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A volume, c. 1820, containing notes on the astrological practice of medicine and miscellaneous medical recipes, apparently compiled mostly from printed sources, notably Richard Saunders, The Astrological Judgement and Practice of Physick (London, 1747) and Nathaniel Williams, Pharmacopoeia, or Medical Admonitions in English and Welsh (Trevecka, 1793-6).

A collection of medical recipes, astrological notes and diagrams, and a list of christian names. Some of the recipes and notes are in cipher. The monogram 'M.L.' occurs twice in the manuscript.