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Mr Ls compts seem to be somewhat abated, but they
are far from being entirely removed. However as he has
been exposed to a bad season & has either had few oppor¬
tunities or has neglected them, to take the proper measures for
his relief there is no room to despair & I expect that some
attention bestowed during this spring & summer may entirely
remove all his compts.

He will pl be pleased to consider again the directions
given to him in July last for upon revieving them I think
they are as proper & necessary as ever & I find very little
to be added now,

I would particularly insist upon his taking to a
very moderate diet, taking very little animal food & a
great deal of Vegetables & milk, wherever he can get it

I would also have abstain from almost entirely
from strong drink of all kinds & if he take any at all
it should be a little of the strongest wines as Port or
Madeira largely diluted with water. He should particularly
avoid Rhenish, Claret and all french wines

I expect he is to recieve great benefit, from the long
Journey he is about to make, providing it is managed, so as
to avoid fatigue & cold.

Before he leave Brittain I would have him to go to
the bath & to try bathing there, but it must be tried cauti¬
ously. He must take care to have at first a private bath
of very moderate heat & to use that several times before
he goes into any of the publick baths. I must own that
the safety of this remedy is not quite certain & therefore
after trying it two or three times if he finds that it gives
him any pains of his hind head or any confusion of head
he must let it alone and set about his journey which is
more to be trusted to. Before he try the bathing it will
be proper to try let a little blood from his arm and by
a little physic to open his belly moderately. It may be
proposed to him also, at Bath to take a vomit, but I
think he had better avoid it. the drinking of bath water
I cannot think proper for him and if he try it all it
should be in very small qty. If the bathing does not
affect his head and seems to relieve his knees, he may conti¬
nue to take a bath every third day for two or at most
three weeks & that will be long enough for any benefit
he can recieve recieve by it. He should always the bath
towards the eveng & should keep to his apartement for the rest
of the night & if he goes to Bath befor↑ore↑ the weather is set
in warm, he should be always well cloathed especially
the day after bathing. If he remain at Bath he may

have his knees pumped, but with the same caution
as with respect to his whole body

When he goes to Christiansand he must be very
moderate in his application to business & avoid
sitting long at one time. If any part of his ailments
remain in Autumn next, I would earnestly advise
him to quit that climate & take to a drier and warmer
for the winter