Afraid it will be difficult to relieve him. His kidnies
certainly hurt by the strain at Bridgetown & whether
from that or circumstances of his constitution he has
now for a long time past had sand or stone in his kid¬
nies & his manner of living has certainly aggravated
all his ailments. I have no doubts of a stone in his
kidney just now, which will be difficult to pass & still more
so to dissolve. One or other of these however are the only
events which can give a material cure. The lixivium
is I think the best remedy I know. You have therefore
proposed it properly. I am sensible of the interruptions
you have had, but continue it. You have seen my
directions in this for Mr Burrows ¹ & I think Mr C.
may bear ½ mutchins of broth with the proper quantity of Lixivium
2 or 3 times a day notwithstanding any symptoms except it
be vomiting which must give some pause, but the broth &c
will not increase this. While you use it, go on as
you have done in moderating paroxysms & incidental
symptoms. I cannot be more particular at this distance
but think you must depend upon Opiates, ballancing
their astringency with frequent laxatives, especially the
Castor oil if his Stomach bear it. You have made a
fundamental step in waining him from Spirits, but
if you can keep him within bounds you must let him
return to Spirits & water. I have a good opinion in
such cases of the Uva Ursi but I will say nothing till
you have tried the Lixivium which I prefer.