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After considering the whole circumstances & history of Mrs Inne's
complaints I am clearly of Opinion that they are to be considered
as Nervous or Hysteric, that they threaten no danger & that with
[a lil?] a little good management she may enjoy very good Health
What I think necessary at present is the following --

Let her take one of the Aperient Pills ordered every night &
morning but every second morning increasing the dose by one Pill
till she finds that they affect her Stomach with some Sickishness
or her head with some giddiness or her Nerves in some other way

When she finds the dose have such effects it must not be farther
increased till it Ceases to have these effects & then it will be {illeg}
proper to increase the dose again & in this way there will never
be any harm in increasing the doses while the have no sensible effects

But let this be observed that whenever a parcel of these Pills
are finished & another fresh Parcel is prepared such fresh Parcell
must always be tried in a small dose as it often happens to be stronger
[t?]han what has been longer kept. These Pills are to be used for
two or three months unless all appearance of the tumors of the belly
shall be entirely gone before that time

During the use of thees Pills for several reasons nothing
is more necessary for Mrs Innes than to keep her belly exactly
regular. Purging is no ways proper but costiveness will always
be very hurth full. To prevent this Mrs Innes must study the
effects of different diet & choose that she finds most favorable to keep
her belly easy and if diet {illeg} does not answer she must have
recourse to medecine & I know of none as proper for Mrs Innes
as the Electuary I formerly advised.

I hope the disorders of the Bowels that have so much distressed
Mrs Innes are not to return but if the should I have given my Opinion
to Dr Skene how the are to be managed & I hope I understand them now
more clearly than before.

It is evident that Mrs Innes agrees very well with travelling &
I would have her keep in motion as the long as the weather will any
ways allow ↑of↑ it. But towards the end of a month I would have her
avoid all motion & for a certain time to stir very little nay to
lye much upon her bed more especially if she is threatened in the
least with any pain in her back. In taking her Exercise she must
take pains to guard against cold but when within doors she should
take as much Pains to guard against heat. Tho going in a
Chaise or on horseback are very proper I hold all bodily exercise
to be very bad for her & therefore let her avoid it as much as possible

In Diet Mrs Innes need not be very particularly restrained
In general let it be light, she should take no kind of meat at
Supper at dinner she may take a little but it should be commonly
of the lighter kinds or if it be is heavier she must take the less
of it & fill up her meal with pudding or Vegetables. Her stomach
should always be kept light & a full meal ↑of↑ meat will always do
harm - Fish are in general bad for her & even of the lighter
kinds she should take sparling & seldom. Her best drink
will be water but if her stomach digest beer & she finds it more
favourable to her belly she may take it. At dinner every day
she may take a glass of Port with a good deal of water

For Mrs Innes