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A general loss of tone. Our chief view to recover this.

cold bath: but in his present very weak state
the mildest necessary. viz. Buxton - bathe every morning
& drying & rubbing with coarse towels &c. -

If he find it gives him vigour; after employing it
two or three weeks, go to Matlock for a colder bath
& continue it also for two or three weeks. There he
should dip but once, coming out again rinsed &c
If he quickly recovers his heat, &c it will be useful
but if he do not, the effects will be uncertain or
at least the cold must be more gradually applied.

Fresh air, exercise. A steady journey - & even
when abiding in a place, never miss riding out for two
or three hours every forenoon.

To travelling & cold bathing I chiefly trust, but
some medicines may be useful - Chalybeates
especially rust of steel. But this can be of little
service while he takes so much oystershell. I
hope he will be able to reduce this for its long
continued large use may be harmful. When he
has done so, he may take the Steelgr.X every
forenoon, gradually increasing to 30 or 30 provided
it does not load his Stomach nor increase costiveness.

If he cannot do without large use if the Absorbent
he must not take the Rust; but may try the Tinct.
Mart. Ph. Ed. ¹ from 15 to 30 gtt. in a glass of water
two of three times a day & at the same time
five grains of Salt of Steel rubbed w {illeg}

Avoid costiveness. The scotch pill he uses is
very good but if it grow inert by repetition
try the ℞ advised below.

Diet must be regulated by his own experience.
Milk may be useful but being liable to produce
costiveness must be managed in a particular
manner. Being new drawn mix it with an equal
quantity of water gruel &cc. Thus it may be
taken largely at any time, particulary at Supper.

In the morning it may be taken largely diluted
with Sassafras tea. The milk should always
be moderately warm, never boiled.

Continue his travelling till winter when
upon further information I shall advise &c.