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I am favoured with yours concerning Mr.
Orr and have been at as much pains as I could be in
examining the whole circumstances of his Case. The whole
of these as symptoms of disease are very moderate
and such as I hope he may entirely get the better of
but such is often the insidious nature of these sympts.
that I cannot admitt of the neglect of any precaution
that might be otherwise proper and necessary and
as I find his going to Dublin is not required soon
I have advised in the mean time to go to the Island
of Arran for a course of Goat whey which is now
and now only at the proper Season.

During the course of Goat whey I think few
medicines are proper I shall ↑therefore↑ only order one at the
end of this letter or on a paper inclosed and here
only I shall give you a few hints with respect to the
management of his goat whey course.

Let him take care to have a dry Lodging as near the
Goats as possible that if possible the milk may be yearned
with the natural heat it has from the Goats. Let him
begin to drink it by degrees taking not above half a
Mutchkin for the first day and increasing by a gill only
every day till he takes about a Chopin which is generally
as much as the stomach easily digests. In taking this
he should begin pretty early and take it in divided draughts
not above half a mutchkin at once at the intervals of half
an hour and he should not take Breakfast for an hour
after finishing the whey.

His Breakfast should be Coco tea with dry toast
and a very little Butter.

At Dinner he may have a little Beef tea or Chicken
Broth with bread but I would have him take no other
Animal food during his Goat whey course. For the
rest of his Dinner and at Supper he must take chiefly
Cows milk and farinacea ↑of any kind and↑ in various forms as he
likes best. In the Island of Arran where I suppose

he is to go he wil not be tempted with Garden things
and I dont think much of them do well with Goat whey
though he may take a little young Turnip, a few young
Pease or a little Collyflower if he can have them. His drink
must be Plain water, cold whey is not proper. All sorts
of malt liquors are still less so and I cannot think
either wine or Spirits and water quite safe for him.

I hope he will take care to have his Lodging near
to where he can always have a dry walk
for he should be very much in the oper Air
when neither rain nor cold winds ↑nor great heat of the sun↑ do not
prevent him. He should walk out often
but he should always walk gently never up hill nor
never long at one time so as never in any way to be
heated or fatigued by his exercise. The exercise he is
especially to be the better for is going on Horseback and
which he should Practise every forenoon and perhaps
Evening that the weather allows of taking care also
that his motion be always tolerably gentle. I need
hardly say that his greatest care must be to avoid cold

and I know that you are particularly proper capable of giving
the proper directions on this subject. I hope I have now given
the whole of the needful advice but if either Mr. & Mrs. Orr or you
have any questions to put let me have them immediately and they
shall be answered as well as I can in course of post. The medicine
I have mentioned in prescribed below. I did not see enough of Mr.
Hamiltons case to give a positive answer to your question but I
think it was only Anasarca with such crusts as I have seen before.