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For Mr Harker

Tho his breast be threatened with some danger, no marks of his
lungs being tainted & there are many circumstances
which shew that many of his complaints depend on that state of
his nerves, especially his stomach.

Pass the winter in a southern Climate. Island of Madera.
should not be there before end of October nor remain there
after beginning of April, but return to England [against?] May
Better of a sea voyage before he go to Madera, therefore
go to London by sea, & from London to Madera rather than
by Falmouth & Lisbon.

Vegetable diet best for his breast but from the parti¬
cular state of his stomach, will require a mixed diet.
Every day a little Animal food at dinner but of the lighter kind
& moderately, making up with pudding or other preparation
of grain. No meat at supper, but milk & grain. When on
shore may take if he like, milk at every meal & with this
every kind of grain or what is made of grain, at pleasure.
Roots, greens or other garden things, sparingly or not at all
so, of fresh fruit. but may use more freedom withthe dried
as figs, dates, raisins &c. Weak chocolate or Cocoa tea
a proper breakfast, but may take Bohea, if with bread

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& butter but if the latter sparingly.

His ordinary drink, some mild watery liquor, as barley water,
thin gruel, Orgeat, cowmilk whey &c. but may take a
glass or two of some strong wine as red port or madra but
always diluted with water, every day at dinner

Be much in the open air, but avoid the heat of the Sun.
Walk gently & on level ground, no ↑excess in↑ bodily exercise.
Best & safest in a carriage.

Few medicines, but may take with advantage a cup of Valerian
tea/ --- Remove costiveness by a gentle Laxative
& the best for his bilious stomach is Cream of Tartar & manna
& I think a heaped teaspoon full of the former in powder with
half an ounce of the latter, will be a proper dose, to be
taken in the morning.

Does not require bleeding, but in case of any pains about
his chest or any increase or more frequency of his giddiness
the better of losing a little. From what He has
told me of his constitution I think all his complaints
might be mended by a frequent, gentle vomit.