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I have no doubt , but that Mr. Bs bowels have been hurt by the fall he received
three years ago & some effects of that may still continue so as to render the Seton
sufficiently proper – But I am persuaded that his stomach has been
originally weak & has been further affected by some circumstan¬
ces in his manner of living, so that I think his present
distress owing to a weakness & spasmodic affection of his stomach

To remedy this the Meds below, one of them not in the
Lond Disp – therefore prepared here

Diet light animal food boiled or roasted – but no Pork
Bacon fat meat nor baked nor fried meats. – a little white
fish – no Salmon. – making up his meal with Pancake
light pudding, or vegetables – avoiding the cold & windy as
Spinach Cabbage Lettuce & Cucumber.

At Supper no Animal food Eggs or Cheese – only a Slice
or two of dry toast, & a little Spirits & water after it. –

At breakfast neither Tea nor Coffee – but milk if he
digests it easily or if not a little water gruel & bread.

Drink no malt Liquor – Plain water most proper
but he may put to it a little Sherry or a little Spirits

If used to some strong drink after dinner, he may take a
little Punch without souring but always in great moderation

Gentle Exercise & much fresh air ––––

If the Meds. dont keep him regr. let him take an Aloet. Pill