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For Anthony Chamia Esqr.

I am heartily sorry to find you have so little recovered
since you left this. However I am persuaded that if you are
recoverable as I think you are it must be by the means
I have proposed for recovering the general tone of your system.

I am disappointed in your not feeling the cold of Buxton but
you may safely try the Matlock with the at the same time
the precautions I formerly mentioned. If you bear the
Matlock with advantage your next step may be Bright¬
helmstone & if you can make that advance from Matlock to
See Bathing I shall expect every thing from it. In the
mean time I am clear for your continuing & pushing the
Chalybeate especially the rust of Steel & if you can at
the same time abstain from the absorbed I hope it will soon
have good effects. It appears however from the (↑that by↑) abstaining
from the absorbent you have had a great deal of pain & some
bad nights & if these symptoms are sufferable I should wish
you still to let alone the absorbent that the rust of Steel
may have fair play, but if the fermentation & pains in your
stomach with restless nights should become severe you must
try for one night now & then a quarter or half an ounce
of the Oyster Shells. I hope by the steel in the Intervals & the
Matlock Bath you may get so much vigor in your
stomach as to dispense with the absorbent entirely --
with respect to the management of your bowels I must
leave it to you own discretion as the matter can only be
directed by the circumstances of the day. The swelling

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of your ancles & scarcity of urine give me some concern
but they are symptoms of weakness & must be mended upon
the general plan which you have as yet proceeded so little in
that there is at least no room to despair.