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For Mr John Scott.

I have learned from Mr Scott a circumstance which determines
my opinion - The whole of his Complaints are probably owing to his
fast growing & that the principal symptoms the faintings or quasi
faintings are a Nervous affection neither owing to any organic disease
of the Vital parts nor to any weakness of the whole System than
that which fast growing induces. From this view of the case
I see a reason I did not before, of your putting in 2 Issues but cannot see any reason
for a 3d. Have had many such cases, & found that they would never bear any thing
irritating or stimulant, & I am therefore averse to all aromatic volatile & cor¬
dial things. The only stimulant to be admitted is the smell of eau de Luce when
a fainting fit approaches, which he often percieves. Whatever we do, such ailments
are cured only in some length of time & not till the body have ceased growing
or till (↑&↑) it have acquired some firmness. In the mean time there is always
danger of the undue balance falling upon the lungs & producing Phthisis.
Excuse all this, which might have occurred to yourself but twas necessary for
me to explain myself before proposing particular remedy. Let the asses milk
be continued with a teaspoonful or 2 of rum or brandy, if necessary for its digestion.
Diet, avoid animal food, & vegetables of the lowest quality, at least
seldom & sparingly of either. Most proper Diet will be milk. farinae. &
fruit. In drink, avoid all fermented or spirituous liquors, & take to
water & watery liquors alone, except tea & Coffee which are very bad for him.
Should be much in the fresh air but this season requires caution &
he must avoid cold or wet weather. In mild & fair weather, should go on
horseback, gently riding for a good part of the forenoon. Walking unless
gentle & on level ground may do much harm & any violent bodily
exercise is dangerous.

By this Regimen & Exercise I hope the consequences of his present
state may be avoided till time shall have confirmed his habit. Medicins
can do little but some may be useful. 1. Tonics in the shape I have
proposed on the next page & 2. Costiveness must be obviated, which cannot be
done P (b)y purgatives strictly so called, which may both do too much & have no

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durable effects as they generally leave some astriction after their operation, &
those laxatives only are to be employed which may keep the Belly regular with little or no
purging. Such as Castor oil, Lenitive Electuary flowers of sulphur or Cream of
Tartar & if these do not answer with being in large & disagreable doses, you
must take to Aloetics in a solid form or to a moderate addition of Jalop
to Cream of Tartar all which must be submitted to trial & your judgement. &cc.

For Mr I. Scott.