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{illeg} the favour of yours [yesterday?] and {illeg}
you in course.

I have very {illeg}
have been pleased to {illeg} find that {illeg}
[you are?] threatened {illeg} Consumption but {illeg}
{illeg} that all grounds of fear on that subject have now
been gone for some time past.

I perceive also that you have been threatened with
Diabetes but I presume that you are now entirely reco¬
vered of that.

After considering attentively the whole of your
history I am absolutely persuaded that your only disease
now is that of involuntary emissions which I know
from the numerous instances I have been acquainted
with will bring on every symptom and circumstance
you now complain of and particularly that despon¬
dency which you express ↑and which↑ I hope to find to be ↑expressed↑ a great

deal {illeg}

I must own that such an ailment both from its na[true?]
and from its having been for a long time habitual is comm¬
only obstinate and tedious but with some attention and
pains I have frequently obtained an entire recovery. And
in hopes of this I offer you the following advices.

I have always found benefit from Cold bathing but
the application of it requires some management. You could
not at once go in to the Sea with any safety and therefore
you must begin with cold washing. You must take water
from a Spring or Pit well that is over year pretty uni¬
formly of the same temperature and therefore you must
not take it from any Brook or river the temperature
of which vary by the day. To the cold water thus chosen
and as immediately taken from the well you must
add a fifth part of quite boiling water and mixing them
well together you must have your body washed
all over in the morning soon after you get out of

bed. For this purpose you [should?] {illeg} a tub and {illeg}
a stool in it and sitting down in this quite naked you
may have the tempered water [lifted?] in a large Spunge
and have your body washed pretty quickly all over be¬
ginning first at your head, neck and shoulders. Imme¬
diately after this is done you may step out of your tub
and have your body quickly dried [b--s?] and pretty
{illeg} rubbed. You may then put on your ordinary
[cloaths?] and walk about either in a large room or
in good weather in the open air for half an hour more
or less till you entirely recover your heat. In this
practice at first you will find the coldness of the water
very moderate and easily suffered and therefore you
may repeat the practice every morning but every second
[or?] third day you should keep back from the mixture
an eight part of the boiling water and thus gradually
and insensibly you may come to bear the water
quite cold providing always you get your Servants

{illeg} I earnestly beg {illeg} to mark always exactly by the
measure prescribed. When you have got yourself to
bear being washed daily with quite cold water you may
then if [your?] {illeg} is convenient for it and the
weather is suitable bathe daily in the Sea or if that
is not convenient you may perhaps with more conve¬
nience employ the Shower Bath we now commonly
use in Scotland and in which I believe some of the
Medical people in your neighbourhood can direct you.

It is cold bathing ↑properly employed↑ that I have found to be the most
effectual remedy in your complaint and therefore I
have been so minute in directing it but I shall not
leave you to trust to that alone but must also recommend
to you to be much in the open air and in gentle exercise.
You may walk out frequently but you should never push
walking to any length and the exercise I would especially
advise is going in a single horse Chaise which you
drive yourself and [mind?] that the latter circumstance

is {illeg}ial one and [makes the?] {illeg}
{illeg} this Carriage {illeg}

Cold bathing and exercise are what I chiefly depend
upon for your relief and few medicines are adviseable
but on other page I have [a few?] which may be cut off and
sent to the Apothecary I have prescribed two medi¬
cines which I hope shall be of service to you but I
dont desire them to be employed till you have made
some progress in your Cold washing.

Your present Regimen seems to be the most
proper for your present condition but I hope very soon
and it may with advantage be made a little more
strengthening. This however I delay speaking of till
I shall hear from you again as you seem to propose
and to provide for some further correspondence in
which I shall be very punctual as you may give
occasion