His disease altho in a male, truly Hysteria, may be obstinate
but I hope may be cured & the remedy I would chiefly depend on
is the Pil cerulææ of the November edition of the Edinburgh Pharmacopoeia Let him have a dose every
night & morning, which may at first be one Pill & if this affect
his stomach or give any squeamishness it is enough but if not,
increases it to 3 or 4 pills till it have some effect upon the
Stomach. Wash down every dose with ℥ii of the Bark infusion
ordered below. Along with these keep belly regular & nothing
more proper than the fœtid pills you have used, but if they
do not answer add some Aloes to the fœtid Gums.

Need not be reduced to a vegetable diet but should deal
much in milk and farinacea & ↑be↑ sparing of animal food,
& should take no fermented or spirituous liquors. Let
him take fresh air & gentle exercise but riding or ↑going in↑ a carr¬
iage are better than walking, for he must avoid bodily
fatigue. Avoid violent & especially sudden emotions.

I have little to add about the Jamaica Gentleman in the
way of Medicine ---- He is in great danger of Phthisis, &
must take to a milk & vegetable diet -- and as soon
as the season will allow, to get on horseback & ride a great deal.
Bleeding & blistering may be occasionally necessary, but he should
depend on diet & riding & if convenient a voyage, but
not to a warm climate in the Summer.