Summer Solstice, one thousand and eighteen post essence wars.

My patient has fallen into a depression following the events of the past few years. I considered that it may be due to an imbalance of the biles or an inflammation of the bilious humors, however he fails to respond to treatment through poltice, leeches, heartwart, or fiendbane.

The patient is also experiencing a rapid decline in physical mobility and a morbidity of the muscle tissues do to lack of use. Regular constitutionals have been proscribed, as well as an airing of the royal apartments to clear the four airts for smoother flowing through the soft tissues.

The patient’s sight remains clear, and the eyes bright, though they bear the blackened evidence of a lack of sleep, perhaps indicative of a regular nightly malaise.

I have sought council with the fine gnomish apothecaries beneath the palace foundations, but hesitate to resort to drugging a patient whose vigor may return given time. Consultations with Elric Silverthorne, a man of unquestioned skill in the healing airts have also proved fruitless, as that personage believes the malaise affecting the patient is due to an imbalance of the mind, not the body. He suggested treatment corresponding to this conclusion, unfortunately, the patient has declined to accept such treatment.

It may be years before any recovery is made. At best, hypothesis leads to the supposition that sentiment of guilt resulting in the past war effort has led to degradation of the physical self.