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I was not at home yesterday to answer
you in course.

I am very much concerned for Mr Wommersly's illness
but am not much surprised at it and I don't know from whence
you conclude that his liver is not affected for if it is not I am
clear that some other of the abdominal viscera are considerably
so. What most clearly appears at present is a state of great
debility in the whole of the alimentary canal and it is in proof
of it that you have found so much benefit from the Columbo.
Such tonics are the only medicines which I think can be insisted
on and I think you may vary them by giving some bark and
limatura Martis formed into pills and I have ↑found↑ the Camomile
flowers given in substance an excellent stomachic hardly short
of the Columbo. However, all these bitters are unfavorable to his
looseness and opiates are the only means of obviating this and
I think the state of his belly otherwise requires some opiate.
The Electuarium Japonicum is too feeble in this respect and

I am very glad to find that he uses a milk diet and
let me observe that the use of fruit is no ways incompatible
with this and the fœtid matter which he threw up after taking
a little beef makes me suspect some putresency in the stomach
requiring acids and acescents. If I am right in this you will
find that fruit instead of increasing will rather restrain his
loose belly. These hints are all that I can offer at present
but I assure you I am anxious to be of any service in my power
to Mr Wommersly and whenever you think I can be so, you
may freely command me. I wrote you last week