
do never retain urine long, nor yield to every slight call. But if
stricture do return, take the Bougie & even a slight return of it
may make you keep the Bougie in for 2 or 3 hours in a morning.
but if the stricture be {illeg} to any excess of diet, exercise &cc inflammat.
m. b. suspected & therefore let the part rest till by that & low living
you take off the inflammat. & then you may use the Bougie.