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Such headachs are generally very obstinate. I shall
however give you an account of what success I have
had. They are as in this case often connected with
the primæ viæ & I have doubted freqy. whether the pri¬
mary affection were in the head or stomach & I have
often suspected the former as I have often known that
whatever filled the vessels of the head brought on or
aggravated the disease & I must think that the person's
regimen is not an indifferent matter. But wherever
the disease may be chiefly seated I am clear that avoidg
indigestion & particularly costiveness are proper & neces¬
sary measure. I perceive that Sir Eyre has with
respect to the latter learned from his own experience.

I am not pleased however with his laxative & I
have found aloetics both heating & of short duration in
their effects. In some cases I have found the continued
use of Soluble Tartar of great service. I give it in the
morning pretty largely diluted with water or whey
in such quantity as will keep the person to one
stool every day. With this I have frequently joined
the immersion of the feet & legs in tepid water in
the evening. I think I have seen Sir Eyre and
judge him to be of a dry habit as most of the
persons liable to such occipital headachs are and
if I judge rightly of your patient the tepid bath
is suited to him & in some cases I have found ba¬
thing the whole body to be of service. But whether
you bathe the whole or only apart take care that
the heat do not exceed 90 of Fahrenheit & that
the bathing be continued at least an hour & it is
easy to keep up that heat for such a time by pou¬
ring water into the Sides of the bathing vessel.

These are the advices I have to offer upon
the supposition of an internal affection of the
head & upon the supposition being primarily an
affection of the Stomach I have little to say.

What is proper either to obviate or correct dys¬
peptic symptoms you know very well. A proper
regimen, avoidg costiveness, vomiting sometimes,
going much on horseback & employing [tonick?] me¬
dicines. I say no more of these remedies because
I have seldom had success & particularly have
had no benefit from bark & bitters except in a few
cases where the dyspeptic symptoms were more
considerable & remarkable than I take in them

I doubt not Sir Eyre has had experience of the use
of opiates & unless they disorder him greatly I should
not hesitate to advise the Dover's powder: & on the
other hand tho Sir Eyre has formerly taken opiates
without benefit, he may still I think have benefit
from it employed in sweating. I begin the course
with a moderate dose not above 20 grains; but as the
sweatings after a few days interval must be seve¬
ral times repeated I increase to 25 or 30 as cir¬
cumstances require. Great caution is necessary
even in Indostan, of coming into the free air after

Military gentlemen wearing their own hair &
this some times thin, are not kept sufficiently warm
in their head. Persons entirely healthy might go na¬
ked by habit, but in spite of habit cold will af¬
fect the infirm. If Sir Eyre when in cold cli¬
mates observed that Cold had any effect on his head¬
achs I would still have him to avoid it even in
Indostan - Especially guard against night air &
rainy seasons.

By this time I hope all my labour may be use¬
less from Sir Eyre being quite well. I have a
patient here just now labouring under the same com¬
plaints. He is an officer in a regiment now at
Minorca from which he came lately. He was affect¬
ted with the headachs before he went there but
was free from it while he remained on that island
& has complained of it again only when returned
to this Country. I have advised him only to return
as fast as he can to Minorca. I hope Sir Eyre may
receive the same benefit from a warm climate.