[Page 1]

[Page 2]

I am now fully acquainted with the case & can with
confidence direct the proper conduct of it

Nothing now seems necessary but to gaurd against a
relapse for Exercise & a good summer will finish the Cure

The Precautions necessary for avoiding cold &
& too full living.

With respect to the first he cannot be too carefull
He should not quit his flannel shirt before June come a 12
month & his other cloathing he ought to diminish by very slow
degrees never trusting much to the weather. with whatever
cloathing he should avoid all moisture & night air. He must
avoid being heated by any means & when disposed to sweat he
must take the more pains to avoid Cold.

With respect to full living he is at present in a very
good train & he should make hardly any alternative in at
before the month of June next. If by that time he has got as
I expect he will get more strength he may then make some change
in his Diet taking a part of animal food but he must proceed
by slow degrees at first taking broth only & proceeding to the
higher lighter meats take a little only and it must be long before
he can take a full meal of animal food. It will perhaps be right
if he shall abstain from meat at supper for the rest of his Life.

With respect to strong Drink I have more Difficulty in
allowing it. Not that a little Wine is more heating than meat

These precautions against cold, Eating, & Drinking must be long
observed but the last may be bounded longer or shorter according to
the degree of strength he, at the samte same time acquires

At present all sort of bodily Exercise is bad for him, It soon fatigues
him & hurts his strength. It makes him sweat & exposes him to
Cold. Let him therefore use bodily Exercise in the most Cautious manner
& walk very gently in a place not exposed to cold. For strength he
must depend upon Riding. I think the season will allow him to
take it immediately & he ought to ride every day that is not very
Cold or very wet. At first he must ride gently & never so briskly as
to make him sweat or so far as to give him fatigue. By degrees he will
be able to increase it both respects.

This Exercise will I hope be sufficient to restore his strength
but if towards the End of June this does not seem to proceed fast
enough I would advise Cold bathing in a Bathing Machine.

Before the use of that it might be possible by warm bathing to take
of all the remaining swellings & stiffness of particular Joints if pains
enough are bestowed upon them --

It may be of use to bring some sweating to the [fat?] with the rest
of the body & it may be done by pulling away the woollen stockings or
foot stocks & lying in Linnen & covering the lower part of the bed with an
additional blanket --