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It is very proper that Gouty Persons should think there is
no absolute {illeg} (↑c↑)ure for the Gout, but it is unlucky for them to think it is
entirely out of the power of Physic & therefore to neglect all Regi¬
men. Such a Neglect I know to be pernicious, and am well per¬
swaded, that by good management the gout can be rendered less
frequent and more moderate.

From what I have seen of Mr Gavin's Gout & the observations
I have made on his constitution I think he requires a particular
Regimen, and may receive benefit by it, and what in my Opinion
is best suited to him I have laid down in then following directions

The first thing necessary to him is exercise in which he
ought to be very assiduous in summer & should not even neglect it
in Winter. The only effectual exercise he can employ is Riding &
he should be on horse back every forenoon more or less that the weather
allows of it. This should be a daily practice but he should farther
in the Beginning of summer and again towards the end of Harvest

2. Every morning & Evening Mr Gavin should have his
arms & limbs rubbed for some time with the flesh brush. This
is more usefull than any kind of Cloth to rub with. Here as with
with regard to exercise some continuance of Gentle rubbing is
much more usefull than hard rubbing which is never necessary
if at any time he has any moisture upon his skin in the mor¬
ning he should be out of bed for an hour and have his skin
quite dry before he employs the flesh brush.

3. Nothing is more necessary for a gouty person than to
avoid cold. He should therfore be always well clothed & as
well in summer as in winter never changing his under Gar¬
ments & very seldom his upper ones. He is especially to study
the keeping his feet & legs always warm & dry. In the night
time he shoald wear wool↑l↑en footsocks changing them often.

4. Mr Gavin should go early to bed & full sleep is proper
for him so that he need not get up early if he is sufficiently
assid↑u↑ous in his exercise for the rest of the day.

5. If Mr Gavins mind is engaged in some easy employm¬
ent wether business or amusement it will do good to his
health but sitting long at business {illeg} & all close application
will do harm.

6 There remains the principal article of Mr Gavins
regimen and that is the ordering of his diet. With regard
to this the first rule enjoins moderation for with a full Diet
no gout can be easy nor even regular. He must therefore re¬
solve to abstain from all meat suppers & take it very moderat¬
ely at dinner. He should not at any time abstain from it
altogether, but on the other hand should never make a full
meal of it alone, but damp his appetite with broth or fill up
his meal with vegetables & pudding & a great deal of bread is
particularly fit for him.

If he observes moderation in the quantity he need
not be very nice in the choice of his meat. He may take of ↑any↑ plain
kind only he should prefer the lightest or if he takes of the
heavier kinds it should be in lesser quantity. His meat should
be plain roasted or boiled All Fryed or baked and all heavy
sauces should be avoided. Eggs or fish are bad for him, and he
ought to take them very sparingly. The heavier kinds of Fish as
salmon Herrings &c he ought not to taste of ande the lighter
kinds as Haddock Whiting & he should avoid take seldom al¬
ways boiled only and served with a plain sauce.

X Vegetables of all kinds are fit for Mr Gavin only he should
be cautious in taking raw vegetables as sallad, cucumbers
& or in taking the more windy kinds a cabbage. The Vege¬
tables food most fit for him is all the different kinds of Grain
as Bread, Rice, Barley, Millet Sago & prepared in the manner
he likes best.

If Mr Gavins stomach digests milk easily it should make
a great part of {illeg} his diet & particularly he should make his
supper of it every night.

X Whether Mr Gavin takes meat or Fish he may take some
kinds of spicery with it them but he should take them moder¬
ately. Mustard is the safest. For pikles he would do well
to avoid them altogether.

For Ordinary Drink, Water is the best, alone if
his stomach bears it or with a little strong wine, or {illeg} with
a small proportion of spirits in it. All sorts of Malt Liqu¬
ours are improper for him and cyder is very bad for him
He may take ev every day a few glasses of Wine after Din¬
ner or a few glasses of Punch without souring. His Wine
should be of the strongest as Madeira, sherry or red port.
Claret Hock and all the weaker wines are improper.

Whatever strong drink he takes it must be in f (v)ery moder¬
ate quantity & nothing can do him more harm than any
excess that & he will not only be hurt by intoxication but
even by being heated to any degree.

On this subject of Liquours (↑ids↑) I have only to add that Coffee
and tea are both bad for Mr Gavin and if he still desires [sthing?] in
form of Tea let it be of Balm sage or other such herb of home
growth. Chocolate if he disgest it easily will be a very proper breakfast
for him.

One article only remains which I think should be a part of Mr
Gavins Regimen & that is keeping his belly a regular