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I have carefully considered the Colonels complaints
as he has been pleased to communicate them in the letter
to his Brother and recollecting what I formerly knew
of his constitution I clearly perceive a considerable
and various disorder in his Nerves but cannot per¬
ceive any grounds for supposing that either tumour
or Abcess ↑is↑ forming within him.

In the present general and variously disordered
state of his constitution I think few medicines can
be of service to him and the only remedy I can re¬
commend is Drinking and Bathing at Buxton and
for which the present Season is the most proper
I think the Waters of Bath would be too warm for
him and at least the tryal would be hazardous and
I could not advise it till he had first tried the
water Bath at Buxton. Even at Buxton he must

proceed very cautiously. At first stepping into the
Bath there the water feels a little cold but after a few
minutes the water feels presently but moderately
warm and continues to be so far all the time that
a person remains in it. By these circumstances
the Colonel has it in his power to proceed very
gradually and I advise him to do so. Going into
the Bath at first for five minutes only and after¬
wards lengthening the time as he shall be found to
bear it and if he can come to bear it every day
from half an hour to an hour I dont doubt of his
receiving much benefit from it. In going into the
Bath he should take assistance in moving and
exert his own strength as little as possible and he
should have a Stool to sit upon in the Bath and
while he sits there he should have another person

gently but very gently to rub his Breast, Back
and Sides. After coming out of the Bath and being
well dried and cloathed he should ly along upon a
Bed for an hour.

At the same time that he Bathes in this
manner he may drink some of the Buxton water
beginning this also with a small quantity and in¬
creasing it afterwards as his Stomach shall be
found to bear it. I expect it will be of service both
to his Appetite and digestion.

While he remains at Buxton he should take
daily some gentle exercise in a Carriage not so much
for the sake of exercise which should be very smooth
and easy but for the purpose of being much in
the open air when the weather is tolerably mild and
dry.

In respect to Diet I could wish that the Colonel
could be directed by his own experience but as that

has not been very decisive it is my opinion that while
a full diet would certainly be improper a very low diet
would as certainly do him much harm. As far as his
Appetite will allow him let him take both Meat and
wine but both very moderately. In respect to wine
I think a little strong wine such as Madeira, Strong
or Red Port diluted with water will be much safer
than any weak bodied wine that would be more ready
to ferment on his stomach.

There is nothing more unlucky than the Costiveness
which the Colonels constitution is so much disposed to
and it should be obviated as much as possible. If the
Colonel can perceive that any particular diet is favou¬
rable to keeping his belly open this he should employ
as often as he conveniently can. If he has ever tried
Whey of any kind and finds that it does not grow
sour or windy on his stomach I think he may try for

the first part of Summer at least to take a draught
or two of fresh drawn Cow milk whey every morning
an hour or more before his Breakfast and if it
shall save him from the frequent use of Purgative
medicines it will be of great advantage. It may
however happen that neither this nor any mana¬
gement of diet shall be sufficient to obviate
costiveness and as this should never be allowed
to go far it will be absolutely necessary for him
to have recourse to medicines. He seems to have
been in this circumstance for a long time past and
probably has tried some variety of laxative. I
must allow him to employ these which he has found
to answer best but there is one which I should
think well suited to his Constitution and if he has
not tried it before or tried it in the shape in which
I am now to advise it I would desire him to try

it in the form I have now prescribed it on the
other page and I shall also mention still another
laxative which I hope may answer well.

If he finds he can bear to take about a
pint of whey and he should never take above a
Quart in the morning it may make the whey sit
better on his stomach and prove more certainly
laxative if he takes two three times a week in the
first draught of the whey from a quarter to half
an Ounce of Rochelle Salt.

If this advice shall give occasion to the Colonel
to move any doubts or put any questions I shall
always be ready to Answer them and to add and
alter as well as I can.