[Page 1]

[Page 2]

Mr Grays ailments are such as give suspicion of a
Consumption a disease wc wn it is gone to a certain length can
hardly be relieved by any art but I think in this case it has not
gone so far but that it may be relieved and entirely cured by the
following measures.

The first is by the utmost care to guard against cold.
He should wear a flannel shirt next his skin and otherwise use
warm cloathing. He should particularly have thick shoes and
warm stockings. He must even with these avoid walking in
damp ground and otherwise avoid all moisture. When the weather
is very wet he should keep at home, and in the dryest he should
not abroad after sunset. 2. With this attention to avoid cold he
should take as much exercise as he conveniently can. Walking
will do him no service and walking much will do him harm and
avoid dancing as still much worse. Riding on Horseback is the
exercise wc would do most good, but in the winter season it is
hazardous and therefore except in very fine weather he must take
to a carriage. The morning and forenoons are the only time for it
and he should go out as often and as far as he conveniently can.
3. With this exercise he must give much attention to his diet
making it as light and cool as possible. He must entirely give
up meat suppers, and in place of these he should take some kind
of milk meats, and of any kind he likes best. At dinner he may
take a little meat, but must never make a full meal of it but
make it up with pudding broth or Vegetables. If during the
winter his ailments should increase and particularly if he
finds himself grow warm after dinner, he must in that case give
up meat altogether and live even at dinner entirely upon milk & grain

4. In drinking he must observe the strictest appea (↑tempe↑)rance as
every kind of strong drink will certainly do harm. -- He might
perhaps take a little white wine and water with safty safety,
but it is certainly the safest and surest to avoid it altogether --

5. It will be very proper for him to get into a regular course of
sleeping and waking. Both sitting late at night and lying
long abed in the morning are bad for him and he should studiously
avoid both. If he indulges in the last he must lose the forenoon
wc is the precious time for his exercise --

6. These are the particulars of his regimen and in the way of
Medicine I have not much to propose. Let him if he can convenient↑ly↑
procure it take asses milk every morning at first a quarter of
a pint but increasing it afterwards to the quantity of his
stomach easily bears. -- Let him have pea Issue cut into his
left arm & kept open till next summer --

Once a week ↑or fortnight↑ let him take a vomit of 40 grains of Ipecacen:
or five grains more if necessary but if he does not vomit easily I
would not urge the practice -- Every night & morning let him
take five grains of Dr James strong powder ¹ and by degrees
increase the dose to any qty his stomach will bear with
vomiting