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I am extremely willing to relieve every distress
and particularly ↑in↑ my Brethren of the Faculty. I
have perused your letter with the utmost attention
and am entirely of your own opinion that your
Ailments depend entirely upon a relaxation or loss
of tone in your Stomach. As you know your
disease I dont doubt but your own good judgement
has suggested and employed all the most proper
remedies and that my Skill can hardly add any
thing more or that can be very effectual in a
disease of more than thirty years Standing.
I shall not however by this Excuse myself as
I might from offering you the best Advice I
can. It is shortly this that the Columba root
and the Rubigo ferri are the most useful tonics
that I know of but the last to be effectual must

be employed in as large quantities as the Stomach
will bear and I have had it employed to a
dram in a day having begun with small
doses and increased by degrees. Besides [this?]
I trust especially to much Riding on horseback
You say your Ailment is not Spasmodical
but I never knew a loss of tone without occa¬
sional Spasms and I think there can be
great flatulency without Spasms stopping
the passage of the Air. In all {illeg}
of flatulency I find opiates necessary and of
Service. I have sometimes found the Extract
of Hyosciamus more convenient than Opium
All of this however I leave to your own good
discretion and am