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I have considered the whole of your his History & am of opinion
that however ye disease may have begun it is now entirely in
the Nervous System; & it must be our endeavour to obviate ye weakness
that has taken place, & the obstruction that may happen there

For strengthening your nerves I have prescribed below an
Electuary, of which I hope you will be pleased to take a dose
two or three times a day, as you find your stomach bear it washing
it down with the Infusion also ordered below. For preventing
any obstruction affecting the origin of ye Nerves I would advise a
Seton or pea Issue put into your neck. If you find that the Pil. e
Styrace cum Gum Ammon gives you sleep & prevents ye return
of spasm, I have no objection to your Continuing but I should be
afraid that the frequent use of an Opiate would rather do harm

If either from the use of the Opiate or other cause you are liable
to Costiveness it ought to be carefully prevented or removed & I
know no medicine so proper in your case, as the unbruised
Mustard which you formerly employed. Upon the threatening
of Spasm you may still continue the tincture of Castor and
Volatile Valerian, if you find them answer, but these Volatile[s]
upon being often repeated lose their effect, & for a change you
may sometimes take a Mxture of two parts spirit of Lavender
& one part Caustic Spirit of Sal Ammoniac, & of this mixture
you may take thirty or forty drops in a little water.

I have little to offer wt respect to your Diet, it should be of
the middle kind, not too low, but carefully avoiding every
thing heavy. - You may take a Glass of wine more or less
according to your former habits, but in general it must be

For Mr Brown