[Page 1]
For Alexr Campbell

Whether from any hurt which his constitution recieved in the West Indies
or from circumstances in his manner of living since his constitution has suf¬
fered, it is not easy to determine, but it appears sufficiently, that more than a
twelvemonth ago several symptoms shewed his constitution to be somewhat
broken & the Stroke which he recieved on his head in August last has ren¬
dered every thing Still worse. - No particular disease yet, only a general
loss of vigour of his whole body. - This may be repaired, but it will
need a good deal of time & pains - for that purpose I advise the following
Diet - Light meals once a day in moderate quantity No broth when he is
troubled with flatulency & very few vegetables except when they are
young & tender. - Mustard freely & spiceries moderately no pickles

---

[Page 2]

He may take cold meat if his appetite disposes him to it -
Suppers always light - - Breakfast no Indian tea or Coffee, but
weak Chocolate Cocoa or bread & milk.

Drink - Moderate in Quantity. No malt liquors. - Ordinary drink
plain water or with a very little wine - If he has been used
to some strong drink, he may still take a few glasses everyday
but must be moderate - & never to go the length of heating or
intoxication - On these conditions - either a little wine or
punch or the liquor that goes off but by urine, & I
should think his punch weak & with little souring best.
Never sit long at business - & be much in the fresh air &
exercise. His walking must be very gentle - never fast, uphill
or long at one time. - Now that the season is advanced he should
be on horseback every day - but never to the length of fatigue
& carefully gaurding against cold.

Every morning he should have his feet & legs well rubbed &
chafed with warm flannel or he may have them rubbed gently
but for a long time with a flesh brush. - At all times thick
Shoes & warm stockings ---

Carefully to avoid cold but not to sit in warm rooms.
Late hours very bad for him & it is almost as bad to lye
long a bed in the morning ---

If the above directions are observed few medicines necessary &
if not observed medicines useless --

In the place of the neck where we commonly put a Seton
let a pea Issue be put in, on each side of the spine, which may
be done by caustic but I think better by the Lancet - If these
Issues discharge well they must be continued for some time, but if they
either do not discharge well or be very troublesome in that part

---

[Page 3]

they may be attained transferred to the legs on the inside a little
below the knee & this measure will be especially proper
if the Œdematous Swelling of his legs continues -

To restore the tone of his system let him use the Powders
ordered below. twice a washing them down with the Infusion
If the Powders agree with him they m Limatura may be increased to
twice thrice or four times the quantity ordered below - to be continued for a
month only at one time; but if the Swellings - & scarcity of
Urine increase, they must be laid aside & he must take the
Mixture ordered below.

For Alxr Campbell Esqr.