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Altho her health is now in a pretty good train, yet after the frequent
relapses she cannot be too much upon her gaurd against some returns
of the same kind & for that we offer the following directions ––

1. She must be very attentive in gaurding against cold, fatigue
or much emotion of mind & precautions in these respects will be
her best security against returns of her ailments.

She must take care to avoid everything that may disagree with
her Stomach & particularly to prevent Costiveness. For this last
purpose she is provided with some Pills which I hope will answer it.
She should never allow more than two days to pass without a
stool and on the evening of the second day so passing she should
take one or two of the Laxative Pills & if that Dose not operate
on the third day she should on that day take a Laxative Glyster.

The Glysters to be made of Water gruel in wc a few Chamomile
flowers & a little Carvi seed has been boiled –– To three quarters of
an English Pint of this strained add one tablespfull of the Solution

If in spite of these precautions she is threatened with an
attack of her Colic, the first step to be taken is always
to take care that her belly be not obstructed & therefore if on
that day or at least in twenty four hours before, she has not had
a free stool, she should immediately take such a Glyster as
above and if in an hour after, it shall not have its proper
effect it should be repeated.

If while this is going on, she can at the same time sit
up, so as to have her feet and legs part of her legs put in
warm water for half an hour it will probably be of service
to her –– When her feet and legs are bathed let them be
immediately very well dried & wrapt up in warm flannel

I should have said above that nothing is more necessary
than keeping her feet and legs always warm and dry and
therefore, that she should always wear worsted understock¬
ings & never walk abroad in the Country but in thick shoes or
good Boxes

If in spite of the Glysters & Bathing, the Colic pains
should continue and increase, she must have recourse to
the Anodyne Mixture taking two tablespfulls for a Dose &
if the pains continue or increase, the Dose may be repeated
every half hour, for three or four times. In some of the fits of
Colic wc we have seen a larger qty has seemed to be necessary
but the effects of such med.s are sometimes so violent with
Miss Kerr, that we wish to employ them no further than
is absolutely necessary.

It has happened & may happen again that Miss

So far with respect to the Colic; but it may be observed
that with the Colic she is commonly affected with symptoms of
Gravel & I must own it is difficult to determine whether they
are seperate ailments or somehow necessarily connected together
Not necessary to determine this; because the same measures
are equally suited to the Colic & suppression of Gravel viz
an open Belly and the use of L.L.

Besides the Colic and Gravel Miss Kerr has been
threatened with complaints of her breast wc tho I hope
are not deep seated yet every precaution ought to be taken.

The chief to be taken are the use of milk Diet & frequent
riding on horseback gaurding carefully against cold &c.

She may continue taking the Pectoral Pills for some weeks
as a means of preventing obstruction in the breast. –