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Being carried to the country last week I have been prevented
from writing to you so soon as I intended. - Upon considering the
whole of your complaints I am of opinion that the difficulty of your
breathing or ast↑h↑ma is not of the spasmodic but of the catarrhall
kind and I consider the latter kind as less severe and more easily
relieved than the other. However I cannot promise you an entire
cure: you will for life be liable upon occasion to some difficulty
of breathing, but by a proper management you may be rendered less
liable and may avoid any severe attacks.

The measures I would propose for their purpose are 1st
that you should take great care to avoid cold and
therefore you should avoid being heated by exercise
by the sun or by warm Chambers; that when
you are accidentally heated you should avoid
sitting or standing in any stream of air; that whether
you are warm or cool you should avoid at anytime
sitting in a stream of air that you should be always
well clothed, and for the winter you should wear a
flannel shirt next to you skin; and however warm
the weather may be at anytime you should never lay
aside at any point the Cloathing which you have been
accustomed to, and that all times you should avoid

2. With these precautions, you must be when the
weather is tolerably dry very much in the fresh air
and in gentle exercise. Walking however will hardly
ever agree with you and it should be always very
gentle and moderate so as never to heat or fatigue you
the exercise which will be of service to you is going
in a carriage or on horseback. When the weather is
either cold or threatens rain you may employ the
former but the latter will be of much more service
and you should go for some hours on horseback
every day that is tolerably mild and fair, at least
as often as it can be any ways convenient for you.

3. It will be necessary for you at all times give
attention to your diet. A full one will always do
you harm you may take meat every day at dinner
but it should be as much possible the lightest and
the least you should never make a full meal
of animal food but fill it up with broth pudding
or vegetables. Your ordinary drink should be plain
water, avoiding all kinds of Malt liquor.

4. Every day at dinner you may take a few Glasses
of wine of any kind you like best but the quantity
ought always to be very moderate, and never do
much as in any degree to heat you.

At supper you should take no animal food at all
not even an egg; and if you could forego supper

At breakfast you should avoid tea or coffee and
what I would recommend to you is a little fresh cow
milk mixed with an equal part of thin water gruel
and well sweetened with sugar or honey and this
you may take with dry toast or any other bread
you like better.

It is possible that you may not have observed the
effects of the different circumstances of diet and
therefore may think it less necessary to observe the
rules I have [observed prep?] (proposed). But I am
absolutely certain that a light and cool diet will be
of great service for preserving your health.
It is indeed my firm opinion that it is only by avoid¬
ing cold by taking proper exercise and observing
a proper diet that you can be relieved. I could
at the same time as most Phisicians will do
prescribe medecines but I must candidly tell
you that I know of none that can be of any
considerable or durable service to you and
the only remedy I have further to advise is
that of an Issue which may either be by a
perpetual blister on your back - or by a Pea
Issue in your neck or arm and one or other of
these I think you should wear for life.

I have now given the best advice I can and
if at any time I can further contribute to your
health you may freely command Sir