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After consulting with the utmost attention
every circumstance of her complaints I am glad to
observe that tho' these are many and trouble¬
some I cannot see them in any desperate light
and hope that at this favourable Season some
care and pains may relieve them very entirely.

For this purpose the first measure
I would propose is her being removed into some
dry and well aired lodging in the Country where
She can with ease and conveniency often walk
[not?] into the open air. She may walk out
frequently but it ought always to be {illeg}
gentlest manner, never fast, never up hill
never long at one time. It will {illeg}
more advantage for Miss Mc.Kay to ride {illeg}

Miss Mc.Kays diet must be much as it
has been for sometimes ↑past↑ She may every day at dinner
have a little weak Chicken broth with bread or
with some well boiled barley or rice put into it.
I am very clear that She should take no Solid
animal food even the lightest kinds. Former
habits may render this at first {illeg}
but a strict observance of the absence (↑stinence↑) for a
little time will readily reconcile her to it.
She may still continue to take frequently a little
{illeg} or {illeg} (↑[harts?]↑) horse jelly.

The diet I would have to be employed is
that of milk and grain, that is milk, with
bread, wheat meal, Rice, flower of Rice,
{illeg} Sago. The milk She {illeg}
always be mixed with an equal part of the

If [Mares?] milk can be easily procured
I would advise a draft or two of it, such as her
Stomach easily bears to be taken early every
morning and evening.

If Butter milk can be got in very good
condition She may take a moderate draft of it
when She at any time inclines to drink, or She
may take it otherwise as a [first?] of her diet.
With respect to the different kinds of Grain
She may take them well boiled in water and adding
in such proportion as She pleases to her diluted
milk properly warmed, or She may take
them without milk and with some kind of

She may likewise take fruit by themselves
when they can be got. Just now She may take
frequently some China Orange and when Strawberries
come in She may take them pretty freely.

I am not fond of her taking much of garden
things but for the sake of some variety in her
diet She may take a little well boiled Aspara¬
gus or of the flower and tops of Broccoli.

In liquids I would have her avoid [Jamaica?]
tea and especially Green tea entirely but
She may take Cocoa tea at pleasure and fre¬
quently a weak milk Chocolate.

I am very clear that She should avoid
entirely all fermented liquors, whether wine

In point of Medicine if She has found her
Cough any thing relieved by the Linctus she has for¬
merly taken I would by all means have it
continued and I have at the same time proposed
prescribed on the inclosed paper an Electuary
for softening and healing her breast. She is
to take a dose of it every night and morning
washing down each dose with a large draft
of a strong Tussilago tea.

These are the only medicines I have to propose
at present for her breast but for the other Complaint
which we suspect her to labour under we have
ordered another Electuary which we suppose she
has already begun to take. The doses of it are
to be taken twice a day an hour before dinner
and Supper and each dose may be washed down
with a small Cuppful of the infusion of Tanzy
and Rue which She has formerly taken.