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Having been detained at a great distance from Edr for a
fortnight past I could not acknowledge your favour of the
19th Currt till now.

I am sory to find Mr Richardson's Case a difficult one.
I am afraid his Lungs are affected so far that it may be impos¬
sible to restore them however it is our duty to attempt
it as well as we may & I must own that you have already
employed some of ye most probable means for that purpose.
Some of these must still be continued - He should drink
the Goat Whey as long as it is in good Condition and
when that is over let him return again to the Asses
Milk - Let his blister also be kept running or if it is [disposed?]
to dry up let a fresh blister be made on another place.
His Exercise I consider as a principal Remedy and he should
take as much of it as his strength can bear. Short Airings
are better than sitting at home but much Benefit
is only to be expected from 20 or more miles every day and that
for many days together. For the sake of the Goat Whey
he may be confined to one place but if that does not
appear to do him much sevice he may give it up &
get more benefit by the Change of Air that occurs in
taking a Journey to some distance. - While I expect
so much from Riding I must observe that all bodily
exercise will do him harm. If he enter upon a Journey
I would advise you to take a little blood [from]
his arm before he sets out. The quantity [may]

As this Desease took its rise from an Intermittent
& returned again at ye season of Intermittents it is
possible that something of that kind might still
be lurking about him & I would therefore
propose trial of ye bark but it must be done
with Caution & I trust it as I may safely do to
our discretion - The joining Elix. Vitrioli will
make his stomach bear it better & some doses of
Sal. Ammon. will also render ye bark safer -
Unless you can discern very distinctly the
character of intermittent which may require a more
nourishing diet I would in respect of the desease
in his Breast advise a Diet entirely of Milk
& Farinacea abstaining from animal food
of all kinds. I would advise also a total
abstinence from all kinds of Strong Drink except
former habits or peculiarily of his Stomach shall
plead some Exception. I think it is of consequence
to him to wear flannel next his skin but
for his sweatings & for avoiding Cold which
however it will be very difficult for him to
do by any means while he lives in a damp
house - I have now only to add the two
following medecines

When his joints Swell they may be relieved by
Leeches set upon them but this remedy will be
of little service at other times- To prevent his
ailments he must live very temperately go very frequently
on Horseback use the flesh brush & wear flannels. The following
Bolus taken frequently at bed time will be of Service.