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Tho this disease is not always fully formed I consider it as
entirely epileptic.

In such an irritable constitution this disease will be
of difficult cure but at Mr Kennedys time of Life with
proper attention he may get the better of it.

For this purpose it is in the first Place necessary
to keep his body very cool. He must lay aside all
sort of animal food and take entirely to Milk and
vegetables & even of milk he must not take very
largely. He must take no kind of strong drink but
may at times take a little small bear. Tea & Coffee
are both bad for him.

He must take exercise very moderately & never
to the degree that will either heat or fatigue him -

He should carefully avoid the heat of the Sun at
this season & at all times warm chambers. His
bedroom should be without fire both in sumer &
winter. His bed should be a Mattress & he should
have few bed cloaths.

Let his head be kept constantly shaven & every
morning let his head & whole body be washed or
dipt in cold water. At first washing will
be best & it may be done with tempered water
that is by putting one pint of boiling water to
three points of spring water & every second day
after keeping back half a Muchkin of boiling
water till at lenght he comes to use the water
quite cold & then he may continue to wash

or to dip his whole body at once as he likes best.

In case he chooses the Latter let his head always be
washed or dipt before he goes in with his whole body -

Let care be taken to keep his belly regular & by a cooling
Laxative if necessary. I Should think Cream of Tartar taken
with syrup or soluble Tartar taken wt a good deal of water
among the best. When he is to take a laxative he
must take his bath first & his laxative only after it
so that the one need ↑need↑ not prevent the Other.

When any fullness of his vessels Seems to take place
& he has any symptoms which threaten the return
of fits as head ach, giddiness, disturbed sleep or startings
in his sleep, flushing of his face redness of his eyes or
[dazling?] of his sight he may be the better for having
a little blood taken from his Arm, but without
some of the symptoms mentioned I would not advise
this frequently practised.

The Seton in his neck must be continued or some
other such drain for some Years to come & that he
tho' he should be free from fits. If therefore the seton
should wear thro the skin as it sometimes does, it
must either be put in again higher or lower or a
pea Issue may be put in on each side of his
neck. For medicine I have but one to advise for
him & that is the Cuprum ammoniacum of our
new dispensatory ¹ but as it is not to be suposed to be
yet common in the Country a small parcell of it is
Sent along wt him. It must be made up as direct¬
ted

for the Pilulæ [cœruleæ?] of the dispensatory ² & he is to take
one of these pills every night & morning. If that
does not make him sick and squeamish or touch
his belly you increase the dose to two pills or more
till they come to have some sensible effect but
beyond a little squeamishness you are not to increase
it. When you have fixed the dose it may be con¬
tinued for a month but no longer till further
advice. The pills in the morning are not to
be taken till after bathing.