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This will be delivered to you by Dr.
Touch. --

I beg leave to trouble you for your
opinion of the following Patient's case, who has for
sometimes past been under my care. --

He is about 70 years of age, & has had a very
strong constitution, & hardly ever ailed, till about
five years ago, he began to pass some Stones by
the Urethra, & has ever since had more or less of
Calculous Symptoms. --

His prest. Disorder according to his own Account
came on as follows. --

About the first of November --83, after sowing
some wheat with Lime on a cold windy day, &
some of the particles of the Lime getting into
his Throat, he was seized with an excessive &
severe thirst, which has continued unquenchable
ever since. ---

He will drink ↑of cold water↑ at the rate of several ↑Scottish↑ pints
↑[uduy?]↑ both day & night. --

When the Disease commenced he only was obliged
to make his water frequently, but in no extraordi¬
nary quantity, till about the beginning of
June last, when he began to complain of a
small Swelling in the lower part of his belly, but
no uncommon hardness or Fluctuation to be felt,
his penis ↑was↑ swelled a little for a few days, & these
Complaints were succeeded by an involuntary
Discharge of urine when asleep, but not at any
other time, & this Symptom continued wt him at
[prest?].

He has little Appetite, but eats tolerably with
a view "as he imagines" to strengthen him". He has
no extraordinary quickness of pulse nor any symp¬
tom of Fever excepting the Thirst. He sleeps tolerably well.
He says he has a rotten taste in his mouth, but
this is worst in the morning, he complains also
of a constant burning dryness all along the
mouth & Throat.

His Belly is irregular, he will be two & ↑even↑ three
days without a Stool.

He thinks the quantity of water he makes is nearly
equal to what he drinks. ----

The first Physician who attended him at the
commencement of the Disorder ordered him vomits
with the Bark & Port wine, a little afterwards
I being called recommended Cream of Tartar
with acids, an opening Diet & gentle exercise,
He continued some weeks with taking Cream of Tartar
at the rate of ℥ſs p. Diem, but all with no good
Effect. Another Physician was consulted who ordered
Tamarinds & the same other things I had tried
to be continued, & added that if these things did not
do, he suspected Dropsy or diseased Viscera would
be the Consequence. ---

None of us seemed to be well enough ac¬
quainted with the nature of the Complaints, & the
Authors we consulted gave us only a transient hint
to try the remedies we recommended. ---

As his prest. Disease seemed to threaten Diabetes I
recommended Serum Aluminosum with Laxatives
at proper intervalls to prevent its increasing the costive¬
ness, but no kind of effect in abating the Symptoms
has been yet produced. ---

I hope you'll take the trouble of considering
the above Symptoms as soon as convenient, &
send your Letter to Dr. Touch's care addressed
to me Surgeon in K{illeg} In the mean time

Dr. Cullen
Physician
Edinr.