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Sir William Carr of Etal, being at
[p]resent much indisposed, has desired me to make
[y]our acquainted with his case. -- To me his disorder
[a]ppears to be clearly a Diabetes, as I imagine you
[l]ikewise will think when I tell you his Symptoms, -
[which] are as follows. -- He has a frequent inclination
[to] make water, and passes an immoderate quantity
[o]f it, pale, thin and limpid, attended with an irratiable
[t]hirst and ↑great↑ dryness of mouth. -- I have not yet ascertained
[e]xactly the quantity of urine he makes in any given
[t]ime, but it seems to exceed much the quantity of
[h]is Drink. -- I have ordered both to be measured, and
[t]ink therefore soon be able to inform you of this
[p]articular with certainty. -- Besides these Symptoms,
[he] has little or no appetite for food, his spittle is
[t]hick and frothy, and there is an evident dryness
[a]nd constriction of the skin in a considerable degree;

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his strength is impaired and his spirits much affec[ed]
is rather costive, and his pulse is more frequent
than natural. -- When speaking of his water, I shou[ld]
have told you that he has no incontinency of [urine?]
by which I mean that he never has any time to
pass it except when his bladder is distended, and
then it is perfectly voluntary. -- Finding him
in this situation yesterday, I [permit'd?] the [warm?]
bath, with a {illeg} view to relax the skin and mak[e]
a determination to the skin surface. -- This, if yo[u]
have no objection, I mean to have repeated every other
night, or perhaps every night for ten days or a
fortnight, and, in order to support the determina¬
tion to the surface as much as possible, I have advis[ed]
him to wear a flannel shirt constantly. -- With
a {illeg} view to restore the tone of the functory vessels
of the kidneys as much as possible, I have {illeg}
[allow?], in the quantity of two drachms in the day

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in the form of whey, and, to assist this in its opera¬
tion, I have likewise ordered a drachm of the Peru¬
vian Bark in [substance?] to be taken in a glass
of Claret four times aday, with the addition of
fifteen drops of the acid Elixir of Vitriol to each
dose. -- I have advised him to abstain as much
as possible from the use of Liquids, and to confine
himself, in this {illeg} respect, entirely to Claret and
Bristol-Water. - He is likewise to go out every [where]
in a Carriage, as I think the weather at {illeg}
too severely cold to admit of his riding on horseback
without the danger of increasing his disease. -
If the warm bath & flannel shirt should fail
in producing the desired determination, may I
with propriety administer the Dover's Powder with
the sweating regimen, or any other Sudorific? -
Having thus requested you with my plan of use,
I beg to know, as soon as convenient, if you could have any
alteration made in it, or addition made to it. - In [the?]
mean time, I remain,

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Dr. Cullen
Edinburgh

✍
Dr Riddell. Concerning
Sir Wm. Carre.
7th Janry. 1777
V. VI. p.01. ---