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The case of your patient Capt. Holmes I consider
as a very difficult one as a Hypochondriasis in consequence
of Hereditary disposition coming in at his time of life must
be very difficult to Cure though in the inclosed intended
to be communicated to himself it was necessary to give
a favourable Pragmatic. I am truly of opinion that a
Journey is almost the only remedy that is likely to be
of service but in the temper I found him in here I doubt
much of his executing it properly and in that case you
must palliate matters as well as you can. The remedy
I would chiefly trust to is a Course of Soluble tartar taking
from two to four drachms of it or as much as will
move his Belly gently once a day. He should take a
dose of it every morning dissolved in half a pint or
more of Spring water and taken at two or three
draughts at the intervals of half an hour.

At the same time he must chuse such a diet

I can't well say more with respect to Capt. Holmes
but I wish I could speak to better purpose concerning {illeg}

For your Catarrhal complaint I know nothing that
can certainly relieve you but Air and Exercise in a
Chaise or on Horseback. Much walking will in my opinion
always do harm both to your breast and fundament
I think that frequent gentle Vomits should also be of
service to your Catarrh and you might probably find be¬
nefit from a large Pea Issue behind your Shoulder.

For the degree of Prolapsus you are troubled with
you must endeavour by proper laxative to prevent it and
when it does happen there is nothing of so much con¬
sequence as your getting into a horizontal posture and reducing
it as soon as possible. If upon your walking about which