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For Bryan Burrel Esqr.

Having considered fully the state of Mr Burrels
health in the course of last winter I am persuaded that it
is in a much better train than formerly, but it does not appear
to be yet fully established & as I suspect his ailments are
in part constitutional it wil require time & pains to obviate
entirely the returns of them.

For this purpose he should devote a great part of the ensuing
summer employing it in pretty constant gentle exercise
Being much in the fresh air only avoiding great heats
will be of much service to him. Moderate walking is very
proper & when the weather or length of journey requires it
he may go in a carriage but the exercise of all others the
most usefull is riding on horseback.

As his ailments are very increased owing to a weak & an
easily suppressed perspiration he must give a constant
attention to guarding against cold. Even in summer
should be warmly cloathed & by no means attempt to follow
the weather in his cloathing. He must particularly study to
keep his feet & legs always warm & dry & if at any time
he find himself to coldness of his feet should practice
{illeg} walking & have his feet & legs very well rubbed with
a flesh brush every night and morning.

In diet observe the same directions that I have formerly
given him & I have only further to observe that as I
have formerly cautioned him against the colder kinds of vegetable
food, I would now in consideration of his digestion being better
in

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the summer seasons alloing better of these allow him to take
garden thigns more freely & especially as the first come in season.
but still ↑it↑ should be with some caution particularly with regard to the
colder kinds of them.

The summer season should be not only employed as
above in a great deal of exercise but it should be so disposed
as to keep him free from care & business engaged in
a great deal of amusement.

If it is thus disposed of I dont think he will need
any kind of medicine or remedy & therefore I should not
think it necessary for him to go to any mineral waters or
at the same time as these are places of amusement this may
be compatible with frequent exercise & may be also of some
use to him, I would not oppose his going for a little
while to Harrogate or Buxton or both in their turn.

Accordingly if his fancy should lead him to these
I shall give my opinion with regard to the management of them.

At Harrogate he may drink the waters to the quantity which
will keep his body open but without purging. In this way may
continue to take them for 2 or 3 weeks but I think they are in danger
of weakening his bowels & perspiration & therefore cannot advise
them to be continued longer than for 2 or 3 weeks at most.

At Buxton may take the warm bath every 2 day but take
great care not to remain in it above 20 minutes at one time & not be
exposed to any cold after it, may at the same time drink the
water moderately & both practises may continue for 3 or 4 weeks
but with this express caution that the season at the same time is
not wet or cold for if it is he may get more get hurt from
this than any benefit from the waters.