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For Mr James Preston.

After considering fully &c I am of opinion that
as his nerves have been always weak & faulty so his present
nervous ailment will be more difficult to cure but at his time
of life a great deal to hope for & with time & perseverance I think
he may be recovered.

Extremely necessary to take a cool & light diet, abstain
entirely from all kind of animal food & that he live on milk
& vegetables.

Abstain also from all kinds of strong drink whither wine
spirits or malt liquors & take entirely to water & watery
liquors. But he must avoid tea & Coffee.

Will be the better for being much in the fresh air & taking
moderate exercise may walk frequently but never so much as to heat or fa¬
tigue him will be still more the better for riding or going
in a carriage the first from his giddiness may be uncertain &
the latter may be inconvenient & I would before every thing
recommend sailing. The voyage to London was of
service & therefore may be repeated with advantage, but a longer
voyage is still to be wished for & it will be easy to find
an opportunity to go to France Spain or Portugal. Till then
let him employ cold bathing, let his head be kept close
shaved & let him begin the bathing by washing his
head all over with cold water in the morning & cc.

Aboard a ship this not convenient but he may there
have his head bathed every morning.

Issue in his neck to be kept open & the fresh
water will not disturb it, but when he employs salt water

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as at sea he must cover the Issue with a piece of oiled silk.

Belly to be kept regular if becomes costive to be obviatd
by the medicine ordered below.

One other medicine to advise also prescribed below
He is to begin by taking one pill every morning & night. They
sometimes occasion some squeamishness & if the single pill
does so that dose is to be continued but if not he may take
2 3 or 4 for a dose as his stomach bears them. Are to be continued
only for a fortnight at one time.

For Mr J.P.