I.
am now satisfied as to the species of his diabetes. It does not
consist in the in the increased quantity of urine, therefore
not in a laxity of the kidnies & therefore does not require di¬
rect astringents. Neither do I think this case depends
upon obstructed perspiration or absorption by the skin &
therefore warm bathing less requisite. The disease seems
to depend on a certain change in the quality of the fluid,
but as this quality commonly determines more copiously to
the kidnies, to take off that determination may be of service
& therefore warm bathing & the warm bathing you have used
has been useful, but do not continue to repeat it so fre¬
quently especially as you may now have access to exercise
abroad, but as to the employing of warm bathing you must
be directed by still comparing urine & drink. Give as
much exercise horseback or carriage as he can bear.
Continue your tonic medicines & if you continue the bark
reduce it to two drachms a day. but after such quantities I would
fain interrupt it now for a little, substituting for a week
or two the Uva ursi. Diet as before. -- No room for
Dovers powder. The Oedematous feet, rather tho not
very strongly contraindicate the warm bathing.