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For Mr J. J.

After considering attentively the whole history of this gentleman's ↑F↑ completely
am of opinion that they are & have been from the beginning a mixture of
Rheumatism & Palsy. As the Disease has now subsisted so
long & has been sometimes mismanaged it will be difficult
to cure but I hope is not to be despaired of. The following
measures appear to me the most probable means for his reco¬
very.

1. About 8 o clock in the evening let him be put into a warm
bath made of one part boiling water & 3 parts spring water which
last I suppose to be about 50 degrees Fahrenheit Thermometer & it must
be observed that river water is very inequal & therefore I can
give no rule for employing it but if a Thermometer is at hand to
adjust it I mean that his bath should be from 85 to 90 degrees not
below the first nor above the second. In such bath he should continue
in for 1/2 an hour or if he bears it easily, for a whole hour.

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After coming out of the bath he is to be very well rubbed &
dried to put on a flannel shift & to be layed abed &
but in blankets without any bed linnen. It is expected
that some sweat will come out & if that is moderate & he
sleeps under it it may be indulged, but but if the sweat is
any thing large & he hot & restlees under it the management
must be changed. The bath must be a little cooler but
not under 82 degrees & he must go into it 2 hours sooner
& after coming out of it he must put on his ordinary cloaths
& not go to bed for 2 or 3 hours after. If under one
or t'other management he sweat very moderately & find the pains
and weakness of his limbs relieved by it the practice should
be repeated every second evening 3 or 4 times & several times
afterwards at longer intervals.

If the bathing shoulld produce ↑no↑ sweating at all it may
be assisted by giving at his going to bed 20 gr. of Dover
powder but this not to be repeated above 2 or 3 times unless it
shall be found that the sweating produced this way gives remar¬
kable relief & then after proper intervals it may be repeated
& even the dose increased.

When he has some sweating through the morning, in them his
skin is to be well dried & his flannel shifted. He should
lay out his arms & otherwise avoid further sweating but
should continue to lye abed for several hours.

After his skin has been dried for an hour or 2 his limbs
should be rubbed with a piece of warm flannel it should be
done under the bedcloaths & the rubbing gentle but long continued.

If the measures proposed have the effect I expect & en¬
able ↑him↑ to bear motion he should as soon as the weather is tole¬
rably warm be carried abroad & have exercise in a carriage
for 2 or 3 hours in the forenoon.

The bath I propose for him is a medium between Buxton
& Bath & if I mistake not will suit him better then either

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of the natural Baths would be. ¹

The above management adapted to circumstances
by the discretion of some body on the spot is what I depend
on for the gentlemans recovery I dont know that any medicines
or drinking any mineral waters would be of service but I think
it possible he must be the better of the application of Electricity
controlled for some time. It should be applied twice a day but
the shocks should be very moderate & rather in [mr?] than in force.

His diet should be of of the middle kind, it is pro¬
babe that his stomach will not beare much vegetables especially those
of the flatulent kind but on the other hand he will be hurt
by a full & rich diet. He should I think take meat
only once a day & for the rest milk if he can digest it with
bread or any kind of grain will be the best for him. Tea &
Coffee are both improper.

For ordinary drink he may take beer or water as suits
his stomach & every day he may take a few glapes of any
wine he likes best but it should always be a few only.

His Belly should be regular but purging is extremely
improper for him.