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I have read over with great attention the history
of this Ladys complaints and though the symptoms -
are not so fully described as might have been done, I am
very confident in my opinion, that the disease has all along
been of the nature of an intermittent. Such ailments,
when they do not put on the ordinary form, are normally very
obstinate and very apt to baffle the efforts of practitioners,
which in this case seem to have been very proper. I am
however very glad to find, that for some time past, the
Lady has been less afflicted than before, but she seems
still to be threatened with returns of the disease, and she
has very good reason to wish for some means, which may
render her entirely ↑free↑ from it. Such I hope may be found
and I shall here propose what appears to me to be the
most promising.

Let the Lady take every morning, Soon after She is
awake, the Bolus prescribed on the other page, taking
it in one or two wafers as may be most agreeable washing

This however will more certainly happen, if in the
meantime, a proper regimen is observed.

The greatest care is to be taken to avoid cold and moisture
She should be always warmly cloathed, should avoid being
by any means much heated or either in that condition or

When however the air is tolerably mild and dry the Lady
should be much abroad in it, and should take a great deal of
exercise. She may take even a long walk, as she has sometimes
done providing always that she is not heated by it. Riding
on horseback, in good weather, would still be of more service
and if this cannot be conveniently or agreeably practised, She
may go in a carriage, observing however that going in a car¬
riage does little service but when it is for a good length of
journey.

Mrs Whartons diet should be of a middle kind, neither
full nor low. She should take meat at dinner every day,
but preferring the lighter kinds and avoiding fish almost al¬
together. Unless her habits determine otherwise, I think
she should take no meat ↑at↑ supper.

Both at dinner and supper, two or three glasses of any
kind of wine she likes best, are allowable and proper.

Both Tea and Coffee I hold to ↑be↑ improper in this Case.
Her breakfast may be a weak chacolate and dry toast.

I observe that in this case purgatives have been frequently
employed and are said to have generally given relief. It may be
so and I must yield to particular experience. But I must at
the same time say it is against my expectation. I think Cos¬
tiveness is to be diligently avoided, but further than what is
necessary to this, purging has always appeared to me favorable
to the returns of the disease.