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I must supposed some other disorder preceeded the Strangu¬
ry Tho there be no stone in the bladder I think it probable
that he has formerly voided sand & gravel & has had disorder
of his kidnies. This more probable as he says while
writing he passed sand mixed with blood.

In the Strangury, use the Catheter but as it hurts
employ in its place a bougie –

Drink, water in gum Arabic, Linseed tea, or a De¬
coction of Marsh mallows.

Make an infusion of wild carrot seed by putting ℥fs
of it to a chopin of water boiling. Let this after stan¬
ding a night be strained & sweetened with honey or Sugar as
his stomach agrees with it. Of this take a muchkin every
twenty four hours in divided draughts taking either a
small cupful of it by itself or mixed with his other drinks.

Every day take three doses of the Fol. uv. uris in powder
begin with ʒfs for a dose, & as his stomach bears, increase
it gradually to ʒi three times a day.

Keep his belly easy by glyster or gentle laxatives but
without any purging.

Diet plain & light; avoiding salted & high seasoned things.
Till he is considerably relieved of his present distress he should
use as little exercise as possible or that of the smoothest kind.

I might have spoke of Soap & Limewater or Caustic tea
but I think them improper with his present situation.