The Case plainly a Catarrhus vesicӕ, which is always
attended with more or less of Dysuria. The Catarrh may
arise from various causes, but in all Cases, there
is more or less of an affection of the Bladder itself.
It appears to me that the accident about six years
ago pushed a stone violently thro the Urethra into
the Bladder, and I would suspect that it is still there
not floating loose, but incysted. It appears at the
same time that a disorder ↑probably↑ remains in the kidney
probably a stone as maybe concluded from the
frequent instances of high coloured urine, occasio¬
ned by riding and the affection of the stomach.
This disease must be of difficult cure and in my
opinion neither Blister nor bitters infused in brandy
can be of any service. - The only Medicine I can advise
is the Uva Ursi taken in substance at first to the quantity
of a Dram and gradually increasing it to three drams
[in?] every day. This may relieve his Urinary complaints
and at the same time be of service to his stomach