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For Mr ____________ of Christiansund.

Tho I have not a full information concerning this Gentleman’s
case I think I understand it very well & have no doubt
of relieving it if my advice can be executed

A foullness of blood & laxity of Solids has been brought
on by full living & want of Exercise & tho at present
the symptoms are nt considerable very troublesome or dangerous
they threaten a disease of Asthma or Dropsy which may not
be easily cured & I should think it necessary to take a
great deal of pains to prevent them

The most effectual & perhaps the only means for the
purpose is by diet & Exercise

In diet he should take very moderately of animal
food and as much of fresh vegetables as he can. He should
particularly take fish very sparingly & of salted meat not

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at all. Spiceries bad for him but Mustard Onion Shallot
& all kind of pickles he may take freely. He should
take no Suppers.

For ordinary drink he may take water, or wine &
water, but no kind of malt liquors. At Dinner he may
take a few glasses of claret or Rhenish but it should be
always moderately & if the Spanish or Portu¬
guese wines he should not taste. Coffee & Tea are nt
bad for him if they be taken in moderate quantities

The place of his presidence is said to be unfavou¬
rable for Exercise but this is absolutely necessary to preserve
his health & it is a very singular which has no out¬
let or opportunity for Exercise tho not convenient. In
winter the roads of Norway are always good & if they
cannot be employed a chamber machine may at
all seasons.

There is an Exercise very proper in this case, that is the
flesh brush. Let it be employed upon the legs only in
the morn. rubbing not violent but gentle & long continued.

These are the measures I would have this Gentleman depend
on both for relieving present & preventing future
complaints& if He think it depends on medicines alone he
will be deceived. However I shall mention some medicines
which may be of service to him:

A Gentle vomit of Ipecac. 1ce a month will be proper

A Gentle Purgation once a fortnight will also be of Service. The

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most proper purgative I have ordered below. It may be taken
once a fortnight to the quantity which shall be found necessary to give 2
or 3 stools, but if he be of a costive habit he should take
it more frequently to the quantity necessary to keep Bowels Regular.

To clear his blood more effectively let him take a table¬
spoonful or two of the diaphoretic mixture ordered below

If it do not affect his Stomach with any squeamishness
the dose may be still further increasd. This may be continued
for 2 or 3 weeks at a time & several times a year.

In the Spring season he should take a months
course of the Antiscorbutic Juices.

For Mr___________ of Christiansund.