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The Opinion which Mr. Black gave was Verbal, But
in short was not the most flattering to my ever
Accquiring a Sound Constitution, And Experience has
since that time Convinced me that he was right

He advised me besides prescribing regularity in Diet
Exercise &c to go to Buxton & {illeg} I found Benefit
from the Waters, that I ought to return Annually

I accordingly went there that Summer (1777) & Staid
five or Six weeks & I must Say that since that
time my Rhumatic Complaints have never been so
Considerable as to make me think it necessary to
return, they however continue in a Smaller degree
& their are very few Successive days that I do not
feel twitches in some part or other, generally in the
hands - I have however Since the 1777 had two or
three returns in the Pain of the Eyes, the last
time it was any way Considerable was about 15,
Months ago when I was verry much in the Situation
as Described by Doctor Dunlop, Only attended with
less pain, However, could bear no light tho no
Inflammation was to be Observed, & the Pulse beat
Generally about 70 & not full -- Blisters Gave the
Greatest relief, these repeated together with the
Bark Effected a Ricovery in about three Weeks

But altho my Rhumatic Complaints have considerably

The Exercise which I could with Ease undergo some
years ago, Now fatigues me Considerably, & it is longer
before that Fatigue is Recovered, I therefore frequently
Complain of Lassitude particularly if the weather is
any way Warm, at which time a Small degree of
Exercise causes Considerable Fatigue - In cold weather
particularly in frost my sense of Cold is much greater
than it used to be --- Sitting long in a Warm Room or
Cold weather I find to be verry Exhausting

My Stomach Continues in its old & I may say
Debilitated State, It is Easily Disturbed & over loaded
& the Greazy part of food is generally thrown up
some hours after Eating, I now find Some Glasses of
Port Wine necessary every Day after dinner which I
think Assists Digestion & prevents flatulence in some degree

The Complaint which at present is most troublesome
is a Disorder in the Bowels, The Sensation I feel is that
of Distension in the Belly, Sometimes tho not often it is
nearly as high as the Stomach, But in General is
towards the Middle & Lower part of the Belly - I have
for that Complaint by Doctor Dunlops advice
taken, Small dozes of Rhubarb, for weeks together
And afterwards Bark & Steel, I cannot however
Say I felt much Good from Either, He therefore
tried a plaister upon the Belly & Breast of
Gums &c. from it I thought I found some

In Short this Seems to be a Complaint
which Goes & Comes & which at times is
both troublesome & Disagreable, It is
Generally attended with an inclination to
make Water frequently, & which is done in
Small Quantities particulalry when in Bed

A small Excess in Drink I find to be
verry heating, And indeed that kind of heated
feel over the whole Body I frequently com¬
plain off, But much more frequently in
the hands & feet where I have verry seldom
and Sensible perspiration, My feet in parti¬
cular have often a full Swelld feel tho I
cant Say I ever observed them to pitt -
This feel in Summer is more frequent, then in
Winter