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I have the honour of yours of the 16th past
some days ago and since that yours of the 19th inclosing the
powder omitted in your former.

From the nature of that powder now examined and from
the account of your feelings which you now give me I am pretty
positive that your complaints are not of the gravellish or Ne¬
phritic kind. I am very clear that your disease is to be
considered as very entirely a case of debility chiefly in the
seminal vessels and neck of ↑the↑ bladder & it is not uncommon for
the former to produce or be connected with a weakness of the
stomach. In this view I am satisfied of the propriety of the
advice I gave in my former letter, and I hope you also will be
satisfied of this as you proceed further in the use of the Medicines
and Regimen prescribed. I cannot easily join in the opinion
of your Italian Physicians but I need say no more of that
as your own experience has already taught you they were in
the wrong. I regret much that your situation has not al¬
lowed you to use the Cold bath from which I would hope for

benefit, but I cannot advise you to enter upon it at this seas[on]
when it would require particular management and if it shou[ld]
hereafter appear very necessary it will be more proper when y[ou]
shall be in a more settled condition and when perhaps I may ha[ve]
a better opportunity for directing the conduct of it.

At present I will make no addition to my former pre¬
scriptions not till I shall have a farther report of their effect
only to say somewhat of the management of your diet.

You cannot take largely of Roots or Greens without
being troubled with flatulency and perhaps Costiveness
Broccoli is the only winter green that you can take with
safety and even this should be taken sparingly with your mea[ls]
and it ought always to be very well boiled. Some quite ripe
fruit may also be taken moderately especially if you find them
in some degree laxative. Other vegetables of the grain or
farinaceous kind as well leavened bread, Rice, Barley, Millet,
or Sago will probably prove easily digested but sometimes fa¬
vour Costiveness and in that case to be taken more moderately

The food that I expect will digest most easily and be the least dis¬
posed to give costiveness is the lighter kinds of animal food, as {illeg}
fowl Pullet or Turkey, or even Partridge, Rabbit, Lamb, Veal or
boiled Mutton. Beef & roasted mutton are heavier but if very tender
may be taken sometimes. Bacon Pork or much fat of any kind are
to be avoided altogether. All fried or baked meats and all fricassees
with rich and heavy sauces are likely to be too heavy. The lighter
kinds of white fish as Haddock, Whiting, Flounder or Codling if
boiled and served with a plain sauce are very safe for you. A few
fresh Oysters are also allowable but all dressed shellfish
are improper. Much liquid food is in danger of disa¬
greeing with your stomach but a little soup not very
strong and taken with a little fine barley separately boiled would be
favourable to the state of your belly. I hope these hints are suffi¬
cient to direct your choice and I have only to add that nothing will
hurt you more than a full meal of Animal food. Your stomach should
be always kept light especially at supper. Tea & Coffee are both bad
for you. In drink White wine and Water is proper and all Malt li¬
quors bad for you. Temperance in strong drink is absolutely necessary
A few glasses however may be taken and Spanish or Portuguese Wine are
safer than French, or German. Earnestly wishing you all health I am