From Andrew Clark   17 March 1882

Revised Directions¹

1^o. Rise just in time for breakfast. On rising sponge with tepid or warm water dry quickly and use as little exertion as possible.

2^o. Clothe rather warmly and see that the dress is everywhere loose

3^o. Breakfast: brown bread & butter plain or toasted with an egg or some fresh fish or the soft part of the wing of a cold chicken; and, at the close of the meal a cup of cocoatina slowly sipped

4^o Dinner: fresh tenderly dressed meat bread, a very little grated potato and either some simple rice pudding or a little fresh softly boiled green vegetables— Drink half an ounce to an ounce of brandy in plain water

5 Tea: a meal like breakfast in every respect.

6^o. On going to bed take if it is desired & agrees half an ounce of brandy in five ounces of water.—

7^o. Avoid soups sauces pickles spices curries cured meats pies pastry cheese creams ices jams acid & all fruits salads effervescing beverages strong tea & coffee & much liquid of any kind.

8^o Especially avoid lifting straining going upstairs when it can be avoided hurrying or doing any thing which will bring on the chest pain. Short of this walk about gently.

9^o. Keep the bowels lax by any simple and do not strain to relieve them

10^o. When very flatulent take a dose of the antispasmodic mixture

11^o. When there is pain in the chest, of a severe kind, take one or two of the lozenges.—

12 With meals take the glycerin of Pepsin Mixture²

AC