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For Captain Innes.

The Captain's constitution naturally full & filled
with too much blood which gave occasion first to the inflammation
of his eyes & since to the hæmorrhagy from his
stomach. Not enough that he had suffered considerable
evacuations for Constitutions disposed to be plethoric
unless they follow a strict regimen, liable to fill
the faster by the preceding evacuations or if any difficulty
aboutthis. I would say that when a plethoric disposition has
concurring with other causes produced an inflammation or hæmorraly of a particular part[tho?] the
plethora of the whole body is not renewed a small
increase of blood or the repetition of stimulants.
will readily renew the determination to the particular part
All this to Dr Saunders that he may see the grounds
upon which my advice &c.

Capt. I. may be entirely recovered but not to be done
but by a strict regimen for a year or two to come.

1st. he must take to a very light & cool diet avoiding
all animal food, & keeping entirely to milk & vegetables.
Of the last, the farinaceous safer than roots or greens.
All fruits fresh or dried, very proper.

Must in drink confine himself to water &

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watery liquors abstaining entirely from wine, spirits &
malt liquors.

For some time, avoid all exercise but the most
gentle.

Equally necessary to avoid all [emotion ?] of mind & every
occasion of it.

Keep his body constantly very cool avoiding warm
chambers, a crowd of company or a load of bedcloaths

With these must take particular care to avoid costiveness
& the best way to remove it, is by a glyster. If
a medicine by the mouth necessary let it be of the most
coolest kind as Manna Tamarinds Prunes
Cream of Tartar or Glauber's Salts of the last par
reprises. ¹

By such a regimen alone C. I. can recover &
with it no Evacuations nor medicines &c.

When threatened with returns of hæmorrhagy some
blood letting may be necessary but I leave this to Dr
Saunds's. discretion with this opinion that blood letting however
necessary to a present plethora certainly disposes to a return
of it & therefore in such case the seldome & more sparing the
better.

The Nitre certainly a proper medicine but cannot be

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pushed far with out giving an uneasy stimulus to
the stomach & therefore proper sometimes to alternate
with the Spiritus vitrioli tenuis. No objection to this being
joined to a light watery infusion of the Cortex but
the acid should be employed in a [glass?] glyster then it
would be proper to employ the other.

As the stomach is also liable from with or without
to spasmodic affect. Tincture Thebaica sometimes
necessary but Dr S's discretion &c. for otherwise I
would wish to avoid it.

Nothing more, but see I have ommitted to say that
sitting up late at [night?] will always do much harm
to Captain Innes.