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After considering attentively the whole circumstances of the Case I am sorry
to find M.r Bagshaw’s Constitution in great disorder. His blood seems to be in¬
fected with some acrimony which appears upon his skin and in his mouth
and at the same time runs off with the bile and produces the disorders of his
bowels, which either from original fault or frequent irritation are now become
weak. In this complicated ailment it will be difficult to make a cure, but
I am still of opinion that attention and pains may give great relief. To ob¬
viate this I propose the following measures – Let him abstain from
all kinds of fermented liquors whether Ales, wines or others. Let his drink
be plain water but if he is accustomed to strong drink in any degree
let him take a little spirits with water but in this, whatever may have
been his former habits, great moderation is necessary – Let his break¬
fast and supper every day be of some milk meat. If it happens that his
Stomach does not digest plain milk easily, let him mix an equal part
of water gruel with milk and sweeten the whole pretty well with
sugar and let him take this with bread, rice & what else he pleases
instead of plain milk, as that mixture is always easily digested. -- At
dinner let him take any kind of plain meat, but avoid making a full
meal, and if his appetite is sharp let him fill up his meal with broth
and pudding but the broth should not be strong. He may take sometimes
a little of the lighter kinds of fish but it should be seldom. He must carefully
avoid all kinds of salted meats, all spiceries and all kinds of Pickles --
By such a diet persisted in for some time I expect that the state of his
blood will be much mended and many of his complaints prevented but
this will proceed the better if he is at the same time in the fresh air, and
in gentle exercise particularly on horseback --- The only medicines
I have to propose are such as may assist his digestion, strengthen his
bowels and prevent every kind of stagnation in them -- In the first
he may continue the lime water taking it with a little milk
taking it more or less freqly as occasion requires, and in greater
or less quantity as his stomach seems to bear – To strengthen
his bowels let him take the powders ordered on a paper apart - He
may take them for a week or two together but then intermit