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His compts of a dangerous kind and it will require all
the Skill and pains, that he or we (Dr Monro) can bestow to
avert the danger.

Tho we are not to omitt the use of Meds we trust more
to a proper Regimen.

Avoid cold by every precaution, he ought to keep his body
always warmly clothed b particularly about the feet and legs.
Even with these precautions he should walk out very little
or none during the Winter or Spring Season - & never go
abroad after Dinner not even even from one house to
another - Walking to is a hazardous Exercise to him

But I think riding on horseback in the forenoon should
be continued as often as the Weather will allow; but by no
means to be pushed either in Case of very hard frost or very
wet weather

We are clearly of opinion that his present Diet
should be continued-- He should abstain entirely from
all Animal food.-- His, Diet should consist chiefly
of Milk and Farinacea-- He may take at times
some Garden things very sparingly-- but fruit fresh,
preserved, boiled, or baked are particularly proper for
him--

Drink- No fermented nor Spirituous Liquors-
and take only Water or Watery Liquors as Gruel, Barley
Water, or whey fresh drawn.- He may take at times Tea
or Coffee; but they should be neither strong nor taken
warm and always with a good proportion of Milk,

He should go to Bed at times in the Evening and not
lie too long in the morning nor encourage much any
sweating that may happen at that time. ---

As you have hitherto treated this Case very properly
so we think, some of your Remedies may be still insisted
upon particularly that the Issue should be continued in
his breast and if you can keep it open by the Epispastic
cummitius it will save him from the Strangury wc
the common Ointment is ready to occasion and at least
it may be common ↑probably↑ enough to drop it with the common
once in three or four days.

We think the bleedings wc have been employed
very proper, but fr the softness in his Pulse wc we found
does not seem to require any immediate repetition but
at the same time if his Pulse should become harder
or more frequent, with difficulty of breathing, dry Cough
or any pains about the Chest, some bleeding may again
be properly employed, and in the Case of any fixed pain
occurring in the breast or sides wc is not taken off by
a moderate bleeding, it may be very proper to apply a
Blister to-the pained part. For several reasons we
cannot advise his returning to a Mercurial Course
tho we cannot condemn the attempt that was made in
that way -- The Meds we think most proper at
present are prescribed below - and we judge them
to be the most proper to remove resolve Tubercles
or any other obstruction that may be in his Lungs
and they are to be persisted in for some weeks -

For moderating hoarseness or Cough &c. it may
be necessary to use some Demulcents &c. wc. maybe left
to your Discretion- The Linctus below we have found
useful.- The most effectual Demulcent is an Opiate but
we would avoid it as much as possible; and its use
must be left to your discretion- As a Diarrhœa is
very apt to occur in this Disease we are averse from
employing Laxatives except when Costiveness renders
their use unavoidable