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Stomach complaints are frequently very obstinate but it is
because persons are seldom steady for a due length of time in
observing the proper regimen and remedies. I hope the following
measures shall be of service to Mrs Dalgliesh.

Let her take every day about half an hour before dinner fifty of
the stomach drops dropt on a bit of tea sugar washing them
down with a glass of water. -

After eight days trial of this medicine if it does not give the Relief
desired let a dose be taken in the same manner about an hour
after dinner. -

At the same time that this medicine is used let her take every second
night at bedtime one of the laxative stomachic pills. This should
keep her belly regular without purging, but if it does not move her
belly at all she must take two pills for a dose. Perhaps three may
be necessary but if it is so I shall not think the medicine suited
to Mrs Dalglieshes constitution & upon my being informed of
this I shall order another.

These are the only medicines I shall advise at present. Many
employ vomits in almost every affection of the Stoma↑c↑h but I
dont think them suited so this case. At most they could give only
a temporary Relief & the frequent repetition of them would do much
harm. - What Mrs Dalgliesh must especially depend on is diet and
exercise. Her diet must be of a middle kind neither {illeg} full nor
low. A full meal of what ever kind it is, but especially of animal food
will always do harm. - She should take every day at dinner more or
less of animal food but she should [forefer?] the lighter kinds and
take any kind in moderate quantity, making up her meal wt
Pudding & some preparation of grain. Garden things will be
taken wt some Regard of their turning sowr or windy, but when
they first come in & are very tender they may be taken

In drink all kinds of Malt liquor must be avoided. Wine
must be taken very seldom & only a little of the strongest kinds
as Medeira or Red port wt water. - For ordinary drink plain
water is the best or water boiled & cooled again. -

Every day after dinner she may take a little Spirits & water
wt a little sugar but without any Sowring & it will be better
if even the sugar is left out. Tea & Coffee are both bad for
her but if the tea is made very weak she may trie a cup or
two of it when her Stomach is uneasy after dinner. For
Breakfast in the morning She should take Cocoa tea. -

Nothing will be of more Service for relieving all Mrs D_ [es?]
complaints than Riding on Horseback & it may probably
give a turn to the state of her Stomach if she will for two
or three weeks together Ride every forenoon for three or
four hours. ---

When these measures have been tried or when any
thing new occurs in the case, I shall be glad to hear
of it and shall be very ready to advise farther as well
as I can. ----